Federal Register / Vol. 70, No. 203 / Friday, October 21, 2005 / Notices 61291 

assets or the ownership of, control of, or 

the power to vote shares of a bank or 

bank holding company and all of the 

banks and nonbanking companies 

owned by the bank holding company, 

including the companies listed below. 

The applications listed below, as well 

as other related filings required by the 

Board, are available for immediate 

inspection at the Federal Reserve Bank 

indicated. The application also will be 

available for inspection at the offices of 

the Board of Governors. Interested 

persons may express their views in 

writing on the standards enumerated in 

the BHC Act (12 U.S.C. 1842(c)). If the 

proposal also involves the acquisition of 

a nonbanking company, the review also 

includes whether the acquisition of the 

nonbanking company complies with the 

standards in section 4 of the BHC Act 

(12 U.S.C. 1843). Unless otherwise 

noted, nonbanking activities will be 

conducted throughout the United States. 

Additional information on all bank 

holding companies may be obtained 

from the National Information Center 

Web site at www.ffiec.gov/nic/. 

Unless otherwise noted, comments 

regarding each of these applications 

must be received at the Reserve Bank 

indicated or the offices of the Board of 

Governors not later than November 15, 

2005. 

A. Federal Reserve Bank of Atlanta 

(Andre Anderson, Vice President) 1000 

Peachtree Street, NE., Atlanta, Georgia 

30303: 

1. Madison Financial Corporation, 

Madison, Mississippi; to become a bank 

holding company by acquiring 100 

percent of the voting shares of Madison 

County Bank, Madison, Mississippi. 

Board of Governors of the Federal Reserve 

System, October 17, 2005. 

Robert deV. Frierson, 

Deputy Secretary of the Board. 

[FR Doc. E5–5795 Filed 10–20–05; 8:45 am] 

BILLING CODE 6210–01–S 

HARRY S. TRUMAN SCHOLARSHIP 

FOUNDATION 

Sunshine Act Meeting; Meeting of the 

Trustees and Officers of the Harry S. 

Truman Scholarship Foundation—

Change of Meeting Date and Time 

The meeting date and time announced 

on October 3, 2005 (70 FR 57599) has 

been changed. The meeting will now be 

held on November 16, 2005 from 11 

a.m. to 1 p.m. at the Cannon House 

Office Building, Room 121. The agenda 

remains unchanged. 

Louis H. Blair, 

Executive Secretary. 

[FR Doc. 05–21185 Filed 10–19–05; 11:19 

am] 

BILLING CODE 6820–AD–P 

DEPARTMENT OF HEALTH AND 

HUMAN SERVICES 

Centers for Medicare & Medicaid 

Services 

[Document Identifier: CMS–10172, CMS–R–

0107 and CMS–R–285] 

Agency Information Collection 

Activities: Proposed Collection; 

Comment Request 

AGENCY: Centers for Medicare & 

Medicaid Services. 

In compliance with the requirement 

of section 3506(c)(2)(A) of the 

Paperwork Reduction Act of 1995, the 

Centers for Medicare & Medicaid 

Services (CMS) is publishing the 

following summary of proposed 

collections for public comment. 

Interested persons are invited to send 

comments regarding this burden 

estimate or any other aspect of this 

collection of information, including any 

of the following subjects: (1) The 

necessity and utility of the proposed 

information collection for the proper 

performance of the agency’s functions; 

(2) the accuracy of the estimated 

burden; (3) ways to enhance the quality, 

utility, and clarity of the information to 

be collected; and (4) the use of 

automated collection techniques or 

other forms of information technology to 

minimize the information collection 

burden. 

1. Type of Information Collection 

Request: New Collection; Title of 

Information Collection: Medicare Health 

Support Program Medical Records 

Abstraction; Form Number: CMS–10172 

(OMB#: 0938–New); Use: The Medicare 

Health Support Program (MHS) is 

authorized under Section 721 of the 

Medicare Prescription Drug, 

Improvement, and Modernization Act of 

2003 (MMA). There are eight Medicare 

Health Support Organizations (MHSOs) 

that have signed cooperative agreements 

with the Centers for Medicare & 

Medicaid Services (CMS) to provide 

care support services to targeted 

Medicare fee-for-service (FFS) 

beneficiaries. The purposes of the MHS 

program are to improve the quality of 

healthcare provided to Medicare FFS 

beneficiaries with congestive heart 

failure and/or diabetes and to reduce the 

healthcare treatment cost to Medicare. 

MHS performance measures provide 

CMS with information to monitor the 

program operations and identify 

positive or negative program effects, 

provide MHSOs with feedback, and 

serve as the basis for MHS performance 

guarantees. To meet these requirements, 

CMS has developed a performance 

monitoring system for MHS. This 

system includes measures of clinical 

performance that require the collection 

of clinical data from the medical records 

of a sample of Medicare beneficiaries. 

Medical record abstraction will be 

performed in two phases: the first, a 

pilot test, will take place after 

approximately six months of program 

operations, and the second, the full 

study. CMS will obtain active informed 

consent from the affected beneficiaries 

prior to reviewing medical records; 

Frequency: Reporting—Other: Only 

Once; Affected Public: Individuals or 

Households and Business or other forprofit; Number of Respondents: 26,643; 

Total Annual Responses: 26,643; Total 

Annual Hours: 12,416. 

2. Type of Information Collection 

Request: Extension of a currently 

approved collection; Title of 

Information Collection: Medicare—

Determining Third Party Liability (TPL) 

State Plan Preprint and Supporting 

Regulations in 42 CFR 433.138; Form 

Number: CMS–R–0107 (OMB#: 0938–

0502); Use: Medicaid beneficiaries 

frequently have third party resources 

which are legally obligated to pay 

medical claims before Medicaid pays. 

Section 42 CFR 433.138 requires State 

Medicaid agencies to take specific steps 

to identify third party resources and 

determine their legal liability to pay for 

services under the plan. The collection 

of TPL information results in significant 

program savings to the extent that liable 

third parties can be identified and 

payments can be made for services that 

would otherwise be paid for by the 

Medicaid program. The State Medicaid 

agencies are the primary users of the 

collected data. Whenever States identify 

third party resources, pertinent 

information is entered into the State’s 

Medicaid Management Information 

System (MMIS). This enables the State 

to advise the provider to bill the third 

party and to seek reimbursement in 

situations where Medicaid TPL claims 

have been paid; Frequency: 

Recordkeeping—On occasion; Affected 

Public: Individuals or Households and 

Federal, State, Local and Tribal 

Government; Number of Respondents: 

2,700,000; Total Annual Responses: 

2,700,000; Total Annual Hours: 472,259. 

3. Type of Information Collection 

Request: Extension of a currently 

61292 Federal Register / Vol. 70, No. 203 / Friday, October 21, 2005 / Notices 

approved collection; Title of 

Information Collection: Request for 

Retirement Benefit Information (BBA 

‘97); Form Number: CMS–R–285 

(OMB#: 0938–0769); Use: The Request 

for Retirement Benefit Information form 

is used to obtain retirement benefit 

information from beneficiaries that 

purchase Medicare Part A coverage. The 

Social Security Administration (SSA) 

will use this information to determine if 

a beneficiary meets the requirements to 

qualify for a Medicare Part A premium 

reduction.; Frequency: Reporting—On 

occasion; Affected Public: State, Local 

or Tribal Government; Number of 

Respondents: 1500; Total Annual 

Responses: 1500; Total Annual Hours: 

375. 

To obtain copies of the supporting 

statement and any related forms for the 

proposed paperwork collections 

referenced above, access CMS’l Web site 

address at http://www.cms.hhs.gov/ 

regulations/pra/, or E-mail your request, 

including your address, phone number, 

OMB number, and CMS document 

identifier, to Paperwork@cms.hhs.gov, 

or call the Reports Clearance Office on 

(410) 786–1326. 

To be assured consideration, 

comments and recommendations for the 

proposed information collections must 

be received at the address below, no 

later than 5 p.m. on December 20, 2005. 

CMS, Office of Strategic Operations and 

Regulatory Affairs, Division of 

Regulations Development, Attention: 

Bonnie L Harkless, Room C4–26–05, 

7500 Security Boulevard, Baltimore, 

Maryland 21244–1850. 

Dated: October 13, 2005. 

Michelle Shortt, 

Director, Regulations Development Group, 

Office of Strategic Operations and Regulatory 

Affairs. 

[FR Doc. 05–20962 Filed 10–20–05; 8:45 am] 

BILLING CODE 4120–01–P 

DEPARTMENT OF HEALTH AND 

HUMAN SERVICES 

Centers for Medicare and Medicaid 

Services 

[Document Identifier: CMS–10133] 

Emergency Clearance: Public 

Information Collection Requirements 

Submitted to the Office of Management 

and Budget (OMB) 

AGENCY: Center for Medicare and 

Medicaid Services. 

In compliance with the requirement 

of section 3506(c)(2)(A) of the 

Paperwork Reduction Act of 1995, the 

Centers for Medicare and Medicaid 

Services (CMS), Department of Health 

and Human Services, is publishing the 

following summary of proposed 

collections for public comment. 

Interested persons are invited to send 

comments regarding this burden 

estimate or any other aspect of this 

collection of information, including any 

of the following subjects: (1) The 

necessity and utility of the proposed 

information collection for the proper 

performance of the agency’s functions; 

(2) the accuracy of the estimated 

burden; (3) ways to enhance the quality, 

utility, and clarity of the information to 

be collected; and (4) the use of 

automated collection techniques or 

other forms of information technology to 

minimize the information collection 

burden. 

We are, however, requesting an 

emergency review of the information 

collection referenced below. In 

compliance with the requirement of 

section 3506(c)(2)(A) of the Paperwork 

Reduction Act of 1995, we have 

submitted to the Office of Management 

and Budget (OMB) the following 

requirements for emergency review. We 

are requesting an emergency review 

because the collection of this 

information is needed before the 

expiration of the normal time limits 

under OMB’s regulations at 5 CFR Part 

1320. This is necessary to ensure 

compliance with an initiative of the 

Administration. We cannot reasonably 

comply with the normal clearance 

procedures because the use of normal 

clearance procedures will jeopardize 

program implementation by a statutorily 

mandated deadline and could 

contribute to impaired beneficiary 

access to Part B drugs. 

Section 303(d) of the MMA provides 

an alternative payment methodology for 

Part B drugs that are not paid on a cost 

or prospective payment basis. In 

particular, Section 303(d) of the MMA 

amends Title XVIII of the Social 

Security Act (the Act) by adding a new 

section 1847B, which establishes a 

competitive acquisition program for the 

acquisition of and payment for Part B 

covered drugs and biologicals furnished 

on or after January 1, 2006. Beginning in 

2006, physicians will have a choice 

between acquiring and billing for Part B 

covered drugs under the Average Sales 

Price (ASP) drug payment methodology 

or electing to receive these drugs from 

vendors/suppliers selected for the 

Competitive Acquisition Program (CAP), 

through a competitive bidding process. 

The provisions for this new payment 

system are described in the proposed 

rule (42 CFR Part 414 Subpart K) 

published March 4, 2005 (70 FR 10746), 

the interim final rule published July 6, 

2005 (70 FR 39022), and a final rule that 

is expected to be published in 

November 2005. 

1. Type of Information Collection 

Request: Extension of a currently 

approved collection; Title of 

Information Collection: Competitive 

Acquisition Program for Medicare Part B 

Drugs: Vendor Application and Bid 

Form; Use: The CAP Vendor 

Application and Bid Form is a 

collection tool which will be used by 

potential vendors to provide 

information related to the characteristics 

of their company and to submit their bid 

prices for CAP drugs. The information 

collected on the CAP Vendor 

Application and Bid Form will be used 

by CMS during the bidding evaluation 

process to evaluate the vendors bid 

prices, their credentials, experience and 

to assess their ability to provide quality 

service to physicians and beneficiaries. 

Competitive bidding is seen as a means 

of using the dynamics of the 

marketplace to provide incentives for 

suppliers to provide reasonably priced 

products and services of high quality in 

an efficient manner. The CAP’s 

objectives include providing an 

alternative method for physicians to 

obtain Part B drugs to administer to 

Medicare beneficiaries and reducing 

drug acquisition and billing burdens for 

physicians; Form Number: CMS–10133 

(OMB#: 0938–0955); Frequency: 

Reporting—Other, during enrollment; 

Affected Public: Business or other forprofit; Number of Respondents: 12; 

Total Annual Responses: 12; Total 

Annual Hours: 480. 

CMS is requesting OMB review and 

approval of this collection by November 

1, 2005, with a 180-day approval period. 

Written comments and 

recommendations will be considered 

from the public if received by the 

individuals designated below by 

October 28, 2005. 

To obtain copies of the supporting 

statement and any related forms for the 

proposed paperwork collections 

referenced above, access the CMS Web 

site address at http://www.cms.hhs.gov/ 

regulations/pra or e-mail your request, 

including your address, phone number, 

OMB number, and CMS document 

identifier, to Paperwork@cms.hhs.gov, 

or call the Reports Clearance Office on 

(410) 786–1326. 

Interested persons are invited to send 

comments regarding the burden or any 

other aspect of these collections of 

information requirements. However, as 

noted above, comments on these 

information collection and 

recordkeeping requirements must be 

mailed to the designees referenced 

below by October 28, 2005: