[Federal Register Volume 70, Number 194 (Friday, October 7, 2005)]
[Notices]
[Page 58708]
From the Federal Register Online via the Government Publishing Office [www.gpo.gov]
[FR Doc No: 05-20228]


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DEPARTMENT OF HEALTH AND HUMAN SERVICES

Centers for Medicare & Medicaid Services

[Document Identifier: CMS-1557 and CMS-1880/1882 and CMS 10142]


Agency Information Collection Activities: Proposed Collection; 
Comment Request

AGENCY: Centers for Medicare & Medicaid Services, HHS.
    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: Extension of a currently 
approved collection; Title of Information Collection: Survey Report 
Form Clinical Laboratory Improvement Amendments (CLIA) and supporting 
regulations under 42 CFR 493.1-493.2001; Form Number: CMS-1557 
(OMB<greek-i>: 0938-0544); Use: This form is used by the State agency 
to determine a laboratory's compliance with CLIA. This information is 
needed for a laboratory's CLIA certification and recertification; 
Frequency: Recordkeeping and Reporting--Biennially; Affected Public: 
Business or other for-profit, Not-for-profit institutions, Federal, 
State, Local or Tribal Government; Number of Respondents: 25,000; Total 
Annual Responses: 12,500; Total Annual Hours: 6,250.
    2. Type of Information Collection Request: Extension of a currently 
approved collection; Title of Information Collection: The Request for 
Certification as a Supplier of Portable X-Ray Services and Portable X-
Ray Survey Report Form under the Medicare and Medicaid Program--
Portable X-Ray Survey Report and Supporting Regulations under 42 CFR 
486.100-486.110; Form Number: CMS-1880/1882 (OMB<greek-i>: 0938-0027); 
Use: The Medicare program requires portable X-ray suppliers to be 
surveyed for health and safety standards. The CMS-1882 is the survey 
form that records survey results. The CMS-1880 is used by the surveyor 
to determine if a portable X-ray applicant meets the eligibility 
requirements. This information serves as a screen for the State survey 
agency to determine if the portable X-ray supplier has the basic 
capabilities to participate in the Medicare program. CMS will use this 
information to make certification decisions; Frequency: Reporting--On 
occasion; Affected Public: Business or other for-profit; Number of 
Respondents: 655; Total Annual Responses: 98; Total Annual Hours: 172.
    3. Type of Information Collection Request: Extension of a currently 
approved collection; Title of Information Collection: Bid Pricing Tool 
(BPT) for Medicare Advantage and Prescription Drug Plans (PDP) 
contained in 42 Code of Federal Regulation (CFR): 422.250, 422.252, 
422.254, 422.256, 422.258, 422.262, 422.264, 422.266, 422.270, 422.300, 
422.304, 422.306, 422.308, 422.310, 422.312, 422.314, 422.316, 422.318, 
422.320, 422.322, 422.324, 423.251, 423.258, 423.265, 423.272, 423.279, 
423.286, 423.293, 423.301, 423.308, 423.315, 423.322, 423.329, 423.336, 
423.343, 423.346, 423.350 ; Form Number: CMS-10142 (OMB<greek-i>: 0938-
0944); Use: Under the Medicare Modernization Act, Medicare Advantage 
Organizations (MAO) and Prescription Drug Plans (PDP) are required to 
submit an actuarial pricing bid to CMS for approval. The BPT software 
is used by MAOs and PDPs to price their plan benefit package. The BPT 
software is used by CMS to review and approve the plan pricing proposed 
by each organization; Frequency: Reporting `` On occasion, Annually and 
As required by new legislation; Affected Public: Business or other for-
profit and not-for-profit institutions; Number of Respondents: 350; 
Total Annual Responses: 350; Total Annual Hours: 12,050.
    To obtain copies of the supporting statement and any related forms 
for the proposed paperwork collections referenced above, access 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 <a href="/cdn-cgi/l/email-protection#1e4e7f6e7b6c69716c755e7d736d3076766d30797168"><span class="__cf_email__" data-cfemail="401021302532372f322b00232d336e2828336e272f36">[email protected]</span></a>, 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 6, 2005.
    CMS, Office of Strategic Operations and Regulatory Affairs, 
Division of Regulations Development, Attention: Melissa Musotto, Room 
C4-26-05, 7500 Security Boulevard, Baltimore, Maryland 21244-1850.

    Dated: September 30, 2005.
Michelle Shortt,
Director, Regulations Development Group, Office of Strategic Operations 
and Regulatory Affairs.
[FR Doc. 05-20228 Filed 10-6-05; 8:45 am]
BILLING CODE 4120-01-P


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