Federal Register / Vol. 73, No. 178 / Friday, September 12, 2008 / Notices 53027 

and Reporting—On occasion; Affected 

Public: Business or other for-profit and 

not-for-profit institutions; Number of 

Respondents: 400,000; Total Annual 

Responses: 400,000; Total Annual 

Hours: 785,702. 

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/ 

PaperworkReductionActof1995, or email 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 by the OMB desk officer at 

the address below, no later than 5 p.m. 

on October 14, 2008. OMB Human 

Resources and Housing Branch, 

Attention: OMB Desk Officer, New 

Executive Office Building, Room 10235, 

Washington, DC 20503, Fax Number: 

(202) 395–6974. 

Dated: September 5, 2008. 

Michelle Shortt, 

Director, Regulations Development Group, 

Office of Strategic Operations and Regulatory 

Affairs. 

[FR Doc. E8–21157 Filed 9–10–08; 8:45 am] 

BILLING CODE 4120–01–P 

DEPARTMENT OF HEALTH AND 

HUMAN SERVICES 

Centers for Medicare & Medicaid 

Services 

[Document Identifier: CMS–10156, CMS– 

9042 and CMS–29/30] 

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: Revision of a currently 

approved collection; Title of 

Information Collection: Retiree Drug 

Subsidy (RDS) Applications and 

Instructions; Use: Under the Medicare 

Prescription Drug, Improvement, and 

Modernization Act of 2003 and 

implementing regulations at 42 CFR Part 

423 Subpart R, Plan Sponsors (e.g., 

employers or unions) who offer 

prescription drug coverage to their 

qualified covered retirees are eligible to 

receive a 28% tax-free subsidy for 

allowable drug costs. Plan Sponsors 

must submit a complete application to 

CMS in order to be considered for the 

RDS Program. Form Number: CMS– 

10165 (OMB# 0938–0957); Frequency: 

Yearly; Affected Public: Business or 

other for-profits and not-for-profit 

institutions, and State, Local, or Tribal 

Governments; Number of Respondents: 

4,500; Total Annual Responses: 4,500; 

Total Annual Hours: 288,000. 

2. Type of Information Collection 

Request: Extension of a currently 

approved collection; Title of 

Information Collection: Accelerated 

Payments and supporting regulations 42 

CFR, Section 412.116(f), 412.632(e), 

413.64(g), 413.350(d), and 484.245; Use: 

Section 1815(a) of the Social Security 

Act describes payment to providers of 

services. When a delay in Medicare 

payment by a fiscal intermediary for 

covered services causes financial 

difficulties for a provider, the provider 

may request an accelerated payment. An 

accelerated payment also may be made 

in highly exceptional situations where a 

provider has incurred a temporary delay 

in its bill processing beyond the 

provider’s normal billing cycle. 

Accelerated payments are limited to 

providers that are not receiving periodic 

interim payments. Form CMS–9042 is 

used by fiscal intermediaries to assess a 

provider’s eligibility for accelerated 

payments. Form Number: CMS–9042 

(OMB# 0938–0269); Frequency: Yearly; 

Affected Public: Business or other forprofits and not-for-profit institutions; 

Number of Respondents: 880; Total 

Annual Responses: 880; Total Annual 

Hours: 440. 

3. Type of Information Collection 

Request: Revision of a currently 

approved collection; Title of 

Information Collection: Request for 

Certification as Rural Health Clinic 

(RHC) and RHC Survey Report Form 

and Supporting Regulations in 42 CFR 

491.1–491.11; Use: The CMS–29 is 

utilized as an application to be 

completed by suppliers of RHC services 

requesting participation in the 

Medicare/Medicaid programs. This form 

initiates the process of obtaining a 

decision as to whether the conditions 

for certification are met as a supplier of 

RHC services. It also promotes data 

reduction or introduction to and 

retrieval from the Automated Survey 

Process Environment (ASPEN) and 

related survey and certification 

databases by the CMS Regional Offices. 

Form Number: CMS–29/30 (OMB# 

0938–0074); Frequency: Yearly; Affected 

Public: State, Local, or Tribal 

Governments; Number of Respondents: 

766; Total Annual Responses: 766; Total 

Annual Hours: 192. 

To obtain copies of the supporting 

statement and any related forms for the 

proposed paperwork collections 

referenced above, access CMS’ Web site 

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

PaperworkReductionActof1995, or email 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. 

In commenting on the proposed 

information collections please reference 

the document identifier or OMB control 

number. To be assured consideration, 

comments and recommendations must 

be submitted in one of the following 

ways by November 12, 2008: 

1. Electronically. You may submit 

your comments electronically to http:// 

www.regulations.gov. Follow the 

instructions for ‘‘Comment or 

Submission’’ or ‘‘More Search Options’’ 

to find the information collection 

document(s) accepting comments. 

2. By regular mail. You may mail 

written comments to the following 

address: CMS, Office of Strategic 

Operations and Regulatory Affairs, 

Division of Regulations Development, 

Attention: Document Identifier/OMB 

Control Number llll, Room C4–26– 

05, 7500 Security Boulevard, Baltimore, 

Maryland 21244–1850. 

Date: September 5, 2008. 

Michelle Shortt, 

Director, Regulations Development Group, 

Office of Strategic Operations and Regulatory 

Affairs. 

[FR Doc. E8–21159 Filed 9–11–08; 8:45 am] 

BILLING CODE 4120–01–P 


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