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[Federal Register Volume 73, Number 27 (Friday, February 8, 2008)]
[Notices]
[Pages 7560-7561]
From the Federal Register Online via the Government Publishing Office [www.gpo.gov]
[FR Doc No: E8-2064]

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DEPARTMENT OF HEALTH AND HUMAN SERVICES

Centers for Medicare & Medicaid Services

[Document Identifier: CMS-1771, CMS-10145 and CMS-10204]

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: Attending 
Physicians Statement and Documentation of Medicare Emergency and 
Supporting Regulations in 42 CFR 424.103; Use: 42 CFR 424.103(b) 
requires that before a nonparticipating hospital may be paid for 
emergency services rendered to a Medicare beneficiary, a statement must 
be submitted that is sufficiently comprehensive to support that an 
emergency existed. Form CMS-1771 contains a series of questions 
relating to the medical necessity of the emergency. The attending 
physician must attest that the hospitalization was required under the 
regulatory emergency definition (42 CFR 424.101) and give clinical 
documentation to support the claim. Form Number: CMS-1771 (OMB 
0938-0023); Frequency: Yearly; Affected Public: Private sector--
business or other for-profit and not-for-profit institutions; Number of 
Respondents: 100; Total Annual Responses: 200; Total Annual Hours: 50.
    2. Type of Information Collection Request: Revision of a currently 
approved collection; Title of Information Collection: Medicare Part B 
Drug and Biological Competitive Acquisition Program and Supporting 
Regulations in 42 CFR Sections 414.906, 414.908, 414.910, 414.914, 
414.916, and 414.917; Use: Section 303(d) of the Medicare Prescription 
Drug, Improvement, and Modernization Act of 2003 (MMA) provides an 
alternative

[[Page 7561]]

payment methodology for Part B covered 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 by adding a new 
section 1847(B), 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. Since its inception, 
additional legislation has augmented the CAP. Section 108 of the 
Medicare Improvements and Extension Act under Division B, Title I of 
the Tax Relief Health Care Act of 2006 (MIEA-TRHCA) amended section 
1847b(a)(3) of the Social Security Act and requires that CAP implement 
a post payment review process. This procedure is done to assure that 
payment is made for a drug or biological under this section only if the 
drug or biological has been administered to a beneficiary. Form Number: 
CMS-10145 (OMB 0938-0945); Frequency: Weekly; Affected Public: 
Private sector--business or other for-profit and not-for-profit 
institutions; Number of Respondents: 3,000; Total Annual Responses: 
156,000; Total Annual Hours: 31,188.
    3. Type of Information Collection Request: Revision of a currently 
approved collection; Title of Information Collection: Evaluation of the 
Medical Adult Day Care Services Demonstration; Use: Section 703 of the 
Medicare Prescription Drug, Improvement and Modernization Act of 2003 
(Pub. L. 108-173) authorizes a three-year demonstration to conduct an 
evaluation of the clinical and cost-effectiveness of providing medical 
adult day-care services as a substitute for a portion of home health 
services that would otherwise be provided in the beneficiary's home. 
Delivering home health services in the adult day-care setting 
represents an expansion of coverage under the home health benefit under 
Medicare. The Demonstration aims to evaluate both the costs and the 
benefits of delivering home health services in the adult day-care 
setting. The evaluation will examine the achievements as well as the 
difficulties inherent in demonstration implementation.
    Telephone survey data from Medicare beneficiary's interviews are to 
be completed during Phase II of the Evaluation of the Medical Adult 
Day-Care Services Demonstration. The survey was developed based on 
collection of data from face-to-face interviews with beneficiaries from 
Phase I of the Demonstration evaluation. Form Number: CMS-10204 
(OMB 0938-1017); Frequency: Once; Affected Public: Individuals 
or households; Number of Respondents: 900; Total Annual Responses: 900; 
Total Annual Hours: 150.
    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 E-mail your request, including your address, phone number, OMB 
number, and CMS document identifier, to [email protected], 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 April 8, 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---- , Room C4-26-05, 7500 Security Boulevard, Baltimore, 
Maryland 21244-1850.

    Dated: January 30, 2008.
Michelle Shortt,
Director, Regulations Development Group, Office of Strategic Operations 
and Regulatory Affairs.
[FR Doc. E8-2064 Filed 2-7-08; 8:45 am]
BILLING CODE 4120-01-P
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