Federal Register / Vol. 73, No. 188 / Friday, September 26, 2008 / Notices 55845 

B. Procedures 

Bulletins regarding motor vehicle 

management are located on the Internet 

at www.gsa.gov/bulletin as Federal 

Management Regulation bulletins. 

Dated: September 16, 2008. 

Becky Rhodes, 

Deputy Associate Administrator. 

[FR Doc. E8–22643 Filed 9–25–08; 8:45 am] 

BILLING CODE 6820–14–S 

DEPARTMENT OF HEALTH AND 

HUMAN SERVICES 

Centers for Disease Control and 

Prevention 

[30Day–08–0006] 

Agency Forms Undergoing Paperwork 

Reduction Act Review 

The Centers for Disease Control and 

Prevention (CDC) publishes a list of 

information collection requests under 

review by the Office of Management and 

Budget (OMB) in compliance with the 

Paperwork Reduction Act (44 U.S.C. 

Chapter 35). To request a copy of these 

requests, call the CDC Reports Clearance 

Officer at (404) 639–5960 or send an 

e-mail to omb@cdc.gov. Send written 

comments to CDC Desk Officer, Office of 

Management and Budget, Washington, 

DC or by fax to (202) 395–6974. Written 

comments should be received within 30 

days of this notice. 

Proposed Project 

Statements in Support of Application 

for Waiver of Inadmissibility Under the 

Immigration and Nationality Act (OMB 

Control No. 0920–0006)—Extension— 

National Center for Preparedness, 

Control and Detection of Infectious 

Diseases (NCPDCID), Centers for Disease 

Control and Prevention (CDC). 

Background and Brief Description 

Section 212(a)(1) of the Immigration 

and Nationality Act states that aliens 

with specific health related conditions 

are ineligible for admission into the 

United States. The Attorney General 

may waive application of this 

inadmissibility on health-related 

grounds if an application for waiver is 

filed and approved by the consular 

office considering the application for 

visa. CDC uses this application 

primarily to collect information to 

establish and maintain records of waiver 

applicants in order to notify the U.S. 

Citizenship and Immigration Services 

when terms, conditions and controls 

imposed by waiver are not met. CDC is 

requesting approval from OMB to 

collect this data for another 3 years. 

CDC estimates that mailing costs per 

respondent will be $80.00 per year. The 

annualized burden for this data 

collection is 167 hours. 

ESTIMATE OF ANNUALIZED BURDEN HOURS

Form Number of 

responses 

Number of 

responses per 

respondent 

Average burden 

per response 

(in hours) 

Form CDC 4.422–1 ......................................................................................................... 200 1 10/60 

Form CDC 4.422–1a ....................................................................................................... 200 1 20/60 

Form CDC 4.422–1b ....................................................................................................... 200 1 20/60 

Dated: September 22, 2008. 

Marilyn S. Radke, 

Reports Clearance Officer, Centers for Disease 

Control and Prevention. 

[FR Doc. E8–22698 Filed 9–25–08; 8:45 am] 

BILLING CODE 4163–18–P 

DEPARTMENT OF HEALTH AND 

HUMAN SERVICES 

Centers for Medicare & Medicaid 

Services 

[Document Identifier: CMS–484 and CMS– 

846–849, 854, 10125, 10126, 10269 and 

CMS–R–21] 

Agency Information Collection 

Activities: Submission for OMB 

Review; 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), 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 function; 

(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: Durable Medical 

Equipment Regional Carrier, Certificate 

of Medical Necessity for Oxygen and 

Supporting Regulations in 42 CFR 

410.38 and 424.5; Use: The oxygen 

certificate of medical necessity (CMN) 

collects information required to help 

determine the medical necessity of 

home oxygen therapy for Medicare 

beneficiaries. CMS requires CMNs 

where items may present a vulnerability 

to the Medicare program. Each claim for 

these items must have an associated 

CMN for the beneficiary. In order to 

determine if a beneficiary needs home 

oxygen therapy, a qualifying blood gas 

study must be performed and it must 

comply with the DMERCs Oxygen 

Medical Policy on the standards for 

conducting the test and also be covered 

under Medicare Part B. A beneficiary 

must be seen and evaluated by the 

treating physician within specific 

timeframes as indicated by the Oxygen 

Medical Policy in order to complete an 

Initial CMN Certification, a 

Recertification CMN and a Revised 

CMN Certification. Form Number: 

CMS–484 (OMB# 0938–0534); 

Frequency: Occasionally; Affected 

Public: Business or other for-profits; 

Number of Respondents: 15,000; Total 

Annual Responses: 1,630,000; Total 

Annual Hours: 326,000. 

2. Type of Information Collection 

Request: Revision of a currently 

approved collection; Title of 

Information Collection: Durable Medical 

Equipment Medicare Administrative 

Contractors (MAC), Certificates of 

Medical Necessity; Use: The certificate 

of medical necessity (CMN) collects 

information required to help determine 

the medical necessity of certain items. 

CMS requires CMNs where there may be 

a vulnerability to the Medicare program. 

Each initial claim for these items must 


jlentini on PROD1PC65 with NOTICES
55846 Federal Register / Vol. 73, No. 188 / Friday, September 26, 2008 / Notices 

have an associated CMN for the 

beneficiary. Suppliers (those who bill 

for the items) complete the 

administrative information (e.g., 

patient’s name and address, items 

ordered, etc.) on each CMN. The 1994 

Amendments to the Social Security Act 

require that the supplier also provide a 

narrative description of the items 

ordered and all related accessories, their 

charge for each of these items, and the 

Medicare fee schedule allowance (where 

applicable). The supplier then sends the 

CMN to the treating physician or other 

clinicians (e.g., physician assistant, 

LPN, etc.) who completes questions 

pertaining to the beneficiary’s medical 

condition and signs the CMN. The 

physician or other clinician returns the 

CMN to the supplier who has the option 

to maintain a copy and then submits the 

CMN (paper or electronic) to CMS, 

along with a claim for reimbursement. 

Form Number: CMS–846–849, 854, 

10125, 10126, 10269 (OMB# 0938– 

0679); Frequency: Occasionally; 

Affected Public: Business or other forprofit and Not-for-profit institutions; 

Number of Respondents: 59,200; Total 

Annual Responses: 6,480,000; Total 

Annual Hours: 1,296,000. 

3. Type of Information Collection 

Request: Extension without change of a 

currently approved collection; Title of 

Information Collection: Withholding 

Medicare Payments to Recover 

Medicaid Overpayments and 

Supporting Regulations in 42 CFR 

44.31; Use: Overpayments may occur in 

either the Medicare and Medicaid 

program, at times resulting in a situation 

where an institution or person that 

provides services owes a repayment to 

one program while still receiving 

reimbursement from the other. Certain 

Medicaid providers which are subject to 

offsets for the collection of Medicaid 

overpayments may terminate or 

substantially reduce their participation 

in Medicaid, leaving the State Medicaid 

Agency unable to recover the amounts 

due. These information collection 

requirements give CMS the authority to 

recover Medicaid overpayments by 

offsetting payments due to a provider 

under the program. Form Number: 

CMS–R–21 (OMB# 0938–0287); 

Frequency: On occasion; Affected 

Public: State, Local or Tribal 

Governments; Number of Respondents: 

54; Total Annual Responses: 27; Total 

Annual Hours: 81. 

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 

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 27, 2008: OMB, Office of 

Information and Regulatory Affairs, 

Attention: CMS Desk Officer, New 

Executive Office Building, Room 10235, 

Washington, DC 20503, Fax Number: 

(202) 395–6974. 

Dated: September 18, 2008. 

Michelle Shortt, 

Director, Regulations Development Group, 

Office of Strategic Operations and Regulatory 

Affairs. 

[FR Doc. E8–22582 Filed 9–25–08; 8:45 am] 

BILLING CODE 4120–01–P 

DEPARTMENT OF HEALTH AND 

HUMAN SERVICES 

Centers for Medicare & Medicaid 

Services 

[Document Identifier: CMS–372 and CMS– 

R–54] 

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: Annual Report 

on Home and Community Based 

Services Waivers and Supporting 

Regulations in 42 CFR 440.180 and 

441.300–310.; Use: States within an 

approved waiver under section 1915(c) 

of the act are required to submit a report 

annually in order for CMS to: (1) Verify 

that State assurances regarding waiver 

cost-neutrality are met; and (2) 

Determine the waiver’s impact on the 

type, amount, and cost of services 

provided under the State Plan and 

health welfare of recipients. Form 

Number: CMS–372 (OMB# 0938–0272); 

Frequency: Yearly; Affected Public: 

State, Local, or Tribal Governments; 

Number of Respondents: 49; Total 

Annual Responses: 305; Total Annual 

Hours: 13,115. 

2. Type of Information Collection 

Request: Revision of a currently 

approved collection; Title of 

Information Collection: National 

Medicare & You Education Program 

(NMEP) Survey of Medicare 

Beneficiaries Use: The Centers for 

Medicare and Medicaid Services is 

requesting a revision of this information 

collection request to continue to collect 

information from Medicare 

beneficiaries, caregivers, health care 

providers, and health information 

providers. It is critical for this agency to 

obtain feedback from the 

aforementioned groups so that the 

agency can accurately assess the needs 

of the Medicare audience. Using random 

digit dial and/or an administrative 

sample, members of the Medicare 

audience will be called and asked to 

complete the survey via telephone. The 

results of this survey will be compiled 

and studied so that communication may 

be amended to benefit Medicare’s 

audience. The survey has the following 

objectives: To assess satisfaction with 

and knowledge of the Medicare 

program; to gather information on 

health behaviors and quality of health 

care; to determine the most used source 

for Medicare information; and to gather 

information from health care provider 

and health information providers. Form 

Number: CMS–R–54 (OMB# 0938– 

0738); Frequency: Once; Affected 

Public: Individuals and Households, 

Private Sector—Business or other forprofits; Number of Respondents: 7,000; 

Total Annual Responses: 7,000; Total 

Annual Hours: 1,750. 

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 


jlentini on PROD1PC65 with NOTICES