[Federal Register: May 9, 2008 (Volume 73, Number 91)]
[Notices]               
[Page 26398-26399]
From the Federal Register Online via GPO Access [wais.access.gpo.gov]
[DOCID:fr09my08-73]                         

-----------------------------------------------------------------------

DEPARTMENT OF HEALTH AND HUMAN SERVICES

Centers for Medicare & Medicaid Services

[Document Identifier: CMS-10123 and 10124, and CMS-216-94]

 
Agency Information Collection Activities: Submission for OMB 
Review; Comment Request

AGENCY: Centers for Medicare & Medicaid Services, Department of Health 
and Human 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: Notice of 
Provider Non-Coverage (CMS-10123) and Detailed Explanation of Non-
Coverage (CMS-10124); Use: The Notice of Medicare Provider Non-Coverage 
(CMS-10123) is used to inform fee-for-service Medicare beneficiaries of 
the determination that their provider services will end, and of their 
right to an expedited review of that determination. The Detailed 
Explanation of Non-Coverage (CMS-10124) is used to provide 
beneficiaries who request an expedited determination with detailed 
information of why the services should end. The revised Notice of 
Provider Non-Coverage and Detailed Explanation of Provider Non-Coverage 
will no longer require use of the beneficiary's Medicare number as a 
patient identifier. Instead, when applicable, providers may use a 
number that helps to link the notice with a related claim. Form Number: 
CMS-10123 and 10124 (OMB 0938-0953); Frequency: Occasionally; 
Affected Public: Business or other for-profit, not-

[[Page 26399]]

for-profit institutions, and individuals or households; Number of 
Respondents: 3,115,637; Total Annual Responses: 3,115,637; Total Annual 
Hours: 522,138.
    2. Type of Information Collection Request: Extension of a currently 
approved collection; Title of Information Collection: Organ Procurement 
Organization/Histocompatibility Laboratory Statement of Reimbursable 
Costs, manual instructions and supporting regulations contained in 42 
CFR 413.20 and 413.24; Use: This form is required by the statute and 
regulation for participation in the Medicare program. The information 
is used to determine payment for Medicare. Organ Procurement 
Organizations and Histocompatibility Laboratories are the users. Form 
Number: CMS-216-94 (OMB 0938-0102); Frequency: Yearly; 
Affected Public: Business or other for-profit, not-for-profit 
institutions; Number of Respondents: 108; Total Annual Responses: 108; 
Total Annual Hours: 4,860.
    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 June 9, 2008.

OMB Human Resources and Housing Branch, Attention: Carolyn Raffaelli, 
New Executive Office Building, Room 10235, Washington, DC 20503, Fax 
Number: (202) 395-6974.

    Dated: May 1, 2008.
Michelle Shortt,
Director, Regulations Development Group, Office of Strategic Operations 
and Regulatory Affairs.
[FR Doc. E8-10285 Filed 5-8-08; 8:45 am]

BILLING CODE 4120-01-P