Agency Information Collection Activities: Proposed Collection; Comment Request, 11224 [2017-03370]
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Federal Register / Vol. 82, No. 33 / Tuesday, February 21, 2017 / Notices
disproportionate share hospital (DSH)
that received a DSH payment under the
state’s Medicaid program in the
preceding fiscal year and the amount of
DSH payments paid to that hospital in
the same year along with other
information that the Secretary
determines necessary to ensure the
appropriateness of DSH payments; Form
Number: CMS–R–266 (OMB control
number: 0938–0746); Frequency: Yearly;
Affected Public: State, Local, or Tribal
Governments; Number of Respondents:
51; Total Annual Responses: 51; Total
Annual Hours: 2,142. (For policy
questions regarding this collection
contact Robert Lane at 410–786–2015.)
Dated: February 15, 2017.
William N. Parham, III,
Director, Paperwork Reduction Staff, Office
of Strategic Operations and Regulatory
Affairs.
[FR Doc. 2017–03369 Filed 2–17–17; 8:45 am]
BILLING CODE 4120–01–P
DEPARTMENT OF HEALTH AND
HUMAN SERVICES
Centers for Medicare & Medicaid
Services
[Document Identifier: CMS–10398]
Agency Information Collection
Activities: Proposed Collection;
Comment Request
Centers for Medicare &
Medicaid Services, Department of
Health and Human Services.
ACTION: Notice.
AGENCY:
The Centers for Medicare &
Medicaid Services (CMS) is announcing
an opportunity for the public to
comment on CMS’ intention to collect
information from the public. Under the
Paperwork Reduction Act of 1995 (the
PRA), federal agencies are required to
publish notice in the Federal Register
concerning each proposed collection of
information (including each proposed
extension or reinstatement of an existing
collection of information) and to allow
60 days for public comment on the
proposed action. Interested persons are
invited to send comments regarding our
burden estimates or any other aspect of
this collection of information, including
the necessity and utility of the proposed
information collection for the proper
performance of the agency’s functions,
the accuracy of the estimated burden,
ways to enhance the quality, utility, and
clarity of the information to be
collected, and the use of automated
collection techniques or other forms of
information technology to minimize the
information collection burden.
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SUMMARY:
VerDate Sep<11>2014
17:15 Feb 17, 2017
Jkt 241001
Comments must be received by
April 24, 2017.
ADDRESSES: When commenting, please
reference the document identifier or
OMB control number. To be assured
consideration, comments and
recommendations must be submitted in
any one of the following ways:
1. Electronically. You may send your
comments electronically to https://
www.regulations.gov. Follow the
instructions for ‘‘Comment or
Submission’’ or ‘‘More Search Options’’
to find the information collection
document(s) that are 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 lll, Room C4–26–
05, 7500 Security Boulevard, Baltimore,
Maryland 21244–1850.
To obtain copies of a supporting
statement and any related forms for the
proposed collection(s) summarized in
this notice, you may make your request
using one of following:
1. Access CMS’ Web site address at
https://www.cms.hhs.gov/
PaperworkReductionActof1995.
2. Email your request, including your
address, phone number, OMB number,
and CMS document identifier, to
Paperwork@cms.hhs.gov.
3. Call the Reports Clearance Office at
(410) 786–1326.
FOR FURTHER INFORMATION CONTACT:
Reports Clearance Office at (410) 786–
1326.
DATES:
SUPPLEMENTARY INFORMATION:
Contents
This notice sets out a summary of the
use and burden associated with the
following information collections. More
detailed information can be found in
each collection’s supporting statement
and associated materials (see
ADDRESSES).
CMS–10398 Reconciliation of State
Invoice and Prior Quarter Adjustment
Statement
Under the PRA (44 U.S.C. 3501–
3520), federal agencies must obtain
approval from the Office of Management
and Budget (OMB) for each collection of
information they conduct or sponsor.
The term ‘‘collection of information’’ is
defined in 44 U.S.C. 3502(3) and 5 CFR
1320.3(c) and includes agency requests
or requirements that members of the
public submit reports, keep records, or
provide information to a third party.
Section 3506(c)(2)(A) of the PRA
PO 00000
Frm 00054
Fmt 4703
Sfmt 9990
requires federal agencies to publish a
60-day notice in the Federal Register
concerning each proposed collection of
information, including each proposed
extension or reinstatement of an existing
collection of information, before
submitting the collection to OMB for
approval. To comply with this
requirement, CMS is publishing this
notice.
Information Collection
1. Type of Information Collection
Request: Revision of a currently
approved collection; Title of
Information Collection: Generic
Clearance for Medicaid and CHIP State
Plan, Waiver, and Program Submissions;
Use: State Medicaid and CHIP agencies
are responsible for developing
submissions to CMS, including state
plan amendments and requests for
waivers and program demonstrations.
States use templates when they are
available and submit the forms to
review for consistency with statutory
and regulatory requirements (or in the
case of waivers and demonstrations
whether the proposal is likely to
promote the objectives of the Medicaid
program). If the requirements are met,
we approve the states’ submissions
giving them the authority to implement
the flexibilities. For a state to receive
Medicaid Title XIX funding, there must
be an approved Title XIX state plan.
The development of streamlined
submissions forms enhances the
collaboration and partnership between
states and CMS by documenting our
policy for states to use as they are
developing program changes.
Streamlined forms improve efficiency of
administration by creating a common
and user-friendly understanding of the
information we need to quickly process
requests for state plan amendments,
waivers, and demonstration, as well as
ongoing reporting.
Form Number: CMS–10398 (OMB
control number: 0938–1148); Frequency:
Collection-specific, but generally the
frequency is yearly, once, and
occasionally; Affected Public: State,
Local, or Tribal Governments; Number
of Respondents: 56; Total Responses:
1,540 (3-year total); Total Hours:
214,584 (3-year total). (For policy
questions regarding this collection
contact Annette Pearson at 410–786–
6858.)
Dated: February 15, 2017.
William N. Parham, III,
Director, Paperwork Reduction Staff, Office
of Strategic Operations and Regulatory
Affairs.
[FR Doc. 2017–03370 Filed 2–17–17; 8:45 am]
BILLING CODE 4120–01–P
E:\FR\FM\21FEN1.SGM
21FEN1
Agencies
[Federal Register Volume 82, Number 33 (Tuesday, February 21, 2017)]
[Notices]
[Page 11224]
From the Federal Register Online via the Government Publishing Office [www.gpo.gov]
[FR Doc No: 2017-03370]
-----------------------------------------------------------------------
DEPARTMENT OF HEALTH AND HUMAN SERVICES
Centers for Medicare & Medicaid Services
[Document Identifier: CMS-10398]
Agency Information Collection Activities: Proposed Collection;
Comment Request
AGENCY: Centers for Medicare & Medicaid Services, Department of Health
and Human Services.
ACTION: Notice.
-----------------------------------------------------------------------
SUMMARY: The Centers for Medicare & Medicaid Services (CMS) is
announcing an opportunity for the public to comment on CMS' intention
to collect information from the public. Under the Paperwork Reduction
Act of 1995 (the PRA), federal agencies are required to publish notice
in the Federal Register concerning each proposed collection of
information (including each proposed extension or reinstatement of an
existing collection of information) and to allow 60 days for public
comment on the proposed action. Interested persons are invited to send
comments regarding our burden estimates or any other aspect of this
collection of information, including the necessity and utility of the
proposed information collection for the proper performance of the
agency's functions, the accuracy of the estimated burden, ways to
enhance the quality, utility, and clarity of the information to be
collected, and the use of automated collection techniques or other
forms of information technology to minimize the information collection
burden.
DATES: Comments must be received by April 24, 2017.
ADDRESSES: When commenting, please reference the document identifier or
OMB control number. To be assured consideration, comments and
recommendations must be submitted in any one of the following ways:
1. Electronically. You may send your comments electronically to
https://www.regulations.gov. Follow the instructions for ``Comment or
Submission'' or ``More Search Options'' to find the information
collection document(s) that are 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.
To obtain copies of a supporting statement and any related forms
for the proposed collection(s) summarized in this notice, you may make
your request using one of following:
1. Access CMS' Web site address at https://www.cms.hhs.gov/PaperworkReductionActof1995.
2. Email your request, including your address, phone number, OMB
number, and CMS document identifier, to Paperwork@cms.hhs.gov.
3. Call the Reports Clearance Office at (410) 786-1326.
FOR FURTHER INFORMATION CONTACT: Reports Clearance Office at (410) 786-
1326.
SUPPLEMENTARY INFORMATION:
Contents
This notice sets out a summary of the use and burden associated
with the following information collections. More detailed information
can be found in each collection's supporting statement and associated
materials (see ADDRESSES).
CMS-10398 Reconciliation of State Invoice and Prior Quarter Adjustment
Statement
Under the PRA (44 U.S.C. 3501-3520), federal agencies must obtain
approval from the Office of Management and Budget (OMB) for each
collection of information they conduct or sponsor. The term
``collection of information'' is defined in 44 U.S.C. 3502(3) and 5 CFR
1320.3(c) and includes agency requests or requirements that members of
the public submit reports, keep records, or provide information to a
third party. Section 3506(c)(2)(A) of the PRA requires federal agencies
to publish a 60-day notice in the Federal Register concerning each
proposed collection of information, including each proposed extension
or reinstatement of an existing collection of information, before
submitting the collection to OMB for approval. To comply with this
requirement, CMS is publishing this notice.
Information Collection
1. Type of Information Collection Request: Revision of a currently
approved collection; Title of Information Collection: Generic Clearance
for Medicaid and CHIP State Plan, Waiver, and Program Submissions; Use:
State Medicaid and CHIP agencies are responsible for developing
submissions to CMS, including state plan amendments and requests for
waivers and program demonstrations. States use templates when they are
available and submit the forms to review for consistency with statutory
and regulatory requirements (or in the case of waivers and
demonstrations whether the proposal is likely to promote the objectives
of the Medicaid program). If the requirements are met, we approve the
states' submissions giving them the authority to implement the
flexibilities. For a state to receive Medicaid Title XIX funding, there
must be an approved Title XIX state plan.
The development of streamlined submissions forms enhances the
collaboration and partnership between states and CMS by documenting our
policy for states to use as they are developing program changes.
Streamlined forms improve efficiency of administration by creating a
common and user-friendly understanding of the information we need to
quickly process requests for state plan amendments, waivers, and
demonstration, as well as ongoing reporting.
Form Number: CMS-10398 (OMB control number: 0938-1148); Frequency:
Collection-specific, but generally the frequency is yearly, once, and
occasionally; Affected Public: State, Local, or Tribal Governments;
Number of Respondents: 56; Total Responses: 1,540 (3-year total); Total
Hours: 214,584 (3-year total). (For policy questions regarding this
collection contact Annette Pearson at 410-786-6858.)
Dated: February 15, 2017.
William N. Parham, III,
Director, Paperwork Reduction Staff, Office of Strategic Operations and
Regulatory Affairs.
[FR Doc. 2017-03370 Filed 2-17-17; 8:45 am]
BILLING CODE 4120-01-P