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[Federal Register: October 23, 2009 (Volume 74, Number 204)]
[
Notices]               
[Page 54823]
From the Federal Register Online via GPO Access [wais.access.gpo.gov]
[DOCID:fr23oc09-46]                         

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DEPARTMENT OF HEALTH AND HUMAN SERVICES

Centers for Medicare & Medicaid Services

[Document Identifier: CMS-R-284 and CMS-10190]

 
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: Extension without change 

of a currently approved collection; Title of Information Collection: 

Medicaid Statistical Information System; Use: State data are reported 

by the Federally mandated electronic process, known as (MSIS) Medical 

Statistical Information System. These data are the basis of actuarial 

forecasts for Medicaid service utilization and costs; of analysis and 

cost savings estimates required for legislative initiatives relating to 

Medicaid and for responding to requests for information from CMS 

components, the Department, Congress and other customers; Form Number: 

CMS-R-284 (OMB: 0938-0345); Frequency: Reporting--Quarterly; 

Affected Public: State, Local, or Tribal Governments; Number of 

Respondents: 51; Total Annual Responses: 204; Total Annual Hours: 

2,040. (For policy questions regarding this collection contact Denise 

Franz 410-786-6117. For all other issues call 410-786-1326.)

    2. Type of Information Collection Request: Extension of a currently 

approved collection; Title of Information Collection: State Plan 

Preprints to Implement Sections 6083, 6036, 6041, 6042, 6043 and 6044 

of the Deficit Reduction Act (DRA) of 1995; Use: These preprints allow 

States the opportunity and flexibility to request changes in benefit 

packages, cost sharing, non-emergency medical transportation services, 

etc.; Form Number: CMS-10190 (OMB: 0938-0993); Frequency: 

Reporting--Once and Occasionally; Affected Public: State, Local, or 

Tribal Governments; Number of Respondents: 56; Total Annual Responses: 

16; Total Annual Hours: 699. (For policy questions regarding this 

collection contact Fran Crystal at 410-786-1195. For all other issues 

call 410-786-1326.)

    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 November 23, 

2009.

OMB, Office of Information and Regulatory Affairs, Attention: CMS Desk 

Officer, Fax Number: (202) 395-6974, E-mail: OIRA--

submission@omb.eop.gov.


    Dated: October 16, 2009.

Michelle Shortt,

Director, Regulations Development Group, Office of Strategic Operations 

and Regulatory Affairs.

[FR Doc. E9-25573 Filed 10-22-09; 8:45 am]

BILLING CODE 4120-01-P