Agency Information Collection Activities: Proposed Collection; Comment Request, 29314 [05-10054]
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29314
Federal Register / Vol. 70, No. 97 / Friday, May 20, 2005 / Notices
providers. The use of this standard
improves the Medicare and Medicaid
programs, other Federal health programs
and private health programs, by
simplifying the administration of the
system and enabling the efficient
electronic transmission of certain health
information; Frequency: Other—onetime; Affected Public: Business or other
for-profit, Not-for-profit institutions,
Federal Government, and State, Local or
Tribal Government; Number of
Respondents: 2,550,000; Total Annual
Responses: 2,550,000; Total Annual
Hours: 1.
To obtain copies of the supporting
statement and any related forms for the
proposed paperwork collections
referenced above, access CMS’ Web site
address at https://www.cms.hhs.gov/
regulations/pra/, 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.
Written comments and
recommendations for the proposed
information collections must be mailed
within 60 days of this notice to the
address below: CMS, Office of Strategic
Operations and Regulatory Affairs,
Division of Regulations Development,
Attention: William N. Parham, III, PRA
Analyst, Room C5–13–27, 7500 Security
Boulevard, Baltimore, Maryland 21244–
1850.
Dated: May 2, 2005.
Michelle Shortt,
Acting Director, Regulations Development
Group, Office of Strategic Operations and
Regulatory Affairs.
[FR Doc. 05–9642 Filed 5–19–05; 8:45 am]
BILLING CODE 4120–01–P
DEPARTMENT OF HEALTH AND
HUMAN SERVICES
Centers for Medicare & Medicaid
Services
[Document Identifier: CMS–37]
Agency Information Collection
Activities: Proposed Collection;
Comment Request
Centers for Medicare &
Medicaid Services.
AGENCY:
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: Medicaid
Program Budget Report; Form Nos.:
CMS–37 (OMB # 0938–0101); Use: The
Medicaid Program Budget Report is
prepared by the State Medicaid
Agencies and is used by the Centers for
Medicare & Medicaid Services (CMS) for
(1) developing National Medicaid
Budget estimates, (2) qualification of
Budget Estimate Changes, and (3) the
issuance of quarterly Medicaid Grant
Awards. The structure of the currently
approved CMS–37 was revised based on
CMS experience with budget
information provided by the States.
(Note: Details are outlined in the
Addendum which can be found on the
CMS Web site address below.)
Frequency: Quarterly; Affected Public:
State, Local or Tribal Government;
Number of Respondents: 56; Total
Annual Responses: 224; Total Annual
Hours: 7,616.
To obtain copies of the supporting
statement and any related forms for the
proposed paperwork collections
referenced above, access CMS’ Web site
address at https://www.cms.hhs.gov/
regulations/pra/, 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.
Written comments and
recommendations for the proposed
information collections must be mailed
within 60 days of this notice to the
address below: CMS, Office of Strategic
Operations and Regulatory Affairs,
Division of Regulations Development,
Attention: Melissa Musotto, PRA
Analyst, Room C4–26–05, 7500 Security
Boulevard, Baltimore, Maryland 21244–
1850.
Dated: May 12, 2005.
Michelle Shortt,
Acting Director, Regulations Development
Group, Office of Strategic Operations and
Regulatory Affairs.
[FR Doc. 05–10054 Filed 5–19–05; 8:45 am]
BILLING CODE 4120–01–P
DEPARTMENT OF HEALTH AND
HUMAN SERVICES
Administration for Children and
Families
Submission for OMB Review;
Comment Request
Title: LIHEAP Quarterly Allocation
Estimates Form ACF–535.
OMB No.: 0970–0037
Description: The Low Income Home
Energy Assistance Program (LIHEAP)
Quarterly Allocation Estimates Form–
535 is a one-page form that is sent to 50
State grantees and to the District of
Columbia. It is also sent to Tribal
Government grantees that receive over
$1 million annually for LIHEAP.
Grantees are asked to complete and
submit the form in the 4th quarter of
each fiscal year. The data collected on
the form are grantees’ estimates of
obligations they expect to make each
quarter of the upcoming fiscal year for
the LIHEAP program. This is the only
method used to request anticipated
distributions of the grantee’s LIHEAP
funds. The information is used to
develop apportionment requests to OMB
and to make grant awards based on
grantee anticipated needs. Information
collected on this form is not available
through any other Federal source.
Submission of the form is voluntary.
Respondents: 50 States, the District of
Columbia and those Tribal governments
that receive over $1 million annually.
ANNUAL BURDEN ESTIMATES
Instrument
Number of
respondents
Number of
responses per
respondent
Average burden hours per
response
Total burden
hours
ACF–535 ..........................................................................................................
55
1
.25
13.75
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Agencies
[Federal Register Volume 70, Number 97 (Friday, May 20, 2005)]
[Notices]
[Page 29314]
From the Federal Register Online via the Government Printing Office [www.gpo.gov]
[FR Doc No: 05-10054]
-----------------------------------------------------------------------
DEPARTMENT OF HEALTH AND HUMAN SERVICES
Centers for Medicare & Medicaid Services
[Document Identifier: CMS-37]
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: Medicaid Program
Budget Report; Form Nos.: CMS-37 (OMB 0938-0101); Use: The
Medicaid Program Budget Report is prepared by the State Medicaid
Agencies and is used by the Centers for Medicare & Medicaid Services
(CMS) for (1) developing National Medicaid Budget estimates, (2)
qualification of Budget Estimate Changes, and (3) the issuance of
quarterly Medicaid Grant Awards. The structure of the currently
approved CMS-37 was revised based on CMS experience with budget
information provided by the States. (Note: Details are outlined in the
Addendum which can be found on the CMS Web site address below.)
Frequency: Quarterly; Affected Public: State, Local or Tribal
Government; Number of Respondents: 56; Total Annual Responses: 224;
Total Annual Hours: 7,616.
To obtain copies of the supporting statement and any related forms
for the proposed paperwork collections referenced above, access CMS'
Web site address at https://www.cms.hhs.gov/regulations/pra/, 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.
Written comments and recommendations for the proposed information
collections must be mailed within 60 days of this notice to the address
below: CMS, Office of Strategic Operations and Regulatory Affairs,
Division of Regulations Development, Attention: Melissa Musotto, PRA
Analyst, Room C4-26-05, 7500 Security Boulevard, Baltimore, Maryland
21244-1850.
Dated: May 12, 2005.
Michelle Shortt,
Acting Director, Regulations Development Group, Office of Strategic
Operations and Regulatory Affairs.
[FR Doc. 05-10054 Filed 5-19-05; 8:45 am]
BILLING CODE 4120-01-P