Agency Information Collection Activities: Submission for OMB Review; Comment Request, 45861 [E9-21423]
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Federal Register / Vol. 74, No. 171 / Friday, September 4, 2009 / Notices
Attention: Document Identifier/OMB
Control Number, Room C4–26–05, 7500
Security Boulevard, Baltimore,
Maryland 21244–1850.
Dated: August 28, 2009.
Michelle Shortt,
Director, Regulations Development Group,
Office of Strategic Operations and Regulatory
Affairs.
[FR Doc. E9–21425 Filed 9–3–09; 8:45 am]
BILLING CODE 4120–01–P
DEPARTMENT OF HEALTH AND
HUMAN SERVICES
Centers for Medicare & Medicaid
Services
[Document Identifier: CMS–10285]
srobinson on DSKHWCL6B1PROD with NOTICES
Agency Information Collection
Activities: Submission for OMB
Review; Comment Request
AGENCY: Centers for Medicare &
Medicaid Services, HHS.
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: Request for
Expedited Review of Denial of Premium
Assistance; Use: The American
Recovery and Reinvestment Act of 2009
provides for premium assistance and
expanded eligibility for health benefits
under both the Consolidated Omnibus
Budget Reconciliation Act of 1986,
commonly called COBRA, and
comparable State continuation coverage
programs. This premium assistance is
not paid directly to the covered
employee or the qualified beneficiary,
but instead is in the form of a tax credit
for the health plan, the employer, or the
VerDate Nov<24>2008
17:16 Sep 03, 2009
Jkt 217001
insurer. ‘‘Assistance eligible
individuals’’ pay only 35% of their
continuation coverage premiums to the
plan and the remaining 65% is paid
through the tax credit.
If an individual requests treatment as
an assistance eligible individual and the
employee’s group health plan,
employer, or insurer denies him or her
the reduced premium assistance, the
Secretary of Health and Human Services
must provide for expedited review of
the denial upon application to the
Secretary in the form and manner the
Secretary provides. The Secretary is
required to make a determination within
15 business days after receipt of an
individual’s application for review.
The Request for Review If You Have
Been Denied Premium Assistance (the
‘‘application’’) is the form that will be
used by individuals to file their
expedited review appeals. Each
individual must complete all
information requested on the
application in order for CMS to begin
reviewing his or her case. An
application cannot be reviewed if
sufficient information is not provided.
Refer to the supporting document
‘‘Crosswalk of Changes Between Request
for Expedited Review of Denial of
Premium Assistance (4/09) and Request
for Review if You Have Been Denied
Premium Assistance (6/09)’’ for a list of
changes: Form Number: CMS–10285
(OMB#: 0938–1062); Frequency:
Reporting—Once; Affected Public:
Individuals and households; Number of
Respondents: 12,000; Total Annual
Responses: 12,000; Total Annual Hours:
12,000. (For policy questions regarding
this collection contact Jim Mayhew at
410–786–9244. 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 https://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 5, 2009: OMB, Office of
Information and Regulatory Affairs,
Attention: CMS Desk Officer, Fax
Number: (202) 395–6974, E-mail:
OIRA_submission@omb.eop.gov.
PO 00000
Frm 00060
Fmt 4703
Sfmt 4703
45861
Dated: August 28, 2009.
Michelle Shortt,
Director, Regulations Development Group,
Office of Strategic Operations and Regulatory
Affairs.
[FR Doc. E9–21423 Filed 9–3–09; 8:45 am]
BILLING CODE 4120–01–P
DEPARTMENT OF HEALTH AND
HUMAN SERVICES
Centers for Disease Control and
Prevention
[60Day–09–0818]
Proposed Data Collections Submitted
for Public Comment and
Recommendations
In compliance with the requirement
of Section 3506(c)(2)(A) of the
Paperwork Reduction Act of 1995 for
opportunity for public comment on
proposed data collection projects, the
Centers for Disease Control and
Prevention (CDC) will publish periodic
summaries of proposed projects. To
request more information on the
proposed projects or to obtain a copy of
the data collection plans and
instruments, call 404–639–5960 and
send comments to Maryam I. Daneshvar,
CDC Acting Reports Clearance Officer,
1600 Clifton Road, MS–D74, Atlanta,
GA 30333 or send an e-mail to
omb@cdc.gov.
Comments are invited on: (a) Whether
the proposed collection of information
is necessary for the proper performance
of the functions of the agency, including
whether the information shall have
practical utility; (b) the accuracy of the
agency’s estimate of the burden of the
proposed collection of information; (c)
ways to enhance the quality, utility, and
clarity of the information to be
collected; and (d) ways to minimize the
burden of the collection of information
on respondents, including through the
use of automated collection techniques
or other forms of information
technology. Written comments should
be received within 60 days of this
notice.
Proposed Project
Cost and Follow-up Assessment of
Administration on Aging (AoA)Funded Fall Prevention Programs for
Older Adults—Extension—National
Center for Injury Prevention and Control
(NCIPC), Centers for Disease Control
and Prevention (CDC).
Background and Brief Description
CDC received OMB approval for
Control number 0920–0818 to collect
data for the Cost and Follow-up
E:\FR\FM\04SEN1.SGM
04SEN1
]]>Agencies
[Federal Register Volume 74, Number 171 (Friday, September 4, 2009)]
[Notices]
[Page 45861]
From the Federal Register Online via the Government Printing Office [www.gpo.gov]
[FR Doc No: E9-21423]
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DEPARTMENT OF HEALTH AND HUMAN SERVICES
Centers for Medicare & Medicaid Services
[Document Identifier: CMS-10285]
Agency Information Collection Activities: Submission for OMB
Review; Comment Request
AGENCY: Centers for Medicare & Medicaid Services, HHS.
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: Request for
Expedited Review of Denial of Premium Assistance; Use: The American
Recovery and Reinvestment Act of 2009 provides for premium assistance
and expanded eligibility for health benefits under both the
Consolidated Omnibus Budget Reconciliation Act of 1986, commonly called
COBRA, and comparable State continuation coverage programs. This
premium assistance is not paid directly to the covered employee or the
qualified beneficiary, but instead is in the form of a tax credit for
the health plan, the employer, or the insurer. ``Assistance eligible
individuals'' pay only 35% of their continuation coverage premiums to
the plan and the remaining 65% is paid through the tax credit.
If an individual requests treatment as an assistance eligible
individual and the employee's group health plan, employer, or insurer
denies him or her the reduced premium assistance, the Secretary of
Health and Human Services must provide for expedited review of the
denial upon application to the Secretary in the form and manner the
Secretary provides. The Secretary is required to make a determination
within 15 business days after receipt of an individual's application
for review.
The Request for Review If You Have Been Denied Premium Assistance
(the ``application'') is the form that will be used by individuals to
file their expedited review appeals. Each individual must complete all
information requested on the application in order for CMS to begin
reviewing his or her case. An application cannot be reviewed if
sufficient information is not provided. Refer to the supporting
document ``Crosswalk of Changes Between Request for Expedited Review of
Denial of Premium Assistance (4/09) and Request for Review if You Have
Been Denied Premium Assistance (6/09)'' for a list of changes: Form
Number: CMS-10285 (OMB: 0938-1062); Frequency: Reporting--
Once; Affected Public: Individuals and households; Number of
Respondents: 12,000; Total Annual Responses: 12,000; Total Annual
Hours: 12,000. (For policy questions regarding this collection contact
Jim Mayhew at 410-786-9244. 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 https://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 5, 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: August 28, 2009.
Michelle Shortt,
Director, Regulations Development Group, Office of Strategic Operations
and Regulatory Affairs.
[FR Doc. E9-21423 Filed 9-3-09; 8:45 am]
BILLING CODE 4120-01-P
