Agency Information Collection Activities: Proposed Collection; Comment Request, 46773-46774 [E9-21956]
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Federal Register / Vol. 74, No. 175 / Friday, September 11, 2009 / Notices
requirements and are achieving desired
outcomes for children and families, help
ensure that claims by States for title IV–
E funds are made only on behalf of title
IV–E eligible children, and require
States to revise applicable statutes,
rules, policies and procedures, and
provide proper training to staff, through
the development and implementation of
corrective action plans. These reviews
not only address compliance with
eligibility requirements but also assist
States in enhancing the capacities to
serve children and families. In
computing the number of burden hours
for this information collection, ACF
based the annual burden estimates on
ACF’s and States’ experiences in
conducting reviews and developing
program improvement plans.
Respondents: State Title IV–B and
Title IV–E Agencies.
ANNUAL BURDEN ESTIMATES
Number of
respondents
Instrument
45
45
45
45
45
CFR
CFR
CFR
CFR
CFR
1356.7(i) Program Improvement Plan (FCER) ..................................
1366.33(b) Statewide Assessment (CFSR).. .....................................
1355.33(c) On-site Review (CFSR) ...................................................
1355.35(a) Program Improvement Plan (CFSR) ...............................
1355.38(b) and (c) Corrective Action .................................................
Estimated Total Annual Burden
Hours: 22,860.
Additional Information: Copies of the
proposed collection may be obtained by
writing to the Administration for
Children and Families, Office of
Administration, Office of Information
Services, 370 L’Enfant Promenade, SW.,
Washington, DC 20447, Attn: ACF
Reports Clearance Officer. All requests
should be identified by the title of the
information collection. E-mail address:
infocollection@acf.hhs.gov.
OMB Comment: OMB is required to
make a decision concerning the
collection of information between 30
and 60 days after publication of this
document in the Federal Register.
Therefore, a comment is best assured of
having its full effect if OMB receives it
within 30 days of publication. Written
comments and recommendations for the
proposed information collection should
be sent directly to the following: Office
of Management and Budget, Paperwork
Reduction Project, Fax: 202–395–7245,
Attn: Desk Officer for the
Administration for Children and
Families.
Dated: September 4, 2009.
Robert Sargis,
Reports Clearance Officer.
[FR Doc. E9–21890 Filed 9–10–09; 8:45 am]
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DEPARTMENT OF HEALTH AND
HUMAN SERVICES
Centers for Medicare & Medicaid
Services
[Document Identifier CMS–10291 and CMS–
10292]
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: Extension without change of a
currently approved collection; Title of
Information Collection: Dental Provider
and Benefit Information Posted on
Insure Kids Now! Web site; Form
Number: CMS–10291 (OMB#: 0938–
1065); Use: Section 501 of the
Children’s Health Insurance Program
Reauthorization Act (CHIPRA) requires
the Secretary to work with States,
PO 00000
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Number of
responses per
respondent
1
1
1
1
1
Average
burden hours
per response
90
240
1,170
240
780
Total burden
hours
630
3,120
15,210
3,120
780
pediatric dentists, and other dental
providers to include on the Insure Kids
Now (IKN) Web site, a ‘‘current and
accurate list of all dentists and
providers within each State that provide
dental services to children enrolled in
the State plan (or waiver) under
Medicaid or the State child health plan
(or waiver) under CHIP. Section 501 of
CHIPRA also requires the Secretary to
ensure the list is updated at least
quarterly and includes the description
of the dental services provided under
Medicaid or CHIP and whether the
services are provided through a State
plan or waiver. The Secretary shall also
post on the IKN Web site State specific
information on available dental benefits.
This information collection requirement
will allow States to collect the
information on the dental providers and
dental benefits in accordance with
CHIPRA. Frequency: Yearly and
Quarterly; Affected Public: State, Tribal
and Local governments; Number of
Respondents: 51; Total Annual
Responses: 255; Total Annual Hours:
9,180. (For policy questions regarding
this collection contact Nancy
Goetschius at 410–786–0707. For all
other issues call 410–786–1326.)
2. Type of Information Collection
Request: New Collection; Title of
Information Collection: State Medicaid
HIT Plan and Templates for
Implementation of Section 4201 of
ARRA; Form Number: CMS–10292
(OMB#: 0938–NEW); Use: This
information is being requested in order
that States can submit documentation to
CMS for review and approval in order
that States can implement the Medicaid
program and draw down Federal
financial participation. The American
Reinvestment and Recovery Act of 2009
(ARRA) provides States with the
flexibility to request funds to develop a
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Federal Register / Vol. 74, No. 175 / Friday, September 11, 2009 / Notices
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health information technology vision
and road to get to the ultimate goal of
meaningful use of certified electronic
health records technology. We will be
sending State Medicaid Directors letters
and templates for the State Medicaid Hit
Plan (SMHP), the Planning Advance
Planning Document (PAPD) and the
Implementation Advance Planning
Document (IAPD) to States in an effort
to request these changes if they so
choose to make the process as simple as
possible. Frequency: Yearly, once and/
or occasionally; Affected Public: State,
Tribal and Local governments; Number
of Respondents: 56; Total Annual
Responses: 56; Total Annual Hours:
280. (For policy questions regarding this
collection contact Donna Schmidt at
410–786–5532. 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
at https://www.cms.hhs.gov/
PaperworkReductionActof1995, or email 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.
In commenting on the proposed
information collections please reference
the document identifier or OMB control
number. To be assured consideration,
comments and recommendations must
be submitted in one of the following
ways by November 10, 2009:
1. Electronically. You may submit
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) 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 C4–26–0,5, 7500
Security Boulevard, Baltimore,
Maryland 21244–1850.
Dated: September 4, 2009.
Michelle Shortt,
Director, Regulations Development Group,
Office of Strategic Operations and Regulatory
Affairs.
[FR Doc. E9–21956 Filed 9–10–09; 8:45 am]
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DEPARTMENT OF HEALTH AND
HUMAN SERVICES
Centers for Medicare & Medicaid
Services
[Document Identifier: CMS–10078, CMS–
10288, CMS–10289 and CMS–10097]
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: Extension without change of a
currently approved collection; Title of
Information Collection: Matching Grants
to States for the Operation of High Risk
Pools; Use: CMS is requiring this
information as a condition of eligibility
for grants that were authorized in the
Trade Act of 2002, the Deficit Reduction
Act of 2005 and the State High Risk Pool
Funding Extension Act of 2006. The
information is necessary to determine if
a State applicant meets the necessary
eligibility criteria for a grant as required
by law. The respondents will be States
that have a high risk pool as defined in
sections 2741, 2744, or 2745 of the
Public Health Service Act. The grants
will provide funds to States that incur
losses in the operation of high risk
pools. High risk pools are set up by
States to provide health insurance to
individuals that cannot obtain health
insurance in the private market because
of a history of illness; Form Numbers:
CMS–10078 (OMB#: 0938–0887);
Frequency: Recordkeeping, Reporting—
Occasionally; Affected Public: State,
Local and Tribal Governments; Number
of Respondents: 31; Total Annual
Responses: 31; Total Annual Hours:
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1,240. (For policy questions regarding
this collection contact Paul Scholz at
410–786–6178. For all other issues call
410–786–1326.)
2. Type of Information Collection
Request: New Collection; Title of
Information Collection: State Plan PrePrint to Implement Required Dental
Benefits Pursuant of Children’s Health
Insurance Program Reauthorizing Act
(CHIPRA) 2009; Use: Section 501 of
CHIPRA 2009 amends XXI and requires
that ‘‘child health assistance provide to
a targeted low-income child shall
include coverage of dental services
necessary to prevent disease and
promote oral health, restore oral
structures to health and function, and
treat emergency conditions.’’ States that
provide coverage in a separate
Children’s Health Insurance Program
may choose between two methods of
providing the dental services required
in Section 501. The State may define the
services in the dental benefit package
and demonstrate that it includes all the
required services. Alternatively, the
State may provide a dental benefit
package that is equivalent to one of the
three benchmark packages described in
the statute. In order to implement one
of these options and comply with the
statute, States must amend their State
Plan using the State Plan pre-print.
Form Number: CMS–10288 (OMB#:
0938–NEW); Frequency: Reporting Onetime; Affected Public: State, Local, or
Tribal Governments; Number of
Respondents: 51; Total Annual
Responses: 51; Total Annual Hours:
1530. (For policy questions regarding
this collection contact Nancy
Goetschius at 410–786–0707. For all
other issues call 410–786–1326.)
3. Type of Information Collection
Request: New Collection; Title of
Information Collection: Optional Dentalonly Supplemental Coverage State Plan
Amendment Template; Use: CHIPRA
2009 provides States with an option to
provide supplemental dental-only
coverage to children who would be
eligible to enroll in the State’s
Children’s Health Insurance Program
(CHIP), except that they already have
health insurance coverage, either
through a group health plan or employer
sponsored insurance. If the health
insurance plan the child is enrolled in
does not provide dental benefits, the
State may provide the child with the
same State-defined dental package or
benchmark benefit plan provided to
children who are eligible for the entire
CHIP benefit package. The child will
only be entitled to the dental services
provided to other CHIP children.
In order to choose this option, States
must comply with all other
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[Federal Register Volume 74, Number 175 (Friday, September 11, 2009)]
[Notices]
[Pages 46773-46774]
From the Federal Register Online via the Government Printing Office [www.gpo.gov]
[FR Doc No: E9-21956]
-----------------------------------------------------------------------
DEPARTMENT OF HEALTH AND HUMAN SERVICES
Centers for Medicare & Medicaid Services
[Document Identifier CMS-10291 and CMS-10292]
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: Extension without change
of a currently approved collection; Title of Information Collection:
Dental Provider and Benefit Information Posted on Insure Kids Now! Web
site; Form Number: CMS-10291 (OMB: 0938-1065); Use: Section
501 of the Children's Health Insurance Program Reauthorization Act
(CHIPRA) requires the Secretary to work with States, pediatric
dentists, and other dental providers to include on the Insure Kids Now
(IKN) Web site, a ``current and accurate list of all dentists and
providers within each State that provide dental services to children
enrolled in the State plan (or waiver) under Medicaid or the State
child health plan (or waiver) under CHIP. Section 501 of CHIPRA also
requires the Secretary to ensure the list is updated at least quarterly
and includes the description of the dental services provided under
Medicaid or CHIP and whether the services are provided through a State
plan or waiver. The Secretary shall also post on the IKN Web site State
specific information on available dental benefits. This information
collection requirement will allow States to collect the information on
the dental providers and dental benefits in accordance with CHIPRA.
Frequency: Yearly and Quarterly; Affected Public: State, Tribal and
Local governments; Number of Respondents: 51; Total Annual Responses:
255; Total Annual Hours: 9,180. (For policy questions regarding this
collection contact Nancy Goetschius at 410-786-0707. For all other
issues call 410-786-1326.)
2. Type of Information Collection Request: New Collection; Title of
Information Collection: State Medicaid HIT Plan and Templates for
Implementation of Section 4201 of ARRA; Form Number: CMS-10292
(OMB: 0938-NEW); Use: This information is being requested in
order that States can submit documentation to CMS for review and
approval in order that States can implement the Medicaid program and
draw down Federal financial participation. The American Reinvestment
and Recovery Act of 2009 (ARRA) provides States with the flexibility to
request funds to develop a
[[Page 46774]]
health information technology vision and road to get to the ultimate
goal of meaningful use of certified electronic health records
technology. We will be sending State Medicaid Directors letters and
templates for the State Medicaid Hit Plan (SMHP), the Planning Advance
Planning Document (PAPD) and the Implementation Advance Planning
Document (IAPD) to States in an effort to request these changes if they
so choose to make the process as simple as possible. Frequency: Yearly,
once and/or occasionally; Affected Public: State, Tribal and Local
governments; Number of Respondents: 56; Total Annual Responses: 56;
Total Annual Hours: 280. (For policy questions regarding this
collection contact Donna Schmidt at 410-786-5532. 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 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.
In commenting on the proposed information collections please
reference the document identifier or OMB control number. To be assured
consideration, comments and recommendations must be submitted in one of
the following ways by November 10, 2009:
1. Electronically. You may submit 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) 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 C4-26-0,5, 7500 Security Boulevard, Baltimore,
Maryland 21244-1850.
Dated: September 4, 2009.
Michelle Shortt,
Director, Regulations Development Group, Office of Strategic Operations
and Regulatory Affairs.
[FR Doc. E9-21956 Filed 9-10-09; 8:45 am]
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