Agency Information Collection Activities: Submission for OMB Review; Comment Request, 62575-62577 [E9-28458]
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62575
Federal Register / Vol. 74, No. 228 / Monday, November 30, 2009 / Notices
Dated: November 20, 2009.
Marilyn S. Radke,
Reports Clearance Officer, Centers for Disease
Control and Prevention.
[FR Doc. E9–28489 Filed 11–27–09; 8:45 am]
BILLING CODE 4163–18–P
DEPARTMENT OF HEALTH AND
HUMAN SERVICES
Centers for Disease Control and
Prevention
[30 Day–10–0573]
Agency Forms Undergoing Paperwork
Reduction Act Review
The Centers for Disease Control and
Prevention (CDC) publishes a list of
information collection requests under
review by the Office of Management and
Budget (OMB) in compliance with the
Paperwork Reduction Act (44 U.S.C.
Chapter 35). To request a copy of these
requests, call the CDC Reports Clearance
Officer at (404) 639–5960 or send an email to omb@cdc.gov. Send written
comments to CDC Desk Officer, Office of
Management and Budget, Washington,
DC or by fax to (202) 395–5806. Written
comments should be received within 30
days of this notice.
Proposed Project
Adult and Pediatric HIV/AIDS
Confidential Case Reports for National
HIV/AIDS Surveillance (OMB No. 0920–
0573 Exp. 2/28/2010)—Revision—
National Center for HIV/AIDS, Viral
Hepatitis, STD, and TB Prevention
(NCHHSTP), Centers for Disease Control
and Prevention (CDC).
Background and Brief Description
The purpose of HIV/AIDS
surveillance data collection is to
monitor trends in HIV disease and
describe the characteristics of infected
persons (e.g., demographics, modes of
exposure to HIV, clinical and laboratory
markers of HIV disease, manifestations
of severe HIV disease, and deaths among
persons with HIV/AIDS). HIV/AIDS
surveillance data are widely used by
scientists, researchers, and public health
authorities at all levels to assess the
impact of HIV infection on morbidity
and mortality, to allocate medical care
resources and services and to guide
prevention and disease control
activities.
CDC in collaboration with health
departments in the 50 states, the District
of Columbia, and U.S. dependent areas,
conducts national surveillance for cases
of HIV infection that includes critical
data across the spectrum of HIV disease
from HIV diagnosis to AIDS, the endstage disease caused by infection with
HIV, and death. In addition, this system
provides the essential data to estimate
HIV incidence and monitor patterns in
variant, atypical, and resistant strains of
HIV among infected persons in the
United States. Case report data are
either abstracted from medical records
by health departments or reported from
laboratories, physicians, and other care
providers to health departments who
compile the information and report data
to CDC for inclusion in the national
database. Since 1993, these data have
been maintained and reported through
the HIV/AIDS reporting system (HARS)
software. In 2010, the new enhanced
electronic HIV/AIDS reporting system
(eHARS) will be fully deployed. The
revisions requested include additional
data elements for eHARS that will allow
better tracking of documents and flow of
previously approved currently collected
surveillance data. In addition, we are
requesting approval of a revised data
collection form for enhanced perinatal
surveillance (EPS) including nonsubstantial changes aimed at improving
the format and usability of the EPS
form.
The data CDC collects through the
national HIV surveillance system
provide the sole source of
comprehensive, complete national HIV
statistics collected in a timely and
standardized manner. Continued data
collection will benefit the public by
providing accurate and reliable
information on the extent and
distribution of the HIV epidemic in the
United States to be used to guide local
and national HIV prevention and
control efforts and guide distribution of
resources for HIV treatment and care.
The total estimated annual burden
hours are 51,311.
Estimated Annualized Burden Hours
EXHIBIT 12.A—ESTIMATES OF ANNUALIZED BURDEN HOURS
Type of respondent
Health
Health
Health
Health
Health
Health
Departments
Departments
Departments
Departments
Departments
Departments
........................................
........................................
........................................
........................................
........................................
........................................
Dated: November 20, 2009.
Marilyn S. Radke,
Reports Clearance Officer, Centers for Disease
Control and Prevention.
[FR Doc. E9–28487 Filed 11–27–09; 8:45 am]
BILLING CODE 4163–18–P
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Number of
respondents
Form name
Adult HIV/AIDS Case Report .........................
Pediatric HIV/AIDS Case Report ...................
Case Report Updates ....................................
Incidence ........................................................
VARHS ...........................................................
EPS ................................................................
DEPARTMENT OF HEALTH AND
HUMAN SERVICES
Centers for Medicare & Medicaid
Services
[Document Identifier: CMS–304/304a, CMS–
1515/1572, CMS–10291, CMS–10292, CMS–
588 and CMS–R–232]
Agency Information Collection
Activities: Submission for OMB
Review; Comment Request
AGENCY: Centers for Medicare &
Medicaid Services, HHS.
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Number of
responses per
respondent
59
59
59
25
11
15
1,839
8
97
2,437
2,019
167
Avg. burden
per response
(in hours)
20/60
20/60
5/60
10/60
5/60
1
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
E:\FR\FM\30NON1.SGM
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WReier-Aviles on DSKGBLS3C1PROD with NOTICES
62576
Federal Register / Vol. 74, No. 228 / Monday, November 30, 2009 / Notices
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: Reconciliation
of State Invoice and Prior Quarter
Adjustment Statement; Use: Section
1927 of the Social Security Act requires
drug manufacturers to enter into and
have in effect a rebate agreement with
CMS in order for States to receive
funding for drugs dispensed to
Medicaid recipients. Drug
manufacturers must complete and
submit to States the 304 form (the
Reconciliation of State Invoice Form) to
explain any rebate payment adjustments
for the current quarter, and complete
and submit the 304A form (the Prior
Quarter Adjustment Statement Form) to
States to explain rebate payment
adjustments to any prior quarters. Both
forms are used to reconcile drug rebate
payments made by manufacturers with
the State invoices of rebates due. Form
Number: CMS–304/304a (OMB#: 0938–
0676); Frequency: Reporting—Quarterly;
Affected Public: Private Sector: Business
or other for profits; Number of
Respondents: 570; Total Annual
Responses: 3820; Total Annual Hours:
141,080. (For policy questions regarding
this collection contact Cindy Bergin at
410–786–1176. For all other issues call
410–786–1326.)
2. Type of Information Collection
Request: Extension without change of a
currently approved collection; Title of
Information Collection: Home Health
Agency Survey and Deficiencies Report,
Home Health Functional Assessment
Instrument and Supporting Regulations
in 42 CFR 488.26 and 442.30. Use: In
order to participate in the Medicare
Program as a Home Health Agency
(HHA) provider, the HHA must meet
Federal Standards. These forms are used
to record information and patients’
health and provider compliance with
requirements and to report the
information to the Federal Government;
Form Number: CMS–1515/1572 (OMB#:
0938–0355); Frequency: Reporting—
Yearly; Affected Public: Health Care
Services; Number of Respondents:
10,078; Total Annual Responses: 5,614;
Total Annual Hours: 9,821. (For policy
questions regarding this collection
contact Patricia Sevast at 410–786–8135.
For all other issues call 410–786–1326.)
VerDate Nov<24>2008
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3. 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! Website; 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) website, 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 website 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.)
4. 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
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
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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.)
5. Type of Information Collection
Request: Reinstatement without change
of a previously approved collection;
Title of Information Collection:
Electronic Funds Transfer Authorization
Agreement; Use: Section 1815(a) of the
Social Security Act provides the
authority for the Secretary of Health and
Human Services to pay providers/
suppliers of Medicare services at such
time or times as the Secretary
determines appropriate (but no less
frequently than monthly). Under
Medicare, CMS, acting for the Secretary,
contracts with Fiscal Intermediaries and
Carriers to pay claims submitted by
providers/suppliers who furnish
services to Medicare beneficiaries.
Under CMS’ payment policy, Medicare
providers/suppliers have the option of
receiving payments electronically. Form
number CMS–588 authorizes the use of
electronic fund transfers (EFTs). Form
Number: CMS–588 (OMB#: 0938–0626);
Frequency: Reporting—On occasion;
Affected Public: Business or other forprofit and Not-for-profit institutions;
Number of Respondents: 100,000; Total
Annual Responses: 100,000; Total
Annual Hours: 100,000. (For policy
questions regarding this collection
contact Kim McPhillips at 410–786–
5374. For all other issues call 410–786–
1326.)
6. Type of Information Collection
Request: Reinstatement without change
of a currently approved collection; Title
of Information Collection: Medicare
Integrity Program Organizational
Conflict of Interest Disclosure Certificate
and Supporting Regulations at 42 CFR
421.300–421.316; Use: Section
1893(d)(1) of the Social Security Act
requires CMS to establish a process for
identifying, evaluating, and resolving
conflicts of interest. CMS proposed a
process in Section 421.310 to mandate
submission of pertinent information
regarding conflicts of interest. The
entities providing the information will
be organizations that have been
awarded, or seek award of, a Medicare
Integrity Program contract. CMS needs
this information to assess whether
contractors who perform, or who seek to
perform, Medicare Integrity Program
functions, such as medical review, fraud
review or cost audits, have
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Federal Register / Vol. 74, No. 228 / Monday, November 30, 2009 / Notices
organizational conflicts of interest and
whether any conflicts have been
resolved. Form Number: CMS–R–232
(OMB#: 0938–0723); Frequency:
Reporting—On occasion; Affected
Public: Business or other for-profit;
Number of Respondents: 11; Total
Annual Responses: 44; Total Annual
Hours: 2,200. (For policy questions
regarding this collection contact Joe
Strazzire at 410–786–2775. 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 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.
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 December 30, 2009.
OMB, Office of Information and
Regulatory Affairs, Attention: CMS Desk
Officer, Fax Number: (202) 395–6974, Email: OIRA_submission@omb.eop.gov.
Dated: November 20, 2009.
Michelle Shortt,
Director, Regulations Development Group,
Office of Strategic Operations and Regulatory
Affairs.
[FR Doc. E9–28458 Filed 11–27–09; 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: Child Care and Development
Fund Financial Report (ACF 696) for
States and Territories.
OMB No.: 0970–0163.
Description: States and Territories use
the Financial Report Form ACF–696 to
report Child Care and Development
Fund (CCDF) expenditures. Authority to
collect and report this information is
found in section 658G of the Child Care
and Development Block Grant Act of
1990, as revised. In addition to the
Program Reporting Requirements set
forth in 45 CFR Part 98, Subpart H, the
regulations at 45 CFR 98.65(g) and
98.67(c)(1) authorize the Secretary to
require financial reports as necessary.
The form provides specific data
regarding claims and provides a
mechanism for States to request Child
Care grant awards and to certify the
availability of State matching funds.
Failure to collect this data would
seriously compromise ACF’s ability to
monitor Child Care and Development
Fund expenditures. This information is
also used to estimate outlays and may
be used to prepare ACF budget
submissions to Congress.
The American Recovery and
Reinvestment Act (ARRA) of 2009, (Pub.
L. 111–5) provides an additional $2
billion for the Child Care and
Development Fund to help States,
Territories, and Tribes provide child
care assistance to low income working
families. CCDF Program Instruction
(CCDF–ACF–PI–2009–03) provided
guidance on ARRA spending
requirements.
Section 1512 of the ARRA legislation
requires recipients to report quarterly
spending and performance data on the
public website, ‘‘Recovery.gov’’. Federal
agencies are required to collect ARRA
expenditure data and performance data
and these data must be clearly
distinguishable from the regular CCDF
(non-ARRA) funds. To ensure
transparency and accountability, the
ARRA authorizes Federal agencies and
grantees to track and report separately
on expenditures from funds made
available by the stimulus bill. Office of
Management and Budget (OMB)
guidance implementing the ARRA
legislation indicates that agencies
requiring additional information for
oversight should rely on existing
authorities and reflect these
requirements in their award terms and
conditions as necessary, following
existing procedures. Therefore, to
capture ARRA expenditures, the ACF–
696 has been modified (by the addition
of a column) for reporting ARRA
expenditure data. In addition, a new
data element will ask States and
Territories to estimate the number of
child service months funded with
ARRA dollars. The collection will not
duplicate other information.
Respondents: States and Territories.
ANNUAL BURDEN ESTIMATES
Instrument
Number of
respondents
Number of
responses per
respondent
Average
burden hours
per response
Total burden
hours
ACF–696 ..........................................................................................................
56
4
5
1,120
Estimated Total Annual Burden
Hours: 1,120
OMB Comment
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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.
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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,
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Attn: Desk Officer for the
Administration for Children and
Families.
Dated: November 24, 2009.
Robert Sargis,
Reports Clearance Officer.
[FR Doc. E9–28503 Filed 11–27–09; 8:45 am]
BILLING CODE 4184–01–P
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]]>Agencies
[Federal Register Volume 74, Number 228 (Monday, November 30, 2009)]
[Notices]
[Pages 62575-62577]
From the Federal Register Online via the Government Printing Office [www.gpo.gov]
[FR Doc No: E9-28458]
-----------------------------------------------------------------------
DEPARTMENT OF HEALTH AND HUMAN SERVICES
Centers for Medicare & Medicaid Services
[Document Identifier: CMS-304/304a, CMS-1515/1572, CMS-10291, CMS-
10292, CMS-588 and CMS-R-232]
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
[[Page 62576]]
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:
Reconciliation of State Invoice and Prior Quarter Adjustment Statement;
Use: Section 1927 of the Social Security Act requires drug
manufacturers to enter into and have in effect a rebate agreement with
CMS in order for States to receive funding for drugs dispensed to
Medicaid recipients. Drug manufacturers must complete and submit to
States the 304 form (the Reconciliation of State Invoice Form) to
explain any rebate payment adjustments for the current quarter, and
complete and submit the 304A form (the Prior Quarter Adjustment
Statement Form) to States to explain rebate payment adjustments to any
prior quarters. Both forms are used to reconcile drug rebate payments
made by manufacturers with the State invoices of rebates due. Form
Number: CMS-304/304a (OMB: 0938-0676); Frequency: Reporting--
Quarterly; Affected Public: Private Sector: Business or other for
profits; Number of Respondents: 570; Total Annual Responses: 3820;
Total Annual Hours: 141,080. (For policy questions regarding this
collection contact Cindy Bergin at 410-786-1176. For all other issues
call 410-786-1326.)
2. Type of Information Collection Request: Extension without change
of a currently approved collection; Title of Information Collection:
Home Health Agency Survey and Deficiencies Report, Home Health
Functional Assessment Instrument and Supporting Regulations in 42 CFR
488.26 and 442.30. Use: In order to participate in the Medicare Program
as a Home Health Agency (HHA) provider, the HHA must meet Federal
Standards. These forms are used to record information and patients'
health and provider compliance with requirements and to report the
information to the Federal Government; Form Number: CMS-1515/1572
(OMB: 0938-0355); Frequency: Reporting--Yearly; Affected
Public: Health Care Services; Number of Respondents: 10,078; Total
Annual Responses: 5,614; Total Annual Hours: 9,821. (For policy
questions regarding this collection contact Patricia Sevast at 410-786-
8135. For all other issues call 410-786-1326.)
3. 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!
Website; 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) website, 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 website 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.)
4. 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 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.)
5. Type of Information Collection Request: Reinstatement without
change of a previously approved collection; Title of Information
Collection: Electronic Funds Transfer Authorization Agreement; Use:
Section 1815(a) of the Social Security Act provides the authority for
the Secretary of Health and Human Services to pay providers/suppliers
of Medicare services at such time or times as the Secretary determines
appropriate (but no less frequently than monthly). Under Medicare, CMS,
acting for the Secretary, contracts with Fiscal Intermediaries and
Carriers to pay claims submitted by providers/suppliers who furnish
services to Medicare beneficiaries. Under CMS' payment policy, Medicare
providers/suppliers have the option of receiving payments
electronically. Form number CMS-588 authorizes the use of electronic
fund transfers (EFTs). Form Number: CMS-588 (OMB: 0938-0626);
Frequency: Reporting--On occasion; Affected Public: Business or other
for-profit and Not-for-profit institutions; Number of Respondents:
100,000; Total Annual Responses: 100,000; Total Annual Hours: 100,000.
(For policy questions regarding this collection contact Kim McPhillips
at 410-786-5374. For all other issues call 410-786-1326.)
6. Type of Information Collection Request: Reinstatement without
change of a currently approved collection; Title of Information
Collection: Medicare Integrity Program Organizational Conflict of
Interest Disclosure Certificate and Supporting Regulations at 42 CFR
421.300-421.316; Use: Section 1893(d)(1) of the Social Security Act
requires CMS to establish a process for identifying, evaluating, and
resolving conflicts of interest. CMS proposed a process in Section
421.310 to mandate submission of pertinent information regarding
conflicts of interest. The entities providing the information will be
organizations that have been awarded, or seek award of, a Medicare
Integrity Program contract. CMS needs this information to assess
whether contractors who perform, or who seek to perform, Medicare
Integrity Program functions, such as medical review, fraud review or
cost audits, have
[[Page 62577]]
organizational conflicts of interest and whether any conflicts have
been resolved. Form Number: CMS-R-232 (OMB: 0938-0723);
Frequency: Reporting--On occasion; Affected Public: Business or other
for-profit; Number of Respondents: 11; Total Annual Responses: 44;
Total Annual Hours: 2,200. (For policy questions regarding this
collection contact Joe Strazzire at 410-786-2775. 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 December 30,
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: November 20, 2009.
Michelle Shortt,
Director, Regulations Development Group, Office of Strategic Operations
and Regulatory Affairs.
[FR Doc. E9-28458 Filed 11-27-09; 8:45 am]
BILLING CODE 4120-01-P
