Agency Information Collection Activities: Submission for OMB Review; Comment Request, 69445-69446 [2010-28332]
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Federal Register / Vol. 75, No. 218 / Friday, November 12, 2010 / Notices
of Central Bancshares, Inc., and thereby
indirectly acquire voting shares of
Central Bank, both of Little Rock,
Arkansas.
3. Carlson Bancshares, Inc., West
Memphis, Arkansas; to acquire no more
than 9.99 percent of the voting shares of
Central Bancshares, Inc., and thereby
indirectly acquire voting shares of
Central Bank, both of Little Rock,
Arkansas.
B. Federal Reserve Bank of Kansas
City (Dennis Denney, Assistant Vice
President), 1 Memorial Drive, Kansas
City, Missouri 64198–0001:
1. Northern Missouri Bancshares, Inc.,
Unionville, Missouri; to acquire at least
51 percent of the voting shares of
Exchange Bancorp of Missouri, Inc., and
thereby indirectly acquire voting shares
of Exchange Bank of Missouri, both of
Fayette, Missouri.
Board of Governors of the Federal Reserve
System, November 8, 2010.
Robert deV. Frierson,
Deputy Secretary of the Board.
[FR Doc. 2010–28465 Filed 11–10–10; 8:45 am]
BILLING CODE 6210–01–P
FEDERAL RESERVE SYSTEM
mstockstill on DSKH9S0YB1PROD with NOTICES
Formations of, Acquisitions by, and
Mergers of Bank Holding Companies;
Correction
This notice corrects a notice (FR Doc.
2010–28126) published on page 68608
of the issue for Monday, November 8,
2010.
Under the Federal Reserve Bank of
New York heading, the entry for First
Niagara Financial Group, Inc., Buffalo,
New York, is revised to read as follows:
A. Federal Reserve Bank of New York
(Ivan Hurwitz, Vice President) 33
Liberty Street, New York, New York
10045–0001:
1. First Niagara Financial Group, Inc.,
Buffalo, New York; to acquire 100
percent of the voting shares of, and
thereby merge with NewAlliance
Bancshares, Inc., and thereby indirectly
acquire voting shares of, and merge with
NewAlliance Bank, both of New Haven,
Connecticut.
Comments on this application must
be received by December 3, 2010.
Board of Governors of the Federal Reserve
System, November 8, 2010.
Robert deV. Frierson,
Deputy Secretary of the Board.
[FR Doc. 2010–28464 Filed 11–10–10; 8:45 am]
BILLING CODE 6210–01–P
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17:23 Nov 10, 2010
Jkt 223001
DEPARTMENT OF HEALTH AND
HUMAN SERVICES
Centers for Medicare & Medicaid
Services
[Document Identifier: CMS–10052, CMS–
10351 and CMS–R–216]
Agency Information Collection
Activities: Submission for OMB
Review; Comment Request
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 of a currently
approved collection; Title of
Information Collection: Recognition of
pass-through payment for additional
(new) categories of devices under the
Outpatient Prospective Payment System
and Supporting Regulations in 42 CFR,
Part 419; Form Number: CMS–10052
(OMB#: 0938–0857); Use: Section 201(b)
of the Balanced Budget Act of 1999
amended section 1833(t) of the Social
Security Act (the Act) by adding new
section 1833(t)(6). This provision
requires the Secretary to make
additional payments to hospitals for a
period of 2 to 3 years for certain drugs,
radiopharmaceuticals, biological agents,
medical devices and brachytherapy
devices. Section 402 of the Benefits
Improvement and Protection Act of
2000 made changes to the transitional
pass-through provision for medical
devices. The most significant change is
the required use of categories as the
basis for determining transitional passthrough eligibility for medical devices,
through the addition of section
1833(t)(6)(B) of the Act. This
information collection is necessary to
determine eligibility of medical devices
AGENCY:
PO 00000
Frm 00050
Fmt 4703
Sfmt 4703
69445
for establishment of additional device
categories for payment under
transitional pass-through payment
provisions as required by section
1833(t)(6) of the Act. Frequency: Once;
Affected Public: Private Sector: Business
or other for-profits; Number of
Respondents: 10; Total Annual
Responses: 10; Total Annual Hours:
160. (For policy questions regarding this
collection contact Christina S. Ritter at
410–786–4636. For all other issues call
410–786–1326.)
2. Type of Information Collection
Request: New collection; Title of
Information Collection: ESRD PPS
Transition Election and attestations of
Low-Volume; Form Number: CMS–
10351 (OMB#: 0938–New); Use: The
Medicare Improvement for Patients and
Providers Act (MIPPA) requires
implementation of an End Stage Rental
Disease (ESRD) bundled prospective
payment system (PPS) effective January
1, 2011. Once implemented, the ESRD
PPS will replace the current basic casemix adjusted composite payment system
and the methodologies for the
reimbursement of separately billable
outpatient ESRD related items and
services. The ESRD PPS will provide a
single payment to the ESRD facilities
that will cover all the resources used in
providing an outpatient dialysis
treatment. Also, as required my MIPPA,
ESRD facilities are eligible to receive a
low-volume adjustment when the
facility furnished less than 4000
treatments in each of the three years
pre-ceding the payment year.
In order for an ESRD facility to
receive the low-volume adjustment,
CMS will require that an ESRD facility
must provide an attestation to the fiscal
intermediary or the Medicare
administrative contractor (FI/MAC) that
it has met the criteria to qualify as a
low-volume facility. The FI or MAC
would verify the ESRD facility’s
attestation of their low-volume status
using the ESRD facility’s final-settled
cost reports. Also, an ESRD facility may
make a one-time election to be excluded
from the four-year transition to the
ESRD PPS. A facility may elect to be
paid entirely based on the ESRD PPS
beginning January 1, 2011. If the ESRD
facility fails to submit an election, or the
ESRD facility’s election is not received
by their MAC by November 1, 2010,
payments to the ESRD facility for items
and services provided during the
transition will be paid under the basic
case-mix adjusted composite payment
system. Frequency: Annually; Affected
Public: Private Sector: Business or other
for-profits and Not-for-profit
institutions; Number of Respondents:
5,808; Total Annual Responses: 2,520;
E:\FR\FM\12NON1.SGM
12NON1
69446
Federal Register / Vol. 75, No. 218 / Friday, November 12, 2010 / Notices
Total Annual Hours: 563.2. (For policy
questions regarding this collection
contact Janet Samen at 410–786–4533.
For all other issues call 410–786–1326.)
3. Title of Information Collection:
Issuance of Advisory Opinions
Concerning Physicians’ Referrals; Type
of Information Collection Request:
Extension of a currently approved
collection; Form Number: CMS–R–216
(OMB#: 0938–0714); Use: Section
1877(g)(6) of the Social Security Act
requires that the Department of Health
and Human Services accept requests for
advisory opinions made after November
3, 1997 and before August 21, 2000.
Section 543 of the Benefits
Improvement and Protection Act of
2001, Public Law 106–554, extended
indefinitely the period during which the
Department of Health and Human
Services accepts requests for these
advisory opinions. CMS promulgated 42
CFR 411.370 through 411.389 to comply
with this statutory mandate. The
collection of information contained in
42 CFR 411.372 and 411.373 is
necessary to allow CMS to consider
requests for advisory opinions and
provide accurate and useful opinions. ;
Frequency: Occasionally; Affected
Public: Private Sector: Business or other
for-profits and not- for profit
institutions; Number of Respondents:
25; Total Annual Responses: 25; Total
Annual Hours: 500. (For policy
questions regarding this collection
contact John Davis at 410–786–0008.
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 13, 2010.
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 4, 2010.
Michelle Shortt,
Director, Regulations Development Group,
Office of Strategic Operations and Regulatory
Affairs.
[FR Doc. 2010–28332 Filed 11–10–10; 8:45 am]
BILLING CODE 4120–01–P
DEPARTMENT OF HEALTH AND
HUMAN SERVICES
Administration for Children and
Families
Proposed Information Collection
Activity; Comment Request
Proposed Projects
Title: Child and Family Services Plan
(CFSP), Annual Progress and Services
Review (APSR), and Annual Budget
Expenses Request and Estimated
Expenditures (CFS–101).
OMB No.: 0980–0047.
Description: Under title IV–B,
subparts 1 and 2, of the Social Security
Act (the Act), States, Territories, and
Tribes are required to submit a Child
and Family Services Plan (CFSP). The
CFSP lays the groundwork for a system
of coordinated, integrated, and
culturally relevant family services for
the subsequent five years (45 CFR
1357.15(a)(1)). The CFSP outlines
initiatives and activities the State, Tribe
or territory will carry out in
administering programs and services to
promote the safety, permanency, and
well-being of children and families. By
June 30 of each year, States, Territories,
and Tribes are also required to submit
an Annual Progress and Services Report
(APSR) and a financial report called the
CFS–101. The APSR is a Yearly report
that discusses progress made by a State,
Territory or Tribe in accomplishing the
goals and objectives cited in its CFSP
(45 CFR 1357.16(a)). The APSR contains
new and updated information about
service needs and organizational
capacities throughout the five-year plan
period. The CFS–101 has three parts.
Part I is an annual budget request for the
upcoming fiscal year. Part II includes a
summary of planned expenditures by
program area for the upcoming fiscal
year, the estimated number of
individuals or families to be served, and
the geographical service area. Part III
includes actual expenditures by
program area, numbers of families and
individuals served by program area, and
the geographic areas served for the last
complete fiscal year.
The Child and Family Services
Improvement Act of 2006 amended Title
IV–B, subparts 1 and 2, adding a
number of requirements that affect
reporting through the APSR and the
CFS–101. Of particular note, the law
added a provision requiring States
(including Puerto Rico and the District
of Columbia) to report data on
caseworker visits (section 424(e) of the
Act). States must provide annual data
on (1) the percentage of children in
foster care under the responsibility of
the State who were visited on a monthly
basis by the caseworker handling the
case of the child; and (2) the percentage
of the visits that occurred in the
residence of the child. In addition, by
June 30, 2008, States must set target
percentages and establish strategies to
meet the goal that; by October 1, 2011;
at least 90 percent of the children in
foster care are visited by their
caseworkers on a monthly basis and that
the majority of these visits occur in the
residence of the child (section
424(e)(2)(A) of the Act).
Respondents: States, Territories, and
Tribes must complete the CFSP, APSR,
and CFS–101. Tribes and territories are
exempted from the monthly caseworker
visits reporting requirement of the
APSR. There are approximately 180
Tribal entities that are eligible for IV–B
funding. There are 52 States (including
Puerto Rico and the District of
Columbia) that must complete the CFSP,
APSR, and CFS–101. There are a total of
232 possible respondents.
ANNUAL BURDEN ESTIMATES
Number of
respondents
mstockstill on DSKH9S0YB1PROD with NOTICES
Instrument
APSR .............................................................................................................
CFSP .............................................................................................................
CFS–101, Parts I, II, and III ..........................................................................
Caseworker Visits ..........................................................................................
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17:23 Nov 10, 2010
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PO 00000
Frm 00051
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Sfmt 4703
Number of
responses per
respondent
232
232
232
52
E:\FR\FM\12NON1.SGM
Average
burden hours
per response
1
1
1
1
12NON1
76.58
120.25
4.38
99.33
Total burden
hours
17,766.56
27,898
1,016.16
5,165.16
]]>Agencies
[Federal Register Volume 75, Number 218 (Friday, November 12, 2010)]
[Notices]
[Pages 69445-69446]
From the Federal Register Online via the Government Printing Office [www.gpo.gov]
[FR Doc No: 2010-28332]
=======================================================================
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DEPARTMENT OF HEALTH AND HUMAN SERVICES
Centers for Medicare & Medicaid Services
[Document Identifier: CMS-10052, CMS-10351 and CMS-R-216]
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 of a currently
approved collection; Title of Information Collection: Recognition of
pass-through payment for additional (new) categories of devices under
the Outpatient Prospective Payment System and Supporting Regulations in
42 CFR, Part 419; Form Number: CMS-10052 (OMB: 0938-0857);
Use: Section 201(b) of the Balanced Budget Act of 1999 amended section
1833(t) of the Social Security Act (the Act) by adding new section
1833(t)(6). This provision requires the Secretary to make additional
payments to hospitals for a period of 2 to 3 years for certain drugs,
radiopharmaceuticals, biological agents, medical devices and
brachytherapy devices. Section 402 of the Benefits Improvement and
Protection Act of 2000 made changes to the transitional pass-through
provision for medical devices. The most significant change is the
required use of categories as the basis for determining transitional
pass-through eligibility for medical devices, through the addition of
section 1833(t)(6)(B) of the Act. This information collection is
necessary to determine eligibility of medical devices for establishment
of additional device categories for payment under transitional pass-
through payment provisions as required by section 1833(t)(6) of the
Act. Frequency: Once; Affected Public: Private Sector: Business or
other for-profits; Number of Respondents: 10; Total Annual Responses:
10; Total Annual Hours: 160. (For policy questions regarding this
collection contact Christina S. Ritter at 410-786-4636. For all other
issues call 410-786-1326.)
2. Type of Information Collection Request: New collection; Title of
Information Collection: ESRD PPS Transition Election and attestations
of Low-Volume; Form Number: CMS-10351 (OMB: 0938-New); Use:
The Medicare Improvement for Patients and Providers Act (MIPPA)
requires implementation of an End Stage Rental Disease (ESRD) bundled
prospective payment system (PPS) effective January 1, 2011. Once
implemented, the ESRD PPS will replace the current basic case-mix
adjusted composite payment system and the methodologies for the
reimbursement of separately billable outpatient ESRD related items and
services. The ESRD PPS will provide a single payment to the ESRD
facilities that will cover all the resources used in providing an
outpatient dialysis treatment. Also, as required my MIPPA, ESRD
facilities are eligible to receive a low-volume adjustment when the
facility furnished less than 4000 treatments in each of the three years
pre-ceding the payment year.
In order for an ESRD facility to receive the low-volume adjustment,
CMS will require that an ESRD facility must provide an attestation to
the fiscal intermediary or the Medicare administrative contractor (FI/
MAC) that it has met the criteria to qualify as a low-volume facility.
The FI or MAC would verify the ESRD facility's attestation of their
low-volume status using the ESRD facility's final-settled cost reports.
Also, an ESRD facility may make a one-time election to be excluded from
the four-year transition to the ESRD PPS. A facility may elect to be
paid entirely based on the ESRD PPS beginning January 1, 2011. If the
ESRD facility fails to submit an election, or the ESRD facility's
election is not received by their MAC by November 1, 2010, payments to
the ESRD facility for items and services provided during the transition
will be paid under the basic case-mix adjusted composite payment
system. Frequency: Annually; Affected Public: Private Sector: Business
or other for-profits and Not-for-profit institutions; Number of
Respondents: 5,808; Total Annual Responses: 2,520;
[[Page 69446]]
Total Annual Hours: 563.2. (For policy questions regarding this
collection contact Janet Samen at 410-786-4533. For all other issues
call 410-786-1326.)
3. Title of Information Collection: Issuance of Advisory Opinions
Concerning Physicians' Referrals; Type of Information Collection
Request: Extension of a currently approved collection; Form Number:
CMS-R-216 (OMB: 0938-0714); Use: Section 1877(g)(6) of the
Social Security Act requires that the Department of Health and Human
Services accept requests for advisory opinions made after November 3,
1997 and before August 21, 2000. Section 543 of the Benefits
Improvement and Protection Act of 2001, Public Law 106-554, extended
indefinitely the period during which the Department of Health and Human
Services accepts requests for these advisory opinions. CMS promulgated
42 CFR 411.370 through 411.389 to comply with this statutory mandate.
The collection of information contained in 42 CFR 411.372 and 411.373
is necessary to allow CMS to consider requests for advisory opinions
and provide accurate and useful opinions. ; Frequency: Occasionally;
Affected Public: Private Sector: Business or other for-profits and not-
for profit institutions; Number of Respondents: 25; Total Annual
Responses: 25; Total Annual Hours: 500. (For policy questions regarding
this collection contact John Davis at 410-786-0008. 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 13,
2010.
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 4, 2010.
Michelle Shortt,
Director, Regulations Development Group, Office of Strategic Operations
and Regulatory Affairs.
[FR Doc. 2010-28332 Filed 11-10-10; 8:45 am]
BILLING CODE 4120-01-P
