Agency Information Collection Activities: Submission for OMB Review; Comment Request, 72826 [2010-29718]
Download as PDF
<![CDATA[
72826
Federal Register / Vol. 75, No. 227 / Friday, November 26, 2010 / Notices
A. Federal Reserve Bank of
Minneapolis (Jacqueline G. King,
Community Affairs Officer) 90
Hennepin Avenue, Minneapolis,
Minnesota 55480–0291: 1. James A.
Jorgenson, Kenmare, North Dakota; as
an individual, to acquire and retain
voting shares of Bozeman Bancorp, Inc.,
and thereby indirectly acquire and
retain control of Bank of Bozeman, both
of Bozeman, Montana.
Board of Governors of the Federal Reserve
System, November 19, 2010.
Robert deV. Frierson,
Deputy Secretary of the Board.
[FR Doc. 2010–29681 Filed 11–24–10; 8:45 am]
BILLING CODE 6210–01–P
One Bank, Kalispell, Montana.
Comments regarding this application
must be received not later than
December 13, 2010.
B. Federal Reserve Bank of Dallas (E.
Ann Worthy, Vice President) 2200
North Pearl Street, Dallas, Texas 75201–
2272:
1. Carlile Bancshares, Inc., Fort
Worth, Texas; to become a bank holding
company by acquiring 100 percent of
the voting shares of Treaty Oak Bank,
Austin, Texas.
Board of Governors of the Federal Reserve
System, November 22, 2010.
Robert deV. Frierson,
Deputy Secretary of the Board.
[FR Doc. 2010–29724 Filed 11–24–10; 8:45 am]
BILLING CODE 6210–01–P
FEDERAL RESERVE SYSTEM
srobinson on DSKHWCL6B1PROD with NOTICES
Formations of, Acquisitions by, and
Mergers of Bank Holding Companies
DEPARTMENT OF HEALTH AND
HUMAN SERVICES
The companies listed in this notice
have applied to the Board for approval,
pursuant to the Bank Holding Company
Act of 1956 (12 U.S.C. 1841 et seq.)
(BHC Act), Regulation Y (12 CFR part
225), and all other applicable statutes
and regulations to become a bank
holding company and/or to acquire the
assets or the ownership of, control of, or
the power to vote shares of a bank or
bank holding company and all of the
banks and nonbanking companies
owned by the bank holding company,
including the companies listed below.
The applications listed below, as well
as other related filings required by the
Board, are available for immediate
inspection at the Federal Reserve Bank
indicated. The application also will be
available for inspection at the offices of
the Board of Governors. Interested
persons may express their views in
writing on the standards enumerated in
the BHC Act (12 U.S.C. 1842(c)). If the
proposal also involves the acquisition of
a nonbanking company, the review also
includes whether the acquisition of the
nonbanking company complies with the
standards in section 4 of the BHC Act
(12 U.S.C. 1843). Unless otherwise
noted, nonbanking activities will be
conducted throughout the United States.
Unless otherwise noted, comments
regarding each of these applications
must be received at the Reserve Bank
indicated or the offices of the Board of
Governors not later than December 20,
2010.
A. Federal Reserve Bank of
Minneapolis (Jacqueline G. King,
Community Affairs Officer) 90
Hennepin Avenue, Minneapolis,
Minnesota 55480–0291: 1. Bitterroot
Holding Company, Lolo, Montana; to
acquire additional voting shares of West
VerDate Mar<15>2010
16:32 Nov 24, 2010
Jkt 223001
Centers for Medicare & Medicaid
Services
[Document Identifier: CMS–116 and CMS–
417]
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: Revision of a currently
approved collection; Title of
Information Collection: Clinical
Laboratory Improvement Amendments
(CLIA) Application Form and
Supporting Regulations in 42 CFR
493.1–.2001Medicare/Medicaid
Psychiatric Hospital Survey Data; Use:
AGENCY:
PO 00000
Frm 00047
Fmt 4703
Sfmt 9990
The application must be completed by
entities performing laboratory’s testing
specimens for diagnostic or treatment
purposes. This information is vital to
the certification process. Form Number:
CMS–116 (OMB#: 0938–0581);
Frequency: Biennially and Occasionally;
Affected Public: Private Sector: Business
or other for-profits and Not-for-profit
institutions; Number of Respondents:
219,000; Total Annual Responses:
31,520; Total Annual Hours: 23,640.
(For policy questions regarding this
collection contact Sheila Ward at 410–
786–3115. For all other issues call 410–
786–1326.)
2. Type of Information Collection
Request: Extension of a currently
approved collection; Title of
Information Collection: Hospice Request
for Certification in the Medicare
Program; Use: The Hospice Request for
Certification Form is the identification
and screening form used to initiate the
certification process and to determine if
the provider has sufficient personnel to
participate in the Medicare program.
Form Number: CMS–417 (OMB#: 0938–
0313); Frequency: Annually; Affected
Public: Private Sector: Business or other
for-profits; Number of Respondents:
3,494; Total Annual Responses: 3,494;
Total Annual Hours: 594. (For policy
questions regarding this collection
contact Debbie Terkay at 410–786–6835.
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 27, 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 18, 2010.
Michelle Shortt,
Director, Regulations Development Group,
Office of Strategic Operations and Regulatory
Affairs.
[FR Doc. 2010–29718 Filed 11–24–10; 8:45 am]
BILLING CODE 4120–01–P
E:\FR\FM\26NON1.SGM
26NON1
]]>Agencies
[Federal Register Volume 75, Number 227 (Friday, November 26, 2010)]
[Notices]
[Page 72826]
From the Federal Register Online via the Government Printing Office [www.gpo.gov]
[FR Doc No: 2010-29718]
=======================================================================
-----------------------------------------------------------------------
DEPARTMENT OF HEALTH AND HUMAN SERVICES
Centers for Medicare & Medicaid Services
[Document Identifier: CMS-116 and CMS-417]
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: Clinical
Laboratory Improvement Amendments (CLIA) Application Form and
Supporting Regulations in 42 CFR 493.1-.2001Medicare/Medicaid
Psychiatric Hospital Survey Data; Use: The application must be
completed by entities performing laboratory's testing specimens for
diagnostic or treatment purposes. This information is vital to the
certification process. Form Number: CMS-116 (OMB: 0938-0581);
Frequency: Biennially and Occasionally; Affected Public: Private
Sector: Business or other for-profits and Not-for-profit institutions;
Number of Respondents: 219,000; Total Annual Responses: 31,520; Total
Annual Hours: 23,640. (For policy questions regarding this collection
contact Sheila Ward at 410-786-3115. For all other issues call 410-786-
1326.)
2. Type of Information Collection Request: Extension of a currently
approved collection; Title of Information Collection: Hospice Request
for Certification in the Medicare Program; Use: The Hospice Request for
Certification Form is the identification and screening form used to
initiate the certification process and to determine if the provider has
sufficient personnel to participate in the Medicare program. Form
Number: CMS-417 (OMB: 0938-0313); Frequency: Annually;
Affected Public: Private Sector: Business or other for-profits; Number
of Respondents: 3,494; Total Annual Responses: 3,494; Total Annual
Hours: 594. (For policy questions regarding this collection contact
Debbie Terkay at 410-786-6835. 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 27,
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 18, 2010.
Michelle Shortt,
Director, Regulations Development Group, Office of Strategic Operations
and Regulatory Affairs.
[FR Doc. 2010-29718 Filed 11-24-10; 8:45 am]
BILLING CODE 4120-01-P
