Submission for OMB Review; Comment Request, 9581-9582 [2011-3745]
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WReier-Aviles on DSKGBLS3C1PROD with NOTICES
Federal Register / Vol. 76, No. 34 / Friday, February 18, 2011 / Notices
Recovery Act establishes 100 percent
Federal financial participation (FFP) as
reimbursement to States for making
incentive payments to providers for
meaningful use of certified electronic
health record technology and 90 percent
FFP for administering these payments.
Additionally, States are required to
conduct oversight of this program and
ensure no duplicate payments; thus,
CMS is requiring States to submit
information to CMS for prior approval
before drawing down funding. These
documents, if States choose to
implement these flexibilities, will
require a collection of information to
effectuate these changes.
The State Medicaid agencies will
complete the templates. CMS will
review the information to determine if
the State has met all of the requirements
of the Recovery Act provisions the
States choose to implement. If the
requirements are met, CMS will approve
the amendments giving the State the
authority to implement their Health
Information Technology (HIT) strategy
and implementation plans. For a State
to receive Medicaid Title XIX funding,
there must be an approved State
Medicaid HIT Plan, Planning Advance
Planning Document and
Implementation Advance Planning
Document; Form Number: CMS–10292
(OMB#: 0938–1088); Frequency: Yearly,
Once, Occasionally; Affected Public:
State, Local, or Tribal Governments;
Number of Respondents: 56; Total
Annual Responses: 56; Total Annual
Hours: 56. (For policy questions
regarding this collection contact Sherry
Armstead at 410–786–4342. For all
other issues call 410–786–1326.)
8. Type of Information Collection
Request: Extension without change of a
currently approved collection; Title of
Information Collection: Provider
Enrollment, Chain and Ownership
System (PECOS) Security Consent Form;
Use: The primary function of the
Medicare enrollment application is to
obtain information about the provider or
supplier and whether the provider or
supplier meets Federal and/or State
qualifications to participate in the
Medicare program. In addition, the
Medicare enrollment application gathers
information regarding the provider or
supplier’s practice location, the identity
of the owners of the enrolling
organization, and information necessary
to establish the correct claims payment.
In establishing a Web based application
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process, we allow providers and
suppliers the ability to enroll in the
Medicare program via the Internet. For
these applicants, no security consent
form is needed to enroll or make a
change in their Medicare enrollment
information. These applicants receive
complete access to their own
enrollments through Internet-based
Provider Enrollment, Chain and
Ownership System (PECOS).
In order to allow a provider or
supplier to delegate the Medicare
credentialing process to another
individual or organization, it is
necessary to establish a Security
Consent Form for those providers and
suppliers who choose to have another
individual or organization access their
enrollment information and complete
enrollments on their behalf. These users
could consist of administrative staff,
independent contractors, or
credentialing departments and are
represented as Employer Organizations.
Employer Organizations and its
members must request access to
enrollment data through a Security
Consent Form. The security consent
form replicates business service
agreements between Medicare
applicants and organizations providing
enrollment services.
We are proposing two different
versions of the Security Consent Form.
The form, once signed, mailed and
approved, grants an employer
organization or its member’s access to
all current and future enrollment data
for the Medicare provider. Form
Number: CMS–10220 (OMB#: 0938–
1035); Frequency: Occassionally;
Affected Public: State, Local, or Tribal
Governments; Number of Respondents:
197,500; Total Annual Responses:
197,500; Total Annual Hours: 49,375.
(For policy questions regarding this
collection contact Alisha Banks at 410–
786–0671. 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
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9581
proposed information collections must
be received by the OMB desk officer at
the address below, no later than 5 p.m.
on March 21, 2011.
OMB, Office of Information and
Regulatory Affairs, Attention: CMS Desk
Officer, Fax Number: (202) 395–6974,
E-mail: OIRA_submission@omb.eop.gov.
Martique Jones,
Director, Regulations Development Group,
Division B, Office of Strategic Operations and
Regulatory Affairs.
[FR Doc. 2011–3748 Filed 2–17–11; 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: Strengthening Communities
Fund (SCF) Performance Management
and Evaluation Support.
OMB No.: New Collection.
Description: This proposed
information collection activity is to
obtain information from participants in
two Strengthening Communities Fund
(SCF) programs: The Nonprofit Capacity
Building Program and the State, Local,
and Tribal Government Capacity
Building Program. Both programs are
designed to contribute to the economic
recovery as authorized in the American
Recovery and Reinvestment Act of 2009
(ARRA). The SCF evaluation is an
important opportunity to examine
outcomes achieved by the Strengthening
Communities Fund and progress toward
the objective of improving the capacity
of organizations served by program
grantees to address broad economic
recovery issues in their communities.
The evaluation will be designed to
assess progress and measure increased
organizational capacity of each
participating organization. The purpose
of this request is to receive approval of
the data collection instruments that will
be used in this study.
A significant amount of information is
already being collected through
program-specific OMB-approved PPR
forms or is available through secondary
sources. Proposed surveys and phone
interviews are very brief to reduce the
burden on respondents.
Respondents:
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18FEN1
9582
Federal Register / Vol. 76, No. 34 / Friday, February 18, 2011 / Notices
ANNUAL BURDEN ESTIMATES
Number of
respondents
Instrument
On-line Survey of SCF Grantees .....................................................................
Telephone Interview of SCF Grantees ............................................................
On-line Survey of Faith-based and Community Organizations (FBCOs) .......
Estimated Total Annual Burden
Hours: 647.
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:
202–395–7285, E-mail:
OIRA_SUBMISSION@OMB.EOP.GOV,
Attn: Desk Officer for the
Administration for Children and
Families.
Robert Sargis,
Reports Clearance Officer.
[FR Doc. 2011–3745 Filed 2–17–11; 8:45 am]
BILLING CODE 4184–01–P
Number of
responses
per
respondent
84
84
1,000
DEPARTMENT OF HEALTH AND
HUMAN SERVICES
Administration for Children and
Families
Submission for OMB Review;
Comment Request
Title: Income Withholding for
Support (IWO).
OMB No.: 0970–0154.
Description
Use of the OMB-approved Income
Withholding for Support form falls
under the authority of section 466 of the
Act, 42 U.S.C. 666. Section
466(b)(6)(A)(ii) of the Act requires that
the notice given to the employer for
income withholding in IV–D cases shall
be in a standard format prescribed by
the Secretary, and contain only such
information as may be necessary for the
employer to comply with the
withholding order for all IV–D cases.
Section 466(a)(8)(B)(iii) of the Act
requires that section 466(b)(6)(A)(ii) of
the Act be applicable also to non-IV–D
income withholding orders. These
provisions clearly require all
individuals and entities to use a form
developed by the Secretary of HHS to
notify employers of the income
withholding order for child support in
all IV–D and non-IV–D cases.
OCSE requires States’ automated
systems to be able to automatically
generate and download data to the OMB
approved income withholding form. If
child support orders are established by
the child support agency, necessary
information is already contained within
the automated system for downloading
Average
burden hours
per response
1
1
1
0.25
1.5
0.5
Total burden
hours
21
126
500
into income withholding orders. If a
court or other tribunal has issued a
child support order, then agency staff
enter the terms of the order into the
automated system for use in issuing
income withholding orders. Copies of
the income withholding order are made
for all necessary parties, and copies are
transmitted to the employer/income
withholder by mail or through the OCSE
electronic income withholding order (eIWO) portal.
The Income Withholding for Support
form and instructions were updated for
consistency and clarity in light of
numerous comments suggesting
changes, based on comments received
during the 60-day comment period of
the 1st Federal Register Notice
publication.
Respondents: Non-IV–D Custodial
Parties and Employers.
Previous iterations of the IWO
omitted employers and non-IV–D CPs or
their representatives, including
attorneys or other entities issuing IWOs
on behalf of CPs, as respondents;
however, upon further review it has
been determined that the impact on
employers and non-IV–D CPs should be
included in this information collection.
This is based on the requirement that
employers complete the ‘‘Notification of
Termination/Income Status’’ section of
the IWO and that non-IV–D CPs or their
representative issuing IWOs do not have
the information required to complete
the IWO contained in an automated
system and therefore are required to
manually issue IWOs to employers/
income withholders. The annual burden
estimates for employers and CPs is
captured in number 12.
ANNUAL BURDEN ESTIMATES
Number of
respondents
WReier-Aviles on DSKGBLS3C1PROD with NOTICES
Type of respondent
Employers ........................................................................................................
Non-IV–D CPs .................................................................................................
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Number of
responses
per
respondent
1,232,622
1,969,044
E:\FR\FM\18FEN1.SGM
Average
burden hours
per response
(min)
8
1
18FEN1
2
5
Total burden
hours
312,264
164,087
]]>Agencies
[Federal Register Volume 76, Number 34 (Friday, February 18, 2011)]
[Notices]
[Pages 9581-9582]
From the Federal Register Online via the Government Printing Office [www.gpo.gov]
[FR Doc No: 2011-3745]
-----------------------------------------------------------------------
DEPARTMENT OF HEALTH AND HUMAN SERVICES
Administration for Children and Families
Submission for OMB Review; Comment Request
Title: Strengthening Communities Fund (SCF) Performance Management
and Evaluation Support.
OMB No.: New Collection.
Description: This proposed information collection activity is to
obtain information from participants in two Strengthening Communities
Fund (SCF) programs: The Nonprofit Capacity Building Program and the
State, Local, and Tribal Government Capacity Building Program. Both
programs are designed to contribute to the economic recovery as
authorized in the American Recovery and Reinvestment Act of 2009
(ARRA). The SCF evaluation is an important opportunity to examine
outcomes achieved by the Strengthening Communities Fund and progress
toward the objective of improving the capacity of organizations served
by program grantees to address broad economic recovery issues in their
communities.
The evaluation will be designed to assess progress and measure
increased organizational capacity of each participating organization.
The purpose of this request is to receive approval of the data
collection instruments that will be used in this study.
A significant amount of information is already being collected
through program-specific OMB-approved PPR forms or is available through
secondary sources. Proposed surveys and phone interviews are very brief
to reduce the burden on respondents.
Respondents:
[[Page 9582]]
Annual Burden Estimates
----------------------------------------------------------------------------------------------------------------
Number of Average
Instrument Number of responses per burden hours Total burden
respondents respondent per response hours
----------------------------------------------------------------------------------------------------------------
On-line Survey of SCF Grantees.................. 84 1 0.25 21
Telephone Interview of SCF Grantees............. 84 1 1.5 126
On-line Survey of Faith-based and Community 1,000 1 0.5 500
Organizations (FBCOs)..........................
----------------------------------------------------------------------------------------------------------------
Estimated Total Annual Burden Hours: 647.
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-
395-7285, E-mail: OIRA_SUBMISSION@OMB.EOP.GOV, Attn: Desk Officer for
the Administration for Children and Families.
Robert Sargis,
Reports Clearance Officer.
[FR Doc. 2011-3745 Filed 2-17-11; 8:45 am]
BILLING CODE 4184-01-P
