Agency Information Collection Activities: Proposed Collection; Comment Request, 9579 [2011-3749]
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Federal Register / Vol. 76, No. 34 / Friday, February 18, 2011 / Notices
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Contact Person for Additional
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the Agency for Toxic Substances and
Disease Registry.
Dated: February 14, 2011.
Elaine L. Baker,
Director, Management Analysis and Services
Office, Centers for Disease Control and
Prevention.
[FR Doc. 2011–3707 Filed 2–17–11; 8:45 am]
BILLING CODE 4163–18–P
DEPARTMENT OF HEALTH AND
HUMAN SERVICES
Centers for Medicare & Medicaid
Services
[Document Identifier: CMS–10251]
Agency Information Collection
Activities: Proposed Collection;
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) 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
WReier-Aviles on DSKGBLS3C1PROD with NOTICES
AGENCY:
VerDate Mar<15>2010
13:57 Feb 17, 2011
Jkt 223001
minimize the information collection
burden.
1. Type of Information Collection
Request: Extension of a currently
approved collection; Title of
Information Collection: Integrated
Medicare and Medicaid State Plan
Preprint; Form No.: CMS–10251 (OMB#:
0938–1047); Use: The Integrated Care
Preprint is an optional tool for use by
States to highlight the arrangements
provided between the State and
Medicare Advantage Special Needs
Plans that are also providing Medicaid
services. The preprint also provides the
opportunity for States to confirm that
their integrated care model complies
with Federal statutory and regulatory
requirements. State Medicaid Agencies
may complete the preprint and CMS
will review the information provided to
determine if the State has properly
completed and explained their
integrated care arrangements and that
the appropriate assurances have been
met; Frequency: Once; Affected Public:
State, Local, or Tribal Governments;
Number of Respondents: 56; Total
Annual Responses: 10; Total Annual
Hours: 200. (For policy questions
regarding this collection contact Mary
Pat Farkas at 410–786–5731. 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 at 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 April 19, 2011:
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 C4–26–05, 7500
PO 00000
Frm 00046
Fmt 4703
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9579
Security Boulevard, Baltimore,
Maryland 21244–1850.
Martique Jones,
Director, Regulations Development Group,
Division B, Office of Strategic Operations and
Regulatory Affairs.
[FR Doc. 2011–3749 Filed 2–17–11; 8:45 am]
BILLING CODE 4120–01–P
DEPARTMENT OF HEALTH AND
HUMAN SERVICES
Centers for Medicare & Medicaid
Services
[Document Identifier: CMS–21 and –21B,
CMS–37, CMS–64, CMS–10098, CMS–10106,
CMS–10120, CMS–10292, and CMS–10220]
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: CMS–21
(Quarterly Children’s Health Insurance
Program (CHIP) Statement of
Expenditures for the Title XXI Program)
and CMS–21B (State Children’s Health
Insurance Program Budget Report for
the Title XXI Program State Plan
Expenditures); Use: Forms CMS–21 and
–21B provide CMS with the information
necessary to issue quarterly grant
awards, monitor current year
expenditure levels, determine the
allowability of State claims for
reimbursement, develop CHIP financial
management information, provide for
State reporting of waiver expenditures,
and ensure that the Federally
AGENCY:
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]]>Agencies
[Federal Register Volume 76, Number 34 (Friday, February 18, 2011)]
[Notices]
[Page 9579]
From the Federal Register Online via the Government Printing Office [www.gpo.gov]
[FR Doc No: 2011-3749]
-----------------------------------------------------------------------
DEPARTMENT OF HEALTH AND HUMAN SERVICES
Centers for Medicare & Medicaid Services
[Document Identifier: CMS-10251]
Agency Information Collection Activities: Proposed Collection;
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) 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 of a currently
approved collection; Title of Information Collection: Integrated
Medicare and Medicaid State Plan Preprint; Form No.: CMS-10251
(OMB: 0938-1047); Use: The Integrated Care Preprint is an
optional tool for use by States to highlight the arrangements provided
between the State and Medicare Advantage Special Needs Plans that are
also providing Medicaid services. The preprint also provides the
opportunity for States to confirm that their integrated care model
complies with Federal statutory and regulatory requirements. State
Medicaid Agencies may complete the preprint and CMS will review the
information provided to determine if the State has properly completed
and explained their integrated care arrangements and that the
appropriate assurances have been met; Frequency: Once; Affected Public:
State, Local, or Tribal Governments; Number of Respondents: 56; Total
Annual Responses: 10; Total Annual Hours: 200. (For policy questions
regarding this collection contact Mary Pat Farkas at 410-786-5731. 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 at 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 April 19, 2011:
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 C4-26-05, 7500 Security Boulevard, Baltimore,
Maryland 21244-1850.
Martique Jones,
Director, Regulations Development Group, Division B, Office of
Strategic Operations and Regulatory Affairs.
[FR Doc. 2011-3749 Filed 2-17-11; 8:45 am]
BILLING CODE 4120-01-P
