Agency Information Collection Activities: Proposed Collection; Comment Request, 3477 [2012-1355]
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Federal Register / Vol. 77, No. 15 / Tuesday, January 24, 2012 / Notices
B. Annual Reporting Burden
Respondents: 7,143.
Responses per Respondent: 1.
Annual Responses: 7,143.
Hours Per Response: .25.
Total Burden Hours: 1785.
Obtaining Copies of Proposals:
Requesters may obtain a copy of the
information collection documents from
the General Services Administration,
Regulatory Secretariat (MVCB), 1275
First Street, NE., Washington, DC 20417,
telephone (202) 501–4755. Please cite
OMB Control No. 3090–0248, GSAR
516–506, Solicitation Provisions and
Contract Clauses; 552.216–72,
Placement of Orders Clause, and
552.216–73, Ordering Information
Clause, in all correspondence.
Dated: January 17, 2012.
Joseph A. Neurauter,
Director, Office of Acquisition Policy & Senior
Procurement Executive.
[FR Doc. 2012–1311 Filed 1–23–12; 8:45 am]
BILLING CODE 6820–61–P
DEPARTMENT OF HEALTH AND
HUMAN SERVICES
Centers for Medicare & Medicaid
Services
[Document Identifier: CMS–372(S)]
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
minimize the information collection
burden.
1. Type of Information Collection
Request: Extension without change of a
currently approved collection; Title of
Information Collection: Annual Report
on Home and Community Based
srobinson on DSK4SPTVN1PROD with NOTICES
AGENCY:
VerDate Mar<15>2010
17:25 Jan 23, 2012
Jkt 226001
Services Waivers and Supporting
Regulations in 42 CFR 440.180 and
441.300–310; Use: CMS is asking the
States to report financial and statistical
information concerning the numbers of
Medicaid beneficiaries receiving waiver
services, the type of services provided
and the costs of those services. The
information is usually taken from State
Medicaid agency data processing
systems. This data is summarized and
may be submitted to CMS through the
372 web-based form. The report is used
by CMS to compare actual data in the
approved waiver estimates and, in
conjunction with the waiver compliance
review reports, the information
provided is compared to that in the
Medicaid Statistical Information System
(CMS–R–284, OCN 0938–0345) report
and Federal financial participation
claimed on a State’s Quarterly
Expenditure Report (CMS–64, OCN
0938–0067), to determine whether to
continue the State’s home and
community-based services waiver.
States’ estimates of cost and utilization
for renewal purposes are based upon the
data compiled in the CMS Form 372(S)
reports; Form Number: CMS–372(S)
(OCN 0938–0272); Frequency: Yearly;
Affected Public: State, Local, or Tribal
Governments; Number of Respondents:
49; Total Annual Responses: 305; Total
Annual Hours: 13,115. (For policy
questions regarding this collection
contact Ralph Lollar at (410) 786–0777.
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.
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 March 26, 2012:
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
PO 00000
Frm 00045
Fmt 4703
Sfmt 4703
3477
Control Number CMS–372(S) (OCN
0938–0272), Room C4–26–05, 7500
Security Boulevard, Baltimore,
Maryland 21244–1850.
Dated: January 18, 2012.
Martique Jones,
Director, Regulations Development Group,
Division B Office of Strategic Operations and
Regulatory Affairs.
[FR Doc. 2012–1355 Filed 1–23–12; 8:45 am]
BILLING CODE 4120–01–P
DEPARTMENT OF HEALTH AND
HUMAN SERVICES
Centers for Medicare & Medicaid
Services
[Document Identifier: CMS–1696]
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: Appointment of
Representative; Use: This information
collection requests re-approval of an
information collection associated with
regulations that permit individuals or
entities to appoint representatives to
exercise their rights to appeal an initial
determination. The Appointment of
Representative form will be completed
by beneficiaries, providers and
suppliers who wish to appoint
representatives to assist them with
obtaining initial determinations and
filing appeals. The appointment of
representative form must be signed by
the party making the appointment and
AGENCY:
E:\FR\FM\24JAN1.SGM
24JAN1
]]>Agencies
[Federal Register Volume 77, Number 15 (Tuesday, January 24, 2012)]
[Notices]
[Page 3477]
From the Federal Register Online via the Government Printing Office [www.gpo.gov]
[FR Doc No: 2012-1355]
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DEPARTMENT OF HEALTH AND HUMAN SERVICES
Centers for Medicare & Medicaid Services
[Document Identifier: CMS-372(S)]
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 without change
of a currently approved collection; Title of Information Collection:
Annual Report on Home and Community Based Services Waivers and
Supporting Regulations in 42 CFR 440.180 and 441.300-310; Use: CMS is
asking the States to report financial and statistical information
concerning the numbers of Medicaid beneficiaries receiving waiver
services, the type of services provided and the costs of those
services. The information is usually taken from State Medicaid agency
data processing systems. This data is summarized and may be submitted
to CMS through the 372 web-based form. The report is used by CMS to
compare actual data in the approved waiver estimates and, in
conjunction with the waiver compliance review reports, the information
provided is compared to that in the Medicaid Statistical Information
System (CMS-R-284, OCN 0938-0345) report and Federal financial
participation claimed on a State's Quarterly Expenditure Report (CMS-
64, OCN 0938-0067), to determine whether to continue the State's home
and community-based services waiver. States' estimates of cost and
utilization for renewal purposes are based upon the data compiled in
the CMS Form 372(S) reports; Form Number: CMS-372(S) (OCN 0938-0272);
Frequency: Yearly; Affected Public: State, Local, or Tribal
Governments; Number of Respondents: 49; Total Annual Responses: 305;
Total Annual Hours: 13,115. (For policy questions regarding this
collection contact Ralph Lollar at (410) 786-0777. 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.
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 March 26, 2012:
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 CMS-372(S) (OCN 0938-0272), Room C4-26-05, 7500 Security
Boulevard, Baltimore, Maryland 21244-1850.
Dated: January 18, 2012.
Martique Jones,
Director, Regulations Development Group, Division B Office of Strategic
Operations and Regulatory Affairs.
[FR Doc. 2012-1355 Filed 1-23-12; 8:45 am]
BILLING CODE 4120-01-P
