Agency Information Collection Activities: Submission for OMB Review; Comment Request, 31555-31556 [2013-12465]
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31555
Federal Register / Vol. 78, No. 101 / Friday, May 24, 2013 / Notices
burden for progress reporting. In the
future, CDC may transition from a
hardcopy report to MIS-based progress
reporting.
The MDE information submitted to
CDC includes baseline and follow-up
data (12 months post enrollment) for all
women served through the
WISEWOMAN program. The MDE
describe risk factors for the women
served in each program and the number
and type of lifestyle program sessions
they attend. The information allows
CDC to assess the effectiveness of the
WISEWOMAN program in reducing the
burden of cardiovascular disease risk
factors among women who utilize
program services. MDE information may
also be utilized in assessments of
WISEWOMAN program impact and
cost-effectiveness. MDE information has
previously been submitted to CDC in
overall program evaluation is designed
to demonstrate how WISEWOMAN can
obtain more complete health data on
vulnerable populations, promote public
education about disease incidence,
cardiovascular disease risk-factors,
health promotion, to improve the
availability of screening and diagnostic
services for under-served women,
ensure the quality of services provided
to under-served women, and develop
strategies for improved interventions.
The estimated number of
WISEWOMAN awardees is 21 but may
be adjusted when new cooperative
agreements are issued. Participation in
this information collection is required
as a condition of cooperative agreement
funding. There are no costs to
respondents other than their time.
two electronic transmissions: the
burden for Screening and Assessment
MDE was estimated at 16 hours per
response and the burden for Lifestyle
Intervention MDE was estimated at 8
hours per response. Under the new
WISEWOMAN cooperative agreements,
the MDE will be submitted as a single
electronic file with a combined
estimated burden per response of 24
hours. The total number of MDE
variables will increase from 66 to 87.
The number of variables relating to
Lifestyle Interventions will decrease and
the number of variables relating to
Screening and Assessment will increase.
CDC will continue to use the
information collected from
WISEWOMAN awardees to support
continuous program monitoring and
improvement activities, evaluation, and
assessment of program outcomes. The
ESTIMATED ANNUALIZED BURDEN HOURS
Type of respondent
WISEWOMAN Grantees
Average
burden per
response
(in hrs)
Number of
responses per
respondent
Number of
respondents
Form name
Total burden
(in hrs)
21
2
24
1,008
........................................
Screening and Assessment and Lifestyle Program MDEs.
Annual Progress Report .................................
21
1
8
168
Total ............................
.........................................................................
........................
........................
........................
1,176
Ron A. Otten,
Director, Office of Scientific Integrity, Office
of the Associate Director for Science, Office
of the Director, Centers for Disease Control
and Prevention.
[FR Doc. 2013–12406 Filed 5–23–13; 8:45 am]
BILLING CODE 4163–18–P
DEPARTMENT OF HEALTH AND
HUMAN SERVICES
Centers for Medicare & Medicaid
Services
[Document Identifiers: CMS–64, CMS–10295
and CMS–10401]
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
mstockstill on DSK4VPTVN1PROD with NOTICES
AGENCY:
VerDate Mar<15>2010
21:14 May 23, 2013
Jkt 229001
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:
Quarterly Medicaid Statement of
Expenditures for the Medical Assistance
Program; Use: Form CMS–64 has been
used since January 1980 by Medicaid
state agencies to report their actual
program benefit costs and
administrative expenses. CMS uses this
information to compute the federal
financial participation for the state’s
Medicaid program costs. Certain
schedules of the CMS–64 form are used
by states to report budget, expenditure
and related statistical information
required for implementation of the
Medicaid portion of the State Children’s
PO 00000
Frm 00041
Fmt 4703
Sfmt 4703
Health Insurance Programs, Title XXI of
the Social Security Act, established by
the Balanced Budget Act of 1997. Form
Number: CMS–64 (OCN: 0938–0067);
Frequency: Quarterly; Affected Public:
State, Local, or Tribal Governments;
Number of Respondents: 56; Total
Annual Responses: 224; Total Annual
Hours: 16,464. (For policy questions
regarding this collection contact
Abraham John at 410–786–4518. For all
other issues call 410–786–1326.)
2. Type of Information Collection
Request: Revision of a currently
approved collection; Title of
Information Collection: Reporting
Requirements for States Under
Transitional Medical Assistance (TMA)
Provisions; Use: The HHS Secretary is
required to submit annual reports to
Congress with information collected
from states in accordance with section
5004(d) of the American Recovery and
Reinvestment Act of 2009. Medicaid
agencies in 50 states complete the
reports while we review the information
to determine if each state has met all of
the reporting requirements specified
under section 5004(d). We are revising
this package to remove the requirement
to report the Medicaid Federal Medical
Assistance Percentage since it no longer
needs to be collected from states. Form
E:\FR\FM\24MYN1.SGM
24MYN1
mstockstill on DSK4VPTVN1PROD with NOTICES
31556
Federal Register / Vol. 78, No. 101 / Friday, May 24, 2013 / Notices
Number: CMS–10295 (OCN: 0938–
1073). Frequency: Quarterly; Affected
Public: State, Local, or Tribal
Governments; Number of Respondents:
50; Total Annual Responses: 200; Total
Annual Hours: 400. (For policy
questions regarding this collection
contact Rhonda Simms at 410–786–
1200. For all other issues call 410–786–
1326.)
3. Type of Information Collection
Request: Revision of a currently
approved collection; Title of
Information Collection: Standards
Related to Reinsurance, Risk Corridors
and Risk Adjustment; Use: Section 1341
of the Affordable Care Act provides that
each state must establish a transitional
reinsurance program to help stabilize
premiums for coverage in the individual
market during the first three years of
Exchange operation. Section 1342
provides for the establishment of a
temporary risk corridors program that
will apply to qualified health plans in
the individual and small group markets
for the first three years of Exchange
operation. Section 1343 provides for a
program of risk adjustment for all nongrandfathered plans in the individual
and small group market both inside and
outside of the Exchange. These riskspreading programs, which will be
implemented by HHS, states, or both
HHS and states, are designed to mitigate
adverse selection and provide stability
for health insurance issuers in the
individual and small group markets as
market reforms and Exchanges are
implemented. Section 1321(a) also
provides broad authority for the
Secretary to establish standards and
regulations to implement the statutory
requirements related to Exchanges,
reinsurance, risk adjustment, and other
components of title I of the Affordable
Care Act. The data collection and
reporting requirements described in this
information collection request will
enable states, HHS, or both states and
HHS to implement the aforementioned
programs, which will mitigate the
impact of adverse selection in the
individual and small group markets
both inside and outside the Exchange.
Form Number: CMS–10401 (OCN:
0938–1155); Frequency: Occasionally;
Affected Public: Private Sector (business
or other for-profit and not-for-profit
institutions); Number of Respondents:
24,171; Total Annual Responses:
584,042; Total Annual Hours: 1,013,293.
(For policy questions regarding this
collection contact Jaya Ghildiyal at 301–
492–5149. For all other issues call 410–
786–1326.)
To obtain copies of the supporting
statement and any related forms for the
proposed paperwork collections
VerDate Mar<15>2010
22:20 May 23, 2013
Jkt 229001
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 June 24, 2013.
OMB, Office of Information and
Regulatory Affairs, Attention: CMS Desk
Officer, Fax Number: (202) 395–6974,
Email: OIRA _submission@omb.eop.gov.
Dated: May 21, 2013.
Martique Jones,
Deputy Director, Regulations Development
Group, Office of Strategic Operations and
Regulatory Affairs.
[FR Doc. 2013–12465 Filed 5–23–13; 8:45 am]
BILLING CODE 4120–01–P
DEPARTMENT OF HEALTH AND
HUMAN SERVICES
Centers for Medicare & Medicaid
Services
[Document Identifiers: CMS–10293]
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 of a currently
approved collection;
Title of Information Collection: Tribal
Consultation State Plan Amendment
AGENCY:
PO 00000
Frm 00042
Fmt 4703
Sfmt 4703
Template; Use: Effective July 1, 2009,
section 5006 of the American Recovery
and Reinvestment Act of 2009 (Recovery
Act) amended section 1902(a)(73) of the
Act to require that certain states utilize
a process for the state to seek advice on
a regular, ongoing basis from designees
of the Indian Health Service (IHS) and
Urban Indian Organizations concerning
Medicaid and Children’s Health
Insurance Program (CHIP) matters
having a direct effect on them. The
consultation process is required for the
37 States in which 1 or more Indian
Health Programs or Urban Indian
Organizations furnish health care
services. The State Medicaid agency for
each of these States will complete the
template page and submit it for approval
as part of a State plan amendment, to
document how it meets the
requirements for tribal consultation.
Form Number: CMS–10293 (OCN:
0938–1098); Frequency: Reporting—
Occasionally; Affected Public: State,
Local, or Tribal Governments; Number
of Respondents: 37; Total Annual
Responses: 37; Total Annual Hours: 37.
(For policy questions regarding this
collection contact Lane Terwilliger at
410–786–6618. 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 July 23, 2013:
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.
E:\FR\FM\24MYN1.SGM
24MYN1
Agencies
[Federal Register Volume 78, Number 101 (Friday, May 24, 2013)]
[Notices]
[Pages 31555-31556]
From the Federal Register Online via the Government Printing Office [www.gpo.gov]
[FR Doc No: 2013-12465]
-----------------------------------------------------------------------
DEPARTMENT OF HEALTH AND HUMAN SERVICES
Centers for Medicare & Medicaid Services
[Document Identifiers: CMS-64, CMS-10295 and CMS-10401]
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: Quarterly Medicaid Statement of
Expenditures for the Medical Assistance Program; Use: Form CMS-64 has
been used since January 1980 by Medicaid state agencies to report their
actual program benefit costs and administrative expenses. CMS uses this
information to compute the federal financial participation for the
state's Medicaid program costs. Certain schedules of the CMS-64 form
are used by states to report budget, expenditure and related
statistical information required for implementation of the Medicaid
portion of the State Children's Health Insurance Programs, Title XXI of
the Social Security Act, established by the Balanced Budget Act of
1997. Form Number: CMS-64 (OCN: 0938-0067); Frequency: Quarterly;
Affected Public: State, Local, or Tribal Governments; Number of
Respondents: 56; Total Annual Responses: 224; Total Annual Hours:
16,464. (For policy questions regarding this collection contact Abraham
John at 410-786-4518. For all other issues call 410-786-1326.)
2. Type of Information Collection Request: Revision of a currently
approved collection; Title of Information Collection: Reporting
Requirements for States Under Transitional Medical Assistance (TMA)
Provisions; Use: The HHS Secretary is required to submit annual reports
to Congress with information collected from states in accordance with
section 5004(d) of the American Recovery and Reinvestment Act of 2009.
Medicaid agencies in 50 states complete the reports while we review the
information to determine if each state has met all of the reporting
requirements specified under section 5004(d). We are revising this
package to remove the requirement to report the Medicaid Federal
Medical Assistance Percentage since it no longer needs to be collected
from states. Form
[[Page 31556]]
Number: CMS-10295 (OCN: 0938-1073). Frequency: Quarterly; Affected
Public: State, Local, or Tribal Governments; Number of Respondents: 50;
Total Annual Responses: 200; Total Annual Hours: 400. (For policy
questions regarding this collection contact Rhonda Simms at 410-786-
1200. For all other issues call 410-786-1326.)
3. Type of Information Collection Request: Revision of a currently
approved collection; Title of Information Collection: Standards Related
to Reinsurance, Risk Corridors and Risk Adjustment; Use: Section 1341
of the Affordable Care Act provides that each state must establish a
transitional reinsurance program to help stabilize premiums for
coverage in the individual market during the first three years of
Exchange operation. Section 1342 provides for the establishment of a
temporary risk corridors program that will apply to qualified health
plans in the individual and small group markets for the first three
years of Exchange operation. Section 1343 provides for a program of
risk adjustment for all non-grandfathered plans in the individual and
small group market both inside and outside of the Exchange. These risk-
spreading programs, which will be implemented by HHS, states, or both
HHS and states, are designed to mitigate adverse selection and provide
stability for health insurance issuers in the individual and small
group markets as market reforms and Exchanges are implemented. Section
1321(a) also provides broad authority for the Secretary to establish
standards and regulations to implement the statutory requirements
related to Exchanges, reinsurance, risk adjustment, and other
components of title I of the Affordable Care Act. The data collection
and reporting requirements described in this information collection
request will enable states, HHS, or both states and HHS to implement
the aforementioned programs, which will mitigate the impact of adverse
selection in the individual and small group markets both inside and
outside the Exchange. Form Number: CMS-10401 (OCN: 0938-1155);
Frequency: Occasionally; Affected Public: Private Sector (business or
other for-profit and not-for-profit institutions); Number of
Respondents: 24,171; Total Annual Responses: 584,042; Total Annual
Hours: 1,013,293. (For policy questions regarding this collection
contact Jaya Ghildiyal at 301-492-5149. 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 June 24, 2013.
OMB, Office of Information and Regulatory Affairs, Attention: CMS
Desk Officer, Fax Number: (202) 395-6974, Email: OIRA _submission@omb.eop.gov.
Dated: May 21, 2013.
Martique Jones,
Deputy Director, Regulations Development Group, Office of Strategic
Operations and Regulatory Affairs.
[FR Doc. 2013-12465 Filed 5-23-13; 8:45 am]
BILLING CODE 4120-01-P