Agency Information Collection Activities: Proposed Collection; Comment Request, 8972-8973 [2014-03293]
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8972
Federal Register / Vol. 79, No. 31 / Friday, February 14, 2014 / Notices
Comments on the collection(s) of
information must be received by March
17, 2014.
ADDRESSES: When commenting, please
reference the document identifier or
OMB control number (OCN). To be
assured consideration, comments and
recommendations must be submitted in
any one of the following ways:
1. Electronically. You may send 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) that are 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 lll, Room C4–26–
05, 7500 Security Boulevard, Baltimore,
Maryland 21244–1850.
To obtain copies of a supporting
statement and any related forms for the
proposed collection(s) summarized in
this notice, you may make your request
using one of following:
1. Access CMS’ Web site address at
https://www.cms.hhs.gov/Paperwork
ReductionActof1995.
2. Email your request, including your
address, phone number, OMB number,
and CMS document identifier, to
Paperwork@cms.hhs.gov.
FOR FURTHER INFORMATION CONTACT:
Reports Clearance Office at (410) 786–
1326.
DATES:
Under the
Paperwork Reduction Act of 1995 (PRA)
(44 U.S.C. 3501–3520), federal agencies
must obtain approval from the Office of
Management and Budget (OMB) for each
collection of information they conduct
or sponsor. The term ‘‘collection of
information’’ is defined in 44 U.S.C.
3502(3) and 5 CFR 1320.3(c) and
includes agency requests or
requirements that members of the public
submit reports, keep records, or provide
information to a third party. Section
3506(c)(2)(A) of the PRA (44 U.S.C.
3506(c)(2)(A)) requires federal agencies
to publish a 30-day notice in the
Federal Register concerning each
proposed collection of information,
including each proposed extension or
reinstatement of an existing collection
of information, before submitting the
collection to OMB for approval. To
comply with this requirement, CMS is
publishing this notice that summarizes
the following proposed collection(s) of
information for public comment:
mstockstill on DSK4VPTVN1PROD with NOTICES
SUPPLEMENTARY INFORMATION:
VerDate Mar<15>2010
17:47 Feb 13, 2014
Jkt 232001
1. Type of Information Collection
Request: Revision of a currently
approved collection; Title of
Information Collection: Imposition of
Cost Sharing Charges Under Medicaid
and Supporting Regulations; Use: The
purpose of this collection is to ensure
that states impose nominal cost sharing
charges upon categorically and
medically needy individuals as allowed
by law and implementing regulations.
States must identify in their state plan
the service for which the charge is
made, the amount of the charge, the
basis for determining the charge, the
basis for determining whether an
individual is unable to pay the charge
and the way in which the individual
will be identified to providers, and the
procedures for implementing and
enforcing the exclusions from cost
sharing. The template has been revised
and is being released for this 30-day
comment period before it is submitted
to OMB for review and approval under
CMS–10398 (OCN: 0938–1148). Form
Number: CMS–R–53 (OCN: 0938–0429);
Frequency: Occasionally; Affected
Public: State, Local, or Tribal
Governments; Number of Respondents:
56; Total Annual Responses: 10; Total
Annual Hours: 50. (For policy questions
regarding this collection contact
Rebecca Bruno at 415–744–3677).
Dated: February 11, 2014.
Martique Jones,
Deputy Director, Regulations Development
Group, Office of Strategic Operations and
Regulatory Affairs.
[FR Doc. 2014–03297 Filed 2–13–14; 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]
Agency Information Collection
Activities: Proposed Collection;
Comment Request
Centers for Medicare &
Medicaid Services, HHS.
ACTION: Notice.
AGENCY:
The Centers for Medicare &
Medicaid Services (CMS) is announcing
an opportunity for the public to
comment on CMS’ intention to collect
information from the public. Under the
Paperwork Reduction Act of 1995 (the
PRA), federal agencies are required to
publish notice in the Federal Register
concerning each proposed collection of
information (including each proposed
extension or reinstatement of an existing
SUMMARY:
PO 00000
Frm 00036
Fmt 4703
Sfmt 4703
collection of information) and to allow
60 days for public comment on the
proposed action. Interested persons are
invited to send comments regarding our
burden estimates 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.
DATES: Comments must be received by
April 15, 2014:
ADDRESSES: When commenting, please
reference the document identifier or
OMB control number (OCN). To be
assured consideration, comments and
recommendations must be submitted in
any one of the following ways:
1. Electronically. You may send 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) that are 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.
To obtain copies of a supporting
statement and any related forms for the
proposed collection(s) summarized in
this notice, you may make your request
using one of following:
1. Access CMS’ Web site address at
https://www.cms.hhs.gov/
PaperworkReductionActof1995.
2. Email your request, including your
address, phone number, OMB number,
and CMS document identifier, to
Paperwork@cms.hhs.gov.
3. Call the Reports Clearance Office at
(410) 786–1326.
FOR FURTHER INFORMATION CONTACT:
Reports Clearance Office at (410) 786–
1326.
SUPPLEMENTARY INFORMATION:
Contents
This notice sets out a summary of the
use and burden associated with the
following information collections. More
detailed information can be found in
E:\FR\FM\14FEN1.SGM
14FEN1
Federal Register / Vol. 79, No. 31 / Friday, February 14, 2014 / Notices
each collection’s supporting statement
and associated materials (see
ADDRESSES).
mstockstill on DSK4VPTVN1PROD with NOTICES
CMS–21 and –21B 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)
Under the PRA (44 U.S.C. 3501–
3520), federal agencies must obtain
approval from the Office of Management
and Budget (OMB) for each collection of
information they conduct or sponsor.
The term ‘‘collection of information’’ is
defined in 44 U.S.C. 3502(3) and 5 CFR
1320.3(c) and includes agency requests
or requirements that members of the
public submit reports, keep records, or
provide information to a third party.
Section 3506(c)(2)(A) of the PRA
requires federal agencies to publish a
60-day notice in the Federal Register
concerning each proposed collection of
information, including each proposed
extension or reinstatement of an existing
collection of information, before
submitting the collection to OMB for
approval. To comply with this
requirement, CMS is publishing this
notice.
Information Collection
1. Type of Information Collection
Request: Extension of a currently
approved collection; Title of
Information Collection: Quarterly
Children’s Health Insurance Program
(CHIP) Statement of Expenditures for
the Title XXI Program (CMS–21) and
State Children’s Health Insurance
Program Budget Report for the Title XXI
Program State Plan Expenditures (CMS–
21B); 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 established
allotment is not exceeded. Further,
these forms are necessary in the
redistribution and reallocation of
unspent funds over the federally
mandated timeframes. Form Number:
CMS–21 and CMS–21B (OCN: 0938–
0731); Frequency: Quarterly; Affected
Public: State, Local, or Tribal
Governments; Number of Respondents:
56; Total Annual Responses: 448; Total
Annual Hours: 7,840. (For policy
questions regarding this collection
contact Abraham John at 410–786–
4519).
VerDate Mar<15>2010
17:47 Feb 13, 2014
Jkt 232001
Dated: February 11, 2014.
Martique Jones,
Deputy Director, Regulations Development
Group, Office of Strategic Operations and
Regulatory Affairs.
[FR Doc. 2014–03293 Filed 2–13–14; 8:45 am]
BILLING CODE 4120–01–P
DEPARTMENT OF HEALTH AND
HUMAN SERVICES
Centers for Medicare & Medicaid
Services
[Document Identifiers: CMS–18F5, CMS–
10120, and CMS–10512]
Agency Information Collection
Activities: Submission for OMB
Review; Comment Request and
Correction
ACTION:
Notice; correction.
The Centers for Medicare &
Medicaid Services (CMS) is announcing
an opportunity for the public to
comment on CMS’ intention to collect
information from the public. Under the
Paperwork Reduction Act of 1995
(PRA), federal agencies are required to
publish notice in the Federal Register
concerning each proposed collection of
information, including each proposed
extension or reinstatement of an existing
collection of information, and to allow
a second opportunity for public
comment on the notice. Interested
persons are invited to send comments
regarding the 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.
DATES: Comments on the collection(s) of
information must be received by the
OMB desk officer by March 17, 2014.
ADDRESSES: When commenting on the
proposed information collections,
please reference the document identifier
or OMB control number. To be assured
consideration, comments and
recommendations must be received by
the OMB desk officer via one of the
following transmissions: OMB, Office of
Information and Regulatory Affairs,
Attention: CMS Desk Officer, Fax
Number: (202) 395–5806 or Email:
OIRA_submission@omb.eop.gov.
SUMMARY:
PO 00000
Frm 00037
Fmt 4703
Sfmt 4703
8973
To obtain copies of a supporting
statement and any related forms for the
proposed collection(s) summarized in
this notice, you may make your request
using one of following:
1. Access CMS’ Web site address at
https://www.cms.hhs.gov/
PaperworkReductionActof1995.
2. Email your request, including your
address, phone number, OMB number,
and CMS document identifier, to
Paperwork@cms.hhs.gov.
3. Call the Reports Clearance Office at
(410) 786–1326.
FOR FURTHER INFORMATION CONTACT:
Reports Clearance Office at (410) 786–
1326
SUPPLEMENTARY INFORMATION: Under the
Paperwork Reduction Act of 1995 (PRA)
(44 U.S.C. 3501–3520), federal agencies
must obtain approval from the Office of
Management and Budget (OMB) for each
collection of information they conduct
or sponsor. The term ‘‘collection of
information’’ is defined in 44 U.S.C.
3502(3) and 5 CFR 1320.3(c) and
includes agency requests or
requirements that members of the public
submit reports, keep records, or provide
information to a third party. Section
3506(c)(2)(A) of the PRA (44 U.S.C.
3506(c)(2)(A)) requires federal agencies
to publish a 30-day notice in the
Federal Register concerning each
proposed collection of information,
including each proposed extension or
reinstatement of an existing collection
of information, before submitting the
collection to OMB for approval. To
comply with this requirement, CMS is
publishing this notice that summarizes
the following proposed collection(s) of
information for public comment:
1. Type of Information Collection
Request: Extension of a currently
approved collection; Title of
Information Collection: Application for
Hospital Insurance and Supporting
Regulations; Use: Regulations at 42 CFR
406.6 specify the individuals who must
file an application for Medicare Hospital
Insurance (Part A) and those who need
not file an application for Part A.
Section 406.7 lists CMS–18F5 as the
application form. The form elicits
information that the Social Security
Administration and CMS need to
determine entitlement to Part A and
Supplementary Medical Insurance (Part
B); Form Number: CMS–18F5 (OCN:
0938–0251); Frequency: Once; Affected
Public: Individuals or households;
Number of Respondents: 50,000; Total
Annual Responses: 50,000; Total
Annual Hours: 12,500. (For policy
questions regarding this collection
contact Naomi Rappaport at 410–786–
2175).
E:\FR\FM\14FEN1.SGM
14FEN1
Agencies
[Federal Register Volume 79, Number 31 (Friday, February 14, 2014)]
[Notices]
[Pages 8972-8973]
From the Federal Register Online via the Government Printing Office [www.gpo.gov]
[FR Doc No: 2014-03293]
-----------------------------------------------------------------------
DEPARTMENT OF HEALTH AND HUMAN SERVICES
Centers for Medicare & Medicaid Services
[Document Identifier CMS-21 and -21B]
Agency Information Collection Activities: Proposed Collection;
Comment Request
AGENCY: Centers for Medicare & Medicaid Services, HHS.
ACTION: Notice.
-----------------------------------------------------------------------
SUMMARY: The Centers for Medicare & Medicaid Services (CMS) is
announcing an opportunity for the public to comment on CMS' intention
to collect information from the public. Under the Paperwork Reduction
Act of 1995 (the PRA), federal agencies are required to publish notice
in the Federal Register concerning each proposed collection of
information (including each proposed extension or reinstatement of an
existing collection of information) and to allow 60 days for public
comment on the proposed action. Interested persons are invited to send
comments regarding our burden estimates 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.
DATES: Comments must be received by April 15, 2014:
ADDRESSES: When commenting, please reference the document identifier or
OMB control number (OCN). To be assured consideration, comments and
recommendations must be submitted in any one of the following ways:
1. Electronically. You may send 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) that are 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.
To obtain copies of a supporting statement and any related forms
for the proposed collection(s) summarized in this notice, you may make
your request using one of following:
1. Access CMS' Web site address at https://www.cms.hhs.gov/PaperworkReductionActof1995.
2. Email your request, including your address, phone number, OMB
number, and CMS document identifier, to Paperwork@cms.hhs.gov.
3. Call the Reports Clearance Office at (410) 786-1326.
FOR FURTHER INFORMATION CONTACT: Reports Clearance Office at (410) 786-
1326.
SUPPLEMENTARY INFORMATION:
Contents
This notice sets out a summary of the use and burden associated
with the following information collections. More detailed information
can be found in
[[Page 8973]]
each collection's supporting statement and associated materials (see
ADDRESSES).
CMS-21 and -21B 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)
Under the PRA (44 U.S.C. 3501-3520), federal agencies must obtain
approval from the Office of Management and Budget (OMB) for each
collection of information they conduct or sponsor. The term
``collection of information'' is defined in 44 U.S.C. 3502(3) and 5 CFR
1320.3(c) and includes agency requests or requirements that members of
the public submit reports, keep records, or provide information to a
third party. Section 3506(c)(2)(A) of the PRA requires federal agencies
to publish a 60-day notice in the Federal Register concerning each
proposed collection of information, including each proposed extension
or reinstatement of an existing collection of information, before
submitting the collection to OMB for approval. To comply with this
requirement, CMS is publishing this notice.
Information Collection
1. Type of Information Collection Request: Extension of a currently
approved collection; Title of Information Collection: Quarterly
Children's Health Insurance Program (CHIP) Statement of Expenditures
for the Title XXI Program (CMS-21) and State Children's Health
Insurance Program Budget Report for the Title XXI Program State Plan
Expenditures (CMS-21B); 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 established allotment is not exceeded. Further, these forms
are necessary in the redistribution and reallocation of unspent funds
over the federally mandated timeframes. Form Number: CMS-21 and CMS-21B
(OCN: 0938-0731); Frequency: Quarterly; Affected Public: State, Local,
or Tribal Governments; Number of Respondents: 56; Total Annual
Responses: 448; Total Annual Hours: 7,840. (For policy questions
regarding this collection contact Abraham John at 410-786-4519).
Dated: February 11, 2014.
Martique Jones,
Deputy Director, Regulations Development Group, Office of Strategic
Operations and Regulatory Affairs.
[FR Doc. 2014-03293 Filed 2-13-14; 8:45 am]
BILLING CODE 4120-01-P