Agency Information Collection Activities: Proposed Collection; Comment Request, 35354-35356 [2014-14484]
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35354
Federal Register / Vol. 79, No. 119 / Friday, June 20, 2014 / Notices
Board of Governors of the Federal Reserve
System, June 17, 2014.
Michael J. Lewandowski,
Associate Secretary of the Board.
[FR Doc. 2014–14486 Filed 6–19–14; 8:45 am]
BILLING CODE 6210–01–P
FEDERAL RESERVE SYSTEM
mstockstill on DSK4VPTVN1PROD with NOTICES
Formations of, Acquisitions by, and
Mergers of Bank Holding Companies
The companies listed in this notice
have applied to the Board for approval,
pursuant to the Bank Holding Company
Act of 1956 (12 U.S.C. 1841 et seq.)
(BHC Act), Regulation Y (12 CFR Part
225), and all other applicable statutes
and regulations to become a bank
holding company and/or to acquire the
assets or the ownership of, control of, or
the power to vote shares of a bank or
bank holding company and all of the
banks and nonbanking companies
owned by the bank holding company,
including the companies listed below.
The applications listed below, as well
as other related filings required by the
Board, are available for immediate
inspection at the Federal Reserve Bank
indicated. The applications will also be
available for inspection at the offices of
the Board of Governors. Interested
persons may express their views in
writing on the standards enumerated in
the BHC Act (12 U.S.C. 1842(c)). If the
proposal also involves the acquisition of
a nonbanking company, the review also
includes whether the acquisition of the
nonbanking company complies with the
standards in section 4 of the BHC Act
(12 U.S.C. 1843). Unless otherwise
noted, nonbanking activities will be
conducted throughout the United States.
Unless otherwise noted, comments
regarding each of these applications
must be received at the Reserve Bank
indicated or the offices of the Board of
Governors not later than July 17, 2014.
A. Federal Reserve Bank of Boston
(Richard Walker, Community Affairs
Officer) 600 Atlantic Avenue, Boston,
Massachusetts 02210–2204:
1. Beverly Financial, Inc., Beverly,
Massachusetts; to become a bank
holding company by acquiring 100
percent of the voting shares of Beverly
Bank, Beverly, Massachusetts, in
connection with the conversion of
Beverly Financial, MHC, Beverly,
Massachusetts from mutual to stock
form.
B. Federal Reserve Bank of
Philadelphia (William Lang, Senior Vice
President) 100 North 6th Street,
Philadelphia, Pennsylvania 19105–
1521:
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22:31 Jun 19, 2014
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1. Pathfinder Bancorp, Inc., Oswego,
New York; to become a bank holding
company by acquiring Pathfinder Bank,
Oswego, New York. Upon the
conversion of Pathfinder Bancorp, MHC,
and Pathfinder Bancorp, Inc., both in
Oswego, New York, the existing mid-tier
holding company of Pathfinder Bank,
will cease to exist, and Pathfinder Bank
will become a wholly-owned subsidiary
of Pathfinder Bancorp, Inc., a de novo
company.
C. Federal Reserve Bank of Atlanta
(Chapelle Davis, Assistant Vice
President) 1000 Peachtree Street NE.,
Atlanta, Georgia 30309:
1. Heritage Financial Group, Inc.,
Albany, Georgia; to become a bank
holding company by acquiring 100
percent of the voting shares of Alarion
Financial Services, Inc., and thereby
acquire Alarion Bank, both in Ocala,
Florida.
Board of Governors of the Federal Reserve
System, June 17, 2014.
Michael J. Lewandowski,
Associate Secretary of the Board.
[FR Doc. 2014–14485 Filed 6–19–14; 8:45 am]
BILLING CODE 6210–01–P
contract-inventories-guidance11052010.pdf. HHS has posted its
inventory and a summary of the
inventory on the HHS homepage at the
following link: https://www.hhs.gov/
grants/servicecontracts.
FOR FURTHER INFORMATION CONTACT:
Questions regarding the service contract
inventory should be directed to Lori
Sakalos, Director in the HHS/Office of
the Secretary, Assistant Secretary for
Financial Resources, Office of Grants
and Acquisition Policy and
Accountability, Office of Acquisition
Policy at 202–690–6361 or
Lori.Sakalos@hhs.gov.
Dated: June 13, 2014.
Angela Billups,
Associate Deputy Assistant Secretary for
Acquisition, Senior Procurement Executive,
Assistant Secretary for Financial Resources,
Office of the Secretary.
[FR Doc. 2014–14434 Filed 6–19–14; 8:45 am]
BILLING CODE 4150–24–P
DEPARTMENT OF HEALTH AND
HUMAN SERVICES
Centers for Medicare & Medicaid
Services
DEPARTMENT OF HEALTH AND
HUMAN SERVICES
[Document Identifiers: CMS–381, CMS–R–
21 and CMS–R–148]
Office of the Assistant Secretary for
Financial Resources, Office of Grants
and Acquisition Policy and
Accountability, Division of Acquisition;
Public Availability of the Department of
Health and Human Services FY 2013
Service Contract Inventory
Agency Information Collection
Activities: Proposed Collection;
Comment Request
Department of Health and
Human Services.
ACTION: Notice of Public Availability of
FY 2013 Service Contract Inventories.
SUMMARY:
AGENCY:
In accordance with Section
743 of Division C of the Consolidated
Appropriations Act of 2010 (Pub. L.
111–117), Department of Health and
Human Services (HHS) is publishing
this notice to advise the public of the
availability of its FY 2013 Service
Contract Inventory. This inventory
provides information on service contract
actions over $25,000 that were made in
FY 2013. The information is organized
by function to show how contracted
resources are distributed throughout the
agency. The inventory has been
developed in accordance with guidance
issued on November 5, 2010 and
December 19, 2011 by the Office of
Management and Budget’s Office of
Federal Procurement Policy (OFPP).
OFPP’s guidance is available at https://
www.whitehouse.gov/sites/default/files/
omb/procurement/memo/service-
SUMMARY:
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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
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
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Federal Register / Vol. 79, No. 119 / Friday, June 20, 2014 / Notices
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minimize the information collection
burden.
DATES: Comments must be received by
August 19, 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 ll, 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
each collection’s supporting statement
and associated materials (see
ADDRESSES).
CMS–381 Identification of Extension
Units of Medicare Approved
Outpatient Physical Therapy/
Outpatient Speech Pathology (OPT/
OSP) Providers and Supporting
Regulations
CMS–R–21 Withholding Medicare
Payments to Recover Medicaid
Overpayments and Supporting
Regulations in 42 CFR 447.31
CMS–R–148 Limitations on Provider
Related Donations and Health Care
Related Taxes; Limitation on Payment
to Disproportionate Share Hospitals
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22:31 Jun 19, 2014
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Under the Paperwork Reduction Act
(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: Revision of a currently
approved collection; Title of
Information Collection: Identification of
Extension Units of Medicare Approved
Outpatient Physical Therapy/Outpatient
Speech Pathology (OPT/OSP) Providers
and Supporting Regulations; Use: The
provider uses the form to report to the
state survey agency extension locations
that it has added since the date of last
report. The form is used by the state
survey agencies and by our regional
offices to identify and monitor
extension locations to ensure their
compliance with the federal
requirements for the providers of
outpatient physical therapy and speechlanguage pathology services.
Form Number: CMS–381 (OMB
control number: 0938–0273); Frequency:
Annually; Affected Public: Private
Sector; Business or other for-profit and
not-for-profit institutions; Number of
Respondents: 2,260; Total Annual
Responses: 2,260; Total Annual Hours:
565. (For policy questions regarding this
collection contact James Cowher at 410–
786–1948.)
2. Type of Information Collection
Request: Extension of a currently
approved collection; Title of
Information Collection: Withholding
Medicare Payments to Recover
Medicaid Overpayments and
Supporting Regulations in 42 CFR
447.31; Use: Certain Medicaid providers
that are subject to offsets for the
collection of Medicaid overpayments
may terminate or substantially reduce
their participation in Medicaid, leaving
the state Medicaid agency unable to
recover the amounts due. Recovery
procedures allow for determining the
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35355
amount of overpayments and offsetting
the overpayments by withholding the
provider’s Medicare payments. To
effectuate the withholding, the state
agency must provide their respective
CMS regional office with certain
documentation that identifies the
provider and the Medicaid overpayment
amount. The agency must also
demonstrate that the provider was
notified of the overpayment and that
demand for the overpayment was made.
An opportunity to appeal the
overpayment determination must be
afforded to the provider by the Medicaid
state agency. Lastly, Medicaid state
agencies must notify CMS when to
terminate the withholding.
Form Number: CMS–R–21 (OCN:
0938–0287); Frequency: Occasionally;
Affected Public: State, Local, or Tribal
Governments; Number of Respondents:
54; Total Annual Responses: 27; Total
Annual Hours: 81. (For policy questions
regarding this collection contact Stuart
Goldstein at 410–786–0694).
3. Type of Information Collection
Request: Extension of a currently
approved collection; Title of
Information Collection: Limitations on
Provider Related Donations and Health
Care Related Taxes; Limitation on
Payment to Disproportionate Share
Hospitals; Use: States may request a
waiver of either or both the broad based
and uniformity tax program
requirements. Each state must
demonstrate that its tax program(s) do
not violate the hold harmless provision.
Additionally, state Medicaid agencies
must report (quarterly) on health care
related taxes collected and the source of
provider related donations received by
the state or unit of local government.
Each state must maintain, in readily
reviewable form, supporting
documentation that provides a detailed
description of each donation and tax
program being reported, as well as the
source and use of all donations received
and collected. Without this information,
the amount of Federal financial
participation payable to a state cannot
be determined.
Form Number: CMS–R–148 (OCN:
0938–0618); Frequency: Quarterly and
occasionally; Affected Public: State,
Local, or Tribal Governments; Number
of Respondents: 50; Total Annual
Responses: 40; Total Annual Hours:
3,200. (For policy questions regarding
this collection contact Stuart Goldstein
at 410–786–0694).
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35356
Federal Register / Vol. 79, No. 119 / Friday, June 20, 2014 / Notices
Dated: June 17, 2014.
Martique Jones,
Deputy Director, Regulations Development
Group, Office of Strategic Operations and
Regulatory Affairs.
[FR Doc. 2014–14484 Filed 6–19–14; 8:45 am]
BILLING CODE 4120–01–P
DEPARTMENT OF HEALTH AND
HUMAN SERVICES
Centers for Medicare & Medicaid
Services
[Document Identifier: CMS–10521]
Agency Information Collection
Activities: Submission for OMB
Review; Comment Request
ACTION:
Notice.
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 July 21, 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
mstockstill on DSK4VPTVN1PROD with NOTICES
SUMMARY:
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.
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: New collection (Request for a
new OMB control number); Title of
Information Collection: Improving
Quality of Care in Medicaid and CHIP
through Increased Access to Preventive
Services State Survey; Use: The survey
will be used to gain a better
understanding of state efforts to increase
the utilization of preventive services
and to develop resources (including
educational and outreach resources) to
help states increase the utilization of
these services. The results will provide
a baseline regarding the coverage of
preventive services and will help us
identify ways to assist states with
materials focusing on prevention and
technical assistance.
Form Number: CMS–10521 (OMB
control number: 0938—New);
Frequency: Once; Affected Public: State,
Local, or Tribal Governments; Number
of Respondents: 51; Total Annual
Responses: 51; Total Annual Hours:
128. (For policy questions regarding this
collection contact Mary Beth Hance at
410–786–4299).
Dated: June 17, 2014.
Martique Jones,
Deputy Director, Regulations Development
Group, Office of Strategic Operations and
Regulatory Affairs.
[FR Doc. 2014–14482 Filed 6–19–14; 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: OCSE–157 Child Support
Enforcement Program Annual Data
Report.
OMB No.: 0970–0177.
Description: The information obtained
from this form will be used to: 1) Report
Child Support Enforcement activities to
the Congress as required by law; 2)
calculate incentive measures
performance and performance
indicators utilized in the program; and
3) assist the Office of Child Support
Enforcement(OCSE)in monitoring and
evaluating State Child Support
programs.
OCSE is proposing minor updates to
the OCSE–157 report instructions to
update submission procedures.
Respondents will no longer have the
option to submit hardcopy reports. The
reports can only be submitted
electronically by using the Online Data
Collections (OLDC) system.
Respondents: State, Local or Tribal
Government.
ANNUAL BURDEN ESTIMATES
Number of
respondents
Instrument
OCSE–157 .......................................................................................................
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Number of
responses per
respondent
54
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1
20JNN1
Average
burden hours
per response
7
Total burden
hours
378
]]>Agencies
[Federal Register Volume 79, Number 119 (Friday, June 20, 2014)]
[Notices]
[Pages 35354-35356]
From the Federal Register Online via the Government Printing Office [www.gpo.gov]
[FR Doc No: 2014-14484]
-----------------------------------------------------------------------
DEPARTMENT OF HEALTH AND HUMAN SERVICES
Centers for Medicare & Medicaid Services
[Document Identifiers: CMS-381, CMS-R-21 and CMS-R-148]
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
[[Page 35355]]
minimize the information collection burden.
DATES: Comments must be received by August 19, 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 each collection's supporting statement and associated
materials (see ADDRESSES).
CMS-381 Identification of Extension Units of Medicare Approved
Outpatient Physical Therapy/Outpatient Speech Pathology (OPT/OSP)
Providers and Supporting Regulations
CMS-R-21 Withholding Medicare Payments to Recover Medicaid Overpayments
and Supporting Regulations in 42 CFR 447.31
CMS-R-148 Limitations on Provider Related Donations and Health Care
Related Taxes; Limitation on Payment to Disproportionate Share
Hospitals
Under the Paperwork Reduction Act (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: Revision of a currently
approved collection; Title of Information Collection: Identification of
Extension Units of Medicare Approved Outpatient Physical Therapy/
Outpatient Speech Pathology (OPT/OSP) Providers and Supporting
Regulations; Use: The provider uses the form to report to the state
survey agency extension locations that it has added since the date of
last report. The form is used by the state survey agencies and by our
regional offices to identify and monitor extension locations to ensure
their compliance with the federal requirements for the providers of
outpatient physical therapy and speech-language pathology services.
Form Number: CMS-381 (OMB control number: 0938-0273); Frequency:
Annually; Affected Public: Private Sector; Business or other for-profit
and not-for-profit institutions; Number of Respondents: 2,260; Total
Annual Responses: 2,260; Total Annual Hours: 565. (For policy questions
regarding this collection contact James Cowher at 410-786-1948.)
2. Type of Information Collection Request: Extension of a currently
approved collection; Title of Information Collection: Withholding
Medicare Payments to Recover Medicaid Overpayments and Supporting
Regulations in 42 CFR 447.31; Use: Certain Medicaid providers that are
subject to offsets for the collection of Medicaid overpayments may
terminate or substantially reduce their participation in Medicaid,
leaving the state Medicaid agency unable to recover the amounts due.
Recovery procedures allow for determining the amount of overpayments
and offsetting the overpayments by withholding the provider's Medicare
payments. To effectuate the withholding, the state agency must provide
their respective CMS regional office with certain documentation that
identifies the provider and the Medicaid overpayment amount. The agency
must also demonstrate that the provider was notified of the overpayment
and that demand for the overpayment was made. An opportunity to appeal
the overpayment determination must be afforded to the provider by the
Medicaid state agency. Lastly, Medicaid state agencies must notify CMS
when to terminate the withholding.
Form Number: CMS-R-21 (OCN: 0938-0287); Frequency: Occasionally;
Affected Public: State, Local, or Tribal Governments; Number of
Respondents: 54; Total Annual Responses: 27; Total Annual Hours: 81.
(For policy questions regarding this collection contact Stuart
Goldstein at 410-786-0694).
3. Type of Information Collection Request: Extension of a currently
approved collection; Title of Information Collection: Limitations on
Provider Related Donations and Health Care Related Taxes; Limitation on
Payment to Disproportionate Share Hospitals; Use: States may request a
waiver of either or both the broad based and uniformity tax program
requirements. Each state must demonstrate that its tax program(s) do
not violate the hold harmless provision. Additionally, state Medicaid
agencies must report (quarterly) on health care related taxes collected
and the source of provider related donations received by the state or
unit of local government. Each state must maintain, in readily
reviewable form, supporting documentation that provides a detailed
description of each donation and tax program being reported, as well as
the source and use of all donations received and collected. Without
this information, the amount of Federal financial participation payable
to a state cannot be determined.
Form Number: CMS-R-148 (OCN: 0938-0618); Frequency: Quarterly and
occasionally; Affected Public: State, Local, or Tribal Governments;
Number of Respondents: 50; Total Annual Responses: 40; Total Annual
Hours: 3,200. (For policy questions regarding this collection contact
Stuart Goldstein at 410-786-0694).
[[Page 35356]]
Dated: June 17, 2014.
Martique Jones,
Deputy Director, Regulations Development Group, Office of Strategic
Operations and Regulatory Affairs.
[FR Doc. 2014-14484 Filed 6-19-14; 8:45 am]
BILLING CODE 4120-01-P
