Submission for OMB Review; Comment Request, 43093 [2015-17793]
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43093
Federal Register / Vol. 80, No. 139 / Tuesday, July 21, 2015 / Notices
Through the pilot test, we will
determine the response rate that can be
achieved using this approach. If it is
deemed necessary, a prenotification
letter, additional mailout reminders and
a telephone non-response step can be
added to the protocol to achieve desired
response rate. Form Number: CMS–
10393 (OMB Control number: 0938–
1177); Frequency: Once; Affected
Public: Individuals or households;
Number of Respondents: 16,010;
Number of Responses: 16,010; Total
Annual Hours: 4,002. (For policy
questions regarding this collection,
contact Coles Mercier at 410–786–2112.)
Dated: July 16, 2015.
William N. Parham, III,
Director, Paperwork Reduction Staff, Office
of Strategic Operations and Regulatory
Affairs.
[FR Doc. 2015–17824 Filed 7–20–15; 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: Form CB–496, ‘‘Title IV–E
Programs Quarterly Financial Report’’
OMB No.: 0970–0205
Description: This is a financial report
submitted following the end of each
fiscal quarter by each State or Tribe with
an approved title IV–E plan
administering any of three title IV–E
entitlement grant programs—Foster
Care, Adoption Assistance or
Guardianship Assistance.
The purpose of this form is to enable
each State or Tribe to meet its statutory
and regulatory requirement to report
program expenditures made in the
preceding fiscal quarter and to estimate
program expenditures to be made in the
upcoming fiscal quarter. This form also
allows States and Tribes to report the
actual and estimated average monthly
number of children assisted in each of
the three IV–E entitlement grant
programs in the preceding and
upcoming fiscal quarters, respectively.
The Administration for Children and
Families provides Federal funding at the
rate of 50 percent for nearly all
allowable and legitimate administrative
costs of these programs and at other
funding rates for other specific
categories of costs as detailed in Federal
statute and regulations. The information
collected in this report is used by this
agency to calculate quarterly Federal
grant awards and to enable oversight of
the financial management of the
programs. Legislation enacted in 2014
through Public Law 113–183, the
‘‘Preventing Sex Trafficking and
Strengthening Families Act’’ added a
requirement that title IV–E grantees
annually report on the methodology
used to calculate adoption savings due
to the application of differing title IV–
E Adoption Assistance eligibility
criteria for children designated as an
‘‘applicable child’’ along with an
accounting of the amount of and the
expenditure of any such savings.
To accommodate this change in the
law, we have added additional data
entry lines in part 4 of Form CB–496,
‘‘Annual Adoption Savings Calculation
and Accounting Report’’ which will be
submitted annually by grantees.
In addition, the same law adds
additional requirements that title IV–E
grantees develop and implement
policies and procedures to identify,
document, and determine appropriate
services for any child or youth in the
placement, care or supervision of the
title IV–E agency who is at-risk of
becoming a sex trafficking victim or
who is determined as a sex trafficking
victim.
To accommodate this change in the
law we have added additional reporting
lines and prior quarter reporting odes
for expenditure reporting and child
counts and in parts 1 and 2 of Form CB–
496.
Respondents: States (including Puerto
Rico and the District of Columbia) and
Tribes* with approved title IV–E plans.
(*An estimated 15 Tribes have or will
have approved title IV–E plans within
the next 3-year period.)
ANNUAL BURDEN ESTIMATES
Number of
respondents
Instrument
asabaliauskas on DSK5VPTVN1PROD with NOTICES
Form CB–496: Title IV–E Programs Quarterly Financial Report ....................
Estimated Total Annual Burden
Hours: 5,628.
Additional Information:
Copies of the proposed collection may
be obtained by writing to the
Administration for Children and
Families, Office of Planning, Research
and Evaluation, 370 L’Enfant
Promenade SW., Washington, DC 20447,
Attn: ACF Reports Clearance Officer. All
requests should be identified by the title
of the information collection. Email
address: infocollection@acf.hhs.gov.
OMB Comment:
OMB is required to make a decision
concerning the collection of information
between 30 and 60 days after
publication of this document in the
Federal Register. Therefore, a comment
is best assured of having its full effect
if OMB receives it within 30 days of
VerDate Sep<11>2014
17:58 Jul 20, 2015
Jkt 235001
Number of
responses per
respondent
67
4
Average
burden hours
per response
Total burden
hours
21
publication. Written comments and
recommendations for the proposed
information collection should be sent
directly to the following: Office of
Management and Budget, Paperwork
Reduction Project, Email:
OIRA_SUBMISSION@OMB.EOP.GOV,
Attn: Desk Officer for the
Administration for Children and
Families.
DEPARTMENT OF HEALTH AND
HUMAN SERVICES
Robert Sargis,
Reports Clearance Officer.
5,628
HHS.
Fmt 4703
Medical Device Patient Labeling;
Request for Comments; Public
Workshop
AGENCY:
Food and Drug Administration,
Notice of public workshop;
request for comments.
The Food and Drug
Administration is announcing the
following public workshop entitled
‘‘Medical Device Patient Labeling’’. The
purpose of the public workshop is to
discuss issues associated with the
development and use of medical device
SUMMARY:
BILLING CODE 4184–01–P
Frm 00043
[Docket No. FDA–2000–D–0067]
ACTION:
[FR Doc. 2015–17793 Filed 7–20–15; 8:45 am]
PO 00000
Food and Drug Administration
Sfmt 4703
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21JYN1
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[Federal Register Volume 80, Number 139 (Tuesday, July 21, 2015)]
[Notices]
[Page 43093]
From the Federal Register Online via the Government Publishing Office [www.gpo.gov]
[FR Doc No: 2015-17793]
-----------------------------------------------------------------------
DEPARTMENT OF HEALTH AND HUMAN SERVICES
Administration for Children and Families
Submission for OMB Review; Comment Request
Title: Form CB-496, ``Title IV-E Programs Quarterly Financial
Report''
OMB No.: 0970-0205
Description: This is a financial report submitted following the end
of each fiscal quarter by each State or Tribe with an approved title
IV-E plan administering any of three title IV-E entitlement grant
programs--Foster Care, Adoption Assistance or Guardianship Assistance.
The purpose of this form is to enable each State or Tribe to meet
its statutory and regulatory requirement to report program expenditures
made in the preceding fiscal quarter and to estimate program
expenditures to be made in the upcoming fiscal quarter. This form also
allows States and Tribes to report the actual and estimated average
monthly number of children assisted in each of the three IV-E
entitlement grant programs in the preceding and upcoming fiscal
quarters, respectively.
The Administration for Children and Families provides Federal
funding at the rate of 50 percent for nearly all allowable and
legitimate administrative costs of these programs and at other funding
rates for other specific categories of costs as detailed in Federal
statute and regulations. The information collected in this report is
used by this agency to calculate quarterly Federal grant awards and to
enable oversight of the financial management of the programs.
Legislation enacted in 2014 through Public Law 113-183, the
``Preventing Sex Trafficking and Strengthening Families Act'' added a
requirement that title IV-E grantees annually report on the methodology
used to calculate adoption savings due to the application of differing
title IV-E Adoption Assistance eligibility criteria for children
designated as an ``applicable child'' along with an accounting of the
amount of and the expenditure of any such savings.
To accommodate this change in the law, we have added additional
data entry lines in part 4 of Form CB-496, ``Annual Adoption Savings
Calculation and Accounting Report'' which will be submitted annually by
grantees.
In addition, the same law adds additional requirements that title
IV-E grantees develop and implement policies and procedures to
identify, document, and determine appropriate services for any child or
youth in the placement, care or supervision of the title IV-E agency
who is at-risk of becoming a sex trafficking victim or who is
determined as a sex trafficking victim.
To accommodate this change in the law we have added additional
reporting lines and prior quarter reporting odes for expenditure
reporting and child counts and in parts 1 and 2 of Form CB-496.
Respondents: States (including Puerto Rico and the District of
Columbia) and Tribes* with approved title IV-E plans. (*An estimated 15
Tribes have or will have approved title IV-E plans within the next 3-
year period.)
Annual Burden Estimates
----------------------------------------------------------------------------------------------------------------
Number of Average burden
Instrument Number of responses per hours per Total burden
respondents respondent response hours
----------------------------------------------------------------------------------------------------------------
Form CB-496: Title IV-E Programs Quarterly 67 4 21 5,628
Financial Report...............................
----------------------------------------------------------------------------------------------------------------
Estimated Total Annual Burden Hours: 5,628.
Additional Information:
Copies of the proposed collection may be obtained by writing to the
Administration for Children and Families, Office of Planning, Research
and Evaluation, 370 L'Enfant Promenade SW., Washington, DC 20447, Attn:
ACF Reports Clearance Officer. All requests should be identified by the
title of the information collection. Email address:
infocollection@acf.hhs.gov.
OMB Comment:
OMB is required to make a decision concerning the collection of
information between 30 and 60 days after publication of this document
in the Federal Register. Therefore, a comment is best assured of having
its full effect if OMB receives it within 30 days of publication.
Written comments and recommendations for the proposed information
collection should be sent directly to the following: Office of
Management and Budget, Paperwork Reduction Project, Email:
OIRA_SUBMISSION@OMB.EOP.GOV, Attn: Desk Officer for the Administration
for Children and Families.
Robert Sargis,
Reports Clearance Officer.
[FR Doc. 2015-17793 Filed 7-20-15; 8:45 am]
BILLING CODE 4184-01-P
