Submission for OMB Review; Comment Request, 71103 [2016-24824]

Download as PDF 71103 Federal Register / Vol. 81, No. 199 / Friday, October 14, 2016 / Notices following information collections. More detailed information can be found in each collection’s supporting statement and associated materials (see ADDRESSES). CMS–2744 End Stage Renal Disease (ESRD) Medical Information Facility Survey 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 previously approved collection; Title of Information Collection: End Stage Renal Disease (ESRD) Medical Information Facility Survey; Use: The ESRD Program Management and Medical Information System (PMMIS) Facility Certification/ Survey Record contains providerspecific and aggregate patient population data on beneficiaries treated by that provider obtained from the Annual Facility Survey form (CMS– 2744). The Facility Certification portion of the record captures certification and other information about ESRD facilities approved by Medicare to provide kidney dialysis and transplant services. The Facility Survey portion of the record captures activities performed during the calendar year as well as aggregate year-end population counts for both Medicare beneficiaries and nonMedicare patients. The survey includes the collection on hemodialysis patients dialyzing more than 4 times per week, vocational rehabilitation and staffing. The aggregate patient information is collected from each Medicare-approved provider of dialysis and kidney transplant services. The information is used to assess and evaluate the local, regional and national levels of medical and social impact of ESRD care and is used extensively by researchers and suppliers of services for trend analysis. Form Number: CMS–2744 (OMB Control Number: 0938–0447); Frequency: Yearly; Affected Public: Business or other for-profit, Not-forprofit institutions; Number of Respondents: 5,964; Total Annual Responses: 5,964; Total Annual Hours: 47,712. (For policy questions regarding this collection contact Renee Dupee at 410–786–6747) Dated: October 7, 2016. William N. Parham, III, Director, Paperwork Reduction Staff, Office of Strategic Operations and Regulatory Affairs. DEPARTMENT OF HEALTH AND HUMAN SERVICES Administration for Children and Families Submission for OMB Review; Comment Request Title: TANF Quarterly Financial Report, ACF–196. OMB No.: 0970–0247. Description: This information collection is authorized under Section 411(a)(3) of the Social Security Act. This request is for renewal of approval to use the Administration for Children and Families’ (ACF) 196 form for periodic financial reporting under the Temporary Assistance for Needy Families (TANF) program. States participating in the TANF program are required by statute to report financial data on a quarterly basis. This form meets the legal standard and provides essential data on the use of Federal funds. Failure to collect the data would seriously compromise ACF’s ability to monitor program expenditures, estimate funding needs, and to prepare budget submissions required by Congress. Financial reporting under the TANF program is governed by 45 CFR part 265. Respondents: TANF Agencies. [FR Doc. 2016–24813 Filed 10–13–16; 8:45 am] BILLING CODE 4120–01–P ANNUAL BURDEN ESTIMATES Number of respondents Number of responses per respondent Average burden hours per response Total burden hours ACF–196 .......................................................................................................... rmajette on DSK2TPTVN1PROD with NOTICES Instrument 51 4 10 2,040 Estimated Total Annual Burden Hours: 2,040. 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, 330 C Street SW., Washington, DC 20201, 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 VerDate Sep<11>2014 14:29 Oct 13, 2016 Jkt 241001 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: PO 00000 Frm 00065 Fmt 4703 Sfmt 9990 Desk Officer for the Administration for Children and Families. Robert Sargis, Reports Clearance Officer. [FR Doc. 2016–24824 Filed 10–13–16; 8:45 am] BILLING CODE 4184–01–P E:\FR\FM\14OCN1.SGM 14OCN1

Agencies

[Federal Register Volume 81, Number 199 (Friday, October 14, 2016)]
[Notices]
[Page 71103]
From the Federal Register Online via the Government Publishing Office [www.gpo.gov]
[FR Doc No: 2016-24824]


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DEPARTMENT OF HEALTH AND HUMAN SERVICES

Administration for Children and Families


Submission for OMB Review; Comment Request

    Title: TANF Quarterly Financial Report, ACF-196.
    OMB No.: 0970-0247.
    Description: This information collection is authorized under 
Section 411(a)(3) of the Social Security Act. This request is for 
renewal of approval to use the Administration for Children and 
Families' (ACF) 196 form for periodic financial reporting under the 
Temporary Assistance for Needy Families (TANF) program. States 
participating in the TANF program are required by statute to report 
financial data on a quarterly basis. This form meets the legal standard 
and provides essential data on the use of Federal funds. Failure to 
collect the data would seriously compromise ACF's ability to monitor 
program expenditures, estimate funding needs, and to prepare budget 
submissions required by Congress. Financial reporting under the TANF 
program is governed by 45 CFR part 265.
    Respondents: TANF Agencies.

                                             Annual Burden Estimates
----------------------------------------------------------------------------------------------------------------
                                                                  Number of     Average  burden
                 Instrument                      Number of      responses per      hours  per      Total burden
                                                respondents       respondent        response          hours
----------------------------------------------------------------------------------------------------------------
ACF-196.....................................              51                4               10            2,040
----------------------------------------------------------------------------------------------------------------

    Estimated Total Annual Burden Hours: 2,040.
    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, 330 C Street SW., 
Washington, DC 20201, 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. 2016-24824 Filed 10-13-16; 8:45 am]
 BILLING CODE 4184-01-P