Request for Information, 2366-2367 [2017-00111]
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Federal Register / Vol. 82, No. 5 / Monday, January 9, 2017 / Notices
benefits of available regulatory
alternatives and, if regulation is
necessary, to select regulatory
approaches that maximize net benefits
(including potential economic,
environmental, public health, and safety
effects, distributive impacts, and
equity). A regulatory impact analysis
(RIA) must be prepared for major
regulatory actions with economically
significant effects ($100 million or more
in any 1 year). This document will
prevent the enrollment of new home
health providers and Part B nonemergency ground ambulance suppliers
in Medicare, Medicaid, and CHIP in
certain states. Though savings may
accrue by denying enrollments, the
monetary amount cannot be quantified.
Since the imposition of the initial
moratoria on July 31, 2013, 1,147 HHAs
and 19 ambulance companies in all
geographic areas affected by the
moratoria had their applications denied.
We have found the number of
applications that are denied after 60
days declines dramatically, as most
providers and suppliers will not submit
applications during the moratoria
period. Therefore, this document does
not reach the economic threshold, and
thus is not considered a major action.
The RFA requires agencies to analyze
options for regulatory relief of small
entities. For purposes of the RFA, small
entities include small businesses,
nonprofit organizations, and small
governmental jurisdictions. Most
hospitals and most other providers and
suppliers are small entities, either by
nonprofit status or by having revenues
of less than $7.5 million to $38.5
million in any one year. Individuals and
states are not included in the definition
of a small entity. CMS is not preparing
an analysis for the RFA because it has
determined, and the Secretary certifies,
that this document will not have a
significant economic impact on a
substantial number of small entities.
In addition, section 1102(b) of the Act
requires us to prepare a regulatory
impact analysis if an action may have a
significant impact on the operations of
a substantial number of small rural
hospitals. This analysis must conform to
the provisions of section 604 of the
RFA. For purposes of section 1102(b) of
the Act, CMS defines a small rural
hospital as a hospital that is located
outside of a metropolitan statistical area
(MSA) for Medicare payment purposes
and has fewer than 100 beds. CMS is not
preparing an analysis for section 1102(b)
of the Act because it has determined,
and the Secretary certifies, that this
document will not have a significant
impact on the operations of a substantial
number of small rural hospitals.
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21:14 Jan 06, 2017
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Section 202 of the Unfunded
Mandates Reform Act of 1995 also
requires that agencies assess anticipated
costs and benefits before issuing any
regulatory action whose mandates
require spending in any 1 year of $100
million in 1995 dollars, updated
annually for inflation. In 2016, that
threshold is approximately $146
million. This document will have no
consequential effect on state, local, or
tribal governments or on the private
sector.
Executive Order 13132 establishes
certain requirements that an agency
must meet when it promulgates a
proposed regulatory action (and
subsequent final action) that imposes
substantial direct requirement costs on
state and local governments, preempts
state law, or otherwise has Federalism
implications. Because this document
does not impose any costs on state or
local governments, the requirements of
Executive Order 13132 are not
applicable.
In accordance with the provisions of
Executive Order 12866, this document
was reviewed by the Office of
Management and Budget.
Dated: December 28, 2016.
Andrew M. Slavitt,
Acting Administrator, Centers for Medicare
& Medicaid Services.
[FR Doc. 2016–32007 Filed 1–6–17; 8:45 am]
BILLING CODE 4120–01–P
DEPARTMENT OF HEALTH AND
HUMAN SERVICES
Administration for Children and
Families
Request for Information
Administration for Children
and Families (ACF), Department of
Health and Human Services (HHS).
ACTION: Request for information (RFI).
AGENCY:
This Request for Information
(RFI) seeks recommendations for future
work with and on behalf of American
Indian and Alaska Native (AI/AN)
leadership, tribes, tribal organizations,
and populations in accord with ACF’s
vision of ‘‘children, youth, families,
individuals, and communities who are
resilient, safe, healthy, and
economically secure.’’
DATES: Submit responses by March 10,
2017.
ADDRESSES: Written comments may be
submitted through any of the methods
specified below. However, electronic
submission is preferred. Please do not
submit duplicate comments.
SUMMARY:
PO 00000
Frm 00058
Fmt 4703
Sfmt 4703
D Electronic submission through
https://www.regulations.gov portal.
Follow the instructions for submitting
electronic comments. Attachments, if
any, should be in Microsoft Word or
Microsoft Excel. You can find this RFI
by typing ACF–2016–0002 in the Search
window. Then click on the ‘‘Comment
Now!’’ button on the Search Results
page. This will open up a Comment
form where you can enter your
comment on the form, attach files (up to
10MB each), as well as your personal
information, when applicable. Be sure
to complete all required fields. Please
note that information entered on the
web form may be viewable publicly.
Once you reach the ‘‘Your Preview’’
screen, the information that will be
viewable publicly is displayed directly
on the form under the section titled:
‘‘This information will appear on
Regulations.gov.’’ To complete your
comment, you must first agree to the
disclaimer and check the box. This will
enable the ‘‘Submit Comment’’ button.
Upon completion, you will receive a
Comment Tracking Number for your
comment. To learn more about comment
submission, visit the Submit a Comment
section of the ‘‘How to Use
Regulations.gov’’ pages.
D Electronic submission through email
to ANAComments@acf.hhs.gov.
All comments received before the
close of the comment period will be
available for public inspection,
including any information that is
included in a comment. All
electronically submitted comments
posted through the https://
www.regulations.gov portal received
before the end of the comment period
will be available at https://
www.regulations.gov.
FOR FURTHER INFORMATION CONTACT:
Camille Loya, Director, Division of
Policy, Administration for Native
Americans, Camille.Loya@acf.hhs.gov,
202–401–5964.
SUPPLEMENTARY INFORMATION:
I. Background information
Executive Order 13175, dated
November 6, 2000, established
policymaking criteria applicable to
federal agencies, to the extent permitted
by law, when formulating and
implementing policies that have tribal
implications, including special
requirements for legislative proposals
and consultation. Subsequently,
President Obama issued a Presidential
Memorandum on Tribal Consultation,
dated November 5, 2009, affirming that
‘‘meaningful dialogue between Federal
officials and tribal officials has greatly
improved Federal policy toward Indian
E:\FR\FM\09JAN1.SGM
09JAN1
Federal Register / Vol. 82, No. 5 / Monday, January 9, 2017 / Notices
tribes.’’ Finally, ACF recently issued the
ACF Principles for Working with
Federally Recognized Indian Tribes,
effective October 20, 2016, that affirmed
ACF’s commitment to receive input
from elected tribal representatives as
well as ‘‘to otherwise ensure human
services coordination around issues
affecting AI/AN populations.’’
Consistent with the above affirmative
statements of the value of feedback from
AI/AN partners and stakeholders, ACF
is requesting information from AI/AN
tribes, tribal organizations, and
stakeholders (including grantees). The
purpose is to identify issues and
challenges facing AI/AN populations as
well as to inform ACF of tribes’ and
tribal organizations’ recommendations,
promising practices, and innovations to
address the needs of AI/AN children,
youth, families, and communities. This
information may, in turn, be used by
ACF in the development of future
rulemaking and technical assistance,
formation of legislative proposals and
research agendas, and strategic planning
in consultation with tribes.
II. Request for Information
As President Obama stated in his
Presidential Proclamation—National
Native American Heritage Month (2016):
sradovich on DSK3GMQ082PROD with NOTICES
Let us continue to build on the
advancements we have made, because
enduring progress will depend on our
dedication to honoring our trust and treaty
responsibilities. With sustained effort and
unwavering optimism, we can ensure a
vibrant and resilient Indian Country filled
with possibility and prosperity.
In this RFI, we seek feedback and
recommendations related to how ACF
partners with tribes and how to make
progress in the future. The following
questions are not exhaustive, and we
encourage commenters to provide any
additional information they believe
relevant to ACF’s work with and on
behalf of American Indians and Alaska
Natives. You may provide general
comments, respond to all questions
posed in section II of this RFI, or
respond to one or more questions. If you
respond to any of the questions in
section II, please identify the number
that corresponds to the question(s) you
are responding to. Include our agency
name and the docket number on all
submissions. Please do not include
confidential information, or otherwise
sensitive or protected information with
your responses.
(1) Are there challenges to AI/AN
tribes and tribal organizations posed by
non-federal match or cost sharing
requirements in any applicable ACF
programs? Please be specific as to the
program or programs you are referring to
VerDate Sep<11>2014
21:14 Jan 06, 2017
Jkt 241001
as well as provide as much detail as
possible in describing challenges or
difficulties posed and any specific
recommendations you wish to provide.
(2) Are there challenges to AI/AN
tribes and tribal organizations posed by
administrative cost caps required under
some ACF grant programs? Please be
specific as to the program or programs
you are referring to as well as provide
as much detail as possible in describing
challenges or difficulties posed and any
specific recommendations you wish to
provide.
(3) Are there instances for which you
believe waiver authority, additional
waiver authority allowed under block
grants, would benefit tribes under any
ACF programs? Please be specific as to
the program or programs you are
referring to as well as provide as much
detail as possible in describing
challenges or difficulties posed and any
specific recommendations you wish to
provide.
(4) For ACF programs that currently
have waiver authority for tribes, do you
recommend ACF streamline the
processes under which AI/AN tribes
and tribal organizations apply for or
request waivers of statutory or
regulatory requirements across ACF
grant programs? Please be specific as to
the program or programs you are
referring to as well as provide as much
detail as possible in describing where
you believe additional streamlining is
needed, along with any specific
recommendations you wish to provide.
(5) Are there regulatory or
administrative barriers that present
challenges to AI/AN tribes and tribal
organizations in the implementation of
ACF grant programs? Please be specific
about what those regulatory or
administrative barriers are as well as
recommendations for addressing them.
(6) Can you identify practices,
policies, and procedures in ACF or
elsewhere that are particularly effective
in meeting the needs of AI/AN tribes,
tribal organizations, families, and
communities? Please be specific as to
the program or programs you are
referring to as well as provide as much
detail as possible in describing effective
and responsive practices, policies, and
procedures.
(7) Related to data, what would you
recommend ACF either collect (if it does
not already) or analyze that would be
most useful to inform our work with
AI/AN tribes and tribal organizations?
Please be specific and provide as much
detail as possible.
(8) Do you have recommendations for
how ACF could better share data related
to AI/AN grantee program performance,
outcomes, and sustainability? Please be
PO 00000
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Sfmt 4703
2367
specific, including recommended use of
technological or other means of data
sharing.
(9) Are there elements of the
application process that could
potentially discourage AI/AN tribes or
organizations from applying for ACF
grants? If so, please specify what those
elements are and explain why those
elements could potentially discourage
prospective AI/AN applicants and any
recommendations for addressing such
barriers.
III. Response to Comments
Because of the large number of public
comments we normally receive, we are
not able to acknowledge or respond to
them individually. However, comments
will be accepted on this RFI through
https://www.Regulations.gov where you
will be able to track your own
comments and view other comments we
receive.
Dated: January 3, 2017.
Mark H. Greenberg
Acting Assistant Secretary for Children and
Families.
Dated: January 3, 2017.
Stacey Ecoffey,
Acting Deputy Assistant Secretary for Native
American Affairs and Acting Commissioner
Administration for Native Americans.
[FR Doc. 2017–00111 Filed 1–6–17; 8:45 am]
BILLING CODE 4184–01–P
DEPARTMENT OF HEALTH AND
HUMAN SERVICES
Food and Drug Administration
[Docket No. FDA–2015–D–2537]
Submission of Quality Metrics Data;
Revised Draft Guidance for Industry;
Extension of Comment Period
AGENCY:
Food and Drug Administration,
HHS.
Notice of availability; extension
of comment period.
ACTION:
The Food and Drug
Administration (FDA) is extending the
comment period for the notice of
revised draft guidance availability that
appeared in the Federal Register of
November 25, 2016. The Agency is
taking this action in response to
requests for an extension to allow
interested persons additional time to
submit comments.
DATES: FDA is extending the comment
period on the notice of revised draft
guidance availability published on
November 25, 2016 (81 FR 85226).
Submit either electronic or written
comments by March 27, 2017.
SUMMARY:
E:\FR\FM\09JAN1.SGM
09JAN1
]]>Agencies
[Federal Register Volume 82, Number 5 (Monday, January 9, 2017)]
[Notices]
[Pages 2366-2367]
From the Federal Register Online via the Government Publishing Office [www.gpo.gov]
[FR Doc No: 2017-00111]
-----------------------------------------------------------------------
DEPARTMENT OF HEALTH AND HUMAN SERVICES
Administration for Children and Families
Request for Information
AGENCY: Administration for Children and Families (ACF), Department of
Health and Human Services (HHS).
ACTION: Request for information (RFI).
-----------------------------------------------------------------------
SUMMARY: This Request for Information (RFI) seeks recommendations for
future work with and on behalf of American Indian and Alaska Native
(AI/AN) leadership, tribes, tribal organizations, and populations in
accord with ACF's vision of ``children, youth, families, individuals,
and communities who are resilient, safe, healthy, and economically
secure.''
DATES: Submit responses by March 10, 2017.
ADDRESSES: Written comments may be submitted through any of the methods
specified below. However, electronic submission is preferred. Please do
not submit duplicate comments.
[ssquf] Electronic submission through https://www.regulations.gov
portal. Follow the instructions for submitting electronic comments.
Attachments, if any, should be in Microsoft Word or Microsoft Excel.
You can find this RFI by typing ACF-2016-0002 in the Search window.
Then click on the ``Comment Now!'' button on the Search Results page.
This will open up a Comment form where you can enter your comment on
the form, attach files (up to 10MB each), as well as your personal
information, when applicable. Be sure to complete all required fields.
Please note that information entered on the web form may be viewable
publicly. Once you reach the ``Your Preview'' screen, the information
that will be viewable publicly is displayed directly on the form under
the section titled: ``This information will appear on
Regulations.gov.'' To complete your comment, you must first agree to
the disclaimer and check the box. This will enable the ``Submit
Comment'' button. Upon completion, you will receive a Comment Tracking
Number for your comment. To learn more about comment submission, visit
the Submit a Comment section of the ``How to Use Regulations.gov''
pages.
[ssquf] Electronic submission through email to
ANAComments@acf.hhs.gov.
All comments received before the close of the comment period will
be available for public inspection, including any information that is
included in a comment. All electronically submitted comments posted
through the https://www.regulations.gov portal received before the end
of the comment period will be available at https://www.regulations.gov.
FOR FURTHER INFORMATION CONTACT: Camille Loya, Director, Division of
Policy, Administration for Native Americans, Camille.Loya@acf.hhs.gov,
202-401-5964.
SUPPLEMENTARY INFORMATION:
I. Background information
Executive Order 13175, dated November 6, 2000, established
policymaking criteria applicable to federal agencies, to the extent
permitted by law, when formulating and implementing policies that have
tribal implications, including special requirements for legislative
proposals and consultation. Subsequently, President Obama issued a
Presidential Memorandum on Tribal Consultation, dated November 5, 2009,
affirming that ``meaningful dialogue between Federal officials and
tribal officials has greatly improved Federal policy toward Indian
[[Page 2367]]
tribes.'' Finally, ACF recently issued the ACF Principles for Working
with Federally Recognized Indian Tribes, effective October 20, 2016,
that affirmed ACF's commitment to receive input from elected tribal
representatives as well as ``to otherwise ensure human services
coordination around issues affecting AI/AN populations.''
Consistent with the above affirmative statements of the value of
feedback from AI/AN partners and stakeholders, ACF is requesting
information from AI/AN tribes, tribal organizations, and stakeholders
(including grantees). The purpose is to identify issues and challenges
facing AI/AN populations as well as to inform ACF of tribes' and tribal
organizations' recommendations, promising practices, and innovations to
address the needs of AI/AN children, youth, families, and communities.
This information may, in turn, be used by ACF in the development of
future rulemaking and technical assistance, formation of legislative
proposals and research agendas, and strategic planning in consultation
with tribes.
II. Request for Information
As President Obama stated in his Presidential Proclamation--
National Native American Heritage Month (2016):
Let us continue to build on the advancements we have made,
because enduring progress will depend on our dedication to honoring
our trust and treaty responsibilities. With sustained effort and
unwavering optimism, we can ensure a vibrant and resilient Indian
Country filled with possibility and prosperity.
In this RFI, we seek feedback and recommendations related to how
ACF partners with tribes and how to make progress in the future. The
following questions are not exhaustive, and we encourage commenters to
provide any additional information they believe relevant to ACF's work
with and on behalf of American Indians and Alaska Natives. You may
provide general comments, respond to all questions posed in section II
of this RFI, or respond to one or more questions. If you respond to any
of the questions in section II, please identify the number that
corresponds to the question(s) you are responding to. Include our
agency name and the docket number on all submissions. Please do not
include confidential information, or otherwise sensitive or protected
information with your responses.
(1) Are there challenges to AI/AN tribes and tribal organizations
posed by non-federal match or cost sharing requirements in any
applicable ACF programs? Please be specific as to the program or
programs you are referring to as well as provide as much detail as
possible in describing challenges or difficulties posed and any
specific recommendations you wish to provide.
(2) Are there challenges to AI/AN tribes and tribal organizations
posed by administrative cost caps required under some ACF grant
programs? Please be specific as to the program or programs you are
referring to as well as provide as much detail as possible in
describing challenges or difficulties posed and any specific
recommendations you wish to provide.
(3) Are there instances for which you believe waiver authority,
additional waiver authority allowed under block grants, would benefit
tribes under any ACF programs? Please be specific as to the program or
programs you are referring to as well as provide as much detail as
possible in describing challenges or difficulties posed and any
specific recommendations you wish to provide.
(4) For ACF programs that currently have waiver authority for
tribes, do you recommend ACF streamline the processes under which AI/AN
tribes and tribal organizations apply for or request waivers of
statutory or regulatory requirements across ACF grant programs? Please
be specific as to the program or programs you are referring to as well
as provide as much detail as possible in describing where you believe
additional streamlining is needed, along with any specific
recommendations you wish to provide.
(5) Are there regulatory or administrative barriers that present
challenges to AI/AN tribes and tribal organizations in the
implementation of ACF grant programs? Please be specific about what
those regulatory or administrative barriers are as well as
recommendations for addressing them.
(6) Can you identify practices, policies, and procedures in ACF or
elsewhere that are particularly effective in meeting the needs of AI/AN
tribes, tribal organizations, families, and communities? Please be
specific as to the program or programs you are referring to as well as
provide as much detail as possible in describing effective and
responsive practices, policies, and procedures.
(7) Related to data, what would you recommend ACF either collect
(if it does not already) or analyze that would be most useful to inform
our work with AI/AN tribes and tribal organizations? Please be specific
and provide as much detail as possible.
(8) Do you have recommendations for how ACF could better share data
related to AI/AN grantee program performance, outcomes, and
sustainability? Please be specific, including recommended use of
technological or other means of data sharing.
(9) Are there elements of the application process that could
potentially discourage AI/AN tribes or organizations from applying for
ACF grants? If so, please specify what those elements are and explain
why those elements could potentially discourage prospective AI/AN
applicants and any recommendations for addressing such barriers.
III. Response to Comments
Because of the large number of public comments we normally receive,
we are not able to acknowledge or respond to them individually.
However, comments will be accepted on this RFI through https://
www.Regulations.gov where you will be able to track your own comments
and view other comments we receive.
Dated: January 3, 2017.
Mark H. Greenberg
Acting Assistant Secretary for Children and Families.
Dated: January 3, 2017.
Stacey Ecoffey,
Acting Deputy Assistant Secretary for Native American Affairs and
Acting Commissioner Administration for Native Americans.
[FR Doc. 2017-00111 Filed 1-6-17; 8:45 am]
BILLING CODE 4184-01-P
