Agency Information Collection Activities; Proposed Collection; Comment Request; Development Disabilities State Plan Information Collection; OMB #0985-0029, 61059-61060 [2019-24523]
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Federal Register / Vol. 84, No. 218 / Tuesday, November 12, 2019 / Notices
including potential economic,
environmental, public health and safety
effects, distributive impacts, and equity.
A regulatory impact analysis (RIA) must
be prepared for major rules with
economically significant effects ($100
million or more in any 1 year). As
explained in this section of the notice,
we estimate that the total cost of the
increase in the application fee will not
exceed $100 million. Therefore, this
notice does not reach the $100 million
economic threshold and is not
considered a major notice.
B. Estimated Costs
The costs associated with this notice
involve the increase in the application
fee amount that certain providers and
suppliers must pay in CY 2020. The CY
2020 cost estimates are as follows:
1. Medicare
Based on CMS data, we estimate that
in CY 2020 approximately—
• 14,852 newly enrolling institutional
providers will be subject to and pay an
application fee; and
• 41,747 revalidating institutional
providers will be subject to and pay an
application fee.
Using a figure of 56,599 (14,852 newly
enrolling + 41,747 revalidating)
institutional providers, we estimate an
increase in the cost of the Medicare
application fee requirement in CY 2020
of $509,391 (or 56,599 × $9 (or $595
minus $586)) from our CY 2019
projections.
2. Medicaid and CHIP
Based on CMS and state statistics, we
estimate that approximately 30,000
(9,000 newly enrolling + 21,000
revalidating) Medicaid and CHIP
institutional providers will be subject to
an application fee in CY 2020. Using
this figure, we project an increase in the
cost of the Medicaid and CHIP
application fee requirement in CY 2020
of $270,000 (or 30,000 × $9 (or $595
minus $586)) from our CY 2019
projections.
3. Total
Based on the foregoing, we estimate
the total increase in the cost of the
application fee requirement for
Medicare, Medicaid, and CHIP
providers and suppliers in CY 2020 to
be $779,391 ($509,391 + $270,000) from
our CY 2019 projections.
The RFA requires agencies to analyze
options for regulatory relief of small
businesses. For purposes of the RFA,
small entities include small businesses,
nonprofit organizations, and small
governmental jurisdictions. Most
hospitals and most other providers and
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suppliers are small entities, either by
nonprofit status or by having revenues
of less than $7.5 million to $38.5
million in any 1 year. Individuals and
states are not included in the definition
of a small entity. As we stated in the
RIA for the February 2, 2011 final rule
with comment period (76 FR 5952), we
do not believe that the application fee
will have a significant impact on small
entities.
In addition, section 1102(b) of the Act
requires us to prepare a regulatory
impact analysis if a rule 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, we define a small rural hospital
as a hospital that is located outside of
a Metropolitan Statistical Area for
Medicare payment regulations and has
fewer than 100 beds. We are not
preparing an analysis for section 1102(b)
of the Act because we have determined,
and the Secretary certifies, that this
notice would not have a significant
impact on the operations of a substantial
number of small rural hospitals.
Section 202 of the Unfunded
Mandates Reform Act of 1995 (UMRA)
also requires that agencies assess
anticipated costs and benefits before
issuing any rule whose mandates
require spending in any 1 year of $100
million in 1995 dollars, updated
annually for inflation. In 2019, that
threshold is approximately $154
million. The Agency has determined
that there will be minimal impact from
the costs of this notice, as the threshold
is not met under the UMRA.
Executive Order 13132 establishes
certain requirements that an agency
must meet when it promulgates a
proposed rule (and subsequent final
rule) that imposes substantial direct
requirement costs on state and local
governments, preempts state law, or
otherwise has federalism implications.
Since this notice does not impose
substantial direct costs on state or local
governments, the requirements of
Executive Order 13132 are not
applicable.
Executive Order 13771, titled
‘‘Reducing Regulation and Controlling
Regulatory Costs,’’ was issued on
January 30, 2017 (82 FR 9339, February
3, 2017). It has been determined that
this notice is a transfer notice that does
not impose more than de minimis costs
and thus is not a regulatory action for
the purposes of E.O. 13771.
In accordance with the provisions of
Executive Order 12866, this notice was
reviewed by the Office of Management
and Budget.
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61059
Dated: September 26, 2019.
Seema Verma,
Administrator, Centers for Medicare &
Medicaid Services.
[FR Doc. 2019–24443 Filed 11–8–19; 8:45 am]
BILLING CODE 4120–01–P
DEPARTMENT OF HEALTH AND
HUMAN SERVICES
Administration for Community Living
Agency Information Collection
Activities; Proposed Collection;
Comment Request; Development
Disabilities State Plan Information
Collection; OMB #0985–0029
Administration for Community
Living, HHS.
ACTION: Notice.
AGENCY:
The Administration for
Community Living (ACL) is announcing
an opportunity for the public to
comment on the proposed collection of
information listed above. Under the
Paperwork Reduction Act of 1995 (the
PRA), Federal agencies are required to
publish a notice in the Federal Register
concerning each proposed collection of
information, including each proposed
extension of an existing collection of
information, and to allow 60 days for
public comment in response to the
notice. This notice solicits comments on
the Proposed Extension without Change
and solicits comments on the
information collection requirements
related to Development Disabilities
State Plan.
DATES: Comments on the collection of
information must be submitted
electronically by 11:59 p.m. (EST) or
postmarked by January 13, 2020.
ADDRESSES: Submit electronic
comments on the collection of
information to Sara Newell-Perez.
Submit written comments on the
collection of information to
Administration for Community Living,
Washington, DC 20201, Attention: Sara
Newell-Perez.
FOR FURTHER INFORMATION CONTACT: Sara
Newell-Perez, Administration for
Community Living, Washington, DC
20201, 202–795–7413 sara.newellperez@acl.hhs.gov.
SUPPLEMENTARY INFORMATION: 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.
‘‘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
SUMMARY:
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61060
Federal Register / Vol. 84, No. 218 / Tuesday, November 12, 2019 / Notices
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 provide a 60-day notice in
the Federal Register concerning each
proposed collection of information,
including each proposed extension of an
existing collection of information,
before submitting the collection to OMB
for approval. To comply with this
requirement, ACL is publishing a notice
of the proposed collection of
information set forth in this document.
With respect to the following
collection of information, ACL invites
comments on our burden estimates or
any other aspect of this collection of
information, including:
(1) Whether the proposed collection
of information is necessary for the
proper performance of ACL’s functions,
including whether the information will
have practical utility;
(2) the accuracy of ACL’s estimate of
the burden of the proposed collection of
information, including the validity of
the methodology and assumptions used
to determine burden estimates;
(3) ways to enhance the quality,
utility, and clarity of the information to
be collected; and
(4) ways to minimize the burden of
the collection of information on
respondents, including through the use
of automated collection techniques
when appropriate, and other forms of
information technology.
The State Councils on Developmental
Disabilities (Councils) are authorized in
Subtitle B, of the Developmental
Disabilities Assistance and Bill of Rights
Act of 2000 (DD Act), as amended, [42
U.S.C. 15001 et seq.] (The DD Act). They
are required to submit a five-year State
plan. Section 124(a) [42 U.S.C.
15024(a)], states any State desiring to
receive assistance under this subtitle
shall submit to the Secretary, and obtain
approval of, a 5-year strategic State plan
under this section. The requirement for
a State plan is also further emphasized
in the regulations in 45 CFR part
1326.30: (a) In order to receive Federal
financial assistance under this subpart,
each State Developmental Disabilities
Council must prepare and submit to the
Secretary, and have in effect, a State
Plan which meets the requirements of
sections 122 and 124 of the Act (42
U.S.C. 6022 and 6024) and these
regulations.
Additionally, data is collected in the
State Plan and submitted to
Administration on Intellectual and
Developmental Disabilities (AIDD) for
compliance with the GPRA
Modernization Act of 2010 (GPRAMA).
In the State Plans, the Councils provide
to AIDD future year targets for outcome
performance measures. These targets are
reported to Congress under GPRAMA.
As required by the statute, the
Council is responsible for the
development and submission of the
State plan, and is then responsible for
implementation of the activities
described in the plan. Further, the
Council updates the Plan annually
during the five years. The State plan
provides information on individuals
with developmental disabilities in the
State, and a description of the services
available to them and their families. The
plan further sets forth the goals and
specific objectives to be achieved by the
State in pursuing systems change and
capacity building in order to more
effectively meet the service needs of this
population. It describes State priorities,
strategies, and actions, and the
allocation of funds to meet these goals
and objectives.
The State Plan is used in three ways.
First, it is used by the individual
Council as a planning document to
guide it’s planning and execution
processes. Secondly, it provides a
mechanism in the State whereby
individual citizens, as well as the State
government, are made aware of the goals
and objectives of the Council and have
an opportunity to provide comments on
them during its development. Finally,
the State plan provides to the
Department a stewardship tool; the staff
of the Department provides some
technical assistance to Councils and
monitor compliance with Subtitle B of
the DD Act, as an adjunct to on-site
monitoring. The stewardship role of the
State plan is useful both for providing
technical assistance during the planning
process, during the execution process,
and also during program site visits.
The proposed data collection tools
may be found on the ACL website for
review at https://www.acl.gov/aboutacl/public-input.
Estimated Program Burden
ACL estimates the burden associated
with this collection of information as
follows.
Number of states
Number of
responses
per state
Average
burden
hours
per state
Total hours
56 .................................................................................................................................................
1
367
20,522
Dated: October 30, 2019.
Mary Lazare,
Principal Deputy Administrator.
DEPARTMENT OF HEALTH AND
HUMAN SERVICES
[FR Doc. 2019–24523 Filed 11–8–19; 8:45 am]
Administration for Community Living
Agency Information Collection
Activities; Proposed Collection;
Comment Request; The National Adult
Maltreatment Reporting System; OMB
#0985–0054
BILLING CODE 4154–01–P
Administration for Community
Living, HHS.
ACTION: Notice.
AGENCY:
The Administration for
Community Living (ACL) is announcing
an opportunity for the public to
comment on the proposed collection of
SUMMARY:
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17:47 Nov 08, 2019
Jkt 250001
PO 00000
Frm 00056
Fmt 4703
Sfmt 4703
information listed above. Under the
Paperwork Reduction Act of 1995 (the
PRA), Federal agencies are required to
publish a notice in the Federal Register
concerning each proposed collection of
information, including each proposed
extension of an existing collection of
information, and to allow 60 days for
public comment in response to the
notice. This notice solicits comments on
the Proposed Extension without Change
and solicits comments on the
information collection requirements
related to the National Maltreatment
Reporting System (NAMRS).
Comments on the collection of
information must be submitted
DATES:
E:\FR\FM\12NON1.SGM
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]]>Agencies
[Federal Register Volume 84, Number 218 (Tuesday, November 12, 2019)]
[Notices]
[Pages 61059-61060]
From the Federal Register Online via the Government Publishing Office [www.gpo.gov]
[FR Doc No: 2019-24523]
-----------------------------------------------------------------------
DEPARTMENT OF HEALTH AND HUMAN SERVICES
Administration for Community Living
Agency Information Collection Activities; Proposed Collection;
Comment Request; Development Disabilities State Plan Information
Collection; OMB #0985-0029
AGENCY: Administration for Community Living, HHS.
ACTION: Notice.
-----------------------------------------------------------------------
SUMMARY: The Administration for Community Living (ACL) is announcing an
opportunity for the public to comment on the proposed collection of
information listed above. Under the Paperwork Reduction Act of 1995
(the PRA), Federal agencies are required to publish a notice in the
Federal Register concerning each proposed collection of information,
including each proposed extension of an existing collection of
information, and to allow 60 days for public comment in response to the
notice. This notice solicits comments on the Proposed Extension without
Change and solicits comments on the information collection requirements
related to Development Disabilities State Plan.
DATES: Comments on the collection of information must be submitted
electronically by 11:59 p.m. (EST) or postmarked by January 13, 2020.
ADDRESSES: Submit electronic comments on the collection of information
to Sara Newell-Perez. Submit written comments on the collection of
information to Administration for Community Living, Washington, DC
20201, Attention: Sara Newell-Perez.
FOR FURTHER INFORMATION CONTACT: Sara Newell-Perez, Administration for
Community Living, Washington, DC 20201, 202-795-7413 [email protected].
SUPPLEMENTARY INFORMATION: 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.
``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
[[Page 61060]]
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 provide a 60-day notice in the Federal
Register concerning each proposed collection of information, including
each proposed extension of an existing collection of information,
before submitting the collection to OMB for approval. To comply with
this requirement, ACL is publishing a notice of the proposed collection
of information set forth in this document.
With respect to the following collection of information, ACL
invites comments on our burden estimates or any other aspect of this
collection of information, including:
(1) Whether the proposed collection of information is necessary for
the proper performance of ACL's functions, including whether the
information will have practical utility;
(2) the accuracy of ACL's estimate of the burden of the proposed
collection of information, including the validity of the methodology
and assumptions used to determine burden estimates;
(3) ways to enhance the quality, utility, and clarity of the
information to be collected; and
(4) ways to minimize the burden of the collection of information on
respondents, including through the use of automated collection
techniques when appropriate, and other forms of information technology.
The State Councils on Developmental Disabilities (Councils) are
authorized in Subtitle B, of the Developmental Disabilities Assistance
and Bill of Rights Act of 2000 (DD Act), as amended, [42 U.S.C. 15001
et seq.] (The DD Act). They are required to submit a five-year State
plan. Section 124(a) [42 U.S.C. 15024(a)], states any State desiring to
receive assistance under this subtitle shall submit to the Secretary,
and obtain approval of, a 5-year strategic State plan under this
section. The requirement for a State plan is also further emphasized in
the regulations in 45 CFR part 1326.30: (a) In order to receive Federal
financial assistance under this subpart, each State Developmental
Disabilities Council must prepare and submit to the Secretary, and have
in effect, a State Plan which meets the requirements of sections 122
and 124 of the Act (42 U.S.C. 6022 and 6024) and these regulations.
Additionally, data is collected in the State Plan and submitted to
Administration on Intellectual and Developmental Disabilities (AIDD)
for compliance with the GPRA Modernization Act of 2010 (GPRAMA). In the
State Plans, the Councils provide to AIDD future year targets for
outcome performance measures. These targets are reported to Congress
under GPRAMA.
As required by the statute, the Council is responsible for the
development and submission of the State plan, and is then responsible
for implementation of the activities described in the plan. Further,
the Council updates the Plan annually during the five years. The State
plan provides information on individuals with developmental
disabilities in the State, and a description of the services available
to them and their families. The plan further sets forth the goals and
specific objectives to be achieved by the State in pursuing systems
change and capacity building in order to more effectively meet the
service needs of this population. It describes State priorities,
strategies, and actions, and the allocation of funds to meet these
goals and objectives.
The State Plan is used in three ways. First, it is used by the
individual Council as a planning document to guide it's planning and
execution processes. Secondly, it provides a mechanism in the State
whereby individual citizens, as well as the State government, are made
aware of the goals and objectives of the Council and have an
opportunity to provide comments on them during its development.
Finally, the State plan provides to the Department a stewardship tool;
the staff of the Department provides some technical assistance to
Councils and monitor compliance with Subtitle B of the DD Act, as an
adjunct to on-site monitoring. The stewardship role of the State plan
is useful both for providing technical assistance during the planning
process, during the execution process, and also during program site
visits.
The proposed data collection tools may be found on the ACL website
for review at https://www.acl.gov/about-acl/public-input.
Estimated Program Burden
ACL estimates the burden associated with this collection of
information as follows.
----------------------------------------------------------------------------------------------------------------
Number of
Number of states responses per Average burden Total hours
state hours per state
----------------------------------------------------------------------------------------------------------------
56........................................................... 1 367 20,522
----------------------------------------------------------------------------------------------------------------
Dated: October 30, 2019.
Mary Lazare,
Principal Deputy Administrator.
[FR Doc. 2019-24523 Filed 11-8-19; 8:45 am]
BILLING CODE 4154-01-P
