Agency Information Collection Activities: Submission for OMB Review; Comment Request, 84820-84821 [2023-26738]

Download as PDF 84820 Federal Register / Vol. 88, No. 233 / Wednesday, December 6, 2023 / Notices lotter on DSK11XQN23PROD with NOTICES1 immediate inspection at the Federal Reserve Bank(s) indicated below and at the offices of the Board of Governors. This information may also be obtained on an expedited basis, upon request, by contacting the appropriate Federal Reserve Bank and from the Board’s Freedom of Information Office at https://www.federalreserve.gov/foia/ request.htm. Interested persons may express their views in writing on the standards enumerated in paragraph 7 of the Act. Comments regarding each of these applications must be received at the Reserve Bank indicated or the offices of the Board of Governors, Ann E. Misback, Secretary of the Board, 20th Street and Constitution Avenue NW, Washington DC 20551–0001, not later than December 21, 2023. A. Federal Reserve Bank of Chicago (Colette A. Fried, Assistant Vice President) 230 South LaSalle Street, Chicago, Illinois 60690–1414. Comments can also be sent electronically to Comments.applications@chi.frb.org: 1. Karen K. Spies, Graettinger, Iowa; to retain voting shares of Emmetsburg Bank Shares, Inc., and thereby indirectly retain voting shares of Iowa Trust & Savings Bank, both of Emmetsburg, Iowa. 2. Andrew Prather and Tina Prather, both of Petersburg, Illinois; Elizabeth A. Prather, Virginia, Illinois; and the Laura J. Prather Trust, Laura J. Prather, trustee, both of Creve Coeur, Missouri; as members of the Prather Family Control Group, a group acting in concert, to retain voting shares of Petefish, Skiles Bancshares, Inc., and thereby indirectly retain voting shares of Petefish, Skiles & Company, both of Virginia, Illinois, and The First National Bank of Beardstown, Beardstown, Illinois. 3. George Bley, II, and Michelle Bley, both of Palm Harbor, Florida; and Jan E. Rohde, Springfield, Illinois; as members of the Bley Family Control Group, a group acting in concert, to retain voting shares of Petefish, Skiles Bancshares, Inc. and thereby indirectly retain voting shares of Petefish, Skiles & Company, both of Virginia, Illinois, and The First National Bank of Beardstown, Beardstown, Illinois. Board of Governors of the Federal Reserve System. Michele Taylor Fennell, Deputy Associate Secretary of the Board. [FR Doc. 2023–26788 Filed 12–5–23; 8:45 am] BILLING CODE P VerDate Sep<11>2014 20:52 Dec 05, 2023 Jkt 262001 DEPARTMENT OF HEALTH AND HUMAN SERVICES FOR FURTHER INFORMATION CONTACT: Centers for Medicare & Medicaid Services SUPPLEMENTARY INFORMATION: [Document Identifier: Document Identifiers: CMS–1561 and CMS–1561A] Agency Information Collection Activities: Submission for OMB Review; Comment Request Centers for Medicare & Medicaid Services, Health and Human 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 (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 the necessity and utility of the proposed information collection for the proper performance of the agency’s functions, the accuracy of the estimated burden, ways to enhance the quality, utility, and clarity of the information to be collected, and the use of automated collection techniques or other forms of information technology to minimize the information collection burden. SUMMARY: Comments on the collection(s) of information must be received by the OMB desk officer by January 5, 2024. ADDRESSES: Written comments and recommendations for the proposed information collection should be sent within 30 days of publication of this notice to www.reginfo.gov/public/do/ PRAMain. Find this particular information collection by selecting ‘‘Currently under 30-day Review—Open for Public Comments’’ or by using the search function. To obtain copies of a supporting statement and any related forms for the proposed collection(s) summarized in this notice, please access the CMS PRA website by copying and pasting the following web address into your web browser: https://www.cms.gov/ Regulations-and-Guidance/Legislation/ PaperworkReductionActof1995/PRAListing. DATES: PO 00000 Frm 00048 Fmt 4703 Sfmt 4703 William Parham at (410) 786–4669. 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: Reinstatement without change of a previously approved collection; Title of Information Collection: Health Insurance Benefit Agreement; Use: The CMS–1561 form applies to specific types of health care providers and opioid treatment programs and the CMS–1561A form applies to rural health clinics (RHCs). The CMS–1561 and CMS–1561A forms are health insurance benefits agreements that are essential for the Centers for Medicare and Medicaid Services (CMS) to ensure that applicants to the Medicare program have made a binding commitment to comply with all applicable Federal requirements. The CMS–1561/1561A forms are essential in that they allow CMS to ensure that applicants are in compliance with the requirements. Applicants will be required to sign the completed form and provide operational information to CMS to assure that they continue to meet the requirements after approval. The collection is made only once, when the provider or RHC submits their application for participation in Medicare by signing the completed CMS–1561 or CMS–1561A form (as applicable). Form Number: CMS–1561/ 1561A (OMB control number: 0938– 0832); Frequency: Once only; Affected Public: Private sector—(Business or other for-profits and Not-for-profit institutions); Number of Respondents: 2,050; Total Annual Responses: 2,050; Total Annual Hours: 2,050. (For policy questions regarding this collection E:\FR\FM\06DEN1.SGM 06DEN1 Federal Register / Vol. 88, No. 233 / Wednesday, December 6, 2023 / Notices contact Caroline Gallaher at 410–786– 8705). Dated: November 30, 2023. William N. Parham, III, Director, Paperwork Reduction Staff, Office of Strategic Operations and Regulatory Affairs. [FR Doc. 2023–26738 Filed 12–5–23; 8:45 am] BILLING CODE 4120–01–P DEPARTMENT OF HEALTH AND HUMAN SERVICES Administration for Children and Families Submission for (Office of Management and Budget (OMB) Review; Sexual Risk Avoidance Education Program Performance Analysis Study— Extension OMB #0970–0536) Office of Planning, Research, and Evaluation, Administration for Children and Families, Department of Health and Human Services. ACTION: Request for public comments. AGENCY: The Office of Planning, Research, and Evaluation (OPRE) and the Family and Youth Services Bureau in the Administration for Children and Families (ACF) request an extension without changes to a currently approved information collection activity as part of the Sexual Risk Avoidance Education (SRAE) Program Performance Analysis Study (PAS). The goal of the study is to collect, analyze, and report on performance measures data for the SRAE program (OMB Control No. 0970– 0536; expiration date 12/31/2023). The SUMMARY: purpose of the requested extension is to continue the ongoing data collection and submission of the performance measures by SRAE grantees. Materials under the submission will be updated to reflect only surveys currently in use. DATES: Comments due within 30 days of publication. OMB must make a decision about 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. ADDRESSES: Written comments and recommendations for the proposed information collection should be sent within 30 days of publication of this notice to www.reginfo.gov/public/do/ PRAMain. Find this particular information collection by selecting ‘‘Currently under 30-day Review—Open for Public Comments’’ or by using the search function. You can also obtain copies of the proposed collection of information by emailing OPREinfocollection@acf.hhs.gov. Identify all requests by the title of the information collection. SUPPLEMENTARY INFORMATION: Description: The purpose of the SRAE program is to educate youth on how to voluntarily refrain from nonmarital sexual activity and prevent other youth risk behaviors. Data will continue to be used to determine if the SRAE grantees are meeting performance benchmarks related to their program’s mission and priorities. The SRAE PAS collects performance measures data from SRAE grantees, 84821 program providers, and participants. The data include information on program structure, cost, and support for implementation; program attendance, reach, and dosage; the characteristics of youth involved in programming; youth sexual and other risky behavior prior to program participation; and youth sexual and other risky behavior intentions at program exit. The performance measures help the ACF program office and grantees to monitor and report on progress in implementing SRAE programs and inform technical assistance. Some of the performance measures data come from youth participants through surveys SRAE grantees administer at program entry and exit. There are separate versions of the entry and exit surveys for middle school youth, which exclude some of the more sensitive items that are included in the versions for high school and older youth. There is also a shorter version of the entry survey for programs conducting impact studies, to reduce the burden on participants in those programs who are likely responding to other surveys as part of their impact study. Although there was a version of the exit survey for programs conducting impact studies in the past, youth in these programs complete the same version of the exit survey as other youth. As the shorter exit surveys are no longer in use, they will be removed through this request. Respondents: General Departmental (GDSRAE), State (SSRAE), and Competitive (CSRAE) grantees, their subrecipients, and program participants. ANNUAL BURDEN ESTIMATES Number of respondents (total over request period) Instrument Number of responses per respondent (total over request period) Avg. burden per response (in hours) Total burden (in hours) Annual burden (in hours) (1) Participant Entry Survey GDSRAE participants .......................................................... SSRAE participants ............................................................. CSRAE participants ............................................................. 378,390 952,899 60,408 1 1 1 0.1333 0.1333 0.1333 50,439 127,021 8,052 16,813 42,340 2,684 1 1 1 0.1667 0.1667 0.1667 50,462 127,079 8,056 16,821 42,360 2,685 16 16 16 11,424 3,744 3,264 3,808 1,248 1,088 lotter on DSK11XQN23PROD with NOTICES1 (2) Participant Exit Survey GDSRAE participants .......................................................... SSRAE participants ............................................................. CSRAE participants ............................................................. 302,712 762,319 48,326 (3) Performance reporting data entry form: grantees GDSRAE grantees ............................................................... SSRAE grantees .................................................................. CSRAE grantees .................................................................. VerDate Sep<11>2014 20:52 Dec 05, 2023 Jkt 262001 PO 00000 Frm 00049 119 39 34 Fmt 4703 Sfmt 4703 6 6 6 E:\FR\FM\06DEN1.SGM 06DEN1

Agencies

[Federal Register Volume 88, Number 233 (Wednesday, December 6, 2023)]
[Notices]
[Pages 84820-84821]
From the Federal Register Online via the Government Publishing Office [www.gpo.gov]
[FR Doc No: 2023-26738]


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DEPARTMENT OF HEALTH AND HUMAN SERVICES

Centers for Medicare & Medicaid Services

[Document Identifier: Document Identifiers: CMS-1561 and CMS-1561A]


Agency Information Collection Activities: Submission for OMB 
Review; Comment Request

AGENCY: Centers for Medicare & Medicaid Services, Health and Human 
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 (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 the necessity and utility of the 
proposed information collection for the proper performance of the 
agency's functions, the accuracy of the estimated burden, ways to 
enhance the quality, utility, and clarity of the information to be 
collected, and 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 January 5, 2024.

ADDRESSES: Written comments and recommendations for the proposed 
information collection should be sent within 30 days of publication of 
this notice to www.reginfo.gov/public/do/PRAMain. Find this particular 
information collection by selecting ``Currently under 30-day Review--
Open for Public Comments'' or by using the search function.
    To obtain copies of a supporting statement and any related forms 
for the proposed collection(s) summarized in this notice, please access 
the CMS PRA website by copying and pasting the following web address 
into your web browser: https://www.cms.gov/Regulations-and-Guidance/Legislation/PaperworkReductionActof1995/PRA-Listing.

FOR FURTHER INFORMATION CONTACT: William Parham at (410) 786-4669.

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: Reinstatement without 
change of a previously approved collection; Title of Information 
Collection: Health Insurance Benefit Agreement; Use: The CMS-1561 form 
applies to specific types of health care providers and opioid treatment 
programs and the CMS-1561A form applies to rural health clinics (RHCs). 
The CMS-1561 and CMS-1561A forms are health insurance benefits 
agreements that are essential for the Centers for Medicare and Medicaid 
Services (CMS) to ensure that applicants to the Medicare program have 
made a binding commitment to comply with all applicable Federal 
requirements. The CMS-1561/1561A forms are essential in that they allow 
CMS to ensure that applicants are in compliance with the requirements. 
Applicants will be required to sign the completed form and provide 
operational information to CMS to assure that they continue to meet the 
requirements after approval. The collection is made only once, when the 
provider or RHC submits their application for participation in Medicare 
by signing the completed CMS-1561 or CMS-1561A form (as applicable). 
Form Number: CMS-1561/1561A (OMB control number: 0938-0832); Frequency: 
Once only; Affected Public: Private sector--(Business or other for-
profits and Not-for-profit institutions); Number of Respondents: 2,050; 
Total Annual Responses: 2,050; Total Annual Hours: 2,050. (For policy 
questions regarding this collection

[[Page 84821]]

contact Caroline Gallaher at 410-786-8705).

    Dated: November 30, 2023.
William N. Parham, III,
Director, Paperwork Reduction Staff, Office of Strategic Operations and 
Regulatory Affairs.
[FR Doc. 2023-26738 Filed 12-5-23; 8:45 am]
BILLING CODE 4120-01-P
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