Agency Information Collection Activities: Submission for OMB Review; Comment Request, 84820-84821 [2023-26738]
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84820
Federal Register / Vol. 88, No. 233 / Wednesday, December 6, 2023 / Notices
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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]
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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
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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]
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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
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(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 ..................................................................
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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]
=======================================================================
-----------------------------------------------------------------------
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