[Federal Register: March 14, 2008 (Volume 73, Number 51)]
[Notices]
[Page 13910-13911]
From the Federal Register Online via GPO Access [wais.access.gpo.gov]
[DOCID:fr14mr08-78]
-----------------------------------------------------------------------
DEPARTMENT OF HEALTH AND HUMAN SERVICES
Centers for Medicare & Medicaid Services
[Document Identifier: CMS-R-211, CMS-10258, CMS-209, CMS-10259, and
CMS-R-266]
Agency Information Collection Activities: Proposed Collection;
Comment Request
AGENCY: Centers for Medicare & Medicaid Services, HHS.
In compliance with the requirement of section 3506(c)(2)(A) of the
Paperwork Reduction Act of 1995, the Centers for Medicare & Medicaid
Services (CMS) is publishing the following summary of proposed
collections for public comment. Interested persons are invited to send
comments regarding this burden estimate or any other aspect of this
collection of information, including any of the following subjects: (1)
The necessity and utility of the proposed information collection for
the proper performance of the agency's functions; (2) the accuracy of
the estimated burden; (3) ways to enhance the quality, utility, and
clarity of the information to be collected; and (4) the use of
automated collection techniques or other forms of information
technology to minimize the information collection burden.
1. Type of Information Collection Request: Extension of a currently
approved collection; Title of Information Collection: Model Application
Template for State Child Health Plan Under Title XXI of the Social
Security Act, State Children's Health Insurance Program, Instructions
for Model Application Template; Use: States are required to submit
Title XXI plans and amendments for approval by the Secretary pursuant
to section 2102 of the Social Security Act in order to receive funds
for initiating and expanding health insurance coverage for uninsured
children. The model application template is used to assist States in
submitting a State Child Health Plan and amendments to that plan. Form
Number: CMS-R-211 (OMB 0938-0707); Frequency: Yearly and
occasionally; Affected Public: State, Local or Tribal Governments;
Number of Respondents: 56; Total Annual Responses: 40; Total Annual
Hours: 3,200.
2. Type of Information Collection Request: New collection; Title of
Information Collection: Survey of State Medicaid Agencies: Innovative
Approaches to Collecting Citizenship Documentation; Use: The purpose of
the survey is to collect information from State Medicaid agencies on
innovative approaches used to collect citizenship documentation from
Medicaid applicants and recipients. Prior to the Deficit Reduction Act
of 2005 (DRA), Medicaid applicants could self-attest to citizenship. As
of July 1, 2006, applicants and recipients are required to provide
original documentation of citizenship. For some states, this new
requirement is challenging because there has been a general movement
towards virtual applications by phone,
[[Page 13911]]
mail, or online submission. CMS is using this survey to identify
innovative ways that states have taken advantage of existing
information within the state system such as matching data, forming
unique partnerships, or holding training sessions to facilitate
effective and efficient collection of citizenship documentation. CMS
will use the information collected with the survey to compile a
snapshot of the innovative and unique approaches states are employing
to meet the citizenship documentation requirements of the DRA. The
results will be incorporated into a final comprehensive report that
will be used as an outreach tool that will then be distributed to
states. Form Number: CMS-10258 (OMB 0938-NEW); Frequency:
Once; Affected Public: State, Local or Tribal Governments; Number of
Respondents: 100; Total Annual Responses: 100; Total Annual Hours: 25.
3. Type of Information Collection Request: Extension of a currently
approved collection; Title of Information Collection: Laboratory
Personnel Report (CLIA) and Supporting Regulations in 42 CFR 493.1-
493.2001; Use: This form is used by the State agency to determine a
laboratory's compliance with personnel qualifications under CLIA. This
information is needed for a laboratory's CLIA certification and
recertification. Form Number: CMS-209 (OMB 0938-0151);
Frequency: Biennially; Affected Public: Private Sector: Business or
other for-profits, Not-for-profit institutions; State, Local or Tribal
Governments; and Federal Government Number of Respondents: 21,000;
Total Annual Responses: 10,500; Total Annual Hours: 5,248.
4. Type of Information Collection Request: New collection; Title of
Information Collection: State Plan Amendment template for 1915(i) State
Plan Home and Community-Based Services (HCBS) Benefit; Use: Section
6086 of the Deficit Reduction Act (DRA), expanded access to HCBS for
the elderly and disabled and added a new section 1915(i) to the Social
Security Act. Under 1915(i), States can amend their State plans to add
these services. The template includes the information needed by CMS to
determine whether the State's services will meet the requirements under
1915(i). Form Number: CMS-10259 (OMB 0938-NEW); Frequency:
Once; Affected Public: State, Local or Tribal Governments; Number of
Respondents: 56; Total Annual Responses: 3; Total Annual Hours: 240.
5. Type of Information Collection Request: Extension of a currently
approved collection; Title of Information Collection: Medicaid
Disproportionate Share Hospital Annual Reporting; Use: Section
1923(j)(i) of the Social Security Act requires States to submit an
annual report that identifies each disproportionate share hospital
(DSH) that received a DSH payment under the State's Medicaid program in
the preceding fiscal year and the amount of DSH payments paid to that
hospital in the same year and such other information as the Secretary
determines necessary to ensure the appropriateness of DSH payments. The
information supplied will satisfy the requirements under section
1923(a)(2)(D) of the Act as well. Form Number: CMS-R-266 (OMB
0938-0746); Frequency: Yearly; Affected Public: State, Local or Tribal
Governments; Number of Respondents: 52; Total Annual Responses: 52;
Total Annual Hours: 1976.
To obtain copies of the supporting statement and any related forms
for the proposed paperwork collections referenced above, access CMS'
Web site address at: http://www.cms.hhs.gov/
PaperworkReductionActof1995, or E-mail your request, including your
address, phone number, OMB number, and CMS document identifier, to
Paperwork@cms.hhs.gov, or call the Reports Clearance Office on (410)
786-1326.
In commenting on the proposed information collections please
reference the document identifier or OMB control number. To be assured
consideration, comments and recommendations must be submitted in one of
the following ways by May 13, 2008:
1. Electronically. You may submit your comments electronically to
http://www.regulations.gov. Follow the instructions for ``Comment or
Submission'' or ``More Search Options'' to find the information
collection document(s) accepting comments.
2. By regular mail. You may mail written comments to the following
address: CMS, Office of Strategic Operations and Regulatory Affairs,
Division of Regulations Development, Attention: Document Identifier/OMB
Control Number 0938-0707, Room C4-26-05, 7500 Security Boulevard,
Baltimore, Maryland 21244-1850.
Dated: March 7, 2008.
Michelle Shortt,
Director, Regulations Development Group, Office of Strategic Operations
and Regulatory Affairs.
[FR Doc. E8-5071 Filed 3-13-08; 8:45 am]
BILLING CODE 4120-01-P