[Federal Register: April 17, 2009 (Volume 74, Number 73)]
[Notices]
[Page 17870-17871]
From the Federal Register Online via GPO Access [wais.access.gpo.gov]
[DOCID:fr17ap09-78]
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DEPARTMENT OF HEALTH AND HUMAN SERVICES
Centers for Medicare & Medicaid Services
[Document Identifier: CMS-10283]
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: New Collection; Title of
Information Collection: State Plan Amendment Template for Transitional
Medical Assistance for Low-Income Families; Use: Section 5004 of the
American Recovery and Reinvestment Act of 2009, Public Law 111-5,
amends Section 1925 of the Social Security Act effective July 1, 2009
to offer States two new options for eligibility requirements under
Transitional Medical Assistance. To select either or both of these
options a State Medicaid Agency will complete the template page and
submit it for approval as part of a State plan amendment. The law also
imposes new reporting requirements for States which are mentioned on
the template. Form Number: CMS-10283 (OMB: 0938-NEW);
Frequency: Reporting--One-time and Occasionally; Affected Public:
State, local or tribal government; Number of Respondents: 51; Total
Annual Responses: 51; Total Annual Hours: 51. (For policy questions
regarding this collection contact Mary Corddry at 410-786-6618. For all
other issues call 410-786-1326.)
To obtain copies of the supporting statement and any related forms
for the proposed paperwork collections referenced above, access CMS'
Web site
[[Page 17871]]
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 June 16, 2009:
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 (CMS-10283), Room C4-26-05, 7500 Security Boulevard,
Baltimore, Maryland 21244-1850.
Dated: April 9, 2009.
Michelle Shortt,
Director, Regulations Development Group, Office of Strategic Operations
and Regulatory Affairs.
[FR Doc. E9-8780 Filed 4-16-09; 8:45 am]
BILLING CODE 4120-01-P