[Federal Register Volume 76, Number 83 (Friday, April 29, 2011)]
[Notices]
[Pages 24033-24034]
From the Federal Register Online via the Government Publishing Office [www.gpo.gov]
[FR Doc No: 2011-10370]


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DEPARTMENT OF HEALTH AND HUMAN SERVICES

Centers for Medicare & Medicaid Services

[Document Identifier: CMS-10388]


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: Section 1115 Demonstration HIV and AIDS 
Application Template; Use: Section 1115 of the Social Security Act (the 
Act) allows the Secretary of the Department of Health and Human 
Services (the Secretary) to waive selected provisions of section 1902 
of the Act for experimental, pilot, or demonstration projects 
(demonstrations), and to provide Federal Financial Participation (FFP) 
for demonstration costs which would not otherwise be considered as 
expenditures under the Medicaid State plan, when the Secretary finds 
that the demonstrations are likely to assist in promoting the 
objectives of Medicaid. While some States have applied for section 1115 
demonstrations, many have not because the process is long and often 
tenuous. The purpose of the application template is to streamline the 
process by collecting the minimally acceptable amount of information 
required to appropriately review a demonstration request. The template 
will minimize the amount of time the State spends preparing a 
demonstration request and it should shorten the review process because 
the required information should be present. Form

[[Page 24034]]

Number: CMS-10388 (OMB: 0938-NEW); Frequency: Once; Affected 
Public: State, Local, or Tribal Governments; Number of Respondents: 56; 
Total Annual Responses: 6; Total Annual Hours: 270; (For policy 
questions regarding this collection contact Robin Preston at 410-786-
3420. 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 at http://www.cms.gov/PaperworkReductionActof1995/PRAL/list.asp#TopOfPage or email your request, including your address, phone 
number, OMB number, and CMS document identifier, to 
[email protected], or call the Reports Clearance Office at 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 28, 2011:
    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, Room C4-26-05, 7500 Security Boulevard, Baltimore, 
Maryland 21244-1850.

    Dated: April 25, 2011.
Martique Jones,
Director, Regulations Development Group, Division B, Office of 
Strategic Operations and Regulatory Affairs.
[FR Doc. 2011-10370 Filed 4-28-11; 8:45 am]
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