[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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