[Federal Register Volume 76, Number 46 (Wednesday, March 9, 2011)]
[Notices]
[Pages 12965-12966]
From the Federal Register Online via the Government Publishing Office [www.gpo.gov]
[FR Doc No: 2011-5365]
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DEPARTMENT OF HEALTH AND HUMAN SERVICES
Centers for Medicare & Medicaid Services
[Document Identifier: CMS-10232 and CMS-R-211]
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: Revision of currently
approved collection; Title of Information Collection: State Plan
Template to Implement Section 6062 of the Deficit Reduction Act; Form
No.: CMS-10232 (OMB: 0938-1045); Use: The Deficit Reduction
Act (DRA) provides States with numerous flexibilities in operating
their State Medicaid Programs. Section 6062 of the DRA (Opportunity for
families of Disabled Children to Purchase Medicaid Coverage for Such
Children) provides States the opportunity to provide Medicaid benefits
to disabled children who would otherwise be ineligible because of
family income that is above the State's highest Medicaid eligibility
standards for children. States must establish a State Plan for medical
assistance to implement this provision. To do this,
[[Page 12966]]
State Medicaid Agencies will complete the template. CMS will review the
information to determine if the State has met all the requirements of
the DRA provision; Frequency: Once; Affected Public: State, Federal, or
Tribal Governments; Number of Respondents: 56; Total Annual Responses:
10; Total Annual Hours: 60. (For policy questions regarding this
collection contact Barbara Washington at 410-786-9964. For all other
issues call 410-786-1326.)
2. Type of Information Collection Request: Revision of currently
approved collection; Title of Information Collection: Model Application
Template and Instructions for State Child Health Plan Under Title XXI
of the Social Security Act, State Children's Health Insurance Program;
Form No.: CMS-R-211 (OMB: 0938-0707); Use: The information
will be used to assess State plan performance and health outcomes and
to evaluate the amount of substitute private coverage and the effect of
subsidies on access to coverage; Frequency: Yearly, occasionally;
Affected Public: State, Federal, or Tribal Governments; Number of
Respondents: 40; Total Annual Responses: 40; Total Annual Hours: 3,200.
(For policy questions regarding this collection contact Nancy
Goetschius at 410-786-0707. 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.hhs.gov/PaperworkReductionActof1995, or e-
mail 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 May 9, 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: February 28, 2011.
Michelle Shortt,
Director, Regulations Development Group, Office of Strategic Operations
and Regulatory Affairs.
[FR Doc. 2011-5365 Filed 3-4-11; 4:15 pm]
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