[Federal Register Volume 76, Number 48 (Friday, March 11, 2011)]
[Notices]
[Page 13415]
From the Federal Register Online via the Government Publishing Office [www.gpo.gov]
[FR Doc No: 2011-5685]
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DEPARTMENT OF HEALTH AND HUMAN SERVICES
Centers for Medicare & Medicaid Services
[Document Identifier: CMS-10367]
Agency Information Collection Activities: Submission for OMB
Review; 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), Department of Health and Human Services, 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 function; (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 (Request
for a new OMB Control Number); Title of Information Collection:
Medicaid State Plan Preprint for Use by States When Implementing
Section 6505 of the [Patient Protection and] Affordable Care Act; Use:
CMS has developed a Medicaid State Plan Preprint for use by States and
specifically to support the January 1, 2011, mandate of the prohibition
on payments outside of the United States. The preprint follows the
format and requested information from prior preprints provided to the
States by CMS and provides a placeholder and assurance of compliance
with section 1902(a) of the Social Security Act; Form Number: CMS-10367
(OMB: 0938-NEW); Frequency: Occasionally; Affected Public:
State, Local, or Tribal Governments; Number of Respondents: 56; Total
Annual Responses: 56; Total Annual Hours: 5. (For policy questions
regarding this collection contact Carla Ausby at 410-786-2153. 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 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 [email protected], or call the
Reports Clearance Office on (410) 786-1326.
To be assured consideration, comments and recommendations for the
proposed information collections must be received by the OMB desk
officer at the address below, no later than 5 p.m. on April 11, 2011:
OMB, Office of Information and Regulatory Affairs, Attention: CMS Desk
Officer, Fax Number: (202) 395-6974, E-mail: [email protected].
Dated: March 4, 2011.
Martique Jones,
Director, Regulations Development Group, Division B, Office of
Strategic Operations and Regulatory Affairs.
[FR Doc. 2011-5685 Filed 3-10-11; 8:45 am]
BILLING CODE 4120-01-P