[Federal Register Volume 76, Number 98 (Friday, May 20, 2011)]
[Notices]
[Page 29249]
From the Federal Register Online via the Government Publishing Office [www.gpo.gov]
[FR Doc No: 2011-12394]
[[Page 29249]]
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DEPARTMENT OF HEALTH AND HUMAN SERVICES
Centers for Medicare & Medicaid Services
[Document Identifier: CMS-10232, CMS-10251, CMS-R-185, and CMS-R-211]
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: 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, 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: Extension of a currently
approved collection; Title of Information Collection: Integrated
Medicare and Medicaid State Plan Preprint; Form No.: CMS-10251
(OMB: 0938-1047); Use: The Integrated Care Preprint is an
optional tool for use by States to highlight the arrangements provided
between the State and Medicare Advantage Special Needs Plans that are
also providing Medicaid services. The preprint also provides the
opportunity for States to confirm that their integrated care model
complies with Federal statutory and regulatory requirements. State
Medicaid Agencies may complete the preprint and CMS will review the
information provided to determine if the State has properly completed
and explained their integrated care arrangements and that the
appropriate assurances have been met; Frequency: Once; Affected Public:
State, Local, or Tribal Governments; Number of Respondents: 56; Total
Annual Responses: 10; Total Annual Hours: 200. (For policy questions
regarding this collection contact Mary Pat Farkas at 410-786-5731. For
all other issues call 410-786-1326.)
3. Type of Information Collection Request: Extension of currently
approved collection; Title of Information Collection: Granting and
Withdrawal of Deeming Authority to Private Nonprofit Accreditation
Organizations and of State Exemption Under State Laboratory Programs
and Supporting Regulations; Form No.: CMS-R-185 (OMB: 0938-
0686); Use: The information required is necessary to determine whether
a private accreditation organization/State licensure program standards
and accreditation/licensure process is at least equal to or more
stringent than those of the Clinical Laboratory Improvement Amendments
of 1988 (CLIA). If an accreditation organization is approved, the
laboratories that it accredits are ``deemed'' to meet the CLIA
requirements based on this accreditation. Similarly, if a State
licensure program is determined to have requirements that are equal to
or more stringent than those of CLIA, its laboratories are considered
to be exempt from CLIA certification and requirements. The information
collected will be used by HHS to: Determine comparability/equivalency
of the accreditation organization standards and policies or State
licensure program standards and policies to those of the CLIA program;
to ensure the continued comparability/equivalency of the standards; and
to fulfill certain statutory reporting requirements; Frequency:
Occasionally; Affected Public: Private Sector: Business or other for-
profits, Not-for-profit institutions; Number of Respondents: 8; Total
Annual Responses: 96; Total Annual Hours: 384. (For policy questions
regarding this collection contact Minnie Christian at 410-786-3339. For
all other issues call 410-786-1326.)
4. 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 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 June 20, 2011.
OMB, Office of Information and Regulatory Affairs, Attention: CMS
Desk Officer, Fax Number: (202) 395-6974, E-mail: [email protected].
Dated: May 16, 2011.
Martique Jones,
Director, Regulations Development Group, Division-B, Office of
Strategic Operations and Regulatory Affairs.
[FR Doc. 2011-12394 Filed 5-19-11; 8:45 am]
BILLING CODE 4120-01-P