[Federal Register Volume 76, Number 204 (Friday, October 21, 2011)]
[Notices]
[Pages 65515-65516]
From the Federal Register Online via the Government Publishing Office [www.gpo.gov]
[FR Doc No: 2011-27301]


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DEPARTMENT OF HEALTH AND HUMAN SERVICES

Centers for Medicare & Medicaid Services

[Document Identifier: CMS-10249]


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 a currently 
approved collection; Title of Information Collection: Administrative 
Requirements for Section 6071 of the Deficit Reduction Act; Use: Under 
section 6071 of the Deficit Reduction Act of 2005 (P.L. 109-171) 
subsection (c), the Secretary may require States to meet requirements 
and provide additional information, provisions, and assurances. Through 
the Operational Protocol, States provide the requirements, information, 
provisions and assurances which, following CMS approval, States may 
enroll individuals in the State's demonstration program or begin to 
claim for service dollars. The Act also requires the Money Follows the 
Person Rebalancing Demonstration (MFP) program be evaluated to 
determine program effectiveness. One aspect of the evaluation is 
determining participant quality of life and how the program affects 
quality of life. Medicaid enrollees who participate in the MFP program 
are expected to have need for long-term care services for the rest of 
their lives and are a particularly vulnerable population if the 
community setting cannot adequately meet their needs or does not 
provide them a suitable quality of life.
    State Operational Protocols should provide enough information that: 
the CMS Project Officer and other Federal officials may use it to 
understand the operation of the demonstration and/or prepare for 
potential site visits without needing additional information; the State 
Project Director can use it as the manual for program implementation; 
and external stakeholders may use it to understand the operation of the 
demonstration. The financial information collection will be used in CMS 
financial statements and shared with the auditors who validate CMS' 
financial position. The Maintenance of Effort forms as well as the MFP 
Budget Form are required each year. Submissions of MFP Demonstration 
Financial Forms are 90 days after the end of each Federal fiscal 
quarter. The MFP Finders File, MFP Program Participation Data file, and 
MFP Services File will be used by the national evaluation contractor to 
assess program outcomes. The MFP Quality of Life data will be used by 
the national evaluation contractor to assess program outcomes. 
Specifically, the evaluation will determine how participants' quality 
of life changes after transitioning to the community. The semi-annual 
progress reports will be used by the national evaluation contractor and 
CMS to monitor program implementation at the grantee level; Form 
Number: CMS-10249 (OCN: 0938-1053); Frequency: Yearly, Semi-annually, 
Quarterly, Once; Affected Public: State, Local, or Tribal Governments; 
Number of Respondents: 43; Total Annual Responses: 360; Total Annual 
Hours: 9,360. (For policy questions regarding this collection contact 
Marybeth Ribar at 410-786-1121. 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

[[Page 65516]]

Reports Clearance Office on (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 December 20, 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: CMS-10249 (OCN: 0938-1053), Room C4-26-05, 7500 
Security Boulevard, Baltimore, Maryland 21244-1850.

    Dated: October 18, 2011.
Martique Jones,
Director, Regulations Development Group, Division B, Office of 
Strategic Operations and Regulatory Affairs.
[FR Doc. 2011-27301 Filed 10-20-11; 8:45 am]
BILLING CODE 4120-01-P