[Federal Register Volume 73, Number 64 (Wednesday, April 2, 2008)]
[Notices]
[Pages 17983-17984]
From the Federal Register Online via the Government Publishing Office [www.gpo.gov]
[FR Doc No: E8-6771]


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DEPARTMENT OF HEALTH AND HUMAN SERVICES

Centers for Medicare & Medicaid Services

[Document Identifier: CMS-64, CMS-21 and 21B and CMS-906]


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: Extension of a currently 
approved collection; Title of Information Collection: Quarterly

[[Page 17984]]

Medicaid Statement of Expenditures for the Medical Assistance Program; 
Use: The State Medicaid Agencies use the form CMS-64 to report their 
actual program benefit costs and administrative expenses to CMS. CMS 
uses this information to compute the Federal financial participation 
for the State's Medicaid Program costs. Form Number: CMS-64 
(OMB 0938-0067); Frequency: Quarterly; Affected Public: State, 
Local or Tribal Government; Number of Respondents: 56; Total Annual 
Responses: 224; Total Annual Hours: 18,144.
    2. Type of Information Collection Request: Extension of a currently 
approved collection; Title of Information Collection: Quarterly 
Children's Health Insurance Program Statement of Expenditures for Title 
XXI; Use: States use the form CMS-21 to report budget, expenditure, and 
related statistical information required for implementation of the 
Children's Health Insurance Program. Form Number: CMS-21 and 21B 
(OMB 0938-0731); Frequency: Quarterly; Affected Public: State, 
Local or Tribal Government; Number of Respondents: 56; Total Annual 
Responses: 448; Total Annual Hours: 7,840.
    3. Type of Information Collection Request: Revision of a currently 
approved collection; Title of Information Collection: The Fiscal 
Soundness Reporting Requirements; Use: CMS is assigned responsibility 
for overseeing all Medicare Advantage Organizations (MAO) on-going 
financial performance. CMS needs the requested collection of 
information to establish that each MAO maintains a fiscally sound 
organization. Form Number: CMS-906 (OMB 0938-0469); Frequency: 
Yearly; Affected Public: Business or other for-profits and Not-for-
profit institutions; Number of Respondents: 700; Total Annual 
Responses: 700; Total Annual Hours: 233.
    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.
    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 2, 2008:
    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: March 27, 2008.
Michelle Shortt,
Director, Regulations Development Group, Office of Strategic Operations 
and Regulatory Affairs.
 [FR Doc. E8-6771 Filed 4-1-08; 8:45 am]
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