[Federal Register Volume 73, Number 110 (Friday, June 6, 2008)]
[Notices]
[Page 32337]
From the Federal Register Online via the Government Publishing Office [www.gpo.gov]
[FR Doc No: E8-12574]


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DEPARTMENT OF HEALTH AND HUMAN SERVICES

Centers for Medicare & Medicaid Services

[Document Identifier: CMS-10262, CMS-21 and 21B, CMS-10143 and CMS-64]


Agency Information Collection Activities: Submission for OMB 
Review; Comment Request

    Agency: Centers for Medicare & Medicaid Services.
    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; Title of 
Information Collection: Health Insurance Flexibility and Accountability 
(HIFA) Evaluation; Use: The HIFA initiative sought to increase health 
coverage of uninsured populations through a flexible waiver process 
emphasizing public subsidy of Employer-Sponsored Insurance (ESI). 
Testing whether that approach reduces the rate/number of uninsured is 
critically important to CMS. The proposed survey of HIFA enrollees in 
New Medico and Oregon would provide the only data available to test 
certain fundamental HIFA effects, especially with reference to 
reduction of the uninsured population, the effectiveness of premium 
assistance for ESI and the possibility of crowd-out of private 
coverage. Form Number: CMS-10262 (OMB 0938-NEW); Frequency: 
Once; Affected Public: Individuals or households; Number of 
Respondents: 800; Total Annual Responses: 800; Total Annual Hours: 400.
    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: Extension of a currently 
approved collection; Title of Information Collection: Monthly State 
File of Medicaid/Medicare Dual Eligible Enrollees; Use: The monthly 
file of dual eligible enrollees will be used to determine those duals 
with drug benefits for the phased down State contribution process 
required by the Medicare Modernization Act of 2003. These data are also 
used to support Part D subsidy determinations and auto-assignment of 
individuals to Part D plans. Form Number: CMS-10143 (OMB 0938-
0958); Frequency: Monthly; Affected Public: State, Local or Tribal 
Governments; Number of Respondents: 51; Total Annual Responses: 612; 
Total Annual Hours: 6,120.
    4. Type of Information Collection Request: Extension of a currently 
approved collection; Title of Information Collection: Quarterly 
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.
    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 July 7, 2008. OMB 
Human Resources and Housing Branch, Attention: Carolyn Raffaelli, New 
Executive Office Building, Room 10235, Washington, DC 20503, Fax 
Number: (202) 395-6974.

    Dated: May 30, 2008.
Michelle Shortt,
Director, Regulations Development Group, Office of Strategic Operations 
and Regulatory Affairs.
[FR Doc. E8-12574 Filed 6-5-08; 8:45 am]
BILLING CODE 4120-01-P