[Federal Register Volume 74, Number 151 (Friday, August 7, 2009)]
[Notices]
[Page 39702]
From the Federal Register Online via the Government Publishing Office [www.gpo.gov]
[FR Doc No: E9-18995]



[[Page 39702]]

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DEPARTMENT OF HEALTH AND HUMAN SERVICES

Centers for Medicare and Medicaid Services

[Document Identifier: CMS-416]


Emergency Clearance: Public Information Collection Requirements 
Submitted to the Office of Management and Budget (OMB)

AGENCY: Center for Medicare and Medicaid Services.

    In compliance with the requirement of section 3506(c)(2)(A) of the 
Paperwork Reduction Act of 1995, the Centers for Medicare and 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 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: Annual Early and 
Periodic Screening, Diagnostic and Treatment (EPSDT) Services 
Participation Report; Form Number: CMS-416 (OMB: 0938-0354); 
Use: States are required to submit an annual report on the provision of 
EPSDT services pursuant to section 1902(a)(43)(D) of the Social 
Security Act. These reports provide CMS with data necessary to assess 
the effectiveness of State EPSDT programs, to determine a State's 
results in achieving its participation goal and to respond to 
inquiries. Respondents are State Medicaid Agencies. CMS has revised the 
form by withdrawing the three additional lines of data (lines 12d, 12e 
and 12f) that were included on the form which was recently approved on 
April 28, 2009. Frequency: Yearly; Affected Public: State, Tribal and 
Local governments; Number of Respondents: 56; Total Annual Responses: 
56; Total Annual Hours: 504. (For policy questions regarding this 
collection contact Cindy Ruff at 410-786-5916. For all other issues 
call 410-786-1326.)
    CMS is requesting OMB review and approval of this collection by 
September 21, 2009, with a 180-day approval period. Written comments 
and recommendation will be considered from the public if received by 
the individuals designated below by the noted deadline below.
    To obtain copies of the supporting statement and any related forms 
for the proposed paperwork collections referenced above, access CMS's 
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 September 8, 2009:
    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-416), Room C4-26-05, 7500 Security Boulevard, 
Baltimore, Maryland 21244-1850 and, OMB Office of Information and 
Regulatory Affairs, Attention: CMS Desk Officer, New Executive Office 
Building, Room 10235, Washington, DC 20503. Fax Number: (202) 395-6974.

    Dated: July 31, 2009.
Michelle Shortt,
Director, Regulations Development Group, Office of Strategic Operations 
and Regulatory Affairs.
[FR Doc. E9-18995 Filed 8-6-09; 8:45 am]
BILLING CODE 4120-01-P