[Federal Register Volume 74, Number 204 (Friday, October 23, 2009)]
[Notices]
[Page 54823]
From the Federal Register Online via the Government Publishing Office [www.gpo.gov]
[FR Doc No: E9-25573]
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DEPARTMENT OF HEALTH AND HUMAN SERVICES
Centers for Medicare & Medicaid Services
[Document Identifier: CMS-R-284 and CMS-10190]
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: Extension without change
of a currently approved collection; Title of Information Collection:
Medicaid Statistical Information System; Use: State data are reported
by the Federally mandated electronic process, known as (MSIS) Medical
Statistical Information System. These data are the basis of actuarial
forecasts for Medicaid service utilization and costs; of analysis and
cost savings estimates required for legislative initiatives relating to
Medicaid and for responding to requests for information from CMS
components, the Department, Congress and other customers; Form Number:
CMS-R-284 (OMB: 0938-0345); Frequency: Reporting--Quarterly;
Affected Public: State, Local, or Tribal Governments; Number of
Respondents: 51; Total Annual Responses: 204; Total Annual Hours:
2,040. (For policy questions regarding this collection contact Denise
Franz 410-786-6117. For all other issues call 410-786-1326.)
2. Type of Information Collection Request: Extension of a currently
approved collection; Title of Information Collection: State Plan
Preprints to Implement Sections 6083, 6036, 6041, 6042, 6043 and 6044
of the Deficit Reduction Act (DRA) of 1995; Use: These preprints allow
States the opportunity and flexibility to request changes in benefit
packages, cost sharing, non-emergency medical transportation services,
etc.; Form Number: CMS-10190 (OMB: 0938-0993); Frequency:
Reporting--Once and Occasionally; Affected Public: State, Local, or
Tribal Governments; Number of Respondents: 56; Total Annual Responses:
16; Total Annual Hours: 699. (For policy questions regarding this
collection contact Fran Crystal at 410-786-1195. 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
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 November 23,
2009.
OMB, Office of Information and Regulatory Affairs, Attention: CMS Desk
Officer, Fax Number: (202) 395-6974, E-mail: [email protected].
Dated: October 16, 2009.
Michelle Shortt,
Director, Regulations Development Group, Office of Strategic Operations
and Regulatory Affairs.
[FR Doc. E9-25573 Filed 10-22-09; 8:45 am]
BILLING CODE 4120-01-P