[Federal Register Volume 76, Number 98 (Friday, May 20, 2011)]
[Notices]
[Page 29249]
From the Federal Register Online via the Government Publishing Office [www.gpo.gov]
[FR Doc No: 2011-12394]



[[Page 29249]]

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DEPARTMENT OF HEALTH AND HUMAN SERVICES

Centers for Medicare & Medicaid Services

[Document Identifier: CMS-10232, CMS-10251, CMS-R-185, and CMS-R-211]


Agency Information Collection Activities: Submission for OMB 
Review; 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), 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: Revision of currently 
approved collection; Title of Information Collection: State Plan 
Template to Implement Section 6062 of the Deficit Reduction Act; Form 
No.: CMS-10232 (OMB: 0938-1045); Use: The Deficit Reduction 
Act (DRA) provides States with numerous flexibilities in operating 
their State Medicaid Programs. Section 6062 of the DRA (Opportunity for 
families of Disabled Children to Purchase Medicaid Coverage for Such 
Children) provides States the opportunity to provide Medicaid benefits 
to disabled children who would otherwise be ineligible because of 
family income that is above the State's highest Medicaid eligibility 
standards for children. States must establish a State Plan for medical 
assistance to implement this provision. To do this, State Medicaid 
Agencies will complete the template. CMS will review the information to 
determine if the State has met all the requirements of the DRA 
provision; Frequency: Once; Affected Public: State, Federal, or Tribal 
Governments; Number of Respondents: 56; Total Annual Responses: 10; 
Total Annual Hours: 60. (For policy questions regarding this collection 
contact Barbara Washington at 410-786-9964. For all other issues call 
410-786-1326.)
    2. Type of Information Collection Request: Extension of a currently 
approved collection; Title of Information Collection: Integrated 
Medicare and Medicaid State Plan Preprint; Form No.: CMS-10251 
(OMB: 0938-1047); Use: The Integrated Care Preprint is an 
optional tool for use by States to highlight the arrangements provided 
between the State and Medicare Advantage Special Needs Plans that are 
also providing Medicaid services. The preprint also provides the 
opportunity for States to confirm that their integrated care model 
complies with Federal statutory and regulatory requirements. State 
Medicaid Agencies may complete the preprint and CMS will review the 
information provided to determine if the State has properly completed 
and explained their integrated care arrangements and that the 
appropriate assurances have been met; Frequency: Once; Affected Public: 
State, Local, or Tribal Governments; Number of Respondents: 56; Total 
Annual Responses: 10; Total Annual Hours: 200. (For policy questions 
regarding this collection contact Mary Pat Farkas at 410-786-5731. For 
all other issues call 410-786-1326.)
    3. Type of Information Collection Request: Extension of currently 
approved collection; Title of Information Collection: Granting and 
Withdrawal of Deeming Authority to Private Nonprofit Accreditation 
Organizations and of State Exemption Under State Laboratory Programs 
and Supporting Regulations; Form No.: CMS-R-185 (OMB: 0938-
0686); Use: The information required is necessary to determine whether 
a private accreditation organization/State licensure program standards 
and accreditation/licensure process is at least equal to or more 
stringent than those of the Clinical Laboratory Improvement Amendments 
of 1988 (CLIA). If an accreditation organization is approved, the 
laboratories that it accredits are ``deemed'' to meet the CLIA 
requirements based on this accreditation. Similarly, if a State 
licensure program is determined to have requirements that are equal to 
or more stringent than those of CLIA, its laboratories are considered 
to be exempt from CLIA certification and requirements. The information 
collected will be used by HHS to: Determine comparability/equivalency 
of the accreditation organization standards and policies or State 
licensure program standards and policies to those of the CLIA program; 
to ensure the continued comparability/equivalency of the standards; and 
to fulfill certain statutory reporting requirements; Frequency: 
Occasionally; Affected Public: Private Sector: Business or other for-
profits, Not-for-profit institutions; Number of Respondents: 8; Total 
Annual Responses: 96; Total Annual Hours: 384. (For policy questions 
regarding this collection contact Minnie Christian at 410-786-3339. For 
all other issues call 410-786-1326.)
    4. Type of Information Collection Request: Revision of currently 
approved collection; Title of Information Collection: Model Application 
Template and Instructions for State Child Health Plan Under Title XXI 
of the Social Security Act, State Children's Health Insurance Program; 
Form No.: CMS-R-211 (OMB: 0938-0707); Use: The information 
will be used to assess State plan performance and health outcomes and 
to evaluate the amount of substitute private coverage and the effect of 
subsidies on access to coverage; Frequency: Yearly, occasionally; 
Affected Public: State, Federal, or Tribal Governments; Number of 
Respondents: 40; Total Annual Responses: 40; Total Annual Hours: 3,200. 
(For policy questions regarding this collection contact Nancy 
Goetschius at 410-786-0707. For all other issues call 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 June 20, 2011.
    OMB, Office of Information and Regulatory Affairs, Attention: CMS 
Desk Officer, Fax Number: (202) 395-6974, E-mail: [email protected].

    Dated: May 16, 2011.
Martique Jones,
Director, Regulations Development Group, Division-B, Office of 
Strategic Operations and Regulatory Affairs.
[FR Doc. 2011-12394 Filed 5-19-11; 8:45 am]
BILLING CODE 4120-01-P