[Federal Register Volume 76, Number 180 (Friday, September 16, 2011)]
[Notices]
[Pages 57744-57745]
From the Federal Register Online via the Government Publishing Office [www.gpo.gov]
[FR Doc No: 2011-23807]


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DEPARTMENT OF HEALTH AND HUMAN SERVICES

Centers for Medicare & Medicaid Services

[Document Identifier: CMS-10398]


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: New collection; Title of 
Information Collection: Generic Clearance for Medicaid and CHIP State 
Plan, Waiver, and Program Submissions; Use: CMS is requesting a generic 
PRA clearance for a body of forms necessary to conduct ongoing business 
with State partners in the implementation of Medicaid and the 
Children's Health Insurance Program (CHIP). Examples of the types of 
forms to be produced in this collection include State plan amendment 
templates, waiver and demonstration templates, and reporting templates. 
The development of streamlined submission forms is critical for States 
to implement timely health reform initiatives in Medicaid and CHIP 
state plans, demonstrations, and waivers, including legislative 
requirements enacted by the Affordable Care Act. The development of 
streamlined submissions forms enhances the collaboration and 
partnership between States and CMS by documenting CMS policy for States 
to use as they are developing program changes. Streamlined forms 
improve efficiency of administration by creating a common and user-
friendly understanding of the information needed by CMS to quickly 
process requests for State plan amendments, waivers, and demonstration, 
as well as ongoing reporting.; Form Number: CMS-10398 (OMB 
0938-NEW); Frequency: Occasionally; Affected Public: State, 
Local, or Tribal Governments; Number of Respondents: 56; Total Annual 
Responses: 1120; Total Annual Hours: 28,747. (For policy questions 
regarding this collection contact Candice Payne at 410-786-4453. 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

[[Page 57745]]

be received by the OMB desk officer at the address below, no later than 
5 p.m. on October 17, 2011. OMB, Office of Information and Regulatory 
Affairs, Attention: CMS Desk Officer, Fax Number: (202) 395-6974, E-
mail: [email protected].

    Dated: September 13, 2011.
Martique Jones,
Director, Regulations Development Group, Division B, Office of 
Strategic Operations and Regulatory Affairs.
[FR Doc. 2011-23807 Filed 9-15-11; 8:45 am]
BILLING CODE 4120-01-P