[Federal Register Volume 81, Number 160 (Thursday, August 18, 2016)]
[Notices]
[Pages 55203-55204]
From the Federal Register Online via the Government Publishing Office [www.gpo.gov]
[FR Doc No: 2016-19656]


=======================================================================
-----------------------------------------------------------------------

DEPARTMENT OF HEALTH AND HUMAN SERVICES

Centers for Medicare & Medicaid Services

[Document Identifiers: CMS-10628 and CMS-10180]


Agency Information Collection Activities: Proposed Collection; 
Comment Request

AGENCY: Centers for Medicare & Medicaid Services.

ACTION: Notice.

-----------------------------------------------------------------------

SUMMARY: The Centers for Medicare & Medicaid Services (CMS) is 
announcing an opportunity for the public to comment on CMS' intention 
to collect information from the public. Under the Paperwork Reduction 
Act of 1995 (the PRA), federal agencies are required to publish notice 
in the Federal Register concerning each proposed collection of 
information (including each proposed extension or reinstatement of an 
existing collection of information) and to allow 60 days for public 
comment on the proposed action. Interested persons are invited to send 
comments regarding our burden estimates 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.

DATES: Comments must be received by October 17, 2016.

ADDRESSES: When commenting, please reference the document identifier or 
OMB control number. To be assured consideration, comments and 
recommendations must be submitted in any one of the following ways:
    1. Electronically. You may send 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) that are 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 ___, Room C4-26-05, 7500 Security Boulevard, Baltimore, 
Maryland 21244-1850.
    To obtain copies of a supporting statement and any related forms 
for the proposed collection(s) summarized in this notice, you may make 
your request using one of following:
    1. Access CMS' Web site address at http://www.cms.hhs.gov/PaperworkReductionActof1995.
    2. Email your request, including your address, phone number, OMB 
number, and CMS document identifier, to [email protected].
    3. Call the Reports Clearance Office at (410) 786-1326.

FOR FURTHER INFORMATION CONTACT: Reports Clearance Office at (410) 786-
1326.

SUPPLEMENTARY INFORMATION:

Contents

    This notice sets out a summary of the use and burden associated 
with the following information collections. More detailed information 
can be found in each collection's supporting statement and associated 
materials (see ADDRESSES).

CMS-10628 Initial Request for State Implemented Moratorium Form
CMS-10180 Children's Health Insurance Program (CHIP) Report on Payables 
and Receivables

    Under the PRA (44 U.S.C. 3501-3520), federal agencies must obtain 
approval from the Office of Management and Budget (OMB) for each 
collection of information they conduct or sponsor. The term 
``collection of information'' is defined in 44 U.S.C. 3502(3) and 5 CFR 
1320.3(c) and includes agency requests or requirements that members of 
the public submit reports, keep records, or provide information to a 
third party. Section 3506(c)(2)(A) of the PRA requires federal agencies 
to publish a

[[Page 55204]]

60-day notice in the Federal Register concerning each proposed 
collection of information, including each proposed extension or 
reinstatement of an existing collection of information, before 
submitting the collection to OMB for approval. To comply with this 
requirement, CMS is publishing this notice.

Information Collection

    1. Type of Information Collection Request: New collection of 
information (Request for new OMB control number); Title of Information 
Collection: Initial Request for State Implemented Moratorium Form; Use: 
CMS promulgated 42 CFR 424.570 in order to comply with that statute, 
which requires that prior to implementing state Medicaid moratoria the 
state Medicaid agency must notify the Secretary in writing, including 
all of the details of the moratoria, and obtain the Secretary's 
concurrence with the imposition of the moratoria. The above regulation 
is promulgated from 1866 (j)(7) of the Social Security Act, which 
allows for the imposition of temporary moratorium. The Initial Request 
for State Medicaid Implemented Moratorium, named the ``Initial Request 
for State Medicaid Implemented Moratorium'' was created to collect that 
data, in a uniform manner, which the states report to CMS when they 
request a moratorium. Currently, CMS is collecting this data on an ad-
hoc basis, however this process needs to be standardized so that 
moratoria decisions are being made based on the same criteria each 
time.
    The goal of the Initial Request for State Medicaid Implemented 
Moratorium form is to provide a uniform application process that all of 
the states may follow so that CMS is able to administer the Medicaid or 
Children's Health Insurance Program moratorium process in a 
standardized and repeatable manner. This form creates a standardized 
process so that moratoria decisions are being made with the same 
criteria each time. Form Number: CMS-10628 (OMB control number: 0938-
NEW); Frequency: Occasionally; Affected Public: State, Local, or Tribal 
Governments; Number of Respondents: 15; Total Annual Responses: 15; 
Total Annual Hours: 75. (For policy questions regarding this collection 
contact Belinda Gravel at 410-786-8934).
    2. Type of Information Collection Request: Extension of a currently 
approved collection; Title of Information Collection: Children's Health 
Insurance Program (CHIP) Report on Payables and Receivables; Use: 
Collection of CHIP data and the calculation of the CHIP Incurred But 
Not Reported (IBNR) estimate are pertinent to CMS' financial audit. 
Section 2105 of the Social Security Act (Title XXI) requires the 
Secretary to estimate the amount each State should be paid at the 
beginning of each quarter. This amount is based on a report filed by 
the State. Section 2105 of the Social Security Act authorizes the 
Secretary to pay the amount estimated, reduced or increased to the 
extent of any overpayment or underpayment for any prior quarter. 
Section 3515 of the CFO Act requires government agencies to produce 
auditable financial statements in accordance with Office of Management 
and Budget guidelines on Form and Content. The Government Management 
and Reform Act of 1994 requires that all offices, bureaus and 
associated activities of the 24 CFO Act agencies must be covered in an 
agency-wide, audited financial statement. Collection of CHIP data and 
the calculation of the CHIP Incurred But Not Reported (IBNR) estimate 
are pertinent to CMS' financial audit. The CHIP Report on Payables and 
Receivables will provide the information needed to calculate the CHIP 
IBNR. Failure to collect this information could result in non-
compliance with the law. Program expenditures for the CHIP have 
increased since its inception; as such, CHIP receivables and payables 
may materially impact the financial statements. The CHIP Report on 
Payables and Receivables will provide the information needed to 
calculate the CHIP IBNR.; Form Number: CMS-10180 (OMB control number: 
0938-0988); Frequency: Reporting--Annually; Affected Public: State, 
Local or Tribal governments; Number of Respondents: 56; Total Annual 
Responses: 56; Total Annual Hours: 392. (For policy questions regarding 
this collection contact Beverly Boher at 410-786-7806.)

    Dated: August 12, 2016.
William N. Parham, III,
Director, Paperwork Reduction Staff, Office of Strategic Operations and 
Regulatory Affairs.
[FR Doc. 2016-19656 Filed 8-17-16; 8:45 am]
BILLING CODE 4120-01-P