[Federal Register Volume 81, Number 228 (Monday, November 28, 2016)]
[Notices]
[Pages 85571-85572]
From the Federal Register Online via the Government Publishing Office [www.gpo.gov]
[FR Doc No: 2016-28433]


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DEPARTMENT OF HEALTH AND HUMAN SERVICES

Centers for Medicare & Medicaid Services

[Document Identifiers: CMS-10628]


Agency Information Collection Activities: Submission for OMB 
Review; Comment Request

AGENCY: Centers for Medicare & Medicaid Services.

ACTION: Notice.

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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 (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 a second opportunity 
for public comment on the notice. Interested persons are invited to 
send comments regarding the 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.

DATES: Comments on the collection(s) of information must be received by 
the OMB desk officer by December 28, 2016.

ADDRESSES: When commenting on the proposed information collections, 
please reference the document identifier or OMB control number. To be 
assured consideration, comments and recommendations must be received by 
the OMB desk officer via one of the following transmissions: OMB, 
Office of Information and Regulatory Affairs, Attention: CMS Desk 
Officer, Fax Number: (202) 395-5806 OR, Email: OIRA_ 
[email protected].
    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: Under the Paperwork Reduction Act of 1995 
(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 (44 U.S.C. 3506(c)(2)(A)) requires 
federal agencies to publish a 30-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 that 
summarizes the following proposed collection(s) of information for 
public comment:
    1. Type of Information Collection Request: New collection (Request 
for a new OMB control number); Title of Information Collection: Initial 
Request for State Implemented Moratorium Form; Use: The 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

[[Page 85572]]

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 Cheryl Cooper at 410-786-8624.)

    Dated: November 21, 2016.
William N. Parham, III,
Director, Paperwork Reduction Staff, Office of Strategic Operations and 
Regulatory Affairs.
[FR Doc. 2016-28433 Filed 11-25-16; 8:45 am]
 BILLING CODE 4120-01-P