[Federal Register Volume 91, Number 14 (Thursday, January 22, 2026)]
[Notices]
[Pages 2778-2779]
From the Federal Register Online via the Government Publishing Office [www.gpo.gov]
[FR Doc No: 2026-01196]
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DEPARTMENT OF HEALTH AND HUMAN SERVICES
Centers for Medicare & Medicaid Services
[Document Identifier: CMS-416 and CMS-10628]
Agency Information Collection Activities: Proposed Collection;
Comment Request
AGENCY: Centers for Medicare & Medicaid Services, Health and Human
Services (HHS).
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 60 days for public comment on
the
[[Page 2779]]
proposed action. Interested persons are invited to send comments
regarding our burden estimates or any other aspect of this collection
of information, including the necessity and utility of the proposed
information collection for the proper performance of the agency's
functions, the accuracy of the estimated burden, ways to enhance the
quality, utility, and clarity of the information to be collected, and
the use of automated collection techniques or other forms of
information technology to minimize the information collection burden.
DATES: Comments must be received by March 23, 2026.
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, please access
the CMS PRA website by copying and pasting the following web address
into your web browser: https://www.cms.gov/Regulations-and-Guidance/Legislation/PaperworkReductionActof1995/PRA-Listing.
FOR FURTHER INFORMATION CONTACT: William N. Parham at (410) 786-4669.
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).
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 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 Collections
1. Type of Information Collection Request: Revision of a currently
approved collection; Title of Information Collection: Annual Early and
Periodic Screening, Diagnostic and Treatment (EPSDT) Participation
Report; Use: The collected baseline data is used to assess the
effectiveness of state early and periodic screening, diagnostic and
treatment (EPSDT) programs in reaching eligible children (by age group
and basis of Medicaid eligibility) who are provided initial and
periodic child health screening services, referred for corrective
treatment, and receiving dental, hearing, and vision services. This
assessment is coupled with the state's results in attaining the
participation goals set for the state. The information gathered from
this report, permits federal and state managers to evaluate the
effectiveness of the EPSDT law on the basic aspects of the program.
Form Number: CMS-416 (OMB control number 0938-0354); Frequency: Yearly;
Affected Public: State, Local, or Tribal Governments; Number of
Respondents: 56; Total Annual Responses: 56; Total Annual Hours: 1,128.
(For policy questions regarding this collection contact Deirdra
Stockmann at 410-786-2433.)
2. Type of Information Collection Request: Revision of a previously
approved collection; Title of Information Collection: Initial Request
for State Implemented Moratorium Form; Use: Congress has enacted
section 1866 (j)(7) of the Social Security Act, which allows for the
imposition of temporary moratorium. 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 Initial Request for State Medicaid Implemented Moratorium,
named the ``Initial Request for State Medicaid Implemented Moratorium''
has been 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 form may be used by states and territories
who wish to impose a Medicaid or Children's Health Insurance Program
moratorium. CMS will use this information as a standardized method to
collect and track state-imposed moratoria requests. Form number: CMS-
10628 (OMB control number: 0938-1328); Frequency: Occasionally;
Affected Public: State, Local, or Tribal Governments; Number of
Respondents: 5; Number of Responses: 5; Total Burden Hours: 25. (For
questions regarding this collection contact Alisha Sanders at 410-786-
0671).
William N. Parham, III,
Director, Division of Information Collections and Regulatory Impacts,
Office of Strategic Operations and Regulatory Affairs.
[FR Doc. 2026-01196 Filed 1-21-26; 8:45 am]
BILLING CODE 4120-01-P