80_FR_41638 80 FR 41503 - Submission for OMB Review; Transfer Order-Surplus Personal Property and Continuation Sheet, Standard Form (SF) 123

80 FR 41503 - Submission for OMB Review; Transfer Order-Surplus Personal Property and Continuation Sheet, Standard Form (SF) 123

GENERAL SERVICES ADMINISTRATION

Federal Register Volume 80, Issue 135 (July 15, 2015)

Page Range41503-41503
FR Document2015-17375

Under the provisions of the Paperwork Reduction Act, the Regulatory Secretariat Division will be submitting to the Office of Management and Budget (OMB) a request to review and approve an extension of a previously approved information collection requirement regarding the Transfer Order--Surplus Personal Property and Continuation Sheet, Standard Form (SF) 123. A notice was published in the Federal Register at 80 FR 21719, on April 20, 2015. No comments were received.

Federal Register, Volume 80 Issue 135 (Wednesday, July 15, 2015)
[Federal Register Volume 80, Number 135 (Wednesday, July 15, 2015)]
[Notices]
[Page 41503]
From the Federal Register Online  [www.thefederalregister.org]
[FR Doc No: 2015-17375]



[[Page 41503]]

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GENERAL SERVICES ADMINISTRATION

[OMB Control No. 3090-0014; Docket 2015-0001; Sequence 8]


Submission for OMB Review; Transfer Order--Surplus Personal 
Property and Continuation Sheet, Standard Form (SF) 123

AGENCY: Federal Acquisition Service, General Services Administration 
(GSA).

ACTION: Notice of request for an extension to an existing OMB 
clearance.

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

SUMMARY: Under the provisions of the Paperwork Reduction Act, the 
Regulatory Secretariat Division will be submitting to the Office of 
Management and Budget (OMB) a request to review and approve an 
extension of a previously approved information collection requirement 
regarding the Transfer Order--Surplus Personal Property and 
Continuation Sheet, Standard Form (SF) 123. A notice was published in 
the Federal Register at 80 FR 21719, on April 20, 2015. No comments 
were received.

DATES: Submit comments on or before: August 14, 2015.

ADDRESSES: Submit comments identified by Information Collection 3090-
0014, Transfer Order--Surplus Personal Property and Continuation Sheet, 
Standard Form (SF) 123, by any of the following methods:
     Regulations.gov: http://www.regulations.gov. Submit 
comments via the Federal eRulemaking portal by searching the OMB 
control number. Select the link ``Comment Now'' that corresponds with 
``Information Collection 3090-0014, Transfer Order--Surplus Personal 
Property and Continuation Sheet, Standard Form (SF) 123''. Follow the 
instructions provided on the screen. Please include your name, company 
name (if any), and ``Information Collection 3090-0014, Transfer Order--
Surplus Personal Property and Continuation Sheet, Standard Form (SF) 
123,'' on your attached document.
     Mail: General Services Administration, Regulatory 
Secretariat Division (MVCB), 1800 F Street NW., Washington, DC 20405. 
ATTN: Ms. Flowers/IC 3090-0014.
    Instructions: Please submit comments only and cite Information 
Collection 3090-0014, Transfer Order--Surplus Personal Property and 
Continuation Sheet, Standard Form (SF) 123, in all correspondence 
related to this collection. All comments received will be posted 
without change to http://www.regulations.gov, including any personal 
and/or business confidential information provided.

FOR FURTHER INFORMATION CONTACT: Joyce Spalding, Property Disposal 
Specialist, Federal Acquisition Service, at telephone 703-605-2888 or 
via email to [email protected].

SUPPLEMENTARY INFORMATION:

A. Purpose

    The Transfer Order--Surplus Personal Property and Continuation 
Sheet, Standard form (SF) 123, is used by public agencies, nonprofit 
educational or public health activities, programs for the elderly, 
service educational activities, and public airports to apply for 
donation of Federal surplus personal property. The SF 123 serves as the 
transfer instrument and includes item descriptions, transportation 
instructions, nondiscrimination assurances, and approval signatures.

B. Annual Reporting Burden

    Respondents: 20,110.
    Responses per Respondent: 1.
    Total Number of Respondents: 20,110.
    Hours per Response: 0.019.
    Total Burden Hours: 382.

C. Public Comments

    Public comments are particularly invited on: Whether this 
collection of information is necessary and whether it will have 
practical utility; whether our estimate of the public burden of this 
collection of information is accurate, and based on valid assumptions 
and methodology; ways to enhance the quality, utility, and clarity of 
the information to be collected.
    Obtaining Copies of Proposals: Requesters may obtain a copy of the 
information collection documents from the General Services 
Administration, Regulatory Secretariat Division (MVCB), 1800 F Street 
NW., Washington, DC 20006, telephone 202-501-4755. Please cite OMB 
Control No. 3090-0014, Transfer Order--Surplus Personal Property and 
Continuation Sheet, Standard Form (SF) 123, in all correspondence.

    Dated: July 6, 2015.
David A. Shive,
Acting Chief Information Officer.
[FR Doc. 2015-17375 Filed 7-14-15; 8:45 am]
 BILLING CODE 6820-34-P



                                                                               Federal Register / Vol. 80, No. 135 / Wednesday, July 15, 2015 / Notices                                            41503

                                                  GENERAL SERVICES                                         personal and/or business confidential                  DEPARTMENT OF HEALTH AND
                                                  ADMINISTRATION                                           information provided.                                  HUMAN SERVICES
                                                  [OMB Control No. 3090–0014; Docket 2015–                 FOR FURTHER INFORMATION CONTACT:                       Centers for Medicare & Medicaid
                                                  0001; Sequence 8]                                        Joyce Spalding, Property Disposal                      Services
                                                                                                           Specialist, Federal Acquisition Service,
                                                  Submission for OMB Review; Transfer                      at telephone 703–605–2888 or via email                 [CMS–6057–N2]
                                                  Order—Surplus Personal Property and
                                                                                                           to joyce.spalding@gsa.gov.                             Medicare Program; Extension of
                                                  Continuation Sheet, Standard Form
                                                  (SF) 123                                                 SUPPLEMENTARY INFORMATION:                             Medicare Prior Authorization for Power
                                                                                                                                                                  Mobility Devices (PMDs)
                                                  AGENCY: Federal Acquisition Service,                     A. Purpose                                             Demonstration
                                                  General Services Administration (GSA).
                                                                                                              The Transfer Order—Surplus Personal                 AGENCY: Centers for Medicare &
                                                  ACTION: Notice of request for an
                                                                                                           Property and Continuation Sheet,                       Medicaid Services (CMS), HHS.
                                                  extension to an existing OMB clearance.
                                                                                                           Standard form (SF) 123, is used by                     ACTION: Notice.
                                                  SUMMARY:    Under the provisions of the                  public agencies, nonprofit educational
                                                  Paperwork Reduction Act, the                             or public health activities, programs for              SUMMARY:  This notice announces an
                                                  Regulatory Secretariat Division will be                  the elderly, service educational                       extension of the Medicare Prior
                                                  submitting to the Office of Management                   activities, and public airports to apply               Authorization for Power Mobility
                                                  and Budget (OMB) a request to review                     for donation of Federal surplus personal               Devices (PMDs) demonstration.
                                                  and approve an extension of a                            property. The SF 123 serves as the                     DATES: This demonstration will now
                                                  previously approved information                          transfer instrument and includes item                  end on August 31, 2018.
                                                  collection requirement regarding the                     descriptions, transportation                           FOR FURTHER INFORMATION CONTACT:
                                                  Transfer Order—Surplus Personal                          instructions, nondiscrimination                        Doris M. Jackson, (410) 786–4459.
                                                  Property and Continuation Sheet,                         assurances, and approval signatures.                     Questions regarding the Medicare
                                                  Standard Form (SF) 123. A notice was                                                                            Prior Authorization for Power Mobility
                                                  published in the Federal Register at 80                  B. Annual Reporting Burden
                                                                                                                                                                  Device Demonstration should be sent to
                                                  FR 21719, on April 20, 2015. No                                                                                 pademo@cms.hhs.gov.
                                                                                                                Respondents: 20,110.
                                                  comments were received.
                                                                                                                Responses per Respondent: 1.                      SUPPLEMENTARY INFORMATION:
                                                  DATES: Submit comments on or before:
                                                  August 14, 2015.                                              Total Number of Respondents: 20,110.              I. Background
                                                  ADDRESSES: Submit comments                                    Hours per Response: 0.019.                           Section 402(a)(1)(J) of the Social
                                                  identified by Information Collection                          Total Burden Hours: 382.                          Security Amendments of 1967 (42
                                                  3090–0014, Transfer Order—Surplus                                                                               U.S.C. 1395b–1(a)(1)(J)), authorizes the
                                                  Personal Property and Continuation                       C. Public Comments                                     Secretary to conduct demonstrations
                                                  Sheet, Standard Form (SF) 123, by any                                                                           designed to develop or demonstrate
                                                  of the following methods:                                   Public comments are particularly                    improved methods for the investigation
                                                     • Regulations.gov: http://                            invited on: Whether this collection of                 and prosecution of fraud in the
                                                  www.regulations.gov. Submit comments                     information is necessary and whether it                provision of care or services provided
                                                  via the Federal eRulemaking portal by                    will have practical utility; whether our               under the Medicare program.
                                                  searching the OMB control number.                        estimate of the public burden of this                     On September 1, 2012, we
                                                  Select the link ‘‘Comment Now’’ that                     collection of information is accurate,                 implemented the Medicare Prior
                                                  corresponds with ‘‘Information                           and based on valid assumptions and                     Authorization for Power Mobility
                                                  Collection 3090–0014, Transfer Order—                    methodology; ways to enhance the                       Devices (PMDs) Demonstration that
                                                  Surplus Personal Property and                            quality, utility, and clarity of the                   would operate for a period of 3 years
                                                  Continuation Sheet, Standard Form (SF)                   information to be collected.                           (September 1, 2012 through August 31,
                                                  123’’. Follow the instructions provided                     Obtaining Copies of Proposals:                      2015). The demonstration was initially
                                                  on the screen. Please include your                       Requesters may obtain a copy of the                    implemented in California, Florida,
                                                  name, company name (if any), and                                                                                Illinois, Michigan, New York, North
                                                                                                           information collection documents from
                                                  ‘‘Information Collection 3090–0014,                                                                             Carolina, and Texas. These states were
                                                                                                           the General Services Administration,
                                                  Transfer Order—Surplus Personal                                                                                 selected for the demonstration based
                                                  Property and Continuation Sheet,                         Regulatory Secretariat Division (MVCB),                upon their history of having high levels
                                                  Standard Form (SF) 123,’’ on your                        1800 F Street NW., Washington, DC                      of improper payments and incidents of
                                                  attached document.                                       20006, telephone 202–501–4755. Please                  fraud related to PMDs. On October 1,
                                                     • Mail: General Services                              cite OMB Control No. 3090–0014,                        2014, we expanded the demonstration
                                                  Administration, Regulatory Secretariat                   Transfer Order—Surplus Personal                        to 12 additional states (Pennsylvania,
                                                  Division (MVCB), 1800 F Street NW.,                      Property and Continuation Sheet,                       Ohio, Louisiana, Missouri, Washington,
                                                  Washington, DC 20405. ATTN: Ms.                          Standard Form (SF) 123, in all                         New Jersey, Maryland, Indiana,
                                                  Flowers/IC 3090–0014.                                    correspondence.                                        Kentucky, Georgia, Tennessee, and
                                                     Instructions: Please submit comments                    Dated: July 6, 2015.                                 Arizona) that have high expenditures
mstockstill on DSK4VPTVN1PROD with NOTICES




                                                  only and cite Information Collection                     David A. Shive,                                        and improper payments for PMDs based
                                                  3090–0014, Transfer Order—Surplus                                                                               on 2012 billing data.
                                                                                                           Acting Chief Information Officer.
                                                  Personal Property and Continuation                                                                                 The objective of the demonstration is
                                                  Sheet, Standard Form (SF) 123, in all                    [FR Doc. 2015–17375 Filed 7–14–15; 8:45 am]            to develop improved methods for the
                                                  correspondence related to this                           BILLING CODE 6820–34–P                                 investigation and prosecution of fraud
                                                  collection. All comments received will                                                                          in order to protect the Medicare Trust
                                                  be posted without change to http://                                                                             Funds from fraudulent actions and any
                                                  www.regulations.gov, including any                                                                              resulting improper payments. The


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Document Created: 2015-12-15 13:32:29
Document Modified: 2015-12-15 13:32:29
CategoryRegulatory Information
CollectionFederal Register
sudoc ClassAE 2.7:
GS 4.107:
AE 2.106:
PublisherOffice of the Federal Register, National Archives and Records Administration
SectionNotices
ActionNotice of request for an extension to an existing OMB clearance.
DatesSubmit comments on or before: August 14, 2015.
ContactJoyce Spalding, Property Disposal Specialist, Federal Acquisition Service, at telephone 703-605-2888 or via email to [email protected]
FR Citation80 FR 41503 

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