81 FR 72806 - Agency Information Collection Activities: Proposed Collection; Comment Request
DEPARTMENT OF HEALTH AND HUMAN SERVICES
Centers for Medicare & Medicaid Services Federal Register Volume 81, Issue 204 (October 21, 2016)
Centers for Medicare & Medicaid Services
Federal Register Volume 81, Issue 204 (October 21, 2016)
| Page Range | 72806-72807 | |
| FR Document | 2016-25547 |
[Federal Register Volume 81, Number 204 (Friday, October 21, 2016)] [Notices] [Pages 72806-72807] From the Federal Register Online [www.thefederalregister.org] [FR Doc No: 2016-25547] ----------------------------------------------------------------------- DEPARTMENT OF HEALTH AND HUMAN SERVICES Centers for Medicare & Medicaid Services [Document Identifier: CMS-10635] Agency Information Collection Activities: Proposed Collection; Comment Request AGENCY: Centers for Medicare & Medicaid Services, HHS. 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 December 20, 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: [[Page 72807]] 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-10635 Montana Health and Economic Livelihood Partnership (HELP) Federal Evaluation 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 Collection 1. Type of Information Collection Request: New collection (Request for a new OMB control number); Title of Information Collection: Montana Health and Economic Livelihood Partnership (HELP) Federal Evaluation; Use: CMS approved the Montana Health and Economic Livelihood Partnership (HELP) demonstration in November 2015. The demonstration provides flexibility for the expanded Medicaid population under the Affordable Care Act for individuals in the state of Montana (hereinafter, ``State'' or ``Montana''). Montana expects to achieve the following: (1) Premiums and copayment liability that will encourage HELP Program enrollees to be discerning health care purchasers, take personal responsibility for their health care decisions and develop health-conscious behaviors as consumers of health care services; (2) 12 month continuous eligibility to improve continuity of care. The State also seeks to demonstrate the following over the life of the demonstration: (1) Premiums will not pose a barrier to accessing care for HELP Program beneficiaries; (2) HELP Program enrollees will exhibit health-conscious health care behaviors without harming beneficiary health; and (3) 12 month continuous eligibility will promote continuity of coverage and reduce churning rates. The demonstration includes the authority to charge premiums of 2 percent of household income to individuals in the new adult group with incomes between 50 and 133 percent of the FPL. The state will credit such individuals' premium obligation towards copayments due. Non- payment of premiums may result in disenrollment for individuals with incomes above 100 percent of the FPL after notice and a grace period. Individuals at or below 100 percent who stop paying premiums will not be disenrolled. To adequately inform CMS decision-making regarding Section 1115 Demonstrations, this federal evaluation of Montana's HELP demonstration includes surveys and associated focus groups, and informational interviews conducted during site visits and via phone. Form Number: CMS-10635 (OMB control number: 0938--New); Frequency: Once and on occasion; Affected Public: Individuals and Households, Business or other for-profits and Not-for-profits institutions, and State, Local, or Tribal Governments; Number of Respondents: 1,458; Total Annual Responses: 1,458; Total Annual Hours: 497. (For policy questions regarding this collection contact Serge King at 410-786- 6052.) Dated: October 18, 2016. William N. Parham, III, Director, Paperwork Reduction Staff, Office of Strategic Operations and Regulatory Affairs. [FR Doc. 2016-25547 Filed 10-20-16; 8:45 am] BILLING CODE 4120-01-P
![72806 Federal Register / Vol. 81, No. 204 / Friday, October 21, 2016 / Notices
FEDERAL RESERVE SYSTEM Board of Governors of the Federal Reserve Paperwork Reduction Act of 1995 (the
System, October 18, 2016. PRA), federal agencies are required to
Formations of, Acquisitions by, and Michele Taylor Fennell, publish notice in the Federal Register
Mergers of Bank Holding Companies Assistant Secretary of the Board. concerning each proposed collection of
[FR Doc. 2016–25510 Filed 10–20–16; 8:45 am] information (including each proposed
The companies listed in this notice BILLING CODE 6210–01–P extension or reinstatement of an existing
have applied to the Board for approval, collection of information) and to allow
pursuant to the Bank Holding Company 60 days for public comment on the
Act of 1956 (12 U.S.C. 1841 et seq.) DEPARTMENT OF HEALTH AND proposed action. Interested persons are
(BHC Act), Regulation Y (12 CFR part HUMAN SERVICES invited to send comments regarding our
225), and all other applicable statutes burden estimates or any other aspect of
and regulations to become a bank Centers for Disease Control and this collection of information, including
holding company and/or to acquire the Prevention any of the following subjects: (1) The
assets or the ownership of, control of, or necessity and utility of the proposed
the power to vote shares of a bank or Advisory Committee to the Director information collection for the proper
bank holding company and all of the (ACD), Centers for Disease Control and performance of the agency’s functions;
banks and nonbanking companies Prevention (CDC) (2) the accuracy of the estimated
owned by the bank holding company, Correction: This notice was published burden; (3) ways to enhance the quality,
including the companies listed below. in the Federal Register on August 30, utility, and clarity of the information to
2016, Volume 81, Number 168, Page be collected; and (4) the use of
The applications listed below, as well automated collection techniques or
as other related filings required by the 59626. The meeting location should
read as follows: other forms of information technology to
Board, are available for immediate minimize the information collection
inspection at the Federal Reserve Bank Place: CDC, Building 24, Conference
Room 01103A/B, 1600 Clifton Road NE., burden.
indicated. The applications will also be
available for inspection at the offices of Atlanta, Georgia 30329. DATES: Comments must be received by
Contact Person for More Information: December 20, 2016.
the Board of Governors. Interested
Carmen Villar, MSW, Designated ADDRESSES: When commenting, please
persons may express their views in
Federal Officer, ACD, CDC, 1600 Clifton reference the document identifier or
writing on the standards enumerated in
Road NE., M/S D–14, Atlanta, Georgia OMB control number. To be assured
the BHC Act (12 U.S.C. 1842(c)). If the
30329. Telephone (404) 498–6482, consideration, comments and
proposal also involves the acquisition of Email: ACDirector@cdc.gov.
a nonbanking company, the review also recommendations must be submitted in
The Director, Management Analysis any one of the following ways:
includes whether the acquisition of the and Services Office, has been delegated
nonbanking company complies with the 1. Electronically. You may send your
the authority to sign Federal Register comments electronically to http://
standards in section 4 of the BHC Act notices pertaining to announcements of www.regulations.gov. Follow the
(12 U.S.C. 1843). Unless otherwise meetings and other committee instructions for ‘‘Comment or
noted, nonbanking activities will be management activities, for both the Submission’’ or ‘‘More Search Options’’
conducted throughout the United States. Centers for Disease Control and to find the information collection
Unless otherwise noted, comments Prevention and the Agency for Toxic document(s) that are accepting
regarding each of these applications Substances and Disease Registry. comments.
must be received at the Reserve Bank Elaine L. Baker, 2. By regular mail. You may mail
indicated or the offices of the Board of Director, Management Analysis and Services written comments to the following
Governors not later than November 16, Office, Centers for Disease Control and address: CMS, Office of Strategic
2016. Prevention. Operations and Regulatory Affairs,
A. Federal Reserve Bank of St. Louis [FR Doc. 2016–25453 Filed 10–20–16; 8:45 am] Division of Regulations Development,
(David L. Hubbard, Senior Manager) BILLING CODE 4163–18–P
Attention: Document Identifier/OMB
P.O. Box 442, St. Louis, Missouri Control Number ll, Room C4–26–05,
63166–2034. Comments can also be sent 7500 Security Boulevard, Baltimore,
electronically to DEPARTMENT OF HEALTH AND Maryland 21244–1850.
Comments.applications@stls.frb.org: HUMAN SERVICES To obtain copies of a supporting
statement and any related forms for the
1. First Community Bancshares, Inc., Centers for Medicare & Medicaid proposed collection(s) summarized in
Batesville, Arkansas; to merge with Services this notice, you may make your request
Little River Bancshares, Inc., and using one of following:
thereby indirectly acquire Little River [Document Identifier: CMS–10635]
1. Access CMS’ Web site address at
Bank, both in Lepanto, Arkansas. Agency Information Collection http://www.cms.hhs.gov/
B. Federal Reserve Bank of Kansas Activities: Proposed Collection; PaperworkReductionActof1995.
City (Dennis Denney, Assistant Vice Comment Request 2. Email your request, including your
President) 1 Memorial Drive, Kansas address, phone number, OMB number,
asabaliauskas on DSK3SPTVN1PROD with NOTICES
City, Missouri 64198–0001: AGENCY: Centers for Medicare & and CMS document identifier, to
Medicaid Services, HHS. Paperwork@cms.hhs.gov.
1. First York Ban Corp, York ACTION: Notice. 3. Call the Reports Clearance Office at
Nebraska; to acquire Swedlund
(410) 786–1326.
Management Company, and thereby SUMMARY: The Centers for Medicare &
indirectly acquire Murray State Bank, FOR FURTHER INFORMATION CONTACT:
Medicaid Services (CMS) is announcing
both in Murray, Nebraska; and merge an opportunity for the public to Reports Clearance Office at (410) 786–
Murray State Bank with Cornerstone comment on CMS’ intention to collect 1326.
Bank, York, Nebraska. information from the public. Under the SUPPLEMENTARY INFORMATION:
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![Federal Register / Vol. 81, No. 204 / Friday, October 21, 2016 / Notices 72807
Contents population under the Affordable Care Form Number: CMS–10635 (OMB
Act for individuals in the state of control number: 0938—New);
This notice sets out a summary of the
Montana (hereinafter, ‘‘State’’ or Frequency: Once and on occasion;
use and burden associated with the
‘‘Montana’’). Affected Public: Individuals and
following information collections. More Montana expects to achieve the Households, Business or other for-
detailed information can be found in following: (1) Premiums and copayment profits and Not-for-profits institutions,
each collection’s supporting statement liability that will encourage HELP and State, Local, or Tribal Governments;
and associated materials (see Program enrollees to be discerning Number of Respondents: 1,458; Total
ADDRESSES).
health care purchasers, take personal Annual Responses: 1,458; Total Annual
CMS–10635 Montana Health and responsibility for their health care Hours: 497. (For policy questions
Economic Livelihood Partnership decisions and develop health-conscious regarding this collection contact Serge
(HELP) Federal Evaluation behaviors as consumers of health care King at 410–786–6052.)
services; (2) 12 month continuous
Under the PRA (44 U.S.C. 3501– Dated: October 18, 2016.
eligibility to improve continuity of care.
3520), federal agencies must obtain The State also seeks to demonstrate the William N. Parham, III,
approval from the Office of Management following over the life of the Director, Paperwork Reduction Staff, Office
and Budget (OMB) for each collection of demonstration: (1) Premiums will not of Strategic Operations and Regulatory
information they conduct or sponsor. Affairs.
pose a barrier to accessing care for HELP
The term ‘‘collection of information’’ is Program beneficiaries; (2) HELP [FR Doc. 2016–25547 Filed 10–20–16; 8:45 am]
defined in 44 U.S.C. 3502(3) and 5 CFR Program enrollees will exhibit health- BILLING CODE 4120–01–P
1320.3(c) and includes agency requests conscious health care behaviors without
or requirements that members of the harming beneficiary health; and (3) 12
public submit reports, keep records, or month continuous eligibility will DEPARTMENT OF HEALTH AND
provide information to a third party. promote continuity of coverage and HUMAN SERVICES
Section 3506(c)(2)(A) of the PRA reduce churning rates.
requires federal agencies to publish a Administration for Children and
The demonstration includes the
60-day notice in the Federal Register Families
authority to charge premiums of 2
concerning each proposed collection of percent of household income to
information, including each proposed [CFDA Number: 93.576]
individuals in the new adult group with
extension or reinstatement of an existing incomes between 50 and 133 percent of Announcement of the Award of 38
collection of information, before the FPL. The state will credit such Single-Source Low-Cost Extension
submitting the collection to OMB for individuals’ premium obligation Supplement Grants Under the Refugee
approval. To comply with this towards copayments due. Non-payment School Impact Grant Program
requirement, CMS is publishing this of premiums may result in
notice. disenrollment for individuals with AGENCY: Office of Refugee Resettlement
incomes above 100 percent of the FPL (ORR), Administration for Children and
Information Collection
after notice and a grace period. Families (ACF), U.S. Department of
1. Type of Information Collection Individuals at or below 100 percent who Health and Human Services (HHS).
Request: New collection (Request for a stop paying premiums will not be ACTION: Notice of award of 38 single-
new OMB control number); Title of disenrolled. source low-cost extension supplement
Information Collection: Montana Health To adequately inform CMS decision- grants under the Refugee School Impact
and Economic Livelihood Partnership making regarding Section 1115 Grant Program.
(HELP) Federal Evaluation; Use: CMS Demonstrations, this federal evaluation
approved the Montana Health and of Montana’s HELP demonstration SUMMARY: ACF, ORR announces the
Economic Livelihood Partnership includes surveys and associated focus award of 38 single-source low-cost
(HELP) demonstration in November groups, and informational interviews extension supplement grants for a total
2015. The demonstration provides conducted during site visits and via of 2,500,000 under the Refugee School
flexibility for the expanded Medicaid phone. Impact Grant Program.
State Grantee Amount
Alaska ....................................................... Catholic Social Services .............................................................................................. $25,736
Arizona ...................................................... Arizona Department of Social Security ........................................................................ 102,972
California ................................................... California Department of Social Services .................................................................... 171,426
Colorado ................................................... Colorado Department of Human Services ................................................................... 67,332
Connecticut ............................................... Connecticut Department of Social Services ................................................................ 25,736
Florida ....................................................... Florida Department of Children and Families .............................................................. 171,426
Georgia ..................................................... Georgia Department of Human Services ..................................................................... 108,709
Idaho ......................................................... Jannus Inc. ................................................................................................................... 32,098
Illinois ........................................................ Illinois Department of Human Services ....................................................................... 77,224
Indiana ...................................................... Indiana Division of Disability & Rehabilitation ............................................................. 49,713
Iowa .......................................................... Iowa Department of Human Services .......................................................................... 25,736
asabaliauskas on DSK3SPTVN1PROD with NOTICES
Kentucky ................................................... Catholic Charities of Louisville ..................................................................................... 67,784
Maine ........................................................ Maine Department of Health and Human Services ..................................................... 25,736
Maryland ................................................... Maryland Department of Human Resources ............................................................... 51,296
Massachusetts .......................................... Massachusetts Office for Refugees and Immigrants ................................................... 69,049
Michigan .................................................... Michigan Department of Human Services ................................................................... 116,658
Minnesota ................................................. Minnesota Department of Human Services ................................................................. 86,304
Missouri ..................................................... Missouri Department of Social Services ...................................................................... 42,081
Nebraska ................................................... Nebraska Dept. of Health and Human Services ......................................................... 30,969
Nevada ...................................................... Clark County School District ........................................................................................ 25,736
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Document Created: 2018-02-13 16:36:24
Document Modified: 2018-02-13 16:36:24
| Category | Regulatory Information | |
| Collection | Federal Register | |
| sudoc Class | AE 2.7: GS 4.107: AE 2.106: | |
| Publisher | Office of the Federal Register, National Archives and Records Administration | |
| Section | Notices | |
| Action | Notice. | |
| Dates | Comments must be received by December 20, 2016. | |
| Contact | Reports Clearance Office at (410) 786- 1326. | |
| FR Citation | 81 FR 72806 |
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