82 FR 11222 - Agency Information Collection Activities: Submission for OMB Review; Comment Request
DEPARTMENT OF HEALTH AND HUMAN SERVICES
Centers for Medicare & Medicaid Services Federal Register Volume 82, Issue 33 (February 21, 2017)
Centers for Medicare & Medicaid Services
Federal Register Volume 82, Issue 33 (February 21, 2017)
| Page Range | 11222-11224 | |
| FR Document | 2017-03369 |
[Federal Register Volume 82, Number 33 (Tuesday, February 21, 2017)] [Notices] [Pages 11222-11224] From the Federal Register Online [www.thefederalregister.org] [FR Doc No: 2017-03369] ======================================================================= ----------------------------------------------------------------------- DEPARTMENT OF HEALTH AND HUMAN SERVICES Centers for Medicare & Medicaid Services [Document Identifiers: CMS-10487, CMS-R-71, CMS-10171, CMS-10260, CMS- 10275, CMS-10396, and CMS-R-266] Agency Information Collection Activities: Submission for OMB Review; 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 (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 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 on the collection(s) of information must be received by the OMB desk officer by March 23, 2017. 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: Extension of a previously approved collection; Title of Information Collection: Medicaid Emergency Psychiatric Demonstration (MEPD) Evaluation; Use: Since the inception of Medicaid, inpatient care provided to adults ages 21 to 64 in institutions for mental disease (IMDs) has been excluded from federal matching funds. The Emergency Medical Treatment and Active Labor Act (EMTALA), however, requires IMDs that participate in Medicare to provide treatment for psychiatric emergency medical conditions (EMCs), even for Medicaid patients for whose services cannot be reimbursed. Section 2707 of the Affordable Care Act (ACA) directs the Secretary of Health and Human Services to conduct and evaluate a demonstration project to determine the impact of providing payment under Medicaid for inpatient services provided by private IMDs to individuals with emergency psychiatric conditions between the ages of 21 and 64. We will use the data to evaluate the Medicaid Emergency Psychiatric Demonstration (MEPD) in accordance with the ACA mandates. This evaluation in turn will be used by Congress to determine whether to continue or expand the demonstration. If the decision is made to expand the demonstration, the data collected will help to inform both CMS and its stakeholders about possible effects of contextual factors and important procedural issues to consider in the expansion, as well as the likelihood of various outcomes. Form Number: CMS-10487 (OMB control number: 0938-NEW); Frequency: Annually; Affected Public: Individuals and households; State, Local and Tribal governments; Business and other for-profits and Not-for-profits; Number of Respondents: 93; Total Annual Responses: 1,944; Total Annual Hours: 2,046. (For policy questions regarding this collection contact Vetisha McClair at 410-786-4923.) 2. Type of Information Collection Request: Extension of a previously approved collection; Title of Information Collection: Quality Improvement Organization (QIO) Assumption of Responsibilities and Supporting Regulations; Use: The Peer Review Improvement Act of 1982 amended Title XI of the Social Security Act to create the Utilization and Quality Control Peer Review Organization (PRO) program which replaces the Professional Standards Review Organization (PSRO) program and streamlines peer review activities. The term PRO has been renamed Quality Improvement [[Page 11223]] Organization (QIO). This information collection describes the review functions to be performed by the QIO. It outlines relationships among QIOs, providers, practitioners, beneficiaries, intermediaries, and carriers. Form Number: CMS-R-71 (OMB Control Number: 0938-0445); Frequency: Yearly; Affected Public: Business or other for-profit and Not-for-profit institutions; Number of Respondents: 6,939; Total Annual Responses: 489,750; Total Annual Hours: 1,479,346. (For policy questions regarding this collection contact Tennille Coombs at 410-786- 3472.) 3. Type of Information Collection Request: Extension of a currently approved collection; Title of Information Collection: Collecting Benefit Coordination Data; Use: This collection of information request coordinates Part D plan prescription drug coverage with other prescription drug coverage. The collected information will assist CMS, Part D plans and other payers with coordination of prescription drug benefits at the point-of-sale and tracking of the beneficiary's True out-of-pocket (TrOOP) expenditures using the Part D Transaction Facilitator (PDTF). Form Number: CMS-10171 (OMB control number: 0938- 0978); Frequency: Yearly and occasionally; Affected Public: Business or other for-profits; Number of Respondents: 62,438; Total Annual Responses: 891,777,634; Total Annual Hours: 5,201,718. (For policy questions regarding this collection contact Shelly Winston at 410-786- 3694.) 4. Type of Information Collection Request: Revision of a currently approved collection; Title of Information Collection: Medicare Advantage and Prescription Drug Program: Final Marketing Provisions in 42 CFR 422.111(a)(3) and 423.128(a)(3); Use: We require that Medicare Advantage (MA) organizations and Part D sponsors use standardized documents to satisfy disclosure requirements mandated by section 1851(d)(3)(A) of the Social Security Act (Act) and 42 CFR 422.111(b) for MA organizations, and section 1860D-1(c) of the Act and 42 CFR 423.128(a)(3) for Part D sponsors. The regulatory provisions require that MA organizations and Part D sponsors disclose plan information, including: Service area, benefits, access, grievance and appeals procedures, and quality improvement and quality assurance requirements by September 30th of each year. The MA organizations and Part D sponsors use the information to comply with the disclosure requirements. We will use the approved standardized documents to ensure that correct information is disclosed to current and potential enrollees. For 2017, CMS has a total of nine standardized ANOC/EOC documents: Health Maintenance Organization, Cost, Dual Eligible Special Needs, Medicare Medical Savings Account, Private-Fee-For-Service, Preferred Provider Organizations, Preferred Provider Organization with Prescription Drugs, Health Maintenance Organization with Prescription Drug, and Prescription Drug. These standardized documents will be used by MA organizations and Part D sponsors for the 2018 contract year. In revising the standardized ANOC/EOCs for contract year 2018, we did not add to or remove any section from the prior contract year ANOC/ EOC models. MA organizations and Part D sponsors are still required to use the standardized language in the ANOC/EOC models and to send this document to current members at least 15 days prior to the start of the annual enrollment period or by September 30, 2017 for the 2018 enrollment season, based on 42 CFR 422.111(a) (3) and 423.128(a)(3). Form Number: CMS-10260 (OMB control number: 0938-1051); Frequency: Yearly; Affected Public: Private sector (Business or other for- profits); Number of Respondents: 805; Total Annual Responses: 805; Total Annual Hours: 9,660. (For policy questions regarding this collection contact Gladys Valentin at 410-786-1620.) 5. Type of Information Collection Request: Revision of a currently approved collection; Title of Information Collection: CAHPS Home Health Care Survey; Use: The national implementation of the Home Health Care Consumer Assessment of Healthcare Providers and Systems (CAHPS[supreg]) Survey is designed to collect ongoing data from samples of home health care patients who receive skilled services from Medicare-certified home health agencies. The data collected from the national implementation of the Home Health Care CAHPS Survey will be used for the following purposes: (1) To produce comparable data on the patients' perspectives of the care they receive from home health agencies, (2) to create incentives for agencies to improve the quality of care they provide through public reporting of survey results, and (3) to enhance public accountability in health care by increasing the transparency of the quality of care provided in return for the public investment. Sampling and data collection will be conducted on a monthly basis. Survey results will be analyzed and reported on a quarterly basis, with publicly reported results based on one year's worth of data. As part of this information collection request for the national implementation of Home Health Care CAHPS, CMS is also requesting approval to conduct a randomized mode experiment with a sample of home health agencies. The mode experiment compared the responses to the survey across the three proposed modes to determine whether adjustments are needed to ensure that the data collection mode does not influence the survey results. In addition, data from the mode experiment will be used to determine which, if any, patient characteristics may affect the patients' rating of the care they receive and, if so, develop an adjustment model of those data based on those factors. CMS worked with RTI, the federal contractor to recruit approximately 100 home health agencies to participate in the mode experiment. The mode experiment included approximately 23,000 home health care patients. Form Number: CMS-10275 (OMB control number: 0938-1066); Frequency: Quarterly; Affected Public: Individuals and households, Business or other for- profit and Not-for-profit institutions; Number of Respondents: 2,715,890; Total Annual Responses: 2,715,890; Total Annual Hours: 699,440. (For policy questions regarding this collection contact Lori Teichman at 410-786-6684.) 6. Type of Information Collection Request: Extension of a currently approved collection; Title of Information Collection: Medication Therapy Management Program Improvements; Use: Information collected by Part D medication therapy management programs (as required by the standardized format for the comprehensive medication review summary) will be used by beneficiaries or their authorized representatives, caregivers, and their healthcare providers to improve medication use and achieve better healthcare outcomes. Form Number: CMS-10396 (OMB control number 0938-1154); Frequency: Occasionally; Affected Public: Business or other for-profits; Number of Respondents: 599; Total Annual Responses: 1,211,661; Total Annual Hours: 807,451. (For policy questions regarding this collection contact Victoria Dang at 410-786- 3991.) 7. Type of Information Collection Request: Extension of a currently approved collection; Title of Information Collection: Medicaid Disproportionate Share Hospital (DSH) Annual Reporting Requirements; Use: States are required to submit an annual report that identifies each [[Page 11224]] disproportionate share hospital (DSH) that received a DSH payment under the state's Medicaid program in the preceding fiscal year and the amount of DSH payments paid to that hospital in the same year along with other information that the Secretary determines necessary to ensure the appropriateness of DSH payments; Form Number: CMS-R-266 (OMB control number: 0938-0746); Frequency: Yearly; Affected Public: State, Local, or Tribal Governments; Number of Respondents: 51; Total Annual Responses: 51; Total Annual Hours: 2,142. (For policy questions regarding this collection contact Robert Lane at 410-786-2015.) Dated: February 15, 2017. William N. Parham, III, Director, Paperwork Reduction Staff, Office of Strategic Operations and Regulatory Affairs. [FR Doc. 2017-03369 Filed 2-17-17; 8:45 am] BILLING CODE 4120-01-P
![11222 Federal Register / Vol. 82, No. 33 / Tuesday, February 21, 2017 / Notices
Unless otherwise noted, comments utility of the proposed information 1. Type of Information Collection
regarding the applications must be collection for the proper performance of Request: Extension of a previously
received at the Reserve Bank indicated the agency’s functions, the accuracy of approved collection; Title of
or the offices of the Board of Governors the estimated burden, ways to enhance Information Collection: Medicaid
not later than March 7, 2017. the quality, utility, and clarity of the Emergency Psychiatric Demonstration
A. Federal Reserve Bank of information to be collected and the use (MEPD) Evaluation; Use: Since the
Philadelphia (William Spaniel, Senior of automated collection techniques or inception of Medicaid, inpatient care
Vice President) 100 North 6th Street, other forms of information technology to provided to adults ages 21 to 64 in
Philadelphia, Pennsylvania 19105– minimize the information collection institutions for mental disease (IMDs)
1521. Comments can also be sent burden. has been excluded from federal
electronically to DATES: Comments on the collection(s) of matching funds. The Emergency
Comments.applications@phil.frb.org: information must be received by the Medical Treatment and Active Labor
1. The Toronto-Dominion Bank, OMB desk officer by March 23, 2017. Act (EMTALA), however, requires IMDs
Toronto, Ontario, Canada, and its ADDRESSES: When commenting on the that participate in Medicare to provide
wholly owned subsidiaries, TD Group proposed information collections, treatment for psychiatric emergency
US Holdings, LLC, Wilmington, please reference the document identifier medical conditions (EMCs), even for
Delaware; TD Bank US Holding or OMB control number. To be assured Medicaid patients for whose services
Company, Cherry Hill, New Jersey; and consideration, comments and cannot be reimbursed. Section 2707 of
TD Bank N.A., Wilmington, Delaware; recommendations must be received by the Affordable Care Act (ACA) directs
to acquire Scottrade Financial Services, the OMB desk officer via one of the the Secretary of Health and Human
Inc., St. Louis, Missouri, a savings and following transmissions: OMB, Office of Services to conduct and evaluate a
loan holding company, and to merge Information and Regulatory Affairs, demonstration project to determine the
Scottrade Bank, St. Louis, Missouri, a Attention: CMS Desk Officer, Fax impact of providing payment under
federal savings association, into TD Number: (202) 395–5806 or, Email: Medicaid for inpatient services
Bank N.A. OIRA_submission@omb.eop.gov. provided by private IMDs to individuals
Board of Governors of the Federal Reserve To obtain copies of a supporting with emergency psychiatric conditions
System, February 14, 2017. statement and any related forms for the between the ages of 21 and 64. We will
Yao-Chin Chao, proposed collection(s) summarized in use the data to evaluate the Medicaid
Assistant Secretary of the Board. this notice, you may make your request Emergency Psychiatric Demonstration
using one of following: (MEPD) in accordance with the ACA
[FR Doc. 2017–03258 Filed 2–17–17; 8:45 am]
1. Access CMS’ Web site address at mandates. This evaluation in turn will
BILLING CODE 6210–01–P
http://www.cms.hhs.gov/ be used by Congress to determine
PaperworkReductionActof1995. whether to continue or expand the
2. Email your request, including your demonstration. If the decision is made
DEPARTMENT OF HEALTH AND address, phone number, OMB number, to expand the demonstration, the data
HUMAN SERVICES and CMS document identifier, to collected will help to inform both CMS
Paperwork@cms.hhs.gov. and its stakeholders about possible
Centers for Medicare & Medicaid 3. Call the Reports Clearance Office at effects of contextual factors and
Services (410) 786–1326. important procedural issues to consider
[Document Identifiers: CMS–10487, CMS– FOR FURTHER INFORMATION CONTACT: in the expansion, as well as the
R–71, CMS–10171, CMS–10260, CMS–10275, Reports Clearance Office at (410) 786– likelihood of various outcomes. Form
CMS–10396, and CMS–R–266] 1326. Number: CMS–10487 (OMB control
SUPPLEMENTARY INFORMATION: Under the number: 0938–NEW); Frequency:
Agency Information Collection Annually; Affected Public: Individuals
Paperwork Reduction Act of 1995 (PRA)
Activities: Submission for OMB and households; State, Local and Tribal
(44 U.S.C. 3501–3520), federal agencies
Review; Comment Request governments; Business and other for-
must obtain approval from the Office of
AGENCY: Centers for Medicare & Management and Budget (OMB) for each profits and Not-for-profits; Number of
Medicaid Services, HHS. collection of information they conduct Respondents: 93; Total Annual
or sponsor. The term ‘‘collection of Responses: 1,944; Total Annual Hours:
ACTION: Notice.
information’’ is defined in 44 U.S.C. 2,046. (For policy questions regarding
SUMMARY: The Centers for Medicare & 3502(3) and 5 CFR 1320.3(c) and this collection contact Vetisha McClair
Medicaid Services (CMS) is announcing includes agency requests or at 410–786–4923.)
an opportunity for the public to requirements that members of the public 2. Type of Information Collection
comment on CMS’ intention to collect submit reports, keep records, or provide Request: Extension of a previously
information from the public. Under the information to a third party. Section approved collection; Title of
Paperwork Reduction Act of 1995 3506(c)(2)(A) of the PRA (44 U.S.C. Information Collection: Quality
(PRA), federal agencies are required to 3506(c)(2)(A)) requires federal agencies Improvement Organization (QIO)
publish notice in the Federal Register to publish a 30-day notice in the Assumption of Responsibilities and
concerning each proposed collection of Federal Register concerning each Supporting Regulations; Use: The Peer
information, including each proposed proposed collection of information, Review Improvement Act of 1982
extension or reinstatement of an existing including each proposed extension or amended Title XI of the Social Security
sradovich on DSK3GMQ082PROD with NOTICES
collection of information, and to allow reinstatement of an existing collection Act to create the Utilization and Quality
a second opportunity for public of information, before submitting the Control Peer Review Organization (PRO)
comment on the notice. Interested collection to OMB for approval. To program which replaces the Professional
persons are invited to send comments comply with this requirement, CMS is Standards Review Organization (PSRO)
regarding the burden estimate or any publishing this notice that summarizes program and streamlines peer review
other aspect of this collection of the following proposed collection(s) of activities. The term PRO has been
information, including the necessity and information for public comment: renamed Quality Improvement
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![11224 Federal Register / Vol. 82, No. 33 / Tuesday, February 21, 2017 / Notices
disproportionate share hospital (DSH) DATES: Comments must be received by requires federal agencies to publish a
that received a DSH payment under the April 24, 2017. 60-day notice in the Federal Register
state’s Medicaid program in the ADDRESSES: When commenting, please concerning each proposed collection of
preceding fiscal year and the amount of reference the document identifier or information, including each proposed
DSH payments paid to that hospital in OMB control number. To be assured extension or reinstatement of an existing
the same year along with other consideration, comments and collection of information, before
information that the Secretary recommendations must be submitted in submitting the collection to OMB for
determines necessary to ensure the any one of the following ways: approval. To comply with this
appropriateness of DSH payments; Form 1. Electronically. You may send your requirement, CMS is publishing this
Number: CMS–R–266 (OMB control comments electronically to http:// notice.
number: 0938–0746); Frequency: Yearly; www.regulations.gov. Follow the
Affected Public: State, Local, or Tribal Information Collection
instructions for ‘‘Comment or
Governments; Number of Respondents: Submission’’ or ‘‘More Search Options’’ 1. Type of Information Collection
51; Total Annual Responses: 51; Total to find the information collection Request: Revision of a currently
Annual Hours: 2,142. (For policy document(s) that are accepting approved collection; Title of
questions regarding this collection comments. Information Collection: Generic
contact Robert Lane at 410–786–2015.) 2. By regular mail. You may mail Clearance for Medicaid and CHIP State
Dated: February 15, 2017. written comments to the following Plan, Waiver, and Program Submissions;
William N. Parham, III, address: CMS, Office of Strategic Use: State Medicaid and CHIP agencies
Operations and Regulatory Affairs, are responsible for developing
Director, Paperwork Reduction Staff, Office
of Strategic Operations and Regulatory Division of Regulations Development, submissions to CMS, including state
Affairs. Attention: Document Identifier/OMB plan amendments and requests for
[FR Doc. 2017–03369 Filed 2–17–17; 8:45 am] Control Number lll, Room C4–26– waivers and program demonstrations.
BILLING CODE 4120–01–P 05, 7500 Security Boulevard, Baltimore, States use templates when they are
Maryland 21244–1850. available and submit the forms to
To obtain copies of a supporting review for consistency with statutory
DEPARTMENT OF HEALTH AND statement and any related forms for the and regulatory requirements (or in the
HUMAN SERVICES proposed collection(s) summarized in case of waivers and demonstrations
this notice, you may make your request whether the proposal is likely to
Centers for Medicare & Medicaid using one of following: promote the objectives of the Medicaid
Services 1. Access CMS’ Web site address at program). If the requirements are met,
[Document Identifier: CMS–10398] http://www.cms.hhs.gov/ we approve the states’ submissions
PaperworkReductionActof1995. giving them the authority to implement
Agency Information Collection 2. Email your request, including your the flexibilities. For a state to receive
Activities: Proposed Collection; address, phone number, OMB number, Medicaid Title XIX funding, there must
Comment Request and CMS document identifier, to be an approved Title XIX state plan.
Paperwork@cms.hhs.gov. The development of streamlined
AGENCY: Centers for Medicare & 3. Call the Reports Clearance Office at submissions forms enhances the
Medicaid Services, Department of (410) 786–1326. collaboration and partnership between
Health and Human Services. states and CMS by documenting our
FOR FURTHER INFORMATION CONTACT:
ACTION: Notice. policy for states to use as they are
Reports Clearance Office at (410) 786–
1326. developing program changes.
SUMMARY: The Centers for Medicare &
Streamlined forms improve efficiency of
Medicaid Services (CMS) is announcing SUPPLEMENTARY INFORMATION: administration by creating a common
an opportunity for the public to
Contents and user-friendly understanding of the
comment on CMS’ intention to collect
information we need to quickly process
information from the public. Under the This notice sets out a summary of the requests for state plan amendments,
Paperwork Reduction Act of 1995 (the use and burden associated with the
PRA), federal agencies are required to waivers, and demonstration, as well as
following information collections. More ongoing reporting.
publish notice in the Federal Register detailed information can be found in Form Number: CMS–10398 (OMB
concerning each proposed collection of each collection’s supporting statement control number: 0938–1148); Frequency:
information (including each proposed and associated materials (see Collection-specific, but generally the
extension or reinstatement of an existing ADDRESSES). frequency is yearly, once, and
collection of information) and to allow
CMS–10398 Reconciliation of State occasionally; Affected Public: State,
60 days for public comment on the
Invoice and Prior Quarter Adjustment Local, or Tribal Governments; Number
proposed action. Interested persons are
Statement of Respondents: 56; Total Responses:
invited to send comments regarding our
1,540 (3-year total); Total Hours:
burden estimates or any other aspect of Under the PRA (44 U.S.C. 3501–
214,584 (3-year total). (For policy
this collection of information, including 3520), federal agencies must obtain
questions regarding this collection
the necessity and utility of the proposed approval from the Office of Management
contact Annette Pearson at 410–786–
information collection for the proper and Budget (OMB) for each collection of
6858.)
performance of the agency’s functions, information they conduct or sponsor.
sradovich on DSK3GMQ082PROD with NOTICES
the accuracy of the estimated burden, The term ‘‘collection of information’’ is Dated: February 15, 2017.
ways to enhance the quality, utility, and defined in 44 U.S.C. 3502(3) and 5 CFR William N. Parham, III,
clarity of the information to be 1320.3(c) and includes agency requests Director, Paperwork Reduction Staff, Office
collected, and the use of automated or requirements that members of the of Strategic Operations and Regulatory
collection techniques or other forms of public submit reports, keep records, or Affairs.
information technology to minimize the provide information to a third party. [FR Doc. 2017–03370 Filed 2–17–17; 8:45 am]
information collection burden. Section 3506(c)(2)(A) of the PRA BILLING CODE 4120–01–P
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Document Created: 2018-02-01 15:04:22
Document Modified: 2018-02-01 15:04:22
| 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 on the collection(s) of information must be received by the OMB desk officer by March 23, 2017. | |
| Contact | Reports Clearance Office at (410) 786- 1326. | |
| FR Citation | 82 FR 11222 |
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