82 FR 2366 - Request for Information
DEPARTMENT OF HEALTH AND HUMAN SERVICES
Administration for Children and Families Federal Register Volume 82, Issue 5 (January 9, 2017)
Administration for Children and Families
Federal Register Volume 82, Issue 5 (January 9, 2017)
| Page Range | 2366-2367 | |
| FR Document | 2017-00111 |
[Federal Register Volume 82, Number 5 (Monday, January 9, 2017)] [Notices] [Pages 2366-2367] From the Federal Register Online [www.thefederalregister.org] [FR Doc No: 2017-00111] ----------------------------------------------------------------------- DEPARTMENT OF HEALTH AND HUMAN SERVICES Administration for Children and Families Request for Information AGENCY: Administration for Children and Families (ACF), Department of Health and Human Services (HHS). ACTION: Request for information (RFI). ----------------------------------------------------------------------- SUMMARY: This Request for Information (RFI) seeks recommendations for future work with and on behalf of American Indian and Alaska Native (AI/AN) leadership, tribes, tribal organizations, and populations in accord with ACF's vision of ``children, youth, families, individuals, and communities who are resilient, safe, healthy, and economically secure.'' DATES: Submit responses by March 10, 2017. ADDRESSES: Written comments may be submitted through any of the methods specified below. However, electronic submission is preferred. Please do not submit duplicate comments. [ssquf] Electronic submission through https://www.regulations.gov portal. Follow the instructions for submitting electronic comments. Attachments, if any, should be in Microsoft Word or Microsoft Excel. You can find this RFI by typing ACF-2016-0002 in the Search window. Then click on the ``Comment Now!'' button on the Search Results page. This will open up a Comment form where you can enter your comment on the form, attach files (up to 10MB each), as well as your personal information, when applicable. Be sure to complete all required fields. Please note that information entered on the web form may be viewable publicly. Once you reach the ``Your Preview'' screen, the information that will be viewable publicly is displayed directly on the form under the section titled: ``This information will appear on Regulations.gov.'' To complete your comment, you must first agree to the disclaimer and check the box. This will enable the ``Submit Comment'' button. Upon completion, you will receive a Comment Tracking Number for your comment. To learn more about comment submission, visit the Submit a Comment section of the ``How to Use Regulations.gov'' pages. [ssquf] Electronic submission through email to [email protected]. All comments received before the close of the comment period will be available for public inspection, including any information that is included in a comment. All electronically submitted comments posted through the https://www.regulations.gov portal received before the end of the comment period will be available at http://www.regulations.gov. FOR FURTHER INFORMATION CONTACT: Camille Loya, Director, Division of Policy, Administration for Native Americans, [email protected], 202-401-5964. SUPPLEMENTARY INFORMATION: I. Background information Executive Order 13175, dated November 6, 2000, established policymaking criteria applicable to federal agencies, to the extent permitted by law, when formulating and implementing policies that have tribal implications, including special requirements for legislative proposals and consultation. Subsequently, President Obama issued a Presidential Memorandum on Tribal Consultation, dated November 5, 2009, affirming that ``meaningful dialogue between Federal officials and tribal officials has greatly improved Federal policy toward Indian [[Page 2367]] tribes.'' Finally, ACF recently issued the ACF Principles for Working with Federally Recognized Indian Tribes, effective October 20, 2016, that affirmed ACF's commitment to receive input from elected tribal representatives as well as ``to otherwise ensure human services coordination around issues affecting AI/AN populations.'' Consistent with the above affirmative statements of the value of feedback from AI/AN partners and stakeholders, ACF is requesting information from AI/AN tribes, tribal organizations, and stakeholders (including grantees). The purpose is to identify issues and challenges facing AI/AN populations as well as to inform ACF of tribes' and tribal organizations' recommendations, promising practices, and innovations to address the needs of AI/AN children, youth, families, and communities. This information may, in turn, be used by ACF in the development of future rulemaking and technical assistance, formation of legislative proposals and research agendas, and strategic planning in consultation with tribes. II. Request for Information As President Obama stated in his Presidential Proclamation-- National Native American Heritage Month (2016): Let us continue to build on the advancements we have made, because enduring progress will depend on our dedication to honoring our trust and treaty responsibilities. With sustained effort and unwavering optimism, we can ensure a vibrant and resilient Indian Country filled with possibility and prosperity. In this RFI, we seek feedback and recommendations related to how ACF partners with tribes and how to make progress in the future. The following questions are not exhaustive, and we encourage commenters to provide any additional information they believe relevant to ACF's work with and on behalf of American Indians and Alaska Natives. You may provide general comments, respond to all questions posed in section II of this RFI, or respond to one or more questions. If you respond to any of the questions in section II, please identify the number that corresponds to the question(s) you are responding to. Include our agency name and the docket number on all submissions. Please do not include confidential information, or otherwise sensitive or protected information with your responses. (1) Are there challenges to AI/AN tribes and tribal organizations posed by non-federal match or cost sharing requirements in any applicable ACF programs? Please be specific as to the program or programs you are referring to as well as provide as much detail as possible in describing challenges or difficulties posed and any specific recommendations you wish to provide. (2) Are there challenges to AI/AN tribes and tribal organizations posed by administrative cost caps required under some ACF grant programs? Please be specific as to the program or programs you are referring to as well as provide as much detail as possible in describing challenges or difficulties posed and any specific recommendations you wish to provide. (3) Are there instances for which you believe waiver authority, additional waiver authority allowed under block grants, would benefit tribes under any ACF programs? Please be specific as to the program or programs you are referring to as well as provide as much detail as possible in describing challenges or difficulties posed and any specific recommendations you wish to provide. (4) For ACF programs that currently have waiver authority for tribes, do you recommend ACF streamline the processes under which AI/AN tribes and tribal organizations apply for or request waivers of statutory or regulatory requirements across ACF grant programs? Please be specific as to the program or programs you are referring to as well as provide as much detail as possible in describing where you believe additional streamlining is needed, along with any specific recommendations you wish to provide. (5) Are there regulatory or administrative barriers that present challenges to AI/AN tribes and tribal organizations in the implementation of ACF grant programs? Please be specific about what those regulatory or administrative barriers are as well as recommendations for addressing them. (6) Can you identify practices, policies, and procedures in ACF or elsewhere that are particularly effective in meeting the needs of AI/AN tribes, tribal organizations, families, and communities? Please be specific as to the program or programs you are referring to as well as provide as much detail as possible in describing effective and responsive practices, policies, and procedures. (7) Related to data, what would you recommend ACF either collect (if it does not already) or analyze that would be most useful to inform our work with AI/AN tribes and tribal organizations? Please be specific and provide as much detail as possible. (8) Do you have recommendations for how ACF could better share data related to AI/AN grantee program performance, outcomes, and sustainability? Please be specific, including recommended use of technological or other means of data sharing. (9) Are there elements of the application process that could potentially discourage AI/AN tribes or organizations from applying for ACF grants? If so, please specify what those elements are and explain why those elements could potentially discourage prospective AI/AN applicants and any recommendations for addressing such barriers. III. Response to Comments Because of the large number of public comments we normally receive, we are not able to acknowledge or respond to them individually. However, comments will be accepted on this RFI through https:// www.Regulations.gov where you will be able to track your own comments and view other comments we receive. Dated: January 3, 2017. Mark H. Greenberg Acting Assistant Secretary for Children and Families. Dated: January 3, 2017. Stacey Ecoffey, Acting Deputy Assistant Secretary for Native American Affairs and Acting Commissioner Administration for Native Americans. [FR Doc. 2017-00111 Filed 1-6-17; 8:45 am] BILLING CODE 4184-01-P
![2366 Federal Register / Vol. 82, No. 5 / Monday, January 9, 2017 / Notices
benefits of available regulatory Section 202 of the Unfunded D Electronic submission through
alternatives and, if regulation is Mandates Reform Act of 1995 also https://www.regulations.gov portal.
necessary, to select regulatory requires that agencies assess anticipated Follow the instructions for submitting
approaches that maximize net benefits costs and benefits before issuing any electronic comments. Attachments, if
(including potential economic, regulatory action whose mandates any, should be in Microsoft Word or
environmental, public health, and safety require spending in any 1 year of $100 Microsoft Excel. You can find this RFI
effects, distributive impacts, and million in 1995 dollars, updated by typing ACF–2016–0002 in the Search
equity). A regulatory impact analysis annually for inflation. In 2016, that window. Then click on the ‘‘Comment
(RIA) must be prepared for major threshold is approximately $146 Now!’’ button on the Search Results
regulatory actions with economically million. This document will have no page. This will open up a Comment
significant effects ($100 million or more consequential effect on state, local, or form where you can enter your
in any 1 year). This document will tribal governments or on the private comment on the form, attach files (up to
prevent the enrollment of new home sector. 10MB each), as well as your personal
health providers and Part B non- Executive Order 13132 establishes information, when applicable. Be sure
emergency ground ambulance suppliers certain requirements that an agency to complete all required fields. Please
in Medicare, Medicaid, and CHIP in must meet when it promulgates a note that information entered on the
certain states. Though savings may proposed regulatory action (and web form may be viewable publicly.
accrue by denying enrollments, the subsequent final action) that imposes Once you reach the ‘‘Your Preview’’
monetary amount cannot be quantified. substantial direct requirement costs on screen, the information that will be
Since the imposition of the initial state and local governments, preempts viewable publicly is displayed directly
moratoria on July 31, 2013, 1,147 HHAs state law, or otherwise has Federalism on the form under the section titled:
and 19 ambulance companies in all implications. Because this document ‘‘This information will appear on
geographic areas affected by the does not impose any costs on state or Regulations.gov.’’ To complete your
moratoria had their applications denied. local governments, the requirements of comment, you must first agree to the
We have found the number of Executive Order 13132 are not disclaimer and check the box. This will
applications that are denied after 60 applicable. enable the ‘‘Submit Comment’’ button.
days declines dramatically, as most In accordance with the provisions of Upon completion, you will receive a
providers and suppliers will not submit Executive Order 12866, this document Comment Tracking Number for your
applications during the moratoria was reviewed by the Office of comment. To learn more about comment
period. Therefore, this document does Management and Budget. submission, visit the Submit a Comment
not reach the economic threshold, and section of the ‘‘How to Use
thus is not considered a major action. Dated: December 28, 2016.
Regulations.gov’’ pages.
The RFA requires agencies to analyze Andrew M. Slavitt,
D Electronic submission through email
options for regulatory relief of small Acting Administrator, Centers for Medicare to ANAComments@acf.hhs.gov.
entities. For purposes of the RFA, small & Medicaid Services. All comments received before the
entities include small businesses, [FR Doc. 2016–32007 Filed 1–6–17; 8:45 am] close of the comment period will be
nonprofit organizations, and small BILLING CODE 4120–01–P available for public inspection,
governmental jurisdictions. Most including any information that is
hospitals and most other providers and included in a comment. All
suppliers are small entities, either by DEPARTMENT OF HEALTH AND electronically submitted comments
nonprofit status or by having revenues HUMAN SERVICES posted through the https://
of less than $7.5 million to $38.5 www.regulations.gov portal received
million in any one year. Individuals and Administration for Children and
Families before the end of the comment period
states are not included in the definition will be available at http://
of a small entity. CMS is not preparing www.regulations.gov.
an analysis for the RFA because it has Request for Information
determined, and the Secretary certifies, FOR FURTHER INFORMATION CONTACT:
AGENCY: Administration for Children
that this document will not have a Camille Loya, Director, Division of
and Families (ACF), Department of
significant economic impact on a Policy, Administration for Native
Health and Human Services (HHS).
substantial number of small entities. Americans, Camille.Loya@acf.hhs.gov,
ACTION: Request for information (RFI). 202–401–5964.
In addition, section 1102(b) of the Act
requires us to prepare a regulatory SUMMARY: This Request for Information SUPPLEMENTARY INFORMATION:
impact analysis if an action may have a (RFI) seeks recommendations for future I. Background information
significant impact on the operations of work with and on behalf of American
a substantial number of small rural Executive Order 13175, dated
Indian and Alaska Native (AI/AN)
hospitals. This analysis must conform to November 6, 2000, established
leadership, tribes, tribal organizations,
the provisions of section 604 of the policymaking criteria applicable to
and populations in accord with ACF’s
RFA. For purposes of section 1102(b) of federal agencies, to the extent permitted
vision of ‘‘children, youth, families,
the Act, CMS defines a small rural by law, when formulating and
individuals, and communities who are
hospital as a hospital that is located implementing policies that have tribal
resilient, safe, healthy, and
outside of a metropolitan statistical area implications, including special
economically secure.’’
requirements for legislative proposals
sradovich on DSK3GMQ082PROD with NOTICES
(MSA) for Medicare payment purposes
and has fewer than 100 beds. CMS is not DATES: Submit responses by March 10, and consultation. Subsequently,
preparing an analysis for section 1102(b) 2017. President Obama issued a Presidential
of the Act because it has determined, ADDRESSES: Written comments may be Memorandum on Tribal Consultation,
and the Secretary certifies, that this submitted through any of the methods dated November 5, 2009, affirming that
document will not have a significant specified below. However, electronic ‘‘meaningful dialogue between Federal
impact on the operations of a substantial submission is preferred. Please do not officials and tribal officials has greatly
number of small rural hospitals. submit duplicate comments. improved Federal policy toward Indian
VerDate Sep<11>2014 21:14 Jan 06, 2017 Jkt 241001 PO 00000 Frm 00058 Fmt 4703 Sfmt 4703 E:\FR\FM\09JAN1.SGM 09JAN1](https://thefederalregister.org/doc/82_FR_2371/page/1.svg)
![Federal Register / Vol. 82, No. 5 / Monday, January 9, 2017 / Notices 2367
tribes.’’ Finally, ACF recently issued the as well as provide as much detail as specific, including recommended use of
ACF Principles for Working with possible in describing challenges or technological or other means of data
Federally Recognized Indian Tribes, difficulties posed and any specific sharing.
effective October 20, 2016, that affirmed recommendations you wish to provide. (9) Are there elements of the
ACF’s commitment to receive input (2) Are there challenges to AI/AN application process that could
from elected tribal representatives as tribes and tribal organizations posed by potentially discourage AI/AN tribes or
well as ‘‘to otherwise ensure human administrative cost caps required under organizations from applying for ACF
services coordination around issues some ACF grant programs? Please be grants? If so, please specify what those
affecting AI/AN populations.’’ specific as to the program or programs elements are and explain why those
Consistent with the above affirmative you are referring to as well as provide elements could potentially discourage
statements of the value of feedback from as much detail as possible in describing prospective AI/AN applicants and any
AI/AN partners and stakeholders, ACF challenges or difficulties posed and any recommendations for addressing such
is requesting information from AI/AN specific recommendations you wish to barriers.
tribes, tribal organizations, and provide.
stakeholders (including grantees). The (3) Are there instances for which you III. Response to Comments
purpose is to identify issues and believe waiver authority, additional Because of the large number of public
challenges facing AI/AN populations as waiver authority allowed under block comments we normally receive, we are
well as to inform ACF of tribes’ and grants, would benefit tribes under any not able to acknowledge or respond to
tribal organizations’ recommendations, ACF programs? Please be specific as to them individually. However, comments
promising practices, and innovations to the program or programs you are will be accepted on this RFI through
address the needs of AI/AN children, referring to as well as provide as much https://www.Regulations.gov where you
youth, families, and communities. This detail as possible in describing will be able to track your own
information may, in turn, be used by challenges or difficulties posed and any comments and view other comments we
ACF in the development of future specific recommendations you wish to receive.
rulemaking and technical assistance, provide.
(4) For ACF programs that currently Dated: January 3, 2017.
formation of legislative proposals and
have waiver authority for tribes, do you Mark H. Greenberg
research agendas, and strategic planning
in consultation with tribes. recommend ACF streamline the Acting Assistant Secretary for Children and
processes under which AI/AN tribes Families.
II. Request for Information and tribal organizations apply for or Dated: January 3, 2017.
As President Obama stated in his request waivers of statutory or Stacey Ecoffey,
Presidential Proclamation—National regulatory requirements across ACF Acting Deputy Assistant Secretary for Native
Native American Heritage Month (2016): grant programs? Please be specific as to American Affairs and Acting Commissioner
the program or programs you are Administration for Native Americans.
Let us continue to build on the
advancements we have made, because referring to as well as provide as much [FR Doc. 2017–00111 Filed 1–6–17; 8:45 am]
enduring progress will depend on our detail as possible in describing where BILLING CODE 4184–01–P
dedication to honoring our trust and treaty you believe additional streamlining is
responsibilities. With sustained effort and needed, along with any specific
unwavering optimism, we can ensure a recommendations you wish to provide. DEPARTMENT OF HEALTH AND
vibrant and resilient Indian Country filled (5) Are there regulatory or HUMAN SERVICES
with possibility and prosperity.
administrative barriers that present
In this RFI, we seek feedback and challenges to AI/AN tribes and tribal Food and Drug Administration
recommendations related to how ACF organizations in the implementation of [Docket No. FDA–2015–D–2537]
partners with tribes and how to make ACF grant programs? Please be specific
progress in the future. The following about what those regulatory or Submission of Quality Metrics Data;
questions are not exhaustive, and we administrative barriers are as well as Revised Draft Guidance for Industry;
encourage commenters to provide any recommendations for addressing them. Extension of Comment Period
additional information they believe (6) Can you identify practices,
relevant to ACF’s work with and on policies, and procedures in ACF or AGENCY: Food and Drug Administration,
behalf of American Indians and Alaska elsewhere that are particularly effective HHS.
Natives. You may provide general in meeting the needs of AI/AN tribes, ACTION:Notice of availability; extension
comments, respond to all questions tribal organizations, families, and of comment period.
posed in section II of this RFI, or communities? Please be specific as to
respond to one or more questions. If you the program or programs you are SUMMARY: The Food and Drug
respond to any of the questions in referring to as well as provide as much Administration (FDA) is extending the
section II, please identify the number detail as possible in describing effective comment period for the notice of
that corresponds to the question(s) you and responsive practices, policies, and revised draft guidance availability that
are responding to. Include our agency procedures. appeared in the Federal Register of
name and the docket number on all (7) Related to data, what would you November 25, 2016. The Agency is
submissions. Please do not include recommend ACF either collect (if it does taking this action in response to
confidential information, or otherwise not already) or analyze that would be requests for an extension to allow
interested persons additional time to
sradovich on DSK3GMQ082PROD with NOTICES
sensitive or protected information with most useful to inform our work with
your responses. AI/AN tribes and tribal organizations? submit comments.
(1) Are there challenges to AI/AN Please be specific and provide as much DATES: FDA is extending the comment
tribes and tribal organizations posed by detail as possible. period on the notice of revised draft
non-federal match or cost sharing (8) Do you have recommendations for guidance availability published on
requirements in any applicable ACF how ACF could better share data related November 25, 2016 (81 FR 85226).
programs? Please be specific as to the to AI/AN grantee program performance, Submit either electronic or written
program or programs you are referring to outcomes, and sustainability? Please be comments by March 27, 2017.
VerDate Sep<11>2014 21:14 Jan 06, 2017 Jkt 241001 PO 00000 Frm 00059 Fmt 4703 Sfmt 4703 E:\FR\FM\09JAN1.SGM 09JAN1](https://thefederalregister.org/doc/82_FR_2371/page/2.svg)
Document Created: 2018-10-24 11:10:19
Document Modified: 2018-10-24 11:10:19
| 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 | Request for information (RFI). | |
| Dates | Submit responses by March 10, 2017. | |
| Contact | Camille Loya, Director, Division of Policy, Administration for Native Americans, [email protected], 202-401-5964. | |
| FR Citation | 82 FR 2366 |
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