82 FR 28488 - Agency Information Collection Activities: Proposed Collection; Comment Request
DEPARTMENT OF HEALTH AND HUMAN SERVICES
Centers for Medicare & Medicaid Services Federal Register Volume 82, Issue 119 (June 22, 2017)
Centers for Medicare & Medicaid Services
Federal Register Volume 82, Issue 119 (June 22, 2017)
| Page Range | 28488-28489 | |
| FR Document | 2017-13070 |
[Federal Register Volume 82, Number 119 (Thursday, June 22, 2017)] [Notices] [Pages 28488-28489] From the Federal Register Online [www.thefederalregister.org] [FR Doc No: 2017-13070] ======================================================================= ----------------------------------------------------------------------- DEPARTMENT OF HEALTH AND HUMAN SERVICES Centers for Medicare & Medicaid Services [Document Identifier: CMS-116] 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 the necessity and utility of the proposed information collection for the proper performance of the agency's functions, the accuracy of the estimated burden, ways to enhance the quality, utility, and clarity of the information to be collected, and the use of automated collection techniques or other forms of information technology to minimize the information collection burden. DATES: Comments must be received by August 21, 2017. 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 https://www.cms.gov/Regulations-and-Guidance/Legislation/PaperworkReductionActof1995/PRA-Listing.html. 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: William Parham at (410) 786-4669. SUPPLEMENTARY INFORMATION: Contents This notice sets out a summary of the use and burden associated with the following information collections. More detailed information can be found in each collection's supporting statement [[Page 28489]] and associated materials (see ADDRESSES). CMS-116 Clinical Laboratory Improvement Amendments (CLIA) Application Form and Supporting Regulations 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: Revision of a currently approved collection; Title of Information Collection: Clinical Laboratory Improvement Amendments (CLIA) Application Form and Supporting Regulations; Use: The application must be completed by entities performing laboratory's testing specimens for diagnostic or treatment purposes. This information is vital to the certification process. In this revision, the majority of changes were minor changes to the form and accompanying instructions to facilitate the completion and data entry of the form. However, we added the collection of identifying the non-waived testing to be performed to section VIII of the form. We anticipate that the change to section VIII will take an average of 15 additional minutes to complete. Form Number: CMS-116 (OMB Control Number: 0938-0581); Frequency: Biennially and Occasionally; Affected Public: Private Sector--Business or other for-profits and Not- for-profit institutions; Number of Respondents: 42,000; Total Annual Responses: 51,000; Total Annual Hours: 51,000. (For policy questions regarding this collection contact Kathleen Todd at 410-786-3385.) Dated: June 19, 2017. William N. Parham, III, Director, Paperwork Reduction Staff, Office of Strategic Operations and Regulatory Affairs. [FR Doc. 2017-13070 Filed 6-21-17; 8:45 am] BILLING CODE 4120-01-P
![28488 Federal Register / Vol. 82, No. 119 / Thursday, June 22, 2017 / Notices
CERCLA costs for a cleanup action proposal also involves the acquisition of extension or reinstatement of an existing
performed by the EPA at the Site. a nonbanking company, the review also collection of information) and to allow
DATES: The Agency will consider public includes whether the acquisition of the 60 days for public comment on the
comments on the settlement until July nonbanking company complies with the proposed action. Interested persons are
24, 2017 The Agency will consider all standards in section 10(c)(4)(B) of the invited to send comments regarding our
comments received and may modify or HOLA (12 U.S.C. 1467a(c)(4)(B)). Unless burden estimates or any other aspect of
withdraw its consent to the proposed otherwise noted, nonbanking activities this collection of information, including
settlement if comments received will be conducted throughout the the necessity and utility of the proposed
disclose facts or considerations which United States. information collection for the proper
indicate that the proposed settlement is Unless otherwise noted, comments performance of the agency’s functions,
inappropriate, improper, or inadequate. regarding each of these applications the accuracy of the estimated burden,
ADDRESSES: Copies of the settlement are must be received at the Reserve Bank ways to enhance the quality, utility, and
available from the Agency by contacting indicated or the offices of the Board of clarity of the information to be
Ms. Paula V. Painter, Program Analyst, Governors not later than July 18, 2017. collected, and the use of automated
using the contact information provided A. Federal Reserve Bank of collection techniques or other forms of
in this document. Comments may also Philadelphia (William Spaniel, Senior information technology to minimize the
be submitted by referencing the site’s Vice President) 100 North 6th Street, information collection burden.
name through one of the following Philadelphia, Pennsylvania 19105– DATES: Comments must be received by
methods: 1521. Comments can also be sent August 21, 2017.
Internet: https://www.epa.gov/ electronically to ADDRESSES: When commenting, please
aboutepa/about-epa-region-4- Comments.applications@phil.frb.org: reference the document identifier or
southeast#r4-public-notices. 1. Seneca Financial MHC, OMB control number. To be assured
• U.S. Mail: U.S. Environmental Baldwinsville, New York; to become a consideration, comments and
Protection Agency, Superfund Division, federal mutual holding company, and recommendations must be submitted in
Attn: Paula V. Painter, 61 Forsyth Street Seneca Financial Corp., Baldwinsville, any one of the following ways:
SW., Atlanta, Georgia 30303. New York, to become a savings and loan 1. Electronically. You may send your
• Email: painter.paula@epa.gov. holding company, by acquiring 100 comments electronically to http://
FOR FURTHER INFORMATION CONTACT: percent of Seneca Savings Bank, www.regulations.gov. Follow the
Paula V. Painter at (404) 562–8887. Baldwinsville, New York, following the instructions for ‘‘Comment or
conversion of Seneca Federal Savings Submission’’ or ‘‘More Search Options’’
Dated: February 8, 2017.
and Loan Association, Baldwinsville, to find the information collection
Anita L. Davis, New York, from a federal mutual document(s) that are accepting
Chief, Enforcement and Community savings association to a federal stock
Engagement Branch, Superfund Division. comments.
savings association to be called Seneca 2. By regular mail. You may mail
[FR Doc. 2017–13063 Filed 6–21–17; 8:45 am] Savings Bank, Baldwinsville, New York. written comments to the following
BILLING CODE 6560–50–P
Board of Governors of the Federal Reserve address: CMS, Office of Strategic
System, June 19, 2017. Operations and Regulatory Affairs,
Ann E. Misback, Division of Regulations Development,
FEDERAL RESERVE SYSTEM Attention: Document Identifier/OMB
Secretary of the Board.
[FR Doc. 2017–13046 Filed 6–21–17; 8:45 am] Control Number ll, Room C4–26–05,
Formations of, Acquisitions by, and
7500 Security Boulevard, Baltimore,
Mergers of Savings and Loan Holding BILLING CODE 6210–01–P
Maryland 21244–1850.
Companies To obtain copies of a supporting
The companies listed in this notice statement and any related forms for the
DEPARTMENT OF HEALTH AND
have applied to the Board for approval, proposed collection(s) summarized in
HUMAN SERVICES
pursuant to the Home Owners’ Loan Act this notice, you may make your request
(12 U.S.C. 1461 et seq.) (HOLA), Centers for Medicare & Medicaid using one of following:
Regulation LL (12 CFR part 238), and Services 1. Access CMS’ Web site address at
Regulation MM (12 CFR part 239), and https://www.cms.gov/Regulations-and-
all other applicable statutes and [Document Identifier: CMS–116] Guidance/Legislation/
regulations to become a savings and PaperworkReductionActof1995/PRA-
Agency Information Collection Listing.html.
loan holding company and/or to acquire Activities: Proposed Collection;
the assets or the ownership of, control 2. Email your request, including your
Comment Request address, phone number, OMB number,
of, or the power to vote shares of a
savings association and nonbanking AGENCY: Centers for Medicare & and CMS document identifier, to
companies owned by the savings and Medicaid Services, HHS. Paperwork@cms.hhs.gov.
loan holding company, including the 3. Call the Reports Clearance Office at
ACTION: Notice.
companies listed below. (410) 786–1326.
The applications listed below, as well SUMMARY: The Centers for Medicare & FOR FURTHER INFORMATION CONTACT:
as other related filings required by the Medicaid Services (CMS) is announcing William Parham at (410) 786–4669.
Board, are available for immediate an opportunity for the public to
sradovich on DSK3GMQ082PROD with NOTICES
SUPPLEMENTARY INFORMATION:
inspection at the Federal Reserve Bank comment on CMS’ intention to collect
indicated. The application also will be information from the public. Under the Contents
available for inspection at the offices of Paperwork Reduction Act of 1995 (the This notice sets out a summary of the
the Board of Governors. Interested PRA), federal agencies are required to use and burden associated with the
persons may express their views in publish notice in the Federal Register following information collections. More
writing on the standards enumerated in concerning each proposed collection of detailed information can be found in
the HOLA (12 U.S.C. 1467a(e)). If the information (including each proposed each collection’s supporting statement
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![Federal Register / Vol. 82, No. 119 / Thursday, June 22, 2017 / Notices 28489
and associated materials (see accompanying instructions to facilitate in licensed care provider facilities until
ADDRESSES). the completion and data entry of the reunification with a qualified sponsor.
form. However, we added the collection Care provider facilities are required to
CMS–116 Clinical Laboratory
of identifying the non-waived testing to provide children with services such as
Improvement Amendments (CLIA)
be performed to section VIII of the form. classroom education, mental health
Application Form and Supporting
Regulations We anticipate that the change to section services, and health care. Pursuant to
VIII will take an average of 15 additional Exhibit 1, part A.2 of the Flores
Under the PRA (44 U.S.C. 3501– minutes to complete. Form Number: Settlement Agreement (Jenny Lisette
3520), federal agencies must obtain CMS–116 (OMB Control Number: 0938– Flores, et al., v. Janet Reno, Attorney
approval from the Office of Management 0581); Frequency: Biennially and General of the United States, et al., Case
and Budget (OMB) for each collection of Occasionally; Affected Public: Private No. CV 85–4544–RJK (C.D. Cal. 1996),
information they conduct or sponsor. Sector—Business or other for-profits care provider facilities, on behalf of
The term ‘‘collection of information’’ is and Not-for-profit institutions; Number ORR, shall arrange for appropriate
defined in 44 U.S.C. 3502(3) and 5 CFR of Respondents: 42,000; Total Annual routine medical and dental care, family
1320.3(c) and includes agency requests Responses: 51,000; Total Annual Hours: planning services, and emergency
or requirements that members of the 51,000. (For policy questions regarding health care services, including a
public submit reports, keep records, or this collection contact Kathleen Todd at complete medical examination
provide information to a third party. 410–786–3385.) (including screening for infectious
Section 3506(c)(2)(A) of the PRA disease) within 48 hours of admission,
requires federal agencies to publish a Dated: June 19, 2017.
William N. Parham, III,
excluding weekends and holidays,
60-day notice in the Federal Register unless the minor was recently examined
concerning each proposed collection of Director, Paperwork Reduction Staff, Office
of Strategic Operations and Regulatory
at another facility; appropriate
information, including each proposed immunizations in accordance with the
extension or reinstatement of an existing Affairs.
[FR Doc. 2017–13070 Filed 6–21–17; 8:45 am]
U.S. Public Health Service (PHS), Center
collection of information, before for Disease Control; administration of
submitting the collection to OMB for BILLING CODE 4120–01–P
prescribed medication and special diets;
approval. To comply with this appropriate mental health interventions
requirement, CMS is publishing this when necessary for each minor in their
notice. DEPARTMENT OF HEALTH AND
HUMAN SERVICES care.
Information Collection The forms are to be used as
1. Type of Information Collection Administration for Children and worksheets for healthcare providers and
Request: Revision of a currently Families health departments to compile
approved collection; Title of information that would otherwise have
[OMB No.: New] been collected during a medical
Information Collection: Clinical
Laboratory Improvement Amendments evaluation. Once completed, the forms
Proposed Information Collection will be given to care provider program
(CLIA) Application Form and Activity; Comment Request; Medical
Supporting Regulations; Use: The staff for data entry into ORR’s electronic
Complaint Form, Contact Investigation data repository known as ‘The UAC
application must be completed by Form: Non-TB Illness, and Contact
entities performing laboratory’s testing Portal’. Data will be used to record UC
Investigation Form: Active/Suspect TB health conditions/illnesses and for case
specimens for diagnostic or treatment
purposes. This information is vital to Description: The Administration for management of any identified illnesses/
the certification process. In this Children and Families’ Office of Refugee conditions.
revision, the majority of changes were Resettlement (ORR) places Respondents: Office of Refugee
minor changes to the form and unaccompanied minors in their custody Resettlement Grantee staff.
ANNUAL BURDEN
Number of Average
Number of Total
Instrument responses per burden hours
respondents burden hours
respondent per response
Medical Complaint Form .................................................................................. 120 2,507 .13 39,109
Contact Investigation Form: Non-TB Illness .................................................... 120 4 .08 38
Contact Investigation Form: Suspect or Active TB ......................................... 120 2 .08 19
Estimated Total Annual Burden to the Administration for Children and functions of the agency, including
Hours: 39,166. Families, Office of Planning, Research whether the information shall have
In compliance with the requirements and Evaluation, 330 C Street SW., practical utility; (b) the accuracy of the
of the Paperwork Reduction Act of 1995 Washington DC 20201. Attn: ACF agency’s estimate of the burden of the
(Pub. L. 104–13, 44 U.S.C. Chap 35), the Reports Clearance Officer. Email proposed collection of information; (c)
sradovich on DSK3GMQ082PROD with NOTICES
Administration for Children and address: infocollection@acf.hhs.gov. All the quality, utility, and clarity of the
Families is soliciting public comment requests should be identified by the title information to be collected; and (d)
on the specific aspects of the of the information collection. ways to minimize the burden of the
information collection described above. The Department specifically requests collection of information on
Copies of the proposed collection of comments on: (a) Whether the proposed respondents, including through the use
information can be obtained and collection of information is necessary of automated collection techniques or
comments may be forwarded by writing for the proper performance of the other forms of information technology.
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Document Created: 2017-06-21 23:55:41
Document Modified: 2017-06-21 23:55:41
| 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 August 21, 2017. | |
| Contact | William Parham at (410) 786-4669. | |
| FR Citation | 82 FR 28488 |
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