83 FR 529 - Agency Information Collection Activities: Submission for OMB Review; Comment Request

DEPARTMENT OF HEALTH AND HUMAN SERVICES
Centers for Medicare & Medicaid Services

Federal Register Volume 83, Issue 3 (January 4, 2018)

Page Range		529-530
FR Document		2017-28497

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.

Federal Register, Volume 83 Issue 3 (Thursday, January 4, 2018)

[Federal Register Volume 83, Number 3 (Thursday, January 4, 2018)]
[Notices]
[Pages 529-530]
From the Federal Register Online  [www.thefederalregister.org]
[FR Doc No: 2017-28497]


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DEPARTMENT OF HEALTH AND HUMAN SERVICES

Centers for Medicare & Medicaid Services

[Document Identifier CMS-10518]


Agency Information Collection Activities: Submission for OMB 
Review; Comment Request

AGENCY: Centers for Medicare & Medicaid Services, HHS.

ACTION: Notice.

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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

[[Page 530]]

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 February 5, 2018.

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: 
[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' website address at website 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: 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 currently 
approved collection; Title of Information Collection: Application for 
Participation in the Intravenous Immune Globulin (IVIG) Demonstration; 
Use: Traditional fee-for-service (FFS) Medicare covers some or all 
components of home infusion services depending on the circumstances. By 
special statutory provision, Medicare Part B covers intravenous immune 
globulin (IVIG) for persons with primary immune deficiency disease 
(PIDD) who wish to receive the drug at home. However, Medicare does not 
separately pay for any services or supplies to administer it if the 
person is not homebound and otherwise receiving services under a 
Medicare Home Health episode of care. As a result, many beneficiaries 
have chosen to receive the drug at their doctor's office or in an 
outpatient hospital setting.
    On September 29, 2017, the ``Disaster Tax Relief and Airport and 
Airway Extension Act of 2017'' was enacted into law. Section 302 of 
this legislation extends the Medicare IVIG Demonstration through 
December 31, 2020. While existing beneficiaries enrolled in the 
demonstration as of September 30, 2017 will be automatically re-
enrolled, in order to continue to enroll new beneficiaries into the 
demonstration, an application is required. The original enrollment and 
financial limits remain and CMS will continue to monitor both to assure 
that statutory limitations are not exceeded.
    This collection of information is for the application to 
participate in the demonstration. Participation is voluntary and may be 
terminated by the beneficiary at any time. Beneficiaries who do not 
participate will continue to be eligible to receive all of the regular 
Medicare Part B benefits that they are would be eligible for in the 
absence of the demonstration. Form Number: CMS-10518 (OMB control 
number: 0938-1246); Frequency: Annually; Affected Public: Individuals 
and households; Number of Respondents: 1,220; Total Annual Responses: 
1,220 Total Annual Hours: 305. (For policy questions regarding this 
collection contact Jody Blatt at 410-786-6921.)

    Dated: December 29, 2017.
William N. Parham, III,
Director, Paperwork Reduction Staff, Office of Strategic Operations and 
Regulatory Affairs.
[FR Doc. 2017-28497 Filed 1-3-18; 8:45 am]
 BILLING CODE 4120-01-P

Federal Register / Vol. 83, No. 3 / Thursday, January 4, 2018 / Notices 529

must be received not later than January banks and nonbanking companies 2. First State Holding Co., Lincoln,
19, 2018. owned by the bank holding company, Nebraska; to acquire Wallco, Inc., and
A. Federal Reserve Bank of including the companies listed below. thereby indirectly acquire The Nehawka
Minneapolis (Mark A. Rauzi, Vice The applications listed below, as well Bank, both Nehawka, Nebraska.
President) 90 Hennepin Avenue, as other related filings required by the E. Federal Reserve Bank of Richmond
Minneapolis, Minnesota 55480–0291: Board, are available for immediate (Adam M. Drimer, Assistant Vice
1. Alexandra Bosshard, Washington, inspection at the Federal Reserve Bank President) 701 East Byrd Street,
DC; to both retain and acquire indicated. The applications will also be Richmond, Virginia 23261–4528.
additional shares of Bosshard Banco, available for inspection at the offices of Comments can also be sent
Ltd., La Crosse, Wisconsin, and thereby the Board of Governors. Interested electronically to
indirectly retain and acquire additional persons may express their views in Comments.applications@rich.frb.org:
shares of First National Bank of Bangor, writing on the standards enumerated in 1. Old Point Financial Corporation,
Bangor, Wisconsin, and Intercity State the BHC Act (12 U.S.C. 1842(c)). If the Hampton, Virginia; to acquire Citizens
Bank, Schofield, Wisconsin, as a proposal also involves the acquisition of National Bank, Windsor, Virginia.
member of the Bosshard Family Group a nonbanking company, the review also F. Federal Reserve Bank of St. Louis
that controls Bosshard Banco, Ltd. includes whether the acquisition of the (David L. Hubbard, Senior Manager)
B. Federal Reserve Bank of Dallas nonbanking company complies with the P.O. Box 442, St. Louis, Missouri
(Robert L. Triplett III, Senior Vice standards in section 4 of the BHC Act 63166–2034. Comments can also be sent
President) 2200 North Pearl Street, (12 U.S.C. 1843). Unless otherwise electronically to
Dallas, Texas 75201–2272: noted, nonbanking activities will be Comments.applications@stls.frb.org:
1. Roy Thomas Pitcock, Jr., Graham, conducted throughout the United States. 1. Guaranty Federal Bancshares, Inc.,
Texas; Medora Jacqueline Pitcock Unless otherwise noted, comments Springfield, Missouri; to acquire
Eubank, Fort Worth, Texas; the Melissa regarding each of these applications Hometown Bancshares, Inc., and
Pitcock Trust, Graham, Texas; and must be received at the Reserve Bank thereby indirectly acquire Hometown
Angela Allison Pitcock Adams, Aledo, indicated or the offices of the Board of Bank, N.A., both Carthage, Missouri.
Texas (together, the Pitcock Family Governors not later than January 29, Board of Governors of the Federal Reserve
Group); as a group acting in concert to 2018. System, December 29, 2017.
both retain and acquire additional A. Federal Reserve Bank of Atlanta Ann E. Misback,
shares of Graham Savings Financial (Kathryn Haney, Director of
Corp., and thereby indirectly retain and Secretary of the Board.
Applications) 1000 Peachtree Street NE, [FR Doc. 2017–28476 Filed 1–3–18; 8:45 am]
acquire additional shares of Graham Atlanta, Georgia 30309. Comments can
Savings and Loan SSB, both in Graham, also be sent electronically to
BILLING CODE P
Texas. Applications.Comments@atl.frb.org:
C. Federal Reserve Bank of Chicago
1. FCB Financial Holdings, Inc.,
(Colette A. Fried, Assistant Vice DEPARTMENT OF HEALTH AND
Weston, Florida; to acquire Floridian
President) 230 South LaSalle Street, HUMAN SERVICES
Community Holdings, and thereby
Chicago, Illinois 60690–1414:
1. Michael D. Werner, as trustee of the acquire Floridian Community Bank, Centers for Medicare & Medicaid
Michael D. Werner Revocable Trust, Key both Davie, Florida; and to establish Services
West, Florida; and Judith Werner, Floridian Custody Services, Inc., Davie,
Florida, and thereby engage in certain [Document Identifier CMS–10518]
Waupun, Wisconsin; as a group acting
in concert to retain voting shares of institutional broker-dealer activities,
pursuant to sections 4(k) and 4(j) of the Agency Information Collection
National Bancshares, Inc., and thereby Activities: Submission for OMB
indirectly retain voting shares of NBW Bank Holding Company Act.
B. Federal Reserve Bank of Chicago Review; Comment Request
Bank, both in Waupun, Wisconsin.
(Colette A. Fried, Assistant Vice AGENCY: Centers for Medicare &
Board of Governors of the Federal Reserve President) 230 South LaSalle Street,
System, December 29, 2017.
Medicaid Services, HHS.
Chicago, Illinois 60690–1414: ACTION: Notice.
Ann E. Misback, 1. Farmington Bancorp, Inc.,
Secretary of the Board. Farmington, Illinois; to acquire Laura SUMMARY: The Centers for Medicare &
[FR Doc. 2017–28475 Filed 1–3–18; 8:45 am] State Bank, Williamsfield, Illinois. Medicaid Services (CMS) is announcing
BILLING CODE P C. Federal Reserve Bank of Dallas an opportunity for the public to
(Robert L. Triplett III, Senior Vice comment on CMS’ intention to collect
President) 2200 North Pearl Street, information from the public. Under the
FEDERAL RESERVE SYSTEM Dallas, Texas 75201–2272: Paperwork Reduction Act of 1995
1. The 2013 Monte Hulse Family (PRA), federal agencies are required to
Formations of, Acquisitions by, and
Irrevocable Trust I, Waco, Texas; to publish notice in the Federal Register
Mergers of Bank Holding Companies
acquire up to 30 percent of the voting concerning each proposed collection of
The companies listed in this notice shares of FCT Bancshares, Inc., and information, including each proposed
have applied to the Board for approval, thereby indirectly acquire voting shares extension or reinstatement of an existing
pursuant to the Bank Holding Company of First National Bank of Central Texas, collection of information, and to allow
Act of 1956 (12 U.S.C. 1841 et seq.) both Waco, Texas. a second opportunity for public
ethrower on DSK3G9T082PROD with NOTICES

(BHC Act), Regulation Y (12 CFR part D. Federal Reserve Bank of Kansas comment on the notice. Interested
225), and all other applicable statutes City (Dennis Denney, Assistant Vice persons are invited to send comments
and regulations to become a bank President) 1 Memorial Drive, Kansas regarding the burden estimate or any
holding company and/or to acquire the City, Missouri 64198–0001: other aspect of this collection of
assets or the ownership of, control of, or 1. Caldwell County Bancshares, Inc., information, including the necessity and
the power to vote shares of a bank or Hamilton, Missouri; to acquire Horizon utility of the proposed information
bank holding company and all of the State Bank, Cameron, Missouri. collection for the proper performance of

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Document Created: 2018-01-04 02:02:07
Document Modified: 2018-01-04 02:02:07

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 February 5, 2018.
Contact		William Parham at (410) 786-4669.
FR Citation		83 FR 529

83 FR 529 - Agency Information Collection Activities: Submission for OMB Review; Comment Request

DEPARTMENT OF HEALTH AND HUMAN SERVICESCenters for Medicare & Medicaid Services

Federal Register Volume 83, Issue 3 (January 4, 2018)

DEPARTMENT OF HEALTH AND HUMAN SERVICES
Centers for Medicare & Medicaid Services