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[Federal Register: August 20, 2010 (Volume 75, Number 161)]
[Notices]               
[Page 51463-51464]
From the Federal Register Online via GPO Access [wais.access.gpo.gov]
[DOCID:fr20au10-49]                         

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DEPARTMENT OF HEALTH AND HUMAN SERVICES

Centers for Medicare & Medicaid Services

[Document Identifier: CMS-10314]

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

AGENCY: Centers for Medicare & Medicaid Services.

    In compliance with the requirement of section 3506I(2)(A) of the 
Paperwork Reduction Act of 1995, the Centers for Medicare & Medicaid 
Services (CMS), Department of Health and Human Services, is publishing 
the following summary of proposed collections for public comment. 
Interested persons are invited to send comments regarding this burden 
estimate 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 function; (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.
    1. Type of Information Collection Request: New collection; Title of 
Information Collection: Medicare Savings Program Protection from 
Medicaid Estate Recovery--State Plan Pre-print under Title XIX. Form 
No.: CMS-10314 (OMB 0938-New); Use: Section 115 of the 
Medicare Improvements for Patients and Providers Act (MIPPA)--2008, 
provides new protections from Medicaid estate recovery for limited 
categories of dual eligibles age 55 and over. To offer these 
protections, States have to amend their Medicaid State plans to reflect 
these new limits on estate recovery. To reduce paperwork burden and 
expedite this process, CMS is providing States with a pre-printed 
document (i.e., a State plan preprint) which neither needs nor requires 
any insertion of language or even completion of a check-off box. As 
Section 115 simply mandates compliance (there is no option not to 
comply), States only need return the preprint page (as prepared by CMS) 
to CMS, as a requested amendment to their State Plan. This is a one-
time only submission, with little burden imposition and complete 
electronic routing to and from States.
    Frequency: Reporting--Once; Affected Public: State, Local or Tribal 
Governments; Number of Respondents: 51; Total Annual Responses: 51; 
Total Annual Hours: 102. (For policy questions regarding this 
collection contact Nancy Dieter at 410-786-7219. For all other issues 
call 410-786-1326.)
    To obtain copies of the supporting statement and any related forms 
for the proposed paperwork collections referenced above, access CMS Web 
Site address at http://www.cms.hhs.gov/PaperworkReductionActof1995, or 
E-mail your request, including your address, phone number, OMB number, 
and CMS document identifier, to Paperwork@cms.hhs.gov, or call the 
Reports Clearance Office on (410) 786-1326.

[[Page 51464]]

    To be assured consideration, comments and recommendations for the 
proposed information collections must be received by the OMB desk 
officer at the address below, no later than 5 p.m. on September 20, 
2010.

OMB, Office of Information and Regulatory Affairs, Attention: CMS Desk 
Officer. Fax Number: (202) 395-6974. E-mail: OIRA_submission@omb.eop.gov.

    Dated: August 13, 2010.
Michelle Shortt,
Director, Regulations Development Group, Office of Strategic Operations 
and Regulatory Affairs.
[FR Doc. 2010-20386 Filed 8-19-10; 8:45 am]
BILLING CODE 4120-01-P
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