46442 Federal Register / Vol. 79, No. 153 / Friday, August 8, 2014 / Notices 

mechanisms that are designed to yield 

quantitative results. 

As a general matter, information 

collections will not result in any new 

system of records containing privacy 

information and will not ask questions 

of a sensitive nature, such as sexual 

behavior and attitudes, religious beliefs, 

and other matters that are commonly 

considered private. 

Current Actions: Extension of 

approval for a collection of information. 

Type of Review: Extension. 

Affected Public: Individuals and 

Households, Businesses and 

Organizations, State, Local or Tribal 

Government. [Eliminated Categories if 

appropriate.]. 

Estimated Number of Respondents: 

[Provide Average Annual Estimate]. 

Below we provide projected average 

estimates for the next three years: 

Average Expected Annual Number of 

activities: 7. 

Average Number of Respondents per 

Activity: 350. 

Annual responses: 4,158. 

Frequency of Response: Once per 

request. 

Average minutes per response: 5. 

Burden hours: 1,041. 

Request for Comments: Comments 

submitted in response to this notice will 

be summarized and/or included in the 

request for OMB approval. Comments 

are invited on: (a) Whether the 

collection of information is necessary 

for the proper performance of the 

functions of the agency, including 

whether the information shall have 

practical utility; (b) the accuracy of the 

agency’s estimate of the burden of the 

collection of information; (c) ways to 

enhance the quality, utility, and clarity 

of the information to be collected; (d) 

ways to minimize the burden of the 

collection of information on 

respondents, including through the use 

of automated collection techniques or 

other forms of information technology; 

and (e) estimates of capital or start-up 

costs and costs of operation, 

maintenance, and purchase of services 

to provide information. Burden means 

the total time, effort, or financial 

resources expended by persons to 

generate, maintain, retain, disclose or 

provide information to or for a Federal 

agency. This includes the time needed 

to review instructions; to develop, 

acquire, install and utilize technology 

and systems for the purpose of 

collecting, validating and verifying 

information, processing and 

maintaining information, and disclosing 

and providing information; to train 

personnel and to be able to respond to 

a collection of information, to search 

data sources, to complete and review 

the collection of information; and to 

transmit or otherwise disclose the 

information. 

All written comments will be 

available for public inspection 

Regulations.gov. 

An agency may not conduct or 

sponsor, and a person is not required to 

respond to, a collection of information 

unless it displays a currently valid 

Office of Management and Budget 

control number. 

Darius Taylor, 

Information Collection Clearance Officer. 

[FR Doc. 2014–18771 Filed 8–7–14; 8:45 am] 

BILLING CODE 4150–45–P 

DEPARTMENT OF HEALTH AND 

HUMAN SERVICES 

Centers for Medicare & Medicaid 

Services 

[Document Identifier: CMS–10529] 

Agency Information Collection 

Activities: Proposed Collection; 

Comment Request 

AGENCY: Centers for Medicare & 

Medicaid Services. 

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 

any of the following subjects: (1) The 

necessity and utility of the proposed 

information collection for the proper 

performance of the agency’s functions; 

(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. 

DATES: Comments must be received by 

October 7, 2014: 

ADDRESSES: When commenting, please 

reference the document identifier or 

OMB control number (OCN). 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 

http://www.cms.hhs.gov/Paperwork

ReductionActof1995. 

2. Email your request, including your 

address, phone number, OMB number, 

and CMS document identifier, to 

Paperwork@cms.hhs.gov. 

3. Call the Reports Clearance Office at 

(410) 786–1326. 

FOR FURTHER INFORMATION CONTACT: 

Reports Clearance Office at (410) 786– 

1326. 

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 

and associated materials (see 

ADDRESSES). 

CMS–10529 Quarterly Medicaid and 

CHIP Budget and Expenditure Reporting 

for the Medical Assistance Program, 

Administration and CHIP 

Under the Paperwork Reduction Act 

(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 

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Federal Register / Vol. 79, No. 153 / Friday, August 8, 2014 / Notices 46443 

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: New collection (Request for a 

new OMB control number); Title of 

Information Collection: Quarterly 

Medicaid and CHIP Budget and 

Expenditure Reporting for the Medical 

Assistance Program, Administration and 

CHIP; Use: At the request of OMB, this 

action would consolidate form CMS–21 

and –21B (OMB control number: 0938– 

0731), –37 (OMB control number: 0938– 

0101), and –64 (OMB control number: 

0938–0067) into one new information 

collection request. This action also 

revises CMS–37 and –67 while CMS–21 

and –21B remain unchanged. 

Form CMS–21 and –21B provide CMS 

with the information necessary to issue 

quarterly grant awards, monitor current 

year expenditure levels, determine the 

allowability of state claims for 

reimbursement, develop Children’s 

Health Insurance Program (CHIP) 

financial management information, 

provide for state reporting of waiver 

expenditures, and ensure that the 

federally established allotment is not 

exceeded. They are also necessary in the 

redistribution and reallocation of 

unspent funds over the federally 

mandated timeframes. 

Form CMS–37 due dates are 

November 15, February 15, May 15 and 

August 15 of each fiscal year. While all 

submissions represent equally 

important components of the grant 

award cycle, the May and November 

submissions are particularly significant 

for budget formulation. The November 

submission introduces a new fiscal year 

to the budget cycle and serves as the 

basis for the formulation of the 

Medicaid portion of the President’s 

Budget, which is presented to Congress 

in January. The February and August 

submissions are used primarily for 

budget execution in providing interim 

updates to our Office of Financial 

Management, the Department of Health 

and Human Services, the Office of 

Management and Budget and Congress 

depending on the scheduling of the 

national budget review process in a 

given fiscal year. The submissions 

provide us with base information 

necessary to track current year 

obligations and expenditures in relation 

to the current year appropriation and to 

notify senior managers of any 

impending surpluses or deficits. 

Form CMS–64 is used to issue 

quarterly grant awards, monitor current 

year expenditure levels, determine the 

allowability of state claims for 

reimbursement, develop Medicaid 

financial management information 

provide for state reporting of waiver 

expenditures, ensure that the federallyestablished limit is not exceeded for 

HCBS waivers, and to allow for the 

implementation of the Assignment of 

Rights and Part A and Part B Premium 

(i.e., accounting for overdue Part A and 

Part B Premiums under state buy-in 

agreements)—Billing Offsets. 

Form Number: CMS–10529 (OMB 

control number 0938-New); Frequency: 

Quarterly; Affected Public: State, Local, 

or Tribal Governments; Number of 

Respondents: 56; Total Annual 

Responses: 672; Total Annual Hours: 

17,920. (For policy questions regarding 

this collection contact Abraham John at 

410–786–4519). 

Dated: August 5, 2014. 

Martique Jones, 

Director, Regulations Development Group, 

Office of Strategic Operations and Regulatory 

Affairs. 

[FR Doc. 2014–18808 Filed 8–7–14; 8:45 am] 

BILLING CODE 4120–01–P 

DEPARTMENT OF HEALTH AND 

HUMAN SERVICES 

Health Resources and Services 

Administration 

Agency Information Collection 

Activities: Proposed Collection: Public 

Comment Request 

AGENCY: Health Resources and Services 

Administration, HHS. 

ACTION: Notice. 

SUMMARY: In compliance with the 

requirement for opportunity for public 

comment on proposed data collection 

projects (Section 3506(c)(2)(A) of the 

Paperwork Reduction Act of 1995), the 

Health Resources and Services 

Administration (HRSA) announces 

plans to submit an Information 

Collection Request (ICR), described 

below, to the Office of Management and 

Budget (OMB). Prior to submitting the 

ICR to OMB, HRSA seeks comments 

from the public regarding the burden 

estimate, below, or any other aspect of 

the ICR. 

DATES: Comments on this Information 

Collection Request must be received no 

later than October 7, 2014. 

ADDRESSES: Submit your comments to 

paperwork@hrsa.gov or mail the HRSA 

Information Collection Clearance 

Officer, Room 10–29, Parklawn 

Building, 5600 Fishers Lane, Rockville, 

MD 20857. 

FOR FURTHER INFORMATION CONTACT: To 

request more information on the 

proposed project or to obtain a copy of 

the data collection plans and draft 

instruments, email paperwork@hrsa.gov 

or call the HRSA Information Collection 

Clearance Officer at (301) 443–1984. 

SUPPLEMENTARY INFORMATION: When 

submitting comments or requesting 

information, please include the 

information request collection title for 

reference. 

Information Collection Request Title: 

Bureau of Primary Health Care (BPHC) 

Uniform Data System (UDS). 

OMB No. 0915–0193—Revision. 

Abstract: The Uniform Data System 

(UDS) is the Bureau of Primary Health 

Care’s (BPHC’s) annual reporting system 

for HRSA-supported health centers. The 

UDS includes reporting requirements 

for Health Center Program look-alikes 

and grantees of the following programs: 

the Community Health Center program, 

the Migrant Health Center program, the 

Health Care for the Homeless program, 

and the Public Housing Primary Care 

program. 

Need and Proposed Use of the 

Information: HRSA collects UDS data 

which are used to ensure compliance 

with legislative and regulatory 

requirements, improve health center 

performance and operations, and report 

overall program accomplishments. The 

data help to identify trends over time, 

enabling HRSA to establish or expand 

targeted programs and identify effective 

services and interventions to improve 

the health of underserved communities 

and vulnerable populations. UDS data 

are compared with national healthrelated data, including the National 

Health Interview Survey and National 

Health and Nutrition Examination 

Survey, to review differences between 

the health center patient populations 

and the U.S. population at large and 

those individuals and families who rely 

on the health care safety net for primary 

care. UDS data also inform Health 

Center programs, partners, and 

communities about the patients served 

by Health Centers. To meet these 

objectives, BPHC requires a core set of 

data collected annually. The UDS data 

collection for 2015 will be revised in 

two ways. A new line will be added to 

identify patients that are dually eligible 

for Medicare and Medicaid, and the 

existing diabetes clinical measure will 

be streamlined to align with the Healthy 

People 2020 national benchmark. 

Specifically, health centers will no 

longer report three categories, 

Hemoglobin A1c (Hba1c) less than 8 

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