Federal Register / Vol. 83, No. 245 / Friday, December 21, 2018 / Notices 65677 

++ Establish AAAHC’s ability to 

provide CMS with electronic data and 

reports necessary for effective validation 

and assessment of the organization’s 

survey process. 

++ Determine the adequacy of 

AAAHC’s staff and other resources. 

++ Confirm AAAHC’s ability to 

provide adequate funding for 

performing required surveys. 

++ Confirm AAAHC’s policies with 

respect to surveys being unannounced. 

++ Obtain AAAHC’s agreement to 

provide CMS with a copy of the most 

current accreditation survey together 

with any other information related to 

the survey as we may require, including 

corrective action plans. 

In accordance with section 

1865(a)(3)(A) of the Act, the July 26, 

2018 proposed notice also solicited 

public comments regarding whether 

AAAHC’s requirements met or exceeded 

the Medicare CfCs for ASCs. We 

received no comments in response to 

our proposed notice. 

IV. Provisions of the Final Notice 

A. Differences Between AAAHC’s 

Standards and Requirements for 

Accreditation and Medicare Conditions 

and Survey Requirements 

We compared AAAHC’s ASC 

accreditation program requirements and 

survey process with the Medicare CfCs 

at part 416, and the survey and 

certification process requirements of 

parts 488 and 489. Our review and 

evaluation of AAAHC’s ASC 

application, which were conducted as 

described in section III of this final 

notice, yielded the following areas 

where, as of the date of this notice, 

AAAHC has revised its standards and 

certification processes in order to meet 

the requirements at: 

• § 416.44(b)(1), to ensure its 

standards appropriately reference Life 

Safety Code requirements; 

• § 416.44(c), to ensure its standards 

appropriately reference Life Safety Code 

requirements; 

• § 416.44(c)(1)(iv), to ensure its 

standards appropriately reference Life 

Safety Code requirements; 

• § 488.5(a)(4)(ii), to ensure 

comparability of AAAHC’s survey 

process and surveyor guidance to those 

required for state survey agencies 

conducting federal Medicare surveys for 

the same provider or supplier type; 

• § 488.5(a)(4)(iv), to ensure all 

identified areas of non-compliance are 

clearly documented and cited 

appropriately in the final survey report. 

• § 488.5(a)(7) through (9), to ensure 

its surveyors are appropriately qualified, 

trained and maintain competence 

during extended periods of time without 

conducting a survey; 

• § 488.5(a)(11)(ii), to ensure accurate 

survey findings are reported to CMS; 

• § 488.5(a)(12), to ensure complaints 

are triaged appropriately and surveyed 

within the required timeframes; 

• § 488.18(a), to ensure that the 

findings are documented and written 

within the principles of documentation. 

• § 488.26(b), to ensure deficiencies 

are cited at the appropriate level based 

on manner and degree of findings; and 

• § 488.28(d), to ensure that its 

policies for correction of deficiencies in 

ASCs is comparable to CMS 

requirements, requiring that deficiencies 

normally must be corrected within 60 

days. 

• § 489.13(c), to ensure that all 

accreditation requirements have been 

met before granting accreditation and 

making a recommendation for 

participation or continued participation 

in the Medicare program comparable to 

CMS requirements, requiring that 

deficiencies normally must be corrected 

within 60 days. 

B. Term of Approval 

Based on our review and observations 

described in section III of this final 

notice, we approve AAAHC as a 

national accreditation organization for 

ASCs that request participation in the 

Medicare program, effective December 

20, 2018 through December 20, 2024. 

V. Collection of Information 

Requirements 

This document does not impose 

information collection requirements, 

that is, reporting, recordkeeping or 

third-party disclosure requirements. 

Consequently, there is no need for 

review by the Office of Management and 

Budget under the authority of the 

Paperwork Reduction Act of 1995 (44 

U.S.C. 3501 et seq.). 

Dated: December 14, 2018. 

Seema Verma, 

Administrator, Centers for Medicare & 

Medicaid Services. 

[FR Doc. 2018–27592 Filed 12–20–18; 8:45 am] 

BILLING CODE 4120–01–P 

DEPARTMENT OF HEALTH AND 

HUMAN SERVICES 

Administration for Children and 

Families 

Proposed Information Collection 

Activity; Comment Request 

Proposed Projects: 

Title: Head Start Program Information 

Report. 

OMB No.: 0970–0427. 

Description: The Office of Head Start 

within the Administration for Children 

and Families, United States Department 

of Health and Human Services, is 

proposing to renew, with changes, 

authority to collect information using 

the Head Start Program Information 

Report (PIR), monthly enrollment, 

contacts, and center locations. All 

information is collected electronically 

through the Head Start Enterprise 

System (HSES). The PIR provides 

information about Head Start and Early 

Head Start services received by the 

children and families enrolled in Head 

Start programs. The information 

collected in the PIR is used to inform 

the public about these programs, to 

make periodic reports to Congress about 

the status of children in Head Start 

programs as required by the Head Start 

Act, and to assist the administration and 

training/technical assistance of Head 

Start programs. Other program data is 

used to track enrollment, contact the 

program, provide a locator for parents to 

find a nearby program, and for 

oversight. 

Respondents: Head Start and Early 

Head Start program grant recipients. 

ANNUAL BURDEN ESTIMATES

Instrument Number of 

respondents 

Number of 

responses per 

respondent 

Average 

burden hours 

per response 

Total burden 

hours 

Head Start Program Information Report .......................................................... 3,449 1 4 13,796 

Grantee Monthly Enrollment Reporting ........................................................... 2,066 12 0.05 1,240 

Contacts, Center Locations ............................................................................. 3,449 1 0.25 862 


amozie on DSK3GDR082PROD with NOTICES1
65678 Federal Register / Vol. 83, No. 245 / Friday, December 21, 2018 / Notices 

Estimated Total Annual 

BurdenHours: 15,898. 

In compliance with the requirements 

of the Paperwork Reduction Act of 1995 

(Pub. L. 104–13, 44 U.S.C. Chap 35), the 

Administration for Children and 

Families is soliciting public comment 

on the specific aspects of the 

information collection described above. 

Copies of the proposed collection of 

information can be obtained and 

comments may be forwarded by writing 

to the Administration for Children and 

Families, Office of Planning, Research 

and Evaluation, 330 C Street SW, 

Washington, DC 20201. Attn: ACF 

Reports Clearance Officer. Email 

address: infocollection@acf.hhs.gov. All 

requests should be identified by the title 

of the information collection. 

The Department specifically requests 

comments on: (a) Whether the proposed 

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 

proposed collection of information; (c) 

the quality, utility, and clarity of the 

information to be collected; and (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. 

Consideration will be given to 

comments and suggestions submitted 

within 60 days of this publication. 

Robert Sargis, 

Reports Clearance Officer. 

[FR Doc. 2018–27687 Filed 12–20–18; 8:45 am] 

BILLING CODE 4184–40–P 

DEPARTMENT OF HEALTH AND 

HUMAN SERVICES 

Administration for Children and 

Families 

Proposed Information Collection 

Activity; Comment Request 

Proposed Projects: 

Title: Head Start Eligibility 

Verification. 

OMB No.: 0970–0374. 

Description: The Office of Head Start 

(OHS) within the Administration for 

Children and Families, United States 

Department of Health and Human 

Services, proposes to renew, with 

changes, its authority for record keeping 

requirements associated with Head Start 

eligibility verification. OHS revised the 

Head Start Eligibility Verification form 

to reflect changes in the eligibility final 

rule published on February 10, 2015 (80 

FR 7368). OHS initially developed the 

form to help programs determine 

eligibility. However, Head Start 

programs are not required to use this 

specific form. Programs may either 

adopt the form or design a new form to 

meet the eligibility requirements. 

The Office of Head Start published a 

final rule on eligibility under the 

authority granted to the Secretary of 

Health and Human Services under the 

Head Start Act (Act) at sections 644(c), 

645(a)(1)(A), and 645A(c). The final rule 

clarifies Head Start’s eligibility 

procedures and enrollment 

requirements, and reinforces Head 

Start’s overall mission to support lowincome families and early learning. A 

program must maintain records as 

specified in sections 1305.4(d)(2), 

1305.4(l), and 1305.4(h) through (j) of 

the final rule. 

Respondents: Head Start and Early 

Head Start program grant recipients. 

ANNUAL BURDEN ESTIMATES

Instruments Number of 

respondents 

Number of 

responses per 

respondent 

Average 

burden hours 

per 

response 

Total burden 

hours 

§ 1305.4(l) Eligibility determination records (sample form) ............................. 1,600 478 .10 76,480 

§ 1305.4(d)(2) ................................................................................................... 20 1 2 40 

§ 1305.4(h),(i), and (j) ...................................................................................... 1,600 1 15 24,000 

§ 1305.4(l) Other Record Keeping ................................................................... 1,600 1 15 24,000 

Estimated Total Annual Burden 

Hours: 124,520. 

In compliance with the requirements 

of Section 506(c)(2)(A) of the Paperwork 

Reduction Act of 1995, the 

Administration for Children and 

Families is soliciting public comment 

on the specific aspects of the 

information collection described above. 

Copies of the proposed collection of 

information can be obtained and 

comments may be forwarded by writing 

to the Administration for Children and 

Families, Office of Planning, Research 

and Evaluation, 370 L’Enfant 

Promenade SW, Washington, DC 20447, 

Attn: ACF Reports Clearance Officer. 

Email address: infocollection@

acf.hhs.gov. All requests should be 

identified by the title of the information 

collection. 

The Department specifically requests 

comments on: (a) Whether the proposed 

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 

proposed collection of information; (c) 

the quality, utility, and clarity of the 

information to be collected; and (d) 

ways to minimize the burden 

information to be collected; and (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. 

Consideration will be given to 

comments and suggestions submitted 

within 60 days of this publication. 

Robert Sargis, 

Reports Clearance Officer. 

[FR Doc. 2018–27692 Filed 12–20–18; 8:45 am] 

BILLING CODE 4184–01–P 

DEPARTMENT OF HEALTH AND 

HUMAN SERVICES 

Administration for Children and 

Families 

Submission for OMB Review; 

Comment Request 

Title: State Plan for the Temporary 

Assistance for Needy Families (TANF). 

OMB No.: 0970–0145. 

Description: The State plan is a 

mandatory statement submitted to the 

Secretary of the Department of Health 

and Human Services by the State. It 


amozie on DSK3GDR082PROD with NOTICES1