922 Federal Register / Vol. 69, No. 4 / Wednesday, January 7, 2004 / Notices 

FEDERAL RESERVE SYSTEM

Change in Bank Control Notices; 

Acquisition of Shares of Bank or Bank 

Holding Companies

The notificants listed below have 

applied under the Change in Bank 

Control Act (12 U.S.C. 1817(j)) and 

§ 225.41 of the Board’s Regulation Y (12 

CFR 225.41) to acquire a bank or bank 

holding company. The factors that are 

considered in acting on the notices are 

set forth in paragraph 7 of the Act (12 

U.S.C. 1817(j)(7)).

The notices are available for 

immediate inspection at the Federal 

Reserve Bank indicated. The notices 

also will be available for inspection at 

the office of the Board of Governors. 

Interested persons may express their 

views in writing to the Reserve Bank 

indicated for that notice or to the offices 

of the Board of Governors. Comments 

must be received not later than January 

20, 2004.

A. Federal Reserve Bank of St. Louis

(Randall C. Sumner, Vice President) 411 

Locust Street, St. Louis, Missouri 63166-

2034:

1. Marantz Group, LP, Springfield, 

Illinois and its general partner, Tom E. 

Marantz, Springfield, Illinois; to retain 

voting shares of Staun Bancorp, Inc., 

Staunton, Illinois, and thereby 

indirectly retain voting shares of First 

Community State Bank, Staunton, 

Illinois.

2. Joseph Thomas McLane, Poplar 

Bluff, Missouri; to become a trustee of 

Midwest Bancorporation Inc. and 

Affiliates Employee Stock Ownership 

Plan, Poplar Bluff, Missouri, and 

thereby indirectly gain control of 

Midwest Bancorporation, Inc., Poplar 

Bluff, Missouri, First Midwest Bank of 

Carter County, Van Buren, Missouri, 

First Midwest Bank of Dexter, Dexter, 

Missouri, and First Midwest Bank of 

Piedmont, Piedmont, Missouri.

Board of Governors of the Federal Reserve 

System, December 31, 2003.

Robert deV. Frierson,

Deputy Secretary of the Board.

[FR Doc. 04–249 Filed 1–6–04; 8:45 am]

BILLING CODE 6210–01–S

DEPARTMENT OF HEALTH AND 

HUMAN SERVICES 

Center for Medicare and Medicaid 

Services 

[Document Identifier: CMS–37] 

Emergency Clearance: Public 

Information Collection Requirements 

Submitted to the Office of Management 

and Budget (OMB) 

Agency: Center for Medicare and 

Medicaid Services, HHS. 

In compliance with the requirement 

of section 3506(c)(2)(A) of the 

Paperwork Reduction Act of 1995, the 

Center for Medicare and 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 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. 

We are, however, requesting an 

emergency review of the information 

collection referenced below. In 

compliance with the requirement of 

section 3506(c)(2)(A) of the Paperwork 

Reduction Act of 1995, we have 

submitted to the Office of Management 

and Budget (OMB) the following 

requirements for emergency review. We 

are requesting an emergency review 

because the collection of this 

information is needed before the 

expiration of the normal time limits 

under OMB’s regulations at 5 CFR Part 

1320. We cannot reasonably comply 

with the normal clearance procedures 

because of possible public harm. 

CMS is proposing to minimize 

disruption to State operations and the 

reduction of unnecessary expenditures 

to the Federal government by modifying 

the collection requirements associated 

with the CMS–37 information collection 

package. In particular, CMS will begin 

to require the States to submit up-front 

documentation to support the budget 

and expenditure information currently 

captured on the CMS–37 ‘‘Medicaid 

Program Budget Report’’. This will 

enable CMS to identify and resolve any 

potential funding and/or expenditure 

issues with the States prior to the 

budget actually being formulated and/or 

implemented and the expenditures 

actually paid and claimed by the States. 

CMS is requesting OMB review and 

approval of this collection by January 9, 

2004, with a 180-day approval period. 

Written comments and 

recommendations will be accepted from 

the public if received by the individuals 

designated below by January 8, 2004. 

Type of Information Collection 

Request: Revision of a currently 

approved collection; Title of 

Information Collection: Medicaid 

Program Budget Report; Form No.:

CMS–37, OMB # 0938–0101; Use: The 

Medicaid Program Budget Report is 

prepared by the State Medicaid 

Agencies and is used by CMS for (1) 

developing National Medicaid Budget 

estimates, (2) qualification of Budget 

Assumptions, (3) the issuance of 

quarterly Medicaid Grant Awards, and 

(4) collection of projected State receipts 

of donations and taxes; Frequency:

Quarterly; Affected Public: State, local, 

and/or tribal governments; Number of 

Respondents: 56; Total Annual 

Responses: 224; Total Annual Hours:

8,064. 

We have submitted a copy of this 

notice to OMB for its review of these 

information collections. To obtain 

copies of the supporting statement and 

any related forms for the proposed 

paperwork collections referenced above, 

E-mail your request, including your 

address, phone number, OMB number, 

and CMS document identifier, to 

Jburke3@cms.hhs.gov, or call the 

Reports Clearance Office on (410) 786–

4194. 

Interested persons are invited to send 

comments regarding the burden or any 

other aspect of these collections of 

information requirements. However, as 

noted above, comments on these 

information collection and 

recordkeeping requirements must be 

mailed and/or faxed to the designees 

referenced below, by January 8, 2004:

CMS, Office of Strategic Operations and 

Regulatory Affairs, Division of 

Regulations Development and 

Issuances, Attention: Julie Brown, 

CMS–37, Room C5–16–03, 7500 

Security Boulevard, Baltimore, 

Maryland 21244–1850. 

and 

Office of Information and Regulatory 

Affairs, Office of Management and 

Budget, Room 10235, New Executive 

Office Building, Washington, DC 

20503, Fax Number: (202) 395–6974 

or (202) 395–5167, Attn: Brenda 

Aguilar, CMS Desk Officer (CMS–37).