Federal Register / Vol. 86, No. 36 / Thursday, February 25, 2021 / Notices 11535 

DEPARTMENT OF HEALTH AND 

HUMAN SERVICES 

Centers for Medicare & Medicaid 

Services 

[Document Identifier CMS–372(S)] 

Agency Information Collection 

Activities: Proposed Collection; 

Comment Request 

AGENCY: Centers for Medicare & 

Medicaid Services, Health and Human 

Services (HHS). 

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 

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. 

DATES: Comments must be received by 

April 26, 2021. 

ADDRESSES: When commenting, please 

reference the document identifier or 

OMB control number. 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 ll, 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’ website address at 

website address at https://www.cms.gov/ 

Regulations-and-Guidance/Legislation/ 

PaperworkReductionActof1995/PRAListing.html. 

FOR FURTHER INFORMATION CONTACT: 

William N. Parham at (410) 786–4669. 

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–372(S)—Annual Report on Home 

and Community Based Services 

Waivers and Supporting Regulations 

Under the 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 

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: Revision of a currently 

approved collection; Title of 

Information Collection: Annual Report 

on Home and Community Based 

Services Waivers and Supporting 

Regulations; Use: We use this report to 

compare actual data to the approved 

waiver estimates. In conjunction with 

the waiver compliance review reports, 

the information provided will be 

compared to that in the Medicaid 

Statistical Information System (MSIS) 

(CMS–R–284; OMB control number 

0938–0345) report and FFP claimed on 

a state’s Quarterly Expenditure Report 

(CMS–64; OMB control number 0938– 

1265), to determine whether to continue 

the state’s home and community-based 

services waiver. States’ estimates of cost 

and utilization for renewal purposes are 

based upon the data compiled in the 

CMS–372(S) reports. Form Number: 

CMS–372(S) (OMB control number: 

0938–0272); Frequency: Yearly; Affected 

Public: State, Local, or Tribal 

Governments; Number of Respondents: 

48; Total Annual Responses: 253; Total 

Annual Hours: 11,132. (For policy 

questions regarding this collection 

contact Ralph Lollar at 410–786–0777.) 

Dated: February 22, 2021. 

William N. Parham, III 

Director, Paperwork Reduction Staff, Office 

of Strategic Operations and Regulatory 

Affairs. 

[FR Doc. 2021–03916 Filed 2–24–21; 8:45 am] 

BILLING CODE 4120–01–P 

DEPARTMENT OF HEALTH AND 

HUMAN SERVICES 

Administration for Children and 

Families 

Submission for OMB Review; Refugee 

Assistance Program Estimates: CMA— 

ORR–1 

AGENCY: Office of Refugee Resettlement, 

Administration for Children and 

Families, HHS. 

ACTION: Request for public comment. 

SUMMARY: The Office of Refugee 

Resettlement (ORR), Administration for 

Children and Families (ACF), U.S. 

Department of Health and Human 

Services (HHS) is requesting a 1-year 

extension of the form ORR–1, Cash and 

Medical Assistance (CMA) Program 

Estimates (OMB #0970–0030, expiration 

2/28/2021). There are no changes 

requested to the form or instructions. 

DATES: Comments due within 30 days of 

publication. OMB must make a decision 

about the collection of information 

between 30 and 60 days after 

publication of this document in the 

Federal Register. Therefore, a comment 

is best assured of having its full effect 

if OMB receives it within 30 days of 

publication. 

ADDRESSES: Written comments and 

recommendations for the proposed 

information collection should be sent 

within 30 days of publication of this 

notice to www.reginfo.gov/public/do/ 

PRAMain. Find this particular 

information collection by selecting 

‘‘Currently under 30-day Review—Open 

for Public Comments’’ or by using the 

search function. 

SUPPLEMENTARY INFORMATION: 

Description: The ORR–1, CMA 

Program Estimates, is the application for 

11536 Federal Register / Vol. 86, No. 36 / Thursday, February 25, 2021 / Notices 

grants under the CMA program. The 

application is required by ORR program 

regulations at 45 CFR 400.11(b). The 

regulation specifies that states must 

submit, as their application for this 

program, estimates of the projected costs 

they anticipate incurring in providing 

cash and medical assistance for eligible 

recipients and the costs of administering 

the program. Under the CMA program, 

states are reimbursed for the costs of 

providing these services and benefits for 

8 months after an eligible recipient 

arrives in this country. The eligible 

recipients for these services and benefits 

are refugees, Amerasians, Cuban and 

Haitian Entrants, asylees, Afghans and 

Iraqi with Special Immigrant Visas, and 

victims of a severe form of trafficking. 

States that provide services for 

unaccompanied refugee minors also 

provide an estimate for the cost of these 

services for the year for which they are 

applying for grants. 

Respondents: State agencies, the 

District of Columbia, and Replacement 

Designees under 45 CFR 400.301(c) 

administering or supervising the 

administration of programs under Title 

IV of the Act. 

ANNUAL BURDEN ESTIMATES

Instrument Total number 

of respondents 

Total number 

of responses 

per 

respondent 

Average 

burden hours 

per response 

Total/ 

annual burden 

hours 

ORR–1, Cash and Medical Assistance Program Estimates ........................... 57 1 0.6 34 

Estimated Total Annual Burden 

Hours: 34. 

(Authority: 8 U.S.C. 412(a)(4)) 

Mary B. Jones, 

ACF/OPRE Certifying Officer. 

[FR Doc. 2021–03861 Filed 2–24–21; 8:45 am] 

BILLING CODE 4184–45–P 

DEPARTMENT OF HEALTH AND 

HUMAN SERVICES 

Administration for Children and 

Families 

Proposed Information Collection 

Activity; Release of Unaccompanied 

Alien Children From ORR Custody 

(OMB #0970–0552) 

AGENCY: Office of Refugee Resettlement; 

Administration for Children and 

Families; Department of Health and 

Human Services. 

ACTION: Request for public comment. 

SUMMARY: The Office of Refugee 

Resettlement (ORR), Administration for 

Children and Families (ACF), U.S. 

Department of Health and Human 

Services (HHS), is inviting public 

comments on revisions to an approved 

information collection. The request 

consists of several forms that allow the 

Unaccompanied Alien Children (UAC) 

Program to process release of UAC from 

ORR custody and provide services after 

release. 

DATES: Comments due within 60 days of 

publication. In compliance with the 

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

the Paperwork Reduction Act of 1995, 

ACF is soliciting public comment on the 

specific aspects of the information 

collection described above. 

ADDRESSES: Copies of the proposed 

collection of information can be 

obtained and comments may be 

forwarded by emailing infocollection@

acf.hhs.gov. Alternatively, copies can 

also be obtained by writing to the 

Administration for Children and 

Families, Office of Planning, Research, 

and Evaluation (OPRE), 330 C Street 

SW, Washington, DC 20201, Attn: ACF 

Reports Clearance Officer. All requests, 

emailed or written, should be identified 

by the title of the information collection. 

SUPPLEMENTARY INFORMATION: 

Description: ORR plans to revise all 

four instruments currently approved 

under OMB #0970–0552 and reinstate 

one instrument previously approved 

under OMB #0970–0498 and add it to 

this collection. All instruments will be 

incorporated into ORR’s new case 

management system, UAC Path. 

1. Verification of Release (Form R–1): 

This instrument is an official document 

provided to UAC and their sponsors by 

care provider facilities showing that 

ORR released the UAC into the 

sponsor’s care and custody. This form 

was previously approved under OMB 

Number 0970–0498 and is being 

reinstated with formatting changes 

under this new OMB number. No 

changes were made to the content. The 

average burden minutes per response 

was increased from 3 to 10 minutes. 

2. Discharge Notification (Form R–2): 

This instrument is used by care provider 

facilities to notify stakeholders of the 

transfer of a UAC to another care 

provider facility or the release of a UAC 

from ORR custody. ORR made the 

following revisions: 

a. The ‘‘Proof of Relationship’’ field 

was removed because that information 

is found elsewhere in UAC Path and 

does not need to be displayed in this 

instrument. 

b. The following fields were added: 

‘‘Returning UAC, Entry #,’’ ‘‘Type of 

Age Out,’’ ‘‘Sponsor Category,’’ ‘‘Next 

Immigration Hearing,’’ ‘‘Granted 

Voluntary Discharge Date,’’ ‘‘Parent/ 

Legal Guardian Separation,’’ ‘‘Is this a 

MPP Case,’’ ‘‘UAC Parent Name,’’ 

‘‘Program Type.’’ 

c. The ‘‘Local Law Enforcement’’ and 

‘‘DHS Family Shelter’’ fields were 

replaced with the ‘‘Governmental 

Agency’’ and ‘‘Name of Government 

Agency’’ fields. 

d. The following fields were added, 

but are not visible on version of the 

instrument sent to stakeholders: 

i. ‘‘Discharge Delay,’’ ‘‘DHS Age Out 

Plan,’’ ‘‘Referral to Services in COO,’’ 

‘‘Completed Referral Services COO?,’’ 

‘‘Date Travel Document Requested,’’ 

‘‘Date of Issuance of Travel Document.’’ 

ii. All fields in the ‘‘Transportation 

Details’’ section 

3. ORR Release Notification—Notice 

to Immigration and Customs 

Enforcement (ICE) Chief Counsel— 

Release of Unaccompanied Alien Child 

to Sponsor and Request to Change 

Address (Form R–3): This instrument is 

used by care provider facilities to notify 

ICE Chief Counsel of the release of a 

UAC and request a change of address. 

The instrument was reformatted. No 

changes were made to the content. 

4. Release Request (Form R–4): This 

instrument is used by care provider 

facilities, ORR contractor staff, and ORR 

federal staff, to process 

recommendations and decisions for 

release of a UAC from ORR custody. 

ORR made the following revisions: 

a. The instrument was reformatted 

and the titles of some fields were 

reworded. 

b. Several fields containing 

biographical information for the UAC 

were removed from the top of the 

instrument. 

c. The ‘‘Provide details on 

relationship including official 

documentation’’ text box was removed 

because that information is easily 

accessible elsewhere in UAC Path.