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[Federal Register Volume 76, Number 242 (Friday, December 16, 2011)]
[Notices]
[Page 78265]
From the Federal Register Online via the Government Printing Office [www.gpo.gov]
[FR Doc No: 2011-32294]

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DEPARTMENT OF HEALTH AND HUMAN SERVICES

Centers for Medicare & Medicaid Services

[Document Identifier CMS-10412]

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

AGENCY: Centers for Medicare & Medicaid Services, HHS.

    In compliance with the requirement of section 3506(c)(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: Section 1115 Demonstration: Long Term Services 
and Supports (LTSS) and Other Service Models for Individuals with 
Disabilities and Chronic Conditions; Use: Section 1115 of the Social 
Security Act provides the Secretary of Health and Human Services broad 
authority to authorize experimental, pilot, or demonstration projects 
likely to assist in promoting the objectives of the Medicaid statute. 
Flexibility under Section 1115 is sufficiently broad to allow States to 
test substantially new ideas of policy merit. States seeking 
interventions for individuals needing LTSS to lower costs, improve care 
and improve health can utilize the 1115 demonstration to test and 
deliver innovative services and approaches to better and more 
efficiently meet the needs of this population. Section 1115 
demonstrations provide a vehicle for innovations in both care delivery 
and payment methodologies. Demonstrations must be ``budget neutral'' 
over the life of the project, meaning they cannot be expected to cost 
the Federal government more than it would cost without the waiver. 
State Medicaid agencies are responsible for developing section 1115 
demonstration applications and submitting them to CMS; Form Number: 
CMS-10412 (OCN: 0938-New); Frequency: Once; Affected Public: State, 
Local, or Tribal Governments; Number of Respondents: 56; Total Annual 
Responses: 56; Total Annual Hours: 2,240. (For policy questions 
regarding this collection contact Adrienne Delozer at (410) 786-0278. 
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 
Email 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.
    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 January 17, 2012.
OMB, Office of Information and Regulatory Affairs, Attention: CMS Desk 
Officer, Fax Number: (202) 395-6974, Email: OIRA_submission@omb.eop.gov.

    Dated: December 9, 2011.
Martique Jones,
Director, Regulations Development Group, Division-B, Office of 
Strategic Operations and Regulatory Affairs.
[FR Doc. 2011-32294 Filed 12-15-11; 8:45 am]
BILLING CODE 4120-01-P
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