35354 Federal Register / Vol. 79, No. 119 / Friday, June 20, 2014 / Notices 

Board of Governors of the Federal Reserve 

System, June 17, 2014. 

Michael J. Lewandowski, 

Associate Secretary of the Board. 

[FR Doc. 2014–14486 Filed 6–19–14; 8:45 am] 

BILLING CODE 6210–01–P 

FEDERAL RESERVE SYSTEM 

Formations of, Acquisitions by, and 

Mergers of Bank Holding Companies 

The companies listed in this notice 

have applied to the Board for approval, 

pursuant to the Bank Holding Company 

Act of 1956 (12 U.S.C. 1841 et seq.) 

(BHC Act), Regulation Y (12 CFR Part 

225), and all other applicable statutes 

and regulations to become a bank 

holding company and/or to acquire the 

assets or the ownership of, control of, or 

the power to vote shares of a bank or 

bank holding company and all of the 

banks and nonbanking companies 

owned by the bank holding company, 

including the companies listed below. 

The applications listed below, as well 

as other related filings required by the 

Board, are available for immediate 

inspection at the Federal Reserve Bank 

indicated. The applications will also be 

available for inspection at the offices of 

the Board of Governors. Interested 

persons may express their views in 

writing on the standards enumerated in 

the BHC Act (12 U.S.C. 1842(c)). If the 

proposal also involves the acquisition of 

a nonbanking company, the review also 

includes whether the acquisition of the 

nonbanking company complies with the 

standards in section 4 of the BHC Act 

(12 U.S.C. 1843). Unless otherwise 

noted, nonbanking activities will be 

conducted throughout the United States. 

Unless otherwise noted, comments 

regarding each of these applications 

must be received at the Reserve Bank 

indicated or the offices of the Board of 

Governors not later than July 17, 2014. 

A. Federal Reserve Bank of Boston 

(Richard Walker, Community Affairs 

Officer) 600 Atlantic Avenue, Boston, 

Massachusetts 02210–2204: 

1. Beverly Financial, Inc., Beverly, 

Massachusetts; to become a bank 

holding company by acquiring 100 

percent of the voting shares of Beverly 

Bank, Beverly, Massachusetts, in 

connection with the conversion of 

Beverly Financial, MHC, Beverly, 

Massachusetts from mutual to stock 

form. 

B. Federal Reserve Bank of 

Philadelphia (William Lang, Senior Vice 

President) 100 North 6th Street, 

Philadelphia, Pennsylvania 19105– 

1521: 

1. Pathfinder Bancorp, Inc., Oswego, 

New York; to become a bank holding 

company by acquiring Pathfinder Bank, 

Oswego, New York. Upon the 

conversion of Pathfinder Bancorp, MHC, 

and Pathfinder Bancorp, Inc., both in 

Oswego, New York, the existing mid-tier 

holding company of Pathfinder Bank, 

will cease to exist, and Pathfinder Bank 

will become a wholly-owned subsidiary 

of Pathfinder Bancorp, Inc., a de novo 

company. 

C. Federal Reserve Bank of Atlanta 

(Chapelle Davis, Assistant Vice 

President) 1000 Peachtree Street NE., 

Atlanta, Georgia 30309: 

1. Heritage Financial Group, Inc., 

Albany, Georgia; to become a bank 

holding company by acquiring 100 

percent of the voting shares of Alarion 

Financial Services, Inc., and thereby 

acquire Alarion Bank, both in Ocala, 

Florida. 

Board of Governors of the Federal Reserve 

System, June 17, 2014. 

Michael J. Lewandowski, 

Associate Secretary of the Board. 

[FR Doc. 2014–14485 Filed 6–19–14; 8:45 am] 

BILLING CODE 6210–01–P 

DEPARTMENT OF HEALTH AND 

HUMAN SERVICES 

Office of the Assistant Secretary for 

Financial Resources, Office of Grants 

and Acquisition Policy and 

Accountability, Division of Acquisition; 

Public Availability of the Department of 

Health and Human Services FY 2013 

Service Contract Inventory 

AGENCY: Department of Health and 

Human Services. 

ACTION: Notice of Public Availability of 

FY 2013 Service Contract Inventories. 

SUMMARY: In accordance with Section 

743 of Division C of the Consolidated 

Appropriations Act of 2010 (Pub. L. 

111–117), Department of Health and 

Human Services (HHS) is publishing 

this notice to advise the public of the 

availability of its FY 2013 Service 

Contract Inventory. This inventory 

provides information on service contract 

actions over $25,000 that were made in 

FY 2013. The information is organized 

by function to show how contracted 

resources are distributed throughout the 

agency. The inventory has been 

developed in accordance with guidance 

issued on November 5, 2010 and 

December 19, 2011 by the Office of 

Management and Budget’s Office of 

Federal Procurement Policy (OFPP). 

OFPP’s guidance is available at http://

www.whitehouse.gov/sites/default/files/

omb/procurement/memo/servicecontract-inventories-guidance11052010.pdf. HHS has posted its 

inventory and a summary of the 

inventory on the HHS homepage at the 

following link: http://www.hhs.gov/

grants/servicecontracts. 

FOR FURTHER INFORMATION CONTACT: 

Questions regarding the service contract 

inventory should be directed to Lori 

Sakalos, Director in the HHS/Office of 

the Secretary, Assistant Secretary for 

Financial Resources, Office of Grants 

and Acquisition Policy and 

Accountability, Office of Acquisition 

Policy at 202–690–6361 or 

Lori.Sakalos@hhs.gov. 

Dated: June 13, 2014. 

Angela Billups, 

Associate Deputy Assistant Secretary for 

Acquisition, Senior Procurement Executive, 

Assistant Secretary for Financial Resources, 

Office of the Secretary. 

[FR Doc. 2014–14434 Filed 6–19–14; 8:45 am] 

BILLING CODE 4150–24–P 

DEPARTMENT OF HEALTH AND 

HUMAN SERVICES 

Centers for Medicare & Medicaid 

Services 

[Document Identifiers: CMS–381, CMS–R– 

21 and CMS–R–148] 

Agency Information Collection 

Activities: Proposed Collection; 

Comment Request 

AGENCY: Centers for Medicare & 

Medicaid 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 

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 

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Federal Register / Vol. 79, No. 119 / Friday, June 20, 2014 / Notices 35355 

minimize the information collection 

burden. 

DATES: Comments must be received by 

August 19, 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 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’ Web site address at 

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

PaperworkReductionActof1995. 

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–381 Identification of Extension 

Units of Medicare Approved 

Outpatient Physical Therapy/

Outpatient Speech Pathology (OPT/

OSP) Providers and Supporting 

Regulations 

CMS–R–21 Withholding Medicare 

Payments to Recover Medicaid 

Overpayments and Supporting 

Regulations in 42 CFR 447.31 

CMS–R–148 Limitations on Provider 

Related Donations and Health Care 

Related Taxes; Limitation on Payment 

to Disproportionate Share Hospitals 

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 

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: Identification of 

Extension Units of Medicare Approved 

Outpatient Physical Therapy/Outpatient 

Speech Pathology (OPT/OSP) Providers 

and Supporting Regulations; Use: The 

provider uses the form to report to the 

state survey agency extension locations 

that it has added since the date of last 

report. The form is used by the state 

survey agencies and by our regional 

offices to identify and monitor 

extension locations to ensure their 

compliance with the federal 

requirements for the providers of 

outpatient physical therapy and speechlanguage pathology services. 

Form Number: CMS–381 (OMB 

control number: 0938–0273); Frequency: 

Annually; Affected Public: Private 

Sector; Business or other for-profit and 

not-for-profit institutions; Number of 

Respondents: 2,260; Total Annual 

Responses: 2,260; Total Annual Hours: 

565. (For policy questions regarding this 

collection contact James Cowher at 410– 

786–1948.) 

2. Type of Information Collection 

Request: Extension of a currently 

approved collection; Title of 

Information Collection: Withholding 

Medicare Payments to Recover 

Medicaid Overpayments and 

Supporting Regulations in 42 CFR 

447.31; Use: Certain Medicaid providers 

that are subject to offsets for the 

collection of Medicaid overpayments 

may terminate or substantially reduce 

their participation in Medicaid, leaving 

the state Medicaid agency unable to 

recover the amounts due. Recovery 

procedures allow for determining the 

amount of overpayments and offsetting 

the overpayments by withholding the 

provider’s Medicare payments. To 

effectuate the withholding, the state 

agency must provide their respective 

CMS regional office with certain 

documentation that identifies the 

provider and the Medicaid overpayment 

amount. The agency must also 

demonstrate that the provider was 

notified of the overpayment and that 

demand for the overpayment was made. 

An opportunity to appeal the 

overpayment determination must be 

afforded to the provider by the Medicaid 

state agency. Lastly, Medicaid state 

agencies must notify CMS when to 

terminate the withholding. 

Form Number: CMS–R–21 (OCN: 

0938–0287); Frequency: Occasionally; 

Affected Public: State, Local, or Tribal 

Governments; Number of Respondents: 

54; Total Annual Responses: 27; Total 

Annual Hours: 81. (For policy questions 

regarding this collection contact Stuart 

Goldstein at 410–786–0694). 

3. Type of Information Collection 

Request: Extension of a currently 

approved collection; Title of 

Information Collection: Limitations on 

Provider Related Donations and Health 

Care Related Taxes; Limitation on 

Payment to Disproportionate Share 

Hospitals; Use: States may request a 

waiver of either or both the broad based 

and uniformity tax program 

requirements. Each state must 

demonstrate that its tax program(s) do 

not violate the hold harmless provision. 

Additionally, state Medicaid agencies 

must report (quarterly) on health care 

related taxes collected and the source of 

provider related donations received by 

the state or unit of local government. 

Each state must maintain, in readily 

reviewable form, supporting 

documentation that provides a detailed 

description of each donation and tax 

program being reported, as well as the 

source and use of all donations received 

and collected. Without this information, 

the amount of Federal financial 

participation payable to a state cannot 

be determined. 

Form Number: CMS–R–148 (OCN: 

0938–0618); Frequency: Quarterly and 

occasionally; Affected Public: State, 

Local, or Tribal Governments; Number 

of Respondents: 50; Total Annual 

Responses: 40; Total Annual Hours: 

3,200. (For policy questions regarding 

this collection contact Stuart Goldstein 

at 410–786–0694). 

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35356 Federal Register / Vol. 79, No. 119 / Friday, June 20, 2014 / Notices 

Dated: June 17, 2014. 

Martique Jones, 

Deputy Director, Regulations Development 

Group, Office of Strategic Operations and 

Regulatory Affairs. 

[FR Doc. 2014–14484 Filed 6–19–14; 8:45 am] 

BILLING CODE 4120–01–P 

DEPARTMENT OF HEALTH AND 

HUMAN SERVICES 

Centers for Medicare & Medicaid 

Services 

[Document Identifier: CMS–10521] 

Agency Information Collection 

Activities: Submission for OMB 

Review; Comment Request 

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 

(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 

a second opportunity for public 

comment on the notice. Interested 

persons are invited to send comments 

regarding the 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. 

DATES: Comments on the collection(s) of 

information must be received by the 

OMB desk officer by July 21, 2014. 

ADDRESSES: When commenting on the 

proposed information collections, 

please reference the document identifier 

or OMB control number. To be assured 

consideration, comments and 

recommendations must be received by 

the OMB desk officer via one of the 

following transmissions: OMB, Office of 

Information and Regulatory Affairs, 

Attention: CMS Desk Officer, Fax 

Number: (202) 395–5806 OR Email: 

OIRA_submission@omb.eop.gov. 

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/

PaperworkReductionActof1995. 

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: Under the 

Paperwork Reduction Act of 1995 (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 (44 U.S.C. 

3506(c)(2)(A)) requires federal agencies 

to publish a 30-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 that summarizes 

the following proposed collection(s) of 

information for public comment: 

1. Type of Information Collection 

Request: New collection (Request for a 

new OMB control number); Title of 

Information Collection: Improving 

Quality of Care in Medicaid and CHIP 

through Increased Access to Preventive 

Services State Survey; Use: The survey 

will be used to gain a better 

understanding of state efforts to increase 

the utilization of preventive services 

and to develop resources (including 

educational and outreach resources) to 

help states increase the utilization of 

these services. The results will provide 

a baseline regarding the coverage of 

preventive services and will help us 

identify ways to assist states with 

materials focusing on prevention and 

technical assistance. 

Form Number: CMS–10521 (OMB 

control number: 0938—New); 

Frequency: Once; Affected Public: State, 

Local, or Tribal Governments; Number 

of Respondents: 51; Total Annual 

Responses: 51; Total Annual Hours: 

128. (For policy questions regarding this 

collection contact Mary Beth Hance at 

410–786–4299). 

Dated: June 17, 2014. 

Martique Jones, 

Deputy Director, Regulations Development 

Group, Office of Strategic Operations and 

Regulatory Affairs. 

[FR Doc. 2014–14482 Filed 6–19–14; 8:45 am] 

BILLING CODE 4120–01–P 

DEPARTMENT OF HEALTH AND 

HUMAN SERVICES 

Administration for Children and 

Families 

Submission for OMB Review; 

Comment Request 

Title: OCSE–157 Child Support 

Enforcement Program Annual Data 

Report. 

OMB No.: 0970–0177. 

Description: The information obtained 

from this form will be used to: 1) Report 

Child Support Enforcement activities to 

the Congress as required by law; 2) 

calculate incentive measures 

performance and performance 

indicators utilized in the program; and 

3) assist the Office of Child Support 

Enforcement(OCSE)in monitoring and 

evaluating State Child Support 

programs. 

OCSE is proposing minor updates to 

the OCSE–157 report instructions to 

update submission procedures. 

Respondents will no longer have the 

option to submit hardcopy reports. The 

reports can only be submitted 

electronically by using the Online Data 

Collections (OLDC) system. 

Respondents: State, Local or Tribal 

Government. 

ANNUAL BURDEN ESTIMATES

Instrument Number of 

respondents 

Number of 

responses per 

respondent 

Average 

burden hours 

per response 

Total burden 

hours 

OCSE–157 ....................................................................................................... 54 1 7 378 

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