Federal Register / Vol. 80, No. 60 / Monday, March 30, 2015 / Notices 16687 

supplier that tells us whether it meets 

certain qualifications to be a DMEPOS 

supplier (as found in 42 CFR 424.57(c)) 

and where it practices or renders its 

services. The site investigation form has 

been used in the past to aid in verifying 

compliance with the required supplier 

standards found in 42 CFR 424.57(c). No 

revisions have been made to this form 

since the last submission for OMB 

approval. Form Number: CMS–R–263 

(OMB Control Number: 0938–0749); 

Frequency: Occasionally; Affected 

Public: Private Sector (Business or other 

for-profits and Not-for-profit 

institutions); Number of Respondents: 

30,000; Total Annual Responses: 

30,000; Total Annual Hours: 15,000. 

(For policy questions regarding this 

collection contact Kim McPhillips at 

410–786–5374). 

Dated: March 25, 2015. 

William N. Parham, III, 

Director, Paperwork Reduction Staff, Office 

of Strategic Operations and Regulatory 

Affairs. 

[FR Doc. 2015–07219 Filed 3–27–15; 8:45 am] 

BILLING CODE 4120–01–P 

DEPARTMENT OF HEALTH AND 

HUMAN SERVICES 

Centers for Medicare & Medicaid 

Services 

[Document Identifier: CMS–10558 and CMS– 

10463] 

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 

minimize the information collection 

burden. 

DATES: Comments must be received by 

May 29, 2015. 

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 lll, 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–10558 Information Collection for 

Machine Readable Data for Provider 

Network and Prescription 

Formulary Content for FFM QHPs 

CMS–10463 Cooperative Agreement to 

Support Navigators in FederallyFacilitated and State Partnership 

Exchanges 

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. Title of Information Collection: 

Information Collection for Machine 

Readable Data for Provider Network and 

Prescription Formulary Content for FFM 

QHPs; Type of Information Collection 

Request: New collection (Request for a 

new OMB control number); Use: For 

plan years beginning on or after January 

1, 2016, qualified health plan (QHP) 

issuers must make available provider 

and formulary data in a machinereadable format. As required by the final 

rule Patient Protection and Affordable 

Care Act; HHS Notice of Benefit and 

Payment Parameters for 2016 (CMS– 

9944–F), 80 Federal Register 10750 

February 27, 2015, QHP issuers in the 

Federally-facilitated Marketplaces 

(FFMs) are required to publish 

information regarding their formulary 

drug lists and provider directories on its 

Web site in an HHS-specified format, in 

a format and at times determined by 

HHS. Form Number: CMS–10558 (0938- 

New); Frequency: Monthly; Affected 

Public: Private Sector (Business or other 

For-profits and Not-for-Profit 

institutions); Number of Respondents: 

475; Number of Responses: 36; Total 

Annual Hours: 79,800. (For questions 

regarding this collection, contact LisaAnn Bailey at (301) 492- 4169.) 

2. Type of Information Collection 

Request: Revision of a currently 

approved information collection; Title 

of Information Collection: Cooperative 

Agreement to Support Navigators in 

Federally-facilitated and State 

Partnership Exchanges; Use: Section 

1311(i) of the Affordable Care Act 

requires Exchanges to establish a 

Navigator grant program as part of its 

function to provide consumers with 

assistance when they need it. Navigators 

will assist consumers by providing 

education about and facilitating 

selection of qualified health plans 

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16688 Federal Register / Vol. 80, No. 60 / Monday, March 30, 2015 / Notices 

(QHPs) within Exchanges, as well as 

other required duties. Section 1311(i) 

requires that an Exchange operating as 

of January 1, 2014, must establish a 

Navigator Program under which it 

awards grants to eligible individuals or 

entities who satisfy the requirements to 

be Exchange Navigators. In States with 

a Federally-facilitated Marketplace 

(FFM) or State Partnership Marketplace 

(SPM), we will be awarding these 

grants. Navigator awardees must 

provide weekly, monthly, quarterly, and 

annual progress reports to us on the 

activities performed during the grant 

period and any sub-awardees receiving 

funds. Form Number: CMS–10463 

(OMB Control Number: 0938–1215); 

Frequency: Annually; Quarterly; 

Monthly; Weekly; Affected Public: 

Private sector (For-profit and Not-forprofit institutions); Number of 

Respondents: 102; Total Annual 

Responses: 7,038; Total Annual Hours: 

29,226. (For policy questions regarding 

this collection, contact Julia Dreier at 

301–492–4123.) 

Dated: March 24, 2015. 

William N. Parham, III, 

Director, Paperwork Reduction Staff, Office 

of Strategic Operations and Regulatory 

Affairs. 

[FR Doc. 2015–07089 Filed 3–27–15; 8:45 am] 

BILLING CODE 4120–01–P 

DEPARTMENT OF HOMELAND 

SECURITY 

United States Immigration and 

Customs Enforcement 

[File No. I–352, Immigration Bond; OMB 

Control No. 1653–0022] 

Agency Information Collection 

Activities: Extension, With Change, of 

an Existing Information Collection; 

Comment Request 

ACTION: 60-Day notice of information 

collection. 

The Department of Homeland 

Security, U.S. Immigration and Customs 

Enforcement (ICE), is submitting the 

following information collection request 

for review and clearance in accordance 

with the Paperwork Reduction Act of 

1995. The information collection is 

published in the Federal Register to 

obtain comments from the public and 

affected agencies. Comments are 

encouraged and will be accepted for 

sixty days until May 29, 2015. 

Written comments and suggestions 

regarding items contained in this notice, 

and especially with regard to the 

estimated public burden and associated 

response time should be directed to the 

Department of Homeland Security 

(DHS), Scott Elmore, Forms 

Management, U.S. Immigration and 

Customs Enforcement, 801 I Street NW., 

Stop 5800, Washington, DC 20536. 

Written comments and suggestions 

from the public and affected agencies 

concerning the proposed collection of 

information should address one or more 

of the following four points: 

(1) Evaluate whether the proposed 

collection of information is necessary 

for the proper performance of the 

functions of the agency, including 

whether the information will have 

practical utility; 

(2) Evaluate the accuracy of the 

agencies estimate of the burden of the 

proposed collection of information, 

including the validity of the 

methodology and assumptions used; 

(3) Enhance the quality, utility, and 

clarity of the information to be 

collected; and 

(4) Minimize the burden of the 

collection of information on those who 

are to respond, including through the 

use of appropriate automated, 

electronic, mechanical, or other 

technological collection techniques or 

other forms of information technology, 

e.g., permitting electronic submission of 

responses. 

Overview of This Information 

Collection 

(1) Type of Information Collection: 

Extension, with change, of an existing 

information collection. 

(2) Title of the Form/Collection: 

Immigration Bond. 

(3) Agency form number, if any and 

the applicable component of the 

Department of Homeland Security 

sponsoring the collection: I–352, U.S. 

Immigration and Customs Enforcement. 

(4) Affected public who will be asked 

or required to respond, as well as a brief 

abstract: Primary: Individual or 

Households; Business or other for-profit. 

The data collected on this collection 

instrument is used by ICE to ensure that 

the person or company posting the bond 

is aware of the duties and 

responsibilities associated with the 

bond. The collection instrument serves 

the purpose of instruction in the 

completion of the form, together with an 

explanation of the terms and conditions 

of the bond. Sureties have the capability 

of accessing, completing and submitting 

a bond electronically through ICE’s 

eBonds system which encompasses the 

I–352, while individuals are still 

required to complete the bond form 

manually. 

(5) An estimate of the total number of 

respondents and the amount of time 

estimated for an average respondent to 

respond: 25,000 responses at 30 minutes 

(.50 hours) per response. 

(6) An estimate of the total public 

burden (in hours) associated with the 

collection: 12,500 annual burden hours. 

Comments and/or questions; requests 

for a copy of the proposed information 

collection instrument, with instructions; 

or inquiries for additional information 

should be directed to: Scott Elmore, 

Forms Management, U.S. Immigration 

and Customs Enforcement, 801 I Street 

NW., Stop 5800, Washington, DC 20536. 

Dated: March 24, 2015. 

Scott Elmore, 

Forms Management, U.S. Immigration and 

Customs Enforcement, Department of 

Homeland Security. 

[FR Doc. 2015–07131 Filed 3–27–15; 8:45 am] 

BILLING CODE 9111–28–P 

DEPARTMENT OF HOMELAND 

SECURITY 

U.S. Citizenship and Immigration 

Services 

[OMB Control Number 1615–0123] 

Agency Information Collection 

Activities: Application for Provisional 

Unlawful Presence Waiver of 

Inadmissibility, Form I–601A; Revision 

of a Currently Approved Collection 

AGENCY: U.S. Citizenship and 

Immigration Services, Department of 

Homeland Security. 

ACTION: 30-Day notice. 

SUMMARY: The Department of Homeland 

Security (DHS), U.S. Citizenship and 

Immigration Services (USCIS) will be 

submitting the following information 

collection request to the Office of 

Management and Budget (OMB) for 

review and clearance in accordance 

with the Paperwork Reduction Act of 

1995. The information collection notice 

was previously published in the Federal 

Register on June 27, 2014, at 79 FR 

36543, allowing for a 60-day public 

comment period. USCIS received two 

comments in connection with the 60- 

day notice. 

DATES: The purpose of this notice is to 

allow an additional 30 days for public 

comments. Comments are encouraged 

and will be accepted until April 29, 

2015. This process is conducted in 

accordance with 5 CFR 1320.10. 

ADDRESSES: Written comments and/or 

suggestions regarding the item(s) 

contained in this notice, especially 

regarding the estimated public burden 

and associated response time, must be 

directed to the OMB USCIS Desk Officer 

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