### 50110 Federal Register / Vol. 77, No. 161 / Monday, August 20, 2012 / Notices

C HART 

### 1—F INAL 

### Q UALIFYING 

### I NDIVIDUALS 

### ALLOTMENTS FOR 

### OCTOBER 

### 1, 2010 THROUGH 

### S EPTEMBER 

### 30, 2011— Continued

State Initial QI allotments for FY 2011
FY 2011 Estimated QI expenditures/1 Need (difference)

If E>D, E ¥ D Percentage of total need

states F/(Tot. of F) Reduction pool for non-need

States If D>=E, D ¥ E Percentageof total nonneed States H/(Tot. of H) Reduction adjustment

for nonneed States

Col. 1 × $35,415,135 Increase adjustment for need States

Col. G × $35,415,135 Final FY 2011 QI allotment/2 Number of individuals/3

(000s) Percentage of total Col B/Tot.

Col B Initial QI allotment

Col × $885,000,000

A B C D E F G H I J K L

California ......................... 103 7.09 62,735,719 28,587,784 NA NA 34,147,935 14.2790 5,056,924 NA 57,678,794 Colorado .......................... 18 1.24 10,963,524 5,295,566 NA NA 5,667,958 2.3701 839,361 NA 10,124,163 Connecticut ..................... 19 1.31 11,572,608 4,486,600 NA NA 7,086,008 2.9630 1,049,358 NA 10,523,250 Delaware ......................... 6 0.41 3,654,508 3,146,625 NA NA 507,883 0.2124 75,212 NA 3,579,296 District of Columbia ......... 3 0.21 1,827,254 0 NA NA 1,827,254 0.7641 270,596 NA 1,556,658 Florida ............................. 106 7.30 64,562,973 66,436,364 1,873,391 5.2898 Need Need Need 1,873,391 66,436,364 Georgia ........................... 41 2.82 24,972,471 26,906,212 1,933,741 5.4602 Need Need Need 1,933,741 26,906,212 Hawaii ............................. 4 0.28 2,436,339 1,291,051 NA NA 1,145,288 0.4789 169,604 NA 2,266,734 Idaho ............................... 6 0.41 3,654,508 2,343,040 NA NA 1,311,468 0.5484 194,214 NA 3,460,294 Illinois .............................. 65 4.47 39,590,502 24,682,083 NA NA 14,908,419 6.2340 2,207,769 NA 37,382,734 Indiana ............................ 37 2.55 22,536,132 7,442,661 NA NA 15,093,471 6.3113 2,235,173 NA 20,300,959 Iowa ................................. 21 1.45 12,790,778 4,271,524 NA NA 8,519,254 3.5623 1,261,605 NA 11,529,172 Kansas ............................ 17 1.17 10,354,439 4,610,144 NA NA 5,744,295 2.4020 850,665 NA 9,503,774 Kentucky ......................... 27 1.86 16,445,286 15,690,958 NA NA 754,328 0.3154 111,707 NA 16,333,578 Louisiana ......................... 30 2.06 18,272,540 20,326,470 2,053,930 5.7996 Need Need Need 2,053,930 20,326,470 Maine .............................. 5 0.34 3,045,423 5,682,148 2,636,725 7.4452 Need Need Need 2,636,725 5,682,148 Maryland ......................... 17 1.17 10,354,439 7,088,750 NA NA 3,265,689 1.3656 483,612 NA 9,870,827 Massachusetts ................ 35 2.41 21,317,963 10,537,185 NA NA 10,780,778 4.5080 1,596,512 NA 19,721,451 Michigan .......................... 47 3.23 28,626,979 15,085,628 NA NA 13,541,351 5.6623 2,005,321 NA 26,621,657 Minnesota ........................ 22 1.51 13,399,862 6,222,133 NA NA 7,177,729 3.0014 1,062,941 NA 12,336,922 Mississippi ....................... 17 1.17 10,354,439 15,159,850 4,805,411 13.5688 Need Need Need 4,805,411 15,159,850 Missouri ........................... 34 2.34 20,708,878 5,920,121 NA NA 14,788,757 6.1839 2,190,048 NA 18,518,830 Montana .......................... 6 0.41 3,654,508 1,621,995 NA NA 2,032,513 0.8499 300,992 NA 3,353,516 Nebraska ......................... 7 0.48 4,263,593 2,506,235 NA NA 1,757,358 0.7348 260,245 NA 4,003,348 Nevada ............................ 9 0.62 5,481,762 4,524,038 NA NA 957,724 0.4005 141,828 NA 5,339,934 New Hampshire .............. 6 0.41 3,654,508 2,135,209 NA NA 1,519,299 0.6353 224,991 NA 3,429,517 New Jersey ..................... 29 2.00 17,663,455 10,947,452 NA NA 6,716,003 2.8083 994,564 NA 16,668,891 New Mexico .................... 12 0.83 7,309,016 4,380,182 NA NA 2,928,834 1.2247 433,727 NA 6,875,289 New York ........................ 88 6.06 53,599,449 46,599,154 NA NA 7,000,295 2.9272 1,036,665 NA 52,562,785 North Carolina ................. 51 3.51 31,063,317 29,879,017 NA NA 1,184,300 0.4952 175,382 NA 30,887,936 North Dakota ................... 3 0.21 1,827,254 732,156 NA NA 1,095,098 0.4579 162,172 NA 1,665,082 Ohio ................................. 69 4.75 42,026,841 23,482,476 NA NA 18,544,365 7.7543 2,746,211 NA 39,280,629 Oklahoma ........................ 17 1.17 10,354,439 10,487,929 133,490 0.3769 Need Need Need 133,490 10,487,929 Oregon ............................ 19 1.31 11,572,608 13,141,294 1,568,686 4.4294 Need Need Need 1,568,686 13,141,294 Pennsylvania ................... 72 4.96 43,854,095 33,758,390 NA NA 10,095,705 4.2215 1,495,060 NA 42,359,035 Rhode Island ................... 6 0.41 3,654,508 2,322,853 NA NA 1,331,655 0.5568 197,203 NA 3,457,305 South Carolina ................ 24 1.65 14,618,032 15,020,561 402,529 1.1366 Need Need Need 402,529 15,020,561 South Dakota .................. 4 0.28 2,436,339 1,720,053 NA NA 716,286 0.2995 106,074 NA 2,330,265 Tennessee ...................... 34 2.34 20,708,878 26,632,392 5,923,514 16.7259 Need Need Need 5,923,514 26,632,392 Texas .............................. 117 8.05 71,262,904 78,314,925 7,052,021 19.9124 Need Need Need 7,052,021 78,314,925 Utah ................................. 9 0.62 5,481,762 2,259,983 NA NA 3,221,779 1.3472 477,109 NA 5,004,653 Vermont ........................... 2 0.14 1,218,169 3,698,518 2,480,349 7.0036 Need Need Need 2,480,349 3,698,518 Virginia ............................ 33 2.27 20,099,794 12,026,439 NA NA 8,073,355 3.3759 1,195,573 NA 18,904,221 Washington ..................... 21 1.45 12,790,778 9,678,240 NA NA 3,112,538 1.3015 460,932 NA 12,329,846 West Virginia ................... 15 1.03 9,136,270 6,570,617 NA NA 2,565,653 1.0728 379,944 NA 8,756,326 Wisconsin ........................ 32 2.20 19,490,709 5,065,273 NA NA 14,425,436 6.0320 2,136,244 NA 17,354,465 Wyoming ......................... 2 0.14 1,218,169 885,008 NA NA 333,161 0.1393 49,337 NA 1,168,832

Total ......................... 1,453 100.00 885,000,000 681,267,040 35,415,135 100.0000 239,148,095 100.0000 35,415,135 35,415,1 35 885,000,000

Footnotes:

1 FY 2011 Estimates from July 2011 CMS Survey of States.

2 For Need States, Final FY 2011 QI Allotment is equal to Initial QI Allotment in Column D increased by amount in Column K. For N on-Need States, Final FY 2011 QI Allotment is equal to Initial QI Allotment in Column D reduced by amount in Column J.

3 Three-year average (2007–2009) of number (000) of Medicare beneficiaries in State who are not enrolled in Medicaid but whose incomes are at least 120% but less than 135% of Federal poverty level. Source: Census Bureau Annual Social and Economic Supplement (ASEC) to the 2010 Current Population Survey (CPS).

Authority: (Catalog of Federal Domestic Assistance Program No. 93.778, Medical Assistance Program).

Dated: August 14, 2012. Jennifer Cannistra, Executive Secretary to the Department.
[FR Doc. 2012–20296 Filed 8–17–12; 8:45 am]

**BILLING CODE 4120–01–P DEPARTMENT OF HEALTH AND**  **HUMAN SERVICES**

**Centers for Medicare & Medicaid Services** 
**[CMS–3273–N]**
**Medicare Program; Request for Nominations for Members for the**  **Medicare Evidence Development & Coverage Advisory Committee** 

**AGENCY :**  Centers for Medicare & Medicaid Services, HHS.

**ACTION :**  Notice.

**SUMMARY :**  This notice announces the request for nominations for membership on the Medicare Evidence Development & Coverage Advisory Committee (MEDCAC). Among other duties, the MEDCAC provides advice and guidance to the Secretary of the Department of Health and Human Services (the Secretary) and the Administrator of the Centers for Medicare & Medicaid Services (CMS) concerning the adequacy of scientific evidence available to CMS for ‘‘reasonable and necessary’’ determinations under Medicare.

We are requesting nominations for both voting and nonvoting members to serve on the MEDCAC. Nominees are selected based upon their individual qualifications and not as representatives of professional associations or societies. We wish to ensure adequate representation of the interests of both


### 50111 Federal Register / Vol. 77, No. 161 / Monday, August 20, 2012 / Notices

women and men, members of all ethnic groups and physically challenged individuals. Therefore, we encourage nominations of qualified candidates who can represent these interests.

The MEDCAC reviews and evaluates medical literature, technology assessments, and hears public testimony on the evidence available to address the impact of medical items and services on health outcomes of Medicare beneficiaries.

**DATES :**  Nominations must be received by Monday, September 24, 2012.

**ADDRESSES :**  You may mail nominations for membership to the following address: Centers for Medicare & Medicaid Services, Center for Clinical Standards and Quality, Attention: Maria Ellis, 7500 Security Boulevard, Mail Stop: South Building 3–02–01, Baltimore, MD 21244.

**FOR FURTHER INFORMATION CONTACT :**  Maria Ellis, Executive Secretary for the MEDCAC, Centers for Medicare & Medicaid Services, Center for Clinical Standards and Quality, Coverage and Analysis Group, S3–02–01, 7500 Security Boulevard, Baltimore, MD 21244 or contact Ms. Ellis by phone (410–786–0309) or via email at Maria.Ellis@cms.hhs.gov

. **SUPPLEMENTARY INFORMATION :**  I. Background

The Secretary signed the initial charter for the Medicare Coverage Advisory Committee (MCAC) on November 24, 1998. A notice in the Federal Register (63 FR 68780) announcing establishment of the MCAC was published on December 14, 1998. The MCAC name was updated to more accurately reflect the purpose of the committee and on January 26, 2007, the Secretary published a notice in the Federal Register (72 FR 3853), announcing that the Committee’s name changed to the Medicare Evidence Development & Coverage Advisory Committee (MEDCAC). The charter for the committee was renewed by the Secretary on November 24, 2010. The current charter is effective for 2 years.

The MEDCAC is governed by provisions of the Federal Advisory Committee Act, Public Law 92–463, as amended (5 U.S.C. App. 2), which sets forth standards for the formulation and use of advisory committees, and is authorized by section 222 of the Public Health Service Act as amended (42 U.S.C. 217A).

The MEDCAC consists of a pool of 100 appointed members including: 94 voting members of whom 6 are designated patient advocates, and 6 nonvoting representatives of industry interests. Members generally are recognized authorities in clinical medicine including subspecialties, administrative medicine, public health, biological and physical sciences, epidemiology and biostatistics, clinical trial design, health care data management and analysis, patient advocacy, health care economics, medical ethics or other relevant professions.

The MEDCAC works from an agenda provided by the Designated Federal Official. The MEDCAC reviews and evaluates medical literature, technology assessments, and hears public testimony on the evidence available to address the impact of medical items and services on health outcomes of Medicare beneficiaries. The MEDCAC may also advise CMS as part of Medicare’s ‘‘coverage with evidence development’’ initiative.

II. Provisions of the Notice

As of January 2013, there will be 42 membership terms expiring. Of the 42 memberships expiring, 3 are nonvoting industry representative and the remaining 39 membership openings are for the general MEDCAC voting membership.

Accordingly, we are requesting nominations for both voting and nonvoting members to serve on the MEDCAC. Nominees are selected based upon their individual qualifications and not as representatives of professional associations or societies. We wish to ensure adequate representation of the interests of both women and men, members of all ethnic groups and physically challenged individuals. Therefore, we encourage nominations of qualified candidates from these groups.

All nominations must be accompanied by curricula vitae. Nomination packages must be sent to Maria Ellis at the address listed in the
**ADDRESSES** section of this notice. Nominees for voting membership must also have expertise and experience in one or more of the following fields:

• Clinical medicine including subspecialties

• Administrative medicine

• Public health

• Biological and physical sciences

• Epidemiology and biostatistics

• Clinical trial design

• Health care data management and analysis

• Patient advocacy

• Health care economics

• Medical ethics

• Other relevant professions We are looking for experts in a number of fields. Our most critical needs are for experts in hematology; genomics; Bayesian statistics; clinical epidemiology; clinical trial methodology; knee, hip, and other joint replacement surgery; ophthalmology; psychopharmacology; rheumatology; screening and diagnostic testing analysis; and vascular surgery. We also need experts in biostatistics in clinical settings, cardiovascular epidemiology, dementia, endocrinology, geriatrics, gynecology, minority health, observational research design, stroke epidemiology, and women’s health.

The nomination letter must include a statement that the nominee is willing to serve as a member of the MEDCAC and appears to have no conflict of interest that would preclude membership. We are requesting that all curricula vitae include the following:

• Date of birth

• Place of birth

• Social security number

• Title and current position

• Professional affiliation

• Home and business address

• Telephone and fax numbers

• Email address

• List of areas of expertise
In the nomination letter, we are requesting that the nominee specify whether they are applying for a voting patient advocate position, for another voting position or a nonvoting industry representative. Potential candidates will be asked to provide detailed information concerning such matters as financial holdings, consultancies, and research grants or contracts in order to permit evaluation of possible sources of conflict of interest.

Members are invited to serve for overlapping 2-year terms. A member may serve after the expiration of the member’s term until a successor is named. Any interested person may nominate one or more qualified persons. Self-nominations are also accepted.

The current Secretary’s Charter for the MEDCAC is available on the CMS Web site at: http://www.cms.hhs.gov/FACA/ Downloads/medcaccharter.pdf, or you may obtain a copy of the charter by submitting a request to the contact listed in the **FOR FURTHER INFORMATION CONTACT**  section of this notice.

Authority: 5 U.S.C. App. 2, section 10(a)(1) and (a)(2). (Catalog of Federal Domestic Assistance Program No. 93.773, Medicare—Hospital Insurance; and Program No. 93.774, Medicare—Supplementary Medical Insurance Program.)


### 50112 Federal Register / Vol. 77, No. 161 / Monday, August 20, 2012 / Notices

Dated: August 8, 2012. Patrick Conway, CMS Chief Medical Officer and Director, Center for Clinical Standards and Quality, Centers for Medicare & Medicaid Services.
[FR Doc. 2012–20298 Filed 8–17–12; 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: Uniform Project Description (UPD) Program Narrative Format for Discretionary Grant Application Forms. OMB No.: 0970–0139. Description: The proposed information collection would renew the Administration for Children and Families (ACF) Uniform Project Description (UPD). The UPD provides a uniform grant application format for applicants to submit project information in response to ACF discretionary funding opportunity announcements. ACF uses this information, along with other OMB-approved information collections (Standard Forms), to evaluate and rank applications. Use of the UPD helps to protect the integrity of ACF’s award selection process. All ACF discretionary grant programs are required to use this application format. The application consists of general information and instructions; the Standard Form 424 series, which requests basic information, budget information, and assurances; the Project Description that requests the applicant to describe how program objectives will be achieved; and other assurances and certifications. Guidance for the content of information requested in the Project Description is found in OMB Circular A–102; 2 CFR, Part 215; 2 CFR, Part 225; 2 CFR, Part 230; 45 CFR, Part 74; and 45 CFR, Part 92.

Respondents: Applicants to ACF Discretionary Funding Opportunity Announcements.



### ANNUAL 

### B URDEN 

### E STIMATES

Instrument Number of respondents Number of responses per

respondent Average burden hours per response Total burden hours

ACF Uniform Project Description (UPD) ......................................................... 5,205 1 60 312,300

Estimated Total Annual Burden Hours: 312,300.

Additional Information: Copies of the proposed collection may be obtained by writing to the Administration for Children and Families, Office of Planning, Research and Evaluation, 370 L’Enfant Promenade SW., Washington, DC 20447, Attn: ACF Reports Clearance Officer. All requests should be identified by the title of the information collection. Email address: infocollection@acf.hhs.gov

.

OMB Comment: OMB is required to make a decision concerning 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. Written comments and recommendations for the proposed information collection should be sent directly to the following: Office of Management and Budget, Paperwork Reduction Project, Email: OIRA

_SUBMISSION@OMB.EOP.GOV, Attn: Desk Officer for the Administration for Children and Families.
Robert Sargis, Reports Clearance Officer.
[FR Doc. 2012–20326 Filed 8–17–12; 8:45 am]

**BILLING CODE 4184–01–P DEPARTMENT OF HEALTH AND**  **HUMAN SERVICES**

**Administration for Community Living**

**Agency Information Collection Activities: Submission for OMB**  **Review; Comment Request; Developmental Disabilities Protection**  **and Advocacy Program Statement of Goals and Priorities** 

**AGENCY :**  Administration for Community Living, HHS.

**ACTION :**  Notice.

**SUMMARY :**  The Administration Intellectual and Developmental Disabilities (AIDD), Administration for Community Living (ACL) is announcing that the proposed collection of information listed below has been submitted to the Office of Management and Budget (OMB) for review and clearance under the Paperwork Reduction Act of 1995.

**DATES :**  Submit written comments on the collection of information by September 19, 2012.

**ADDRESSES :**  Submit written comments on the collection of information by fax 202.395.6974 to the OMB Desk Officer for ACL, Office of Information and Regulatory Affairs, OMB.

**FOR FURTHER INFORMATION CONTACT :**  Brianne Burger, 202.618.5525. **SUPPLEMENTARY INFORMATION :**  In compliance with 44 U.S.C. 3507, ACL has submitted the following proposed collection of information to OMB for review and clearance. Federal statute and regulation require each State Protection and Advocacy (P&A) System to prepare and solicit public comment on a Statement of Goals and Priorities (SGP) for the P&A for Developmental Disabilities (PADD) program for each coming fiscal year. While the P&A is mandated to protect and advocate under a range of different federally authorized disabilities programs, only the PADD program requires an SGP. Following the required public input for the coming fiscal year, the P&As submit the final version of this SGP to the Administration on Intellectual and Developmental Disabilities (AIDD). AIDD will aggregate the information in the SGPs into a national profile of programmatic emphasis for P&A Systems in the coming year. This aggregation will provide AIDD with a tool for monitoring of the public input requirement. Furthermore, it will provide an overview of program direction, and permit AIDD to track accomplishments against goals/targets, permitting the formulation of technical assistance and compliance with the Government Performance and Results Act of 1993. ACL estimates the burden of this collection of information as follows: