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[Federal Register Volume 78, Number 240 (Friday, December 13, 2013)]
[Notices]
[Pages 75926-75927]
From the Federal Register Online via the Government Printing Office [www.gpo.gov]
[FR Doc No: 2013-29726]

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DEPARTMENT OF HEALTH AND HUMAN SERVICES

Centers for Medicare & Medicaid Services

[Document Identifiers CMS-10141, CMS-10227, and CMS-R-138]

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

ACTION: Notice.

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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 January 13, 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) 395-6974 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

[[Page 75927]]

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: Revision of a currently 
approved collection; Title of Information Collection: Medicare 
Prescription Drug Benefit Program; Use: Part D plans use the 
information to comply with the eligibility and associated Part D 
participating requirements. We use the information to approve contract 
applications, monitor compliance with contract requirements, make 
proper payment to plans, and to ensure that correct information is 
disclosed to potential and current enrollees. Form Number: CMS-10141 
(OCN: 0938-0964); Frequency: Occasionally; Affected Public: Individuals 
or households, Private sector--Business or other for-profits and Not-
for-profit institutions, and State, Local, or Tribal Governments; 
Number of Respondents: 4,100,953; Total Annual Responses: 26,301,339; 
Total Annual Hours: 7,572,243. (For policy questions regarding this 
collection contact Deborah Larwood at 410-786-9500).
    2. Type of Information Collection Request: Extension without change 
of a currently approved collection; Title of Information Collection: 
PACE State Plan Amendment Preprint; Use: If a state elects to offer 
PACE as an optional Medicaid benefit, it must complete a state plan 
amendment preprint packet described as ``Enclosures 3,4,5,6 
and 7.'' The information, collected from the state on a one-time basis 
is needed in order to determine if the state has properly elected to 
cover PACE services as a state plan option. Form Number: CMS-10227 
(OCN: 0938-1027); Frequency: Once and occasionally; Affected Public: 
State, Local, or Tribal Governments; Number of Respondents: 21; Total 
Annual Responses: 7; Total Annual Hours: 240. (For policy questions 
regarding this collection contact Angela Taube at 410-786-2638).
    3. Type of Information Collection Request: Reinstatement without 
change of a previously approved collection; Title of Information 
Collection: Medicare Geographic Classification Review Board (MGCRB) 
Procedures and Supporting Regulations; Use: The information submitted 
by the hospitals is used to determine the validity of the hospitals' 
requests and the discretion used by the Medicare Geographic 
Classification Review Board (MGCRB) in reviewing and making decisions 
regarding hospitals' requests for geographic reclassification. Form 
Number: CMS-R-138 (OCN: 0938-0573); Frequency: Yearly; Affected Public: 
Business or other for-profits and Not-for-profit institutions, and 
State, Local, or Tribal Governments; Number of Respondents: 300; Total 
Annual Responses: 300; Total Annual Hours: 300. (For policy questions 
regarding this collection contact Geri Mondowney at 410-786-1172).

    Dated: December 9, 2013.
Martique Jones,
Deputy Director, Regulations Development Group, Office of Strategic 
Operations and Regulatory Affairs.
[FR Doc. 2013-29726 Filed 12-12-13; 8:45 am]
BILLING CODE 4120-01-P
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