62796 Federal Register / Vol. 88, No. 176 / Wednesday, September 13, 2023 / Notices 

DEPARTMENT OF HEALTH AND 

HUMAN SERVICES 

Centers for Medicare & Medicaid 

Services 

[Document Identifier: CMS–R–266] 

Agency Information Collection 

Activities: Submission for OMB 

Review; Comment Request 

AGENCY: Centers for Medicare & 

Medicaid Services, Health and Human 

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 

(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 the necessity and 

utility of the proposed information 

collection for the proper performance of 

the agency’s functions, the accuracy of 

the estimated burden, ways to enhance 

the quality, utility, and clarity of the 

information to be collected, and 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 October 13, 2023. 

ADDRESSES: Written comments and 

recommendations for the proposed 

information collection should be sent 

within 30 days of publication of this 

notice to www.reginfo.gov/public/do/ 

PRAMain. Find this particular 

information collection by selecting 

‘‘Currently under 30-day Review—Open 

for Public Comments’’ or by using the 

search function. 

To obtain copies of a supporting 

statement and any related forms for the 

proposed collection(s) summarized in 

this notice, please access the CMS PRA 

website by copying and pasting the 

following web address into your web 

browser: https://www.cms.gov/ 

Regulations-and-Guidance/Legislation/

PaperworkReductionActof1995/PRAListing. 

FOR FURTHER INFORMATION CONTACT: 

William Parham at (410) 786–4669. 

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: Extension of a currently 

approved collection; Title of 

Information Collection: Medicaid 

Disproportionate Share Hospital (DSH) 

Annual Reporting Requirements; Use: 

States are required to submit an annual 

report that identifies each 

disproportionate share hospital (DSH) 

that received a DSH payment under the 

State’s Medicaid program in the 

preceding fiscal year and the amount of 

DSH payments paid to that hospital in 

the same year along with other 

information that the Secretary 

determines necessary to ensure the 

appropriateness of DSH payments; Form 

Number: CMS–R–266 (OMB control 

number: 0938–0746); Frequency: Yearly; 

Affected Public: State, local, or Tribal 

governments; Number of Respondents: 

51; Total Annual Responses: 51; Total 

Annual Hours: 2,142. (For policy 

questions regarding this collection 

contact Rich Cuno at 410–786–1111.) 

Dated: September 8, 2023. 

William N. Parham, III, 

Director, Paperwork Reduction Staff, Office 

of Strategic Operations and Regulatory 

Affairs. 

[FR Doc. 2023–19785 Filed 9–12–23; 8:45 am] 

BILLING CODE 4120–01–P 

DEPARTMENT OF HEALTH AND 

HUMAN SERVICES 

Administration for Children and 

Families 

Proposed Information Collection 

Activity; Financing for Early Care and 

Education: Quality and Access for All 

(New Collection) 

AGENCY: Office of Planning, Research, 

and Evaluation, Administration for 

Children and Families, United States 

Department of Health and Human 

Services. 

ACTION: Request for public comments. 

SUMMARY: The Administration for 

Children and Families (ACF) at the U.S. 

Department of Health and Human 

Services seeks approval to collect 

information to explore the role of Head 

Start in the early care and education 

(ECE) financing landscape, as well as 

how the use of multiple funding sources 

within a single Head Start program may 

be associated with the provision of Head 

Start’s comprehensive services and with 

state-level differences in ECE funding. 

Survey data will be collected from Head 

Start program directors and state 

government administrators. 

DATES: Comments due within 60 days of 

publication. In compliance with the 

requirements of the Paperwork 

Reduction Act of 1995, ACF is soliciting 

public comment on the specific aspects 

of the information collection described 

above. 

ADDRESSES: You can obtain copies of the 

proposed collection of information and 

submit comments by emailing 

OPREinfocollection@acf.hhs.gov. 

Identify all requests by the title of the 

information collection. 

SUPPLEMENTARY INFORMATION: 

Description: The proposed data 

collection seeks to better understand 

Head Start’s participation in or use of 

coordinated funding, defined as the 

piecing together or combining of 

multiple funding sources. The data 

collection effort will consist of two 

surveys: (1) a census survey of Head 

Start program directors (of any grant 

recipient with a Head Start grant, Early 

Head Start grant, or both, or one of their 

delegate programs), and (2) a census 

survey of three state government 

administrative positions in each of the 

50 states and Washington, DC (the Head 

Start Collaboration Office Director, the 

administrator of state pre-kindergarten 

funds, and the administrator of the 

federal Child Care and Development 

Fund [CCDF]). The surveys will identify 

the most common approaches to 

coordinated funding; examine how 


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Federal Register / Vol. 88, No. 176 / Wednesday, September 13, 2023 / Notices 62797 

these approaches relate to the provision 

of high-quality, comprehensive ECE 

services in Head Start programs; 

understand policy levers and conditions 

that influence Head Start programs’ 

decisions around and ability to 

coordinate funding; and document how 

participation in coordinated funding 

relates to Head Start’s engagement with 

other ECE programs and system efforts. 

The resulting insights will inform ACF 

about the prevalence of coordinated 

funding in Head Start, facilitators and 

challenges of coordinated funding for 

Head Start programs, and potential 

associations with program quality. They 

will also inform future case studies. 

Respondents: Head Start Program 

Directors, state-based Head Start 

Collaboration Office Directors, state 

administrators of state pre-kindergarten 

funds, and state-based administrators of 

federal CCDF. 

ANNUAL BURDEN ESTIMATES

Instrument 

Number of 

respondents 

(total over 

request 

period) 

Number of 

responses per 

respondent 

(total over 

request 

period) 

Average 

burden per 

response 

(in hours) 

Total/annual 

burden 

(in hours) 

Program Director Survey (Head Start Program Directors or financial administrators) ....................................................................................................... 1,642 1 .83 1,363 

ECE State Administrator Survey (State-based Head Start Collaboration Office Directors, administrators of state pre-kindergarten funds, state-based 

administrators of federal CCDF) .................................................................. 138 1 .60 83 

Estimated Total Annual Burden 

Hours: 1,446. 

Comments: The Department 

specifically requests comments on (a) 

whether the proposed collection of 

information is necessary for the proper 

performance of the functions of the 

agency, including whether the 

information shall have practical utility; 

(b) the accuracy of the agency’s estimate 

of the burden of the proposed collection 

of information; (c) the quality, utility, 

and clarity of the information to be 

collected; and (d) ways to minimize the 

burden of the collection of information 

on respondents, including through the 

use of automated collection techniques 

or other forms of information 

technology. Consideration will be given 

to comments and suggestions submitted 

within 60 days of this publication. 

Authority: 42 U.S.C. 9835; 42 U.S.C. 

9844. 

Mary B. Jones, 

ACF/OPRE Certifying Officer. 

[FR Doc. 2023–19722 Filed 9–12–23; 8:45 am] 

BILLING CODE 4184–22–P 

DEPARTMENT OF HEALTH AND 

HUMAN SERVICES 

Administration for Children and 

Families 

Submission for OMB Review: 

Strengthening Child Welfare Systems 

To Achieve Expected Child and Family 

Outcomes Evaluation (New Collection) 

AGENCY: Children’s Bureau, 

Administration for Children and 

Families, United States Department of 

Health and Human Services. 

ACTION: Request for public comments. 

SUMMARY: The Children’s Bureau, 

Administration for Children and 

Families (ACF), U.S. Department of 

Health and Human Services, is 

proposing to collect data for a new 

process and outcome study, 

Strengthening Child Welfare Systems to 

Achieve Expected Child and Family 

Outcomes (SCWS) Evaluation. 

DATES: Comments due within 30 days of 

publication. The Office of Management 

and Budget (OMB) must make a 

decision about 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. 

ADDRESSES: Written comments and 

recommendations for the proposed 

information collection should be sent 

within 30 days of publication of this 

notice to www.reginfo.gov/public/do/ 

PRAMain. Find this particular 

information collection by selecting 

‘‘Currently under 30-day Review—Open 

for Public Comments’’ or by using the 

search function. You can also obtain 

copies of the proposed collection of 

information by emailing infocollection@

acf.hhs.gov. Identify all emailed 

requests by the title of the information 

collection. 

SUPPLEMENTARY INFORMATION: 

Description: The SCWS study will 

collect information to understand (1) 

implementation processes and the 

impact of grant interventions and (2) 

examine whether and the degree to 

which grant recipients were able to 

address common Child and Family 

Services Reviews (CFSR) outcomes. 

Proposed data sources for this effort 

include one survey and one focus group. 

The survey will gather information to 

understand the factors that supported or 

hindered implementation, as well as 

assess collaboration efforts and the 

intended impact of grant interventions. 

The focus groups will gather 

information to understand 

implementation of SCWS strategies and 

interventions, successes and challenges, 

and the perceived effect of the strategies 

on short and long-term child welfare 

outcomes, with specific attention to 

CFSR outcomes related to permanency. 

Respondents: Respondents will 

include grant recipient staff, evaluators, 

and community partners. 


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