66452 Federal Register / Vol. 88, No. 186 / Wednesday, September 27, 2023 / Notices 

virus vaccines for older adults. 

Recommendation votes on child and 

adolescent immunization schedules, 

adult immunization schedule, 

meningococcal vaccines, and mpox 

vaccine are scheduled. A Vaccines for 

Children vote on meningococcal 

vaccines and mpox vaccine is 

scheduled. Agenda items are subject to 

change as priorities dictate. For more 

information on the meeting agenda, visit 

https://www.cdc.gov/vaccines/acip/ 

meetings/index.html. 

Meeting Information: The meeting 

will be webcast live via the World Wide 

Web. For more information on ACIP, 

please visit the ACIP website: https://

www.cdc.gov/vaccines/acip/index.html. 

Public Participation 

Interested persons or organizations 

are invited to participate by submitting 

written views, recommendations, and 

data. Please note that comments 

received, including attachments and 

other supporting materials, are part of 

the public record and are subject to 

public disclosure. Comments will be 

posted on https://www.regulations.gov. 

Therefore, do not include any 

information in your comment or 

supporting materials that you consider 

confidential or inappropriate for public 

disclosure. If you include your name, 

contact information, or other 

information that identifies you in the 

body of your comments, that 

information will be on public display. 

CDC will review all submissions and 

may choose to redact, or withhold, 

submissions containing private or 

proprietary information such as Social 

Security numbers, medical information, 

inappropriate language, or duplicate/ 

near-duplicate examples of a mass-mail 

campaign. CDC will carefully consider 

all comments submitted into the docket. 

Written Public Comment: The docket 

will be opened to receive written 

comments on October 2, 2023. Written 

comments must be received by October 

13, 2023. 

Oral Public Comment: This meeting 

will include time for members of the 

public to make an oral comment. Oral 

public comment will occur before any 

scheduled votes, including all votes 

relevant to the ACIP’s Affordable Care 

Act and Vaccines for Children Program 

roles. Priority will be given to 

individuals who submit a request to 

make an oral public comment before the 

meeting according to the procedures 

below. 

Procedure for Oral Public Comment: 

All persons interested in making an oral 

public comment at the October 25–27, 

2023, ACIP meeting must submit a 

request at https://www.cdc.gov/ 

vaccines/acip/meetings/index.html 

between October 2, 2023, and no later 

than 11:59 p.m., EDT, October 13, 2023, 

according to the instructions provided. 

If the number of persons requesting to 

speak is greater than can be reasonably 

accommodated during the scheduled 

time, CDC will conduct a lottery to 

determine the speakers for the 

scheduled public comment session. 

CDC staff will notify individuals 

regarding their request to speak by email 

by October 17, 2023. To accommodate 

the significant interest in participation 

in the oral public comment session of 

ACIP meetings, each speaker will be 

limited to three minutes, and each 

speaker may speak only once per 

meeting. 

The Director, Office of Strategic 

Business Initiatives, Office of the Chief 

Operating Officer, Centers for Disease 

Control and Prevention, has been 

delegated the authority to sign Federal 

Register notices pertaining to 

announcements of meetings and other 

committee management activities, for 

both the Centers for Disease Control and 

Prevention and the Agency for Toxic 

Substances and Disease Registry. 

Kalwant Smagh, 

Director, Office of Strategic Business 

Initiatives, Office of the Chief Operating 

Officer, Centers for Disease Control and 

Prevention. 

[FR Doc. 2023–20949 Filed 9–26–23; 8:45 am] 

BILLING CODE 4163–18–P 

DEPARTMENT OF HEALTH AND 

HUMAN SERVICES 

Centers for Medicare & Medicaid 

Services 

[Document Identifier: CMS–2540–23 and 

CMS–10448] 

Agency Information Collection 

Activities: Proposed Collection; 

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 (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 

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 must be received by 

November 27, 2023. 

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: 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, 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 N. Parham at (410) 786–4669. 

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–2540–23—Skilled Nursing Facility 

and Skilled Nursing Facility 

Healthcare Complex Report 

CMS–10448—Essential Health Benefits 

Benchmark Plans 

Under the PRA (44 U.S.C. 3501– 

3520), federal agencies must obtain 


ddrumheller on DSK120RN23PROD with NOTICES1
Federal Register / Vol. 88, No. 186 / Wednesday, September 27, 2023 / Notices 66453 

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: Reinstatement with change; 

Title of Information Collection: Skilled 

Nursing Facility and Skilled Nursing 

Facility Complex Cost Repot; Use: The 

primary function of the cost report is to 

implement the principles of cost 

reimbursement that require that SNFs 

maintain sufficient financial records 

and statistical data for proper 

determination of costs payable under 

the program. Specifically, CMS–2540– 

23 collects discrete data, previously 

reported in summary form, used in 

determining the cost weights for the 

SNF market basket and for payment 

adequacy analyses. SNFs and SNF 

health care complexes participating in 

the Medicare program submit these cost 

reports annually to report cost and 

statistical data used by CMS to 

determine reasonable costs. Essentially 

the methods of determining costs 

payable under Medicare involve making 

use of data available from the provider’s 

accounting records, as usually 

maintained, to arrive at equitable and 

proper payment for services to 

beneficiaries.; Form Number: CMS– 

2540–23 (OMB control number: 0938– 

0463); Frequency: Annually; Affected 

Public: Private Sector, (Business or other 

for-profits), Not-for-profit institutions; 

Number of Respondents: 14,189; Total 

Annual Responses: 14,189; Total 

Annual Hours: 2,866,178. (For policy 

questions regarding this collection 

contact Luann Piccione at 410–786– 

5423.) 

2. Type of Information Collection 

Request: Revision of a currently 

approved collection; Title of 

Information Collection: Essential Health 

Benefits Benchmark Plans; Use: On 

March 23, 2010, the Patient Protection 

and Affordable Care Act (PPACA; Pub. 

L. 111–148) was signed into law, and on 

March 30, 2010, the Health Care and 

Education Reconciliation Act of 2010 

(Pub. L. 111–152) was signed into law. 

The two laws implement various health 

insurance policies, including the 

essential health benefits (EHB). 

Beginning in 2014, all nongrandfathered health plans in the 

individual and small group market must 

cover EHB, as defined by the Secretary 

of Health and Human Services. 

In the final rule entitled HHS Notice 

of Benefit and Payment Parameters for 

2023 (2023 Payment Notice; CMS– 

9911–F),2 we repealed the ability for 

States to permit between category 

substitution of the EHBs at 45 CFR 

156.115. Thus, we revise this 

Supporting Statement to remove any 

burden associated with States opting to 

permit between category substitution of 

the EHBs and remove the form Essential 

Health Benefits (EHB) State Substitution 

Notification (Appendix F) from this 

collection. 

For annual reporting of state 

mandates, in the final rule entitled HHS 

Notice of Benefit and Payment 

Parameters for 2021 (2021 Payment 

Notice; CMS–9916–F),3 we finalized 

amendments to § 156.111(d) and adding 

new § 156.111(f) to require states to 

annually notify HHS in a format and 

manner specified by HHS, and by a date 

determined by HHS, of any staterequired benefits applicable to QHPs in 

the individual and/or small group 

market that are considered to be ‘‘in 

addition to EHB’’ in accordance with 

§ 155.170(a)(3). 

In the final rule entitled HHS Notice 

of Benefit and Payment Parameters for 

2023 (2023 Payment Notice; CMS– 

9911–F), we repealed the annual 

reporting requirement at § 156.111(d) 

and (f), including revising the section 

heading to § 156.111 to instead read, 

‘‘State selection of EHB benchmark plan 

for PYs beginning on or after January 1, 

2020.’’ Thus, we have revised this 

Supporting Statement to reflect that 

States are no longer required to annually 

notify HHS of any State-required 

benefits applicable to QHPs in the 

individual or small group market that 

are considered to be ‘‘in addition to 

EHB’’ or any benefits the State has 

identified as not in addition to EHB and 

not subject to defrayal. We also remove 

the forms State Annual Report on StateRequired Benefits (Appendix G) and 

State Certification of Annual Report on 

State-Required Benefits (Appendix H) 

from this collection. 

This information collection also 

previously included estimates for the 

burden on issuers to report their intent 

to offer SADPs. We no longer collect 

this information from issuers; we revise 

this Supporting Statement to remove the 

burden associated with this report. In 

this package, we make minimum 

required revisions to reflect only the 

regulatory changes that have occurred 

since it was last authorized in 2021. 

Form Number: CMS–10448 (OMB 

control number: 0938–1174); Frequency: 

Annually; Affected Public: State, Local, 

or Tribal Governments; Number of 

Respondents: 10; Number of Responses: 

10; Total Annual Hours: 470. (For 

questions regarding this collection, 

contact Ken Buerger at 410–786–1190). 

Dated: September 22, 2023. 

William N. Parham, III, 

Director, Paperwork Reduction Staff, Office 

of Strategic Operations and Regulatory 

Affairs. 

[FR Doc. 2023–21122 Filed 9–26–23; 8:45 am] 

BILLING CODE 4120–01–P 

DEPARTMENT OF HEALTH AND 

HUMAN SERVICES 

Centers for Medicare & Medicaid 

Services 

[Document Identifier: CMS–10398 #34] 

Medicaid and Children’s Health 

Insurance Program (CHIP) Generic 

Information Collection Activities: 

Proposed Collection; Comment 

Request 

AGENCY: Centers for Medicare & 

Medicaid Services, Health and Human 

Services (HHS). 

ACTION: Notice. 

SUMMARY: On May 28, 2010, the Office 

of Management and Budget (OMB) 

issued Paperwork Reduction Act (PRA) 

guidance related to the ‘‘generic’’ 

clearance process. Generally, this is an 

expedited process by which agencies 

may obtain OMB’s approval of 

collection of information requests that 

are ‘‘usually voluntary, low-burden, and 

uncontroversial collections,’’ do not 

raise any substantive or policy issues, 

and do not require policy or 

methodological review. The process 

requires the submission of an 

overarching plan that defines the scope 

of the individual collections that would 

fall under its umbrella. On October 23, 

2011, OMB approved our initial request 

to use the generic clearance process 

under control number 0938–1148 

(CMS–10398). It was last approved on 

April 26, 2021, via the standard PRA 

process which included the publication 

of 60- and 30-day Federal Register 

notices. The scope of the April 2021 

umbrella accounts for Medicaid and 

CHIP State plan amendments, waivers, 

demonstrations, and reporting. This 


ddrumheller on DSK120RN23PROD with NOTICES1