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
66454 Federal Register / Vol. 88, No. 186 / Wednesday, September 27, 2023 / Notices 

Federal Register notice seeks public 

comment on one or more of our 

collection of information requests that 

we believe are generic and fall within 

the scope of the umbrella. Interested 

persons are invited to submit 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 

October 11, 2023. 

ADDRESSES: When commenting, please 

reference the applicable form number 

(see below) and the OMB control 

number (0938–1148). 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: 

CMS–10398 (#64)/OMB control number: 

0938–1148, 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: Following 

is a summary of the use and burden 

associated with the subject information 

collection(s). More detailed information 

can be found in the collection’s 

supporting statement and associated 

materials (see ADDRESSES). 

Generic Information Collection 

1. Title of Information Collection: 

Model Application Template and 

Instructions for State Child Health Plan 

Under Title XXI of the Social Security 

Act, State Children’s Health Insurance 

Program; Type of Information Collection 

Request: Revision of a currently 

approved collection; Use: This 2023 

iteration proposes to revise the State 

plan template by adding a new section 

6.5-Vaccine coverage, which consists of 

three new assurances to the state plan 

template to report compliance with the 

coverage requirements for ageappropriate vaccines. The revisions are 

intended to conform to statutory 

amendments made by section 

11405(b)(1) of the Inflation Reduction 

Act. Form Number: CMS–10398 (#34) 

(OMB control number: 0938–1148); 

Frequency: Once; Affected Public: State, 

local, or Tribal governments; Number of 

Respondents: 40; Total Annual 

Responses: 40; Total Annual Hours: 

160. (For policy questions regarding this 

collection contact: Chanelle Parkar at 

(667)-290–9798.) 

Dated: September 22, 2023. 

William N. Parham, III, 

Director, Paperwork Reduction Staff, Office 

of Strategic Operations and Regulatory 

Affairs. 

[FR Doc. 2023–21062 Filed 9–26–23; 8:45 am] 

BILLING CODE 4120–01–P 

DEPARTMENT OF HEALTH AND 

HUMAN SERVICES 

Administration for Community Living 

Agency Information Collection 

Activities: Proposed Collection; Public 

Comment Request; of the National 

Institute on Disability, Independent 

Living, and Rehabilitation Research 

(NIDILRR) Grantee Annual 

Performance Reporting (APR) and 

Final Report Forms; OMB No.: 0985– 

0050 

AGENCY: Administration for Community 

Living, HHS. 

ACTION: Notice. 

SUMMARY: The Administration for 

Community Living (ACL) is announcing 

an opportunity for the public to 

comment on the proposed collection of 

information listed above. Under the 

Paperwork Reduction Act of 1995 

(PRA), Federal agencies are required to 

publish a notice in the Federal Register 

concerning each proposed collection of 

information, including each proposed 

extension of an existing collection of 

information, and to allow 60 days for 

public comment in response to the 

notice. This IC Extension solicits 

comments on the information collection 

requirements relating to the National 

Institute on Disability, Independent 

Living, and Rehabilitation Research 

(NIDILRR) Grantee Annual Performance 

Reporting (APR) and Final Report Forms 

OMB Control Number 0985–0050. 

DATES: Comments on the collection of 

information must be submitted 

electronically by 11:59 p.m. (EST) or 

postmarked by November 27, 2023. 

ADDRESSES: Submit electronic 

comments on the collection of 

information to: Myrial.Earl@acl.hhs.gov. 

Submit written comments on the 

collection of information to 

Administration for Community Living, 

330 C Street SW, Washington, DC 

20201, Attention: Myrial Earl. 

FOR FURTHER INFORMATION CONTACT: Earl 

Myrial at Myrial.Earl@acl.hhs.gov, 

Administration for Community Living 

or (202) 795–7341. 

SUPPLEMENTARY INFORMATION: 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. 

‘‘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. 

The PRA requires Federal agencies to 

provide a 60-day notice in the Federal 

Register concerning each proposed 

collection of information, including 

each proposed extension of an existing 

collection of information, before 

submitting the collection to OMB for 

approval. 

To comply with this requirement, 

ACL is publishing a notice of the 

proposed collection of information set 

forth in this document. 

With respect to the following 

collection of information, ACL invites 

comments on our burden estimates or 

any other aspect of this collection of 

information, including: (1) whether the 

proposed collection of information is 

necessary for the proper performance of 

ACL’s functions, including whether the 

information will have practical utility; 

(2) the accuracy of ACL’s estimate of the 

burden of the proposed collection of 

information, including the validity of 

the methodology and assumptions used 

to determine burden estimates; (3) ways 

to enhance the quality, utility, and 

clarity of the information to be 

collected; and (4) ways to minimize the 

burden of the collection of information 

on respondents, including through the 

use of automated collection techniques 


ddrumheller on DSK120RN23PROD with NOTICES1