38298 Federal Register / Vol. 77, No. 124 / Wednesday, June 27, 2012 / Notices 

be submitted in one of the following 

ways by August 27, 2012: 

1. Electronically. You may submit 

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) 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 lllll, Room C4– 

26–05, 7500 Security Boulevard, 

Baltimore, Maryland 21244–1850. 

Dated: June 22, 2012. 

Martique Jones, 

Director, Regulations Development Group, 

Division B, Office of Strategic Operations and 

Regulatory Affairs. 

[FR Doc. 2012–15694 Filed 6–26–12; 8:45 am] 

BILLING CODE 4120–01–P 

DEPARTMENT OF HEALTH AND 

HUMAN SERVICES 

Centers for Medicare & Medicaid 

Services 

[Document Identifier CMS–10429] 

Agency Information Collection 

Activities: Submission for OMB 

Review; Comment Request 

AGENCY: Centers for Medicare & 

Medicaid Services, HHS. 

In compliance with the requirement 

of section 3506(c)(2)(A) of the 

Paperwork Reduction Act of 1995, the 

Centers for Medicare & Medicaid 

Services (CMS), Department of Health 

and Human Services, is publishing the 

following summary of proposed 

collections for public comment. 

Interested persons are invited to send 

comments regarding this 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 function; 

(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. 

1. Type of Information Collection 

Request: New collection (request for a 

new OMB control number). Title of 

Information Collection: Surveys of 

Physicians and Home Health Agencies 

to Assess Access Issues for Specific 

Medicare Beneficiaries as Defined in 

Section 3131(d) of the ACA. Use: This 

collection is part of a study called for 

under section 3131(d) of the Patient 

Protection and Affordable Care Act 

(ACA). The study is focused on two 

major issues: (1) supporting CMS’ efforts 

to improve payment accuracy and (2) 

understanding issues of access for the 

ACA populations under the existing 

home health prospective payment 

system. The study team’s analytic plan 

focuses on understanding payment 

accuracy for the specific study 

populations through claims and cost 

data analyses, which will reflect 

payments and costs for patients who 

have gained access to home health care. 

In order to understand access issues for 

the ACA defined populations, the study 

team proposes using survey instruments 

to better understand the characteristics 

of Medicare beneficiaries who are not 

able to gain access to or have 

experienced delays in gaining access to 

home health services. 

As a new collection, the information 

collected is expected to support CMS’ 

efforts to improve the home health 

prospective payment system payment 

accuracy for vulnerable populations and 

thereby ensure the payment system does 

not inadvertently cause avoidable access 

problems. The questions are designed to 

provide insights into access issues for 

vulnerable populations that cannot be 

learned through analyses of 

administrative data. 

Form Number: CMS–10429 (OCN: 

0938–New). Frequency: Once. Affected 

Public: Private Sector (business or other 

for-profit and not-for-profit institutions). 

Number of Respondents: 875. Total 

Annual Responses: 292. Total Annual 

Hours: 73. (For policy questions 

regarding this collection contact Kristy 

Chu at 410–786–8953. For all other 

issues call 410–786–1326.) 

To obtain copies of the supporting 

statement and any related forms for the 

proposed paperwork collections 

referenced above, access CMS Web Site 

address at http://www.cms.hhs.gov/ 

PaperworkReductionActof1995, or 

Email your request, including your 

address, phone number, OMB number, 

and CMS document identifier, to 

Paperwork@cms.hhs.gov, or call the 

Reports Clearance Office on (410) 786– 

1326. 

To be assured consideration, 

comments and recommendations for the 

proposed information collections must 

be received by the OMB desk officer at 

the address below, no later than 5 p.m. 

on July 27, 2012. OMB, Office of 

Information and Regulatory Affairs, 

Attention: CMS Desk Officer, Fax 

Number: (202) 395–6974, Email: 

OIRA_submission@omb.eop.gov. 

Dated: June 22, 2012. 

Martique Jones, 

Director, Regulations Development Group, 

Division-B, Office of Strategic Operations and 

Regulatory Affairs. 

[FR Doc. 2012–15693 Filed 6–26–12; 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: Parents and Children Together. 

OMB No.: 0970–0403. 

Description: The Administration for 

Children and Families (ACF), U.S. 

Department of Health and Human 

Services is proposing an information 

collection activity as part of an 

evaluation of healthy marriage and 

responsible fatherhood grant programs. 

The evaluation study title is Parents and 

Children Together (PACT). 

A 60-Day Federal Register Notice was 

published for this study on December 

20, 2011. This Notice described all 

components of the study and, therefore, 

we request to waive additional 60-Day 

Federal Register Notices. This 30-Day 

Federal Register Notice covers (a) 

instruments for the impact study 

baseline survey (including an 

introductory script and the baseline 

survey itself), and (b) site Management 

Information Systems (MIS). 

This information collection request is 

specific to Responsible Fatherhood 

programs that may be evaluated 

(requests specific to Healthy Marriage 

programs will be separate). The baseline 

survey will collect data related to such 

domains as father involvement, 

coparenting, parenting, marriage and 

romantic relationships, and 

employment. The information from the 

baseline survey will be used by ACF for, 

among other things, describing the 

populations served and determining the 

comparability of program and control 

groups. Information on participant 

entry, participation, and exit from the 

program will be entered into the MIS 

system. 

Respondents: Baseline information 

will be collected from all fathers prior 

to random assignment; the introductory 

script will be read by program staff to 

fathers applying to the program. 

Program staff will record information on 

the services received by study 


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