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[Federal Register Volume 79, Number 31 (Friday, February 14, 2014)]
[Notices]
[Pages 8973-8974]
From the Federal Register Online via the Government Printing Office [www.gpo.gov]
[FR Doc No: 2014-03290]

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DEPARTMENT OF HEALTH AND HUMAN SERVICES

Centers for Medicare & Medicaid Services

[Document Identifiers: CMS-18F5, CMS-10120, and CMS-10512]

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

ACTION: Notice; correction.

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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 March 17, 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) 395-5806 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 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: Application for 
Hospital Insurance and Supporting Regulations; Use: Regulations at 42 
CFR 406.6 specify the individuals who must file an application for 
Medicare Hospital Insurance (Part A) and those who need not file an 
application for Part A. Section 406.7 lists CMS-18F5 as the application 
form. The form elicits information that the Social Security 
Administration and CMS need to determine entitlement to Part A and 
Supplementary Medical Insurance (Part B); Form Number: CMS-18F5 (OCN: 
0938-0251); Frequency: Once; Affected Public: Individuals or 
households; Number of Respondents: 50,000; Total Annual Responses: 
50,000; Total Annual Hours: 12,500. (For policy questions regarding 
this collection contact Naomi Rappaport at 410-786-2175).

[[Page 8974]]

    2. Type of Information Collection Request: Revision of a currently 
approved collection; Title of Information Collection: 1932(a) State 
Plan Amendment Template, State Plan Requirements and Supporting 
Regulations; Use: Section 1932(a)(1)(A) of the Social Security Act (the 
Act) grants states the authority to enroll Medicaid beneficiaries on a 
mandatory basis into managed care entities and primary care case 
managers. Under this authority, a state can amend its Medicaid state 
plan to require certain categories of Medicaid beneficiaries to enroll 
in managed care entities without being out of compliance with 
provisions of section 1902 of the Act on state-wideness (42 CFR 
431.50), freedom of choice (42 CFR 431.51) or comparability (42 CFR 
440.230). The template may be used by states to easily modify their 
state plans if they choose to implement the provisions of section 
1932(a)(1)(A); Form Number: CMS-10120 (OCN: 0938-0933); Frequency: Once 
and occasionally; Affected Public: State, Local, or Tribal Governments; 
Number of Respondents: 56; Total Annual Responses: 15; Total Annual 
Hours: 65. (For policy questions regarding this collection contact 
Camille Dobson at 410-786-7062).
    3. Title of Information Collection: Direct Service Workforce (DSW) 
Resource Center (RC) Core Competencies (CC) Survey Instrument. Form 
Number: CMS-10512 (OCN: 0938--New).
    The 30-day PRA notice published in the Federal Register on February 
7, 2014, as a correction. While the requirements, burden estimates, and 
public comment information that were set out in that notice and in the 
associated supporting materials were correct, the notice inadvertently 
published as a correction.

Correction

    In the Federal Register of February 7, 2014, in FR Doc. 2014-02630, 
on page 7462, in the first column, correct the document as follows:
    a. Correct the subject heading to read: Agency Information 
Collection Activities: Submission for OMB Review; Comment Request
    b. Correct the ``Action'' caption to read: ACTION: Notice.

    Dated: February 11, 2014.
Martique Jones,
Deputy Director, Regulations Development Group, Office of Strategic 
Operations and Regulatory Affairs.
[FR Doc. 2014-03290 Filed 2-13-14; 8:45 am]
BILLING CODE 4120-01-P
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