75634 Federal Register / Vol. 77, No. 246 / Friday, December 21, 2012 / Notices 

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: Medicaid and 

CHIP Program (MACPro). Use: 

Medicaid, authorized by Title XIX of the 

Social Security Act and, CHIP, 

reauthorized by the Children’s Health 

Insurance Program Reauthorization Act 

of 2009 (CHIPRA), play an important 

role in financing health care for 

approximately 48 million people 

throughout the country. By 2014, it is 

expected that an additional 16 million 

people will become eligible for 

Medicaid and CHIP as a result of the 

Affordable Care Act (Pub. L. 111–148). 

In order to implement the statute, CMS 

must provide a mechanism to ensure 

timely approval of Medicaid and CHIP 

state plans, waivers and demonstrations, 

and provide a repository for all 

Medicaid and CHIP program data that 

supplies data to populate 

Healthcare.gov and other required 

reports. Additionally, 42 CFR 430.12 

sets forth the authority for the submittal 

and collection of state plans and plan 

amendment information. Pursuant to 

this requirement, CMS has created the 

MACPro system. 

Generally, MACPro will be used by both 

state and CMS officials to: Improve the 

state application and federal review 

processes, improve federal program 

management of Medicaid programs and 

CHIP, and standardize Medicaid 

program data. More specifically, it will 

be used by state agencies to (among 

other things): (1) Submit and amend 

Medicaid state plans, CHIP state plans, 

and Information System Advanced 

Planning Documents, and (2) submit 

applications and amendments for state 

waivers, demonstration, and benchmark 

and grant programs. It will be used by 

CMS to (among other things): (1) 

Provide for the review and disposition 

of applications, and (2) monitor and 

track application activity. 

A paper-based version of the MACPro 

instrument would be sizable and time 

consuming for interested parties to 

follow as a paper-based instrument. In 

our effort to provide the public with the 

most efficient means to make sense of 

the MACPro system, we held four 

webinars in lieu of including a paperbased version of MACPro. Those 

webinars were associated with our 60- 

day Federal Register notice (June 8, 

2012; 77 FR 34046). The following 

changes have been made subsequent to 

the publication of that notice: 

• MACPro will be used to create the 

data feed for updating Healthcare.gov 

based on changes from state plan and 

CHIP eligibility. This effort is in support 

of the Federally-facilitated Exchange 

(FFE) to conduct assessments of 

eligibility for state Medicaid and CHIP. 

• Section 1115 Waiver Demonstration 

and Medicaid Eligibility authorities will 

no longer be part of the phase 1 release. 

They will be included in the subsequent 

releases of the system. 

Consequently, this first phase will only 

include CHIP Eligibility and Alternative 

Benchmark Plans (ABP) portions/ 

modules. 

The webinar associated with this 30- 

day Federal Register notice will be 

made available for public review/ 

comment at any time/date in this 

notice’s public comment period. The 

webinar can be accessed on the Internet 

at: http://www.medicaid.gov/StateResource-Center/Medicaid-and-CHIPProgram-Portal/Medicaid-and-CHIPProgram-Portal.htm. A login and 

password is not necessary. Form 

Number: CMS–10434 (OCN: 0938– 

New). Frequency: Annual and once. 

Affected Public: State, Local, or Tribal 

Governments. Number of Respondents: 

56. Total Annual Responses: 411. Total 

Annual Hours: 10,490. (For policy 

questions regarding this collection 

contact Darlene Anderson at 410–786– 

9828. 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 January 22, 2013. 

OMB, Office of Information and 

Regulatory Affairs, Attention: CMS Desk 

Officer, Fax Number: (202) 395–6974, 

Email: OIRA_submission@omb.eop.gov. 

Dated: December 17, 2012. 

Martique Jones, 

Deputy Director, Regulations Development 

Group, Office of Strategic Operations and 

Regulatory Affairs. 

[FR Doc. 2012–30748 Filed 12–20–12; 8:45 am] 

BILLING CODE 4120–01–P 

DEPARTMENT OF HEALTH AND 

HUMAN SERVICES 

Centers for Medicare & Medicaid 

Services 

[Document Identifiers: CMS–906 and CMS– 

855B] 

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: Revision of a currently 

approved collection; Title of 

Information Collection: The Fiscal 

Soundness Reporting Requirements; 

Use: The Centers for Medicare and 

Medicaid Services (CMS) is assigned 

responsibility for overseeing the ongoing financial performance for all 

Medicare Advantage Organizations 

(MAO), Prescription Drug Plan (PDP) 

sponsors and Program of All-Inclusive 

Care for the Elderly (PACE) 

organizations. Specifically, CMS needs 

the requested collection of information 

to establish that contracting entities 

within those programs maintain fiscally 

sound organizations. The revised fiscal 

soundness reporting form combines 

MAO, PDP, 1876 Cost Plans, 

Demonstration Plans and PACE 

organizations. Entities contracting in 

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Federal Register / Vol. 77, No. 246 / Friday, December 21, 2012 / Notices 75635 

these programs currently submit all 

documentation being requested. 

Specifically, all contracting 

organizations must submit annual 

independently audited financial 

statements one time per year. The 

MAOs with a net loss, a negative net 

worth or both must file three quarterly 

statements. Currently there are 

approximately 44 MAOs filing quarterly 

financial statements. The PDPs must 

also file three unaudited quarterly 

financial statements. The PACE 

organizations are required to file 3 

quarterly financial statements for the 

first three years in the program. 

Additionally, PACE organizations with 

a net loss, a negative net worth or both 

must file statements as well. 

The information collection request is 

being revised to include one additional 

data element for PACE organizations 

only, Total Subordinated Liabilities. 

The addition of the new data element 

will actually reduce the time to analyze 

the financial standing of PACE 

organizations because we will no longer 

have to contact the PACE organizations 

to establish whether or not the 

organization’s total liabilities 

calculation includes subordinated debt. 

Form Number: CMS–906 (OCN: 0938– 

0469); Frequency: Annually, Quarterly; 

Affected Public: Private Sector: Business 

or other for-profits and Not-for-profit 

institutions; Number of Respondents: 

648; Total Annual Responses: 1,281; 

Total Annual Hours: 428. (For policy 

questions regarding this collection 

contact Joe Esposito at 410–786–1129. 

For all other issues call 410–786–1326.) 

2. Type of Information Collection 

Request: New collection; Title of 

Information Collection: Medicare 

Enrollment Application for Clinics/ 

Group Practice and Certain Other 

Suppliers; Use: The primary function of 

the CMS–855B enrollment application 

for Clinics, Group Practices and Certain 

Other Suppliers is to gather information 

from the organization that tells us what 

it is, whether it meets certain 

qualifications to be a health care 

supplier, where it renders services and 

information necessary to establish the 

correct claims payment. The goal of 

evaluating and revising the CMS–855B 

enrollment application is to simplify 

and clarify the information collection 

without jeopardizing our need to collect 

specific information. The majority of the 

revisions are very minor in nature such 

as spelling and formatting corrections, 

removal of duplicate fields and 

instruction clarification for the 

organization/group. The Sections and 

Sub-Sections within the form are also 

being re-numbered and re-sequenced to 

create a more logical flow of the data 

collection. In addition, CMS is adding a 

data collection for an address to mail 

the periodic request for the revalidation 

of enrollment information (only if it 

differs from other addresses currently 

collected). Other than the revalidation 

mailing address described above, new 

data being collected in this revision 

package is a checkbox indicating 

whether or not an organization is 

wholly owned or operated by a hospital, 

the inclusion of a new supplier type 

(Centralized Flu Biller) and information 

on, if applicable, where the supplier 

stores its patient records electronically. 

While the CMS–855B is not a new form, 

this is considered a new information 

collection request because we are 

submitting it to OMB for approval under 

its own OMB control number. Form 

Number: CMS–855B (OCN: 0938–New); 

Frequency: Yearly; Affected Public: 

Individuals and households; Number of 

Respondents: 31,000; Total Annual 

Responses: 31,000; Total Annual Hours: 

103,000 (For policy questions regarding 

this collection contact Kim McPhillips 

at 410–786–5374. 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 January 22, 2013. 

OMB, Office of Information and 

Regulatory Affairs, Attention: CMS Desk 

Officer, Fax Number: (202) 395–6974, 

Email: OIRA_submission@omb.eop.gov. 

Dated: December 17, 2012. 

Martique Jones, 

Deputy Director, Regulations Development 

Group, Office of Strategic Operations and 

Regulatory Affairs. 

[FR Doc. 2012–30749 Filed 12–20–12; 8:45 am] 

BILLING CODE 4120–01–P 

DEPARTMENT OF HEALTH AND 

HUMAN SERVICES 

Food and Drug Administration 

[Docket No.FDA–2012–N–1181] 

Agency Information Collection 

Activities; Proposed Collection; 

Comment Request; Medicated Feed 

Mill License Application; Extension 

AGENCY: Food and Drug Administration, 

HHS. 

ACTION: Notice. 

SUMMARY: The Food and Drug 

Administration (FDA) is announcing an 

opportunity for public comment on the 

proposed collection of certain 

information by the Agency. 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 and to allow 60 days for 

public comment in response to the 

notice. This notice solicits comments on 

the medicated feed mill licensing 

system. 

DATES: Submit written or electronic 

comments on the collection of 

information by February 19, 2013. 

ADDRESSES: Submit electronic 

comments on the collection of 

information to: http:// 

www.regulations.gov. Submit written 

comments on the collection of 

information to the Division of Dockets 

Management (HFA–305), Food and Drug 

Administration, 5630 Fishers Lane, Rm. 

1061, Rockville, MD 20852. All 

comments should be identified with the 

docket number found in brackets in the 

heading of this document. 

FOR FURTHER INFORMATION CONTACT: 

Jonna Capezzuto, Office of Information 

Management, Food and Drug 

Administration, 1350 Piccard Dr., PIFO– 

410B, Rockville, MD 20850, 301–796– 

3794. 

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. 

Section 3506(c)(2)(A) of the PRA (44 

U.S.C. 3506(c)(2)(A)) requires Federal 

agencies to provide a 60-day notice in 

the Federal Register concerning each 

proposed collection of information, 

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