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[Federal Register Volume 79, Number 202 (Monday, October 20, 2014)]
[Notices]
[Pages 62628-62629]
From the Federal Register Online via the Government Printing Office [www.gpo.gov]
[FR Doc No: 2014-24862]

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DEPARTMENT OF HEALTH AND HUMAN SERVICES

Centers for Medicare & Medicaid Services

[Document Identifiers: CMS-10398 and CMS-10529]

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

ACTION: Notice.

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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 November 19, 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' Website 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: Revision of a currently 
approved collection; Title of Information Collection: Generic Clearance 
for Medicaid and CHIP State Plan, Waiver, and Program Submissions; Use: 
State Medicaid and CHIP agencies are responsible for developing 
submissions to CMS, including state plan amendments and requests for 
waivers and program demonstrations. States use templates when they are 
available and submit the forms to review for consistency with statutory 
and regulatory requirements (or in the case of waivers and 
demonstrations whether the proposal is likely to promote the objectives 
of the Medicaid program). If the requirements are met, we approve the 
states' submissions giving them the authority to implement the 
flexibilities. For a state to receive Medicaid Title XIX funding, there 
must be an approved Title XIX state plan.
    The development of streamlined submissions forms enhances the 
collaboration and partnership between states and CMS by documenting our 
policy for states to use as they are developing program changes. 
Streamlined forms improve efficiency of administration by creating a 
common and user-friendly understanding of the information we need to 
quickly process requests for state plan amendments, waivers, and 
demonstration, as well as ongoing reporting.
    Form Number: CMS-10398 (OMB control number: 0938-1148); Frequency: 
Collection-specific, but generally the

[[Page 62629]]

frequency is yearly, once, and occasionally; Affected Public: State, 
Local, or Tribal Governments; Number of Respondents: 56; Total 
Responses: 1,540 (3-year total); Total Hours: 86,240 (3-year total). 
(For policy questions regarding this collection contact Annette Pearson 
at 410-786-6858).
    2. Type of Information Collection Request: New collection (Request 
for a new OMB control number); Title of Information Collection: 
Quarterly Medicaid and CHIP Budget and Expenditure Reporting for the 
Medical Assistance Program, Administration and CHIP; Use: At the 
request of OMB, this action would consolidate the following three OMB 
control numbers for forms CMS-21 and -21B (OMB control number: 0938-
0731), CMS-37 (OMB control number: 0938-0101), and CMS-64 (OMB control 
number: 0938-0067) into a single control number that will be assigned 
upon OMB approval. It is important to emphasize that the consolidation 
of the control numbers does not consolidate any of the forms required 
for Medicaid and CHIP Budget and Expenditure Reporting.
    While the overall package has been assigned a new CMS 
identification number (CMS-10529), the individual forms will retain 
their respective CMS-specific identification numbers, namely CMS-21, 
CMS-21B, CMS-37, and CMS-64. Supporting materials (see ADDRESSES) can 
be found under parent identification number, namely CMS-10529.
    This action also revises CMS-37 and -64 while CMS-21 and -21B 
remain unchanged. Forms CMS-21 and -21B provide CMS with the 
information necessary to issue quarterly grant awards, monitor current 
year expenditure levels, determine the allowability of state claims for 
reimbursement, develop Children's Health Insurance Program (CHIP) 
financial management information, provide for state reporting of waiver 
expenditures, and ensure that the federally established allotment is 
not exceeded. They are also necessary in the redistribution and 
reallocation of unspent funds over the federally mandated timeframes.
    Form CMS-37 due dates are November 15, February 15, May 15 and 
August 15 of each fiscal year. While all submissions represent equally 
important components of the grant award cycle, the May and November 
submissions are particularly significant for budget formulation. The 
November submission introduces a new fiscal year to the budget cycle 
and serves as the basis for the formulation of the Medicaid portion of 
the President's Budget, which is presented to Congress in January. The 
February and August submissions are used primarily for budget execution 
in providing interim updates to our Office of Financial Management, the 
Department of Health and Human Services, the Office of Management and 
Budget and Congress depending on the scheduling of the national budget 
review process in a given fiscal year. The submissions provide us with 
base information necessary to track current year obligations and 
expenditures in relation to the current year appropriation and to 
notify senior managers of any impending surpluses or deficits.
    Form CMS-64 is used to issue quarterly grant awards, monitor 
current year expenditure levels, determine the allowability of state 
claims for reimbursement, develop Medicaid financial management 
information provide for state reporting of waiver expenditures, ensure 
that the federally-established limit is not exceeded for HCBS waivers, 
and to allow for the implementation of the Assignment of Rights and 
Part A and Part B Premium (i.e., accounting for overdue Part A and Part 
B Premiums under state buy-in agreements)--Billing Offsets.
    Form Number: CMS-10529 (OMB control number: 0938--New); Frequency: 
Quarterly; Affected Public: State, Local, or Tribal Governments; Number 
of Respondents: 56; Total Annual Responses: 672; Total Annual Hours: 
17,920. (For policy questions regarding this collection contact Abraham 
John at 410-786-4519).

    Dated: October 15, 2014.
Martique Jones,
Director, Regulations Development Group, Office of Strategic Operations 
and Regulatory Affairs.
[FR Doc. 2014-24862 Filed 10-17-14; 8:45 am]
BILLING CODE 4120-01-P
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