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[Federal Register Volume 77, Number 189 (Friday, September 28, 2012)]
[Notices]
[Page 59615]
From the Federal Register Online via the Government Printing Office [www.gpo.gov]
[FR Doc No: 2012-23919]

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DEPARTMENT OF HEALTH AND HUMAN SERVICES

Centers for Medicare & Medicaid Services

[Document Identifier CMS-10408]

Agency Information Collection Activities: Proposed Collection; 
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) 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 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.
    1. Type of Information Collection Request: Reinstatement with 
change of a previously approved collection; Title of Information 
Collection: Early Retiree Reinsurance Program Survey of Plan Sponsors; 
Use: Under the Patient Protection and Affordable Care Act (42 U.S.C. 
18002) and implementing regulations at 45 CFR part 149, employment-
based plans that offer health coverage to early retirees and their 
spouses, surviving spouses, and dependents are eligible to receive tax-
free reimbursement for a portion of the costs of health benefits 
provided to such individuals. The statute limits how the reimbursement 
funds can be used, and requires the Secretary of HHS to develop a 
mechanism to monitor the appropriate use of such funds. The survey that 
is the subject of this information collection package, is part of that 
mechanism. Form Number: CMS-10408 (OCN 0938-1150); Frequency: Yearly; 
Affected Public: Private Sector: Business or other for-profit and not-
for-profit institutions; Public Sector; Number of Respondents: 927; 
Total Annual Responses: 927; Total Annual Hours: 10,197. (For policy 
questions regarding this collection contact David Mlawsky at (410) 786-
6851. 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.
    In commenting on the proposed information collections please 
reference the document identifier or OMB control number. To be assured 
consideration, comments and recommendations must be submitted in one of 
the following ways by November 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: CMS-10408/OCN 0938-
1150, Room C4-26-05, 7500 Security Boulevard, Baltimore, Maryland 
21244-1850.

    Dated: September 25, 2012.
Martique Jones,
Director, Regulations Development Group, Division B, Office of 
Strategic Operations and Regulatory Affairs.
[FR Doc. 2012-23919 Filed 9-27-12; 8:45 am]
BILLING CODE 4120-01-P
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