9662 Federal Register / Vol. 77, No. 33 / Friday, February 17, 2012 / Notices 

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: External Quality 

Review Protocols. Use: The results of 

Medicare reviews, Medicare 

accreditation services, and Medicaid 

external quality reviews will be used by 

States in assessing the quality of care 

provided to Medicaid beneficiaries by 

managed care organizations and to 

provide information on the quality of 

care provided to the general public 

upon request. The revised protocols are 

in draft and must not be used until they 

are approved by OMB through the PRA 

process. Form Number: CMS–R–305 

(OCN 0938–0786). 

Frequency of Reporting: Yearly. 

Affected Public: State, Local or Tribal 

Governments. Number of Respondents: 

42. Total Annual Responses: 70. Total 

Annual Hours: 415,643. (For policy 

questions regarding this collection 

contact Gary B. Jackson at 410–786– 

1218. 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 April 17, 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 CMS–R–305 (OCN 

0938–0786), Room C4–26–05, 7500 

Security Boulevard, Baltimore, 

Maryland 21244–1850. 

Dated: February 13, 2012. 

Martique Jones, 

Director, Regulations Development Group, 

Division B, Office of Strategic Operations and 

Regulatory Affairs. 

[FR Doc. 2012–3790 Filed 2–16–12; 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: Low Income Home Energy 

Assistance Program LIHEAP Leveraging 

Report. 

OMB No.: 0970–0121. 

Description: The LIHEAP leveraging 

incentive program rewards LIHEAP 

grantees that have leveraged non-federal 

home energy resources for low-income 

households. The LIHEAP leveraging 

report is the application for leveraging 

incentive funds that these LIHEAP 

grantees submit to the Department of 

Health and Human Services for each 

fiscal year in which they leverage 

countable resources. Participation in the 

leveraging incentive program is 

voluntary and is described at 45 CFR 

96.87. The LIHEAP leveraging report 

obtains information on the resources 

leveraged by LIHEAP grantees each 

fiscal year (as cash, discounts, waivers, 

and in-kind); the benefits provided to 

low-income households by these 

resources (for example, as fuel and 

payments for fuel, as home heating and 

cooling equipment, and as 

weatherization materials and 

installation); and the fair market value 

of these resources/benefits. 

HHS needs this information in order 

to carry out statutory requirements for 

administering the LIHEAP leveraging 

incentive program, to determine 

countability and valuation of grantees 

leveraged non-federal home energy 

resources, and to determine grantees 

shares of leveraging incentive funds. 

HHS proposes to request a three-year 

extension of OMB approval for the 

currently approved LIHEAP leveraging 

report information collection. 

Respondents: State, local or tribal 

governments. 

ANNUAL BURDEN ESTIMATES

Instrument Number of 

respondents 

Number of 

responses per 

respondent 

Average 

burden hours 

per response 

Total burden 

hours 

LIHEAP Leveraging Report ............................................................................. 70 1 38 2,660 

Estimated Total Annual Burden 

Hours: 2,660. 

Additional Information: Copies of the 

proposed collection may be obtained by 

writing to the Administration for 

Children and Families, Office of 

Planning, Research and Evaluation, 370 

L’Enfant Promenade SW., Washington, 

DC 20447, Attn: ACF Reports Clearance 

Officer. All requests should be 

identified by the title of the information 

collection. Email address: 

infocollection@acf.hhs.gov. 

OMB Comment: OMB is required to 

make a decision concerning the 

collection of information between 30 

and 60 days after publication of this 

document in the Federal Register. 

Therefore, a comment is best assured of 

having its full effect if OMB receives it 

within 30 days of publication. Written 

comments and recommendations for the 

proposed information collection should 

be sent directly to the following: 

Office of Management and Budget, 

Paperwork Reduction Project, Fax: 202– 

395–7285, Email: 

OIRA_SUBMISSION@OMB.EOP.GOV, 

Attn: Desk Officer for the 

Administration for Children and 

Families. 

Robert Sargis, 

Reports Clearance Officer. 

[FR Doc. 2012–3680 Filed 2–16–12; 8:45 am] 

BILLING CODE 4184–01–P 

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