Federal Register / Vol. 76, No. 136 / Friday, July 15, 2011 / Notices 41799 

ESTIMATED ANNUALIZED BURDEN HOURS

Type of respondents Form name Number of 

respondents 

Number of 

responses per 

respondent 

Avg. burden 

per response 

(in hrs) 

Total burden 

(in hrs) 

Core VIPP funded SHD Injury Program director.Web-based survey ........................... 20 1 1 20 

Core VIPP funded SHD Injury Program director.Telephone Interviews ....................... 20 1 1.5 30 

Non-funded SHD Injury Program director.Web-based survey ........................... 30 1 1 30 

Total ........................................... ........................................................... ........................ ........................ ........................ 80 

Daniel Holcomb, 

Reports Clearance Officer, Centers for Disease 

Control and Prevention. 

[FR Doc. 2011–17812 Filed 7–14–11; 8:45 am] 

BILLING CODE 4163–18–P 

DEPARTMENT OF HEALTH AND 

HUMAN SERVICES 

Centers for Medicare & Medicaid 

Services 

[Document Identifier: CMS–9042, CMS– 

10374, CMS–10385, and CMS–10402] 

Agency Information Collection 

Activities: Proposed Collection; 

Comment Request; Correction 

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: Extension of a currently 

approved collection; Title of 

Information Collection: Accelerated 

Payments and Supporting Regulations 

42 CFR 412.116(f), 412.632(e), 413.64(g), 

413.350(d), and 484.245; Use: This 

information is used by the contractor to 

determine the provider’s eligibility for 

accelerated payments. If this 

information were not furnished with an 

accelerated payment request, the 

contractor would not be able to assess 

whether the provider’s financial 

difficulties justified the accelerated 

payment; Form Number: CMS–9042 

(OMB # 0938–0269); Frequency: Yearly; 

Affected Public: Private Sector; Business 

or other for-profit and not-for-profit 

institutions; Number of Respondents: 

37,804; Total Annual Responses: 945; 

Total Annual Hours: 473. (For policy 

questions regarding this collection 

contact Leonard Fisher at 410–786–4574 

TTY. For all other issues call 410–786– 

1326.) 

2. Type of Information Collection 

Request: New collection of information; 

Title of Information Collection: Training 

Needs Assessment, Evaluation/Survey— 

Question Compilation; Use: The intent 

of this information collection is to assist 

in the creation and enhancement of 

training for Federal and State health 

care surveyors and certification 

specialists. The purpose of the 

collection is to gather information for 

training needs assessment, training 

analysis, related demographic, 

psychographics and technographics to 

support the development and 

enhancement of training and training 

aids; Form Number: CMS–10374 (OMB 

# 0938–New); Frequency: Half-year (2 

per year); Affected Public: State, Local, 

or Tribal Governments; Number of 

Respondents: 2,161; Total Annual 

Responses: 4,322; Total Annual Hours: 

1,430. (For policy questions regarding 

this collection contact Etolia Biggs at 

410–786–8664. For all other issues call 

410–786–1326.) 

3. Type of Information Collection 

Request: Extension of a currently 

approved collection; Title of 

Information Collection: Expedited 

Checklist: Medicaid Eligibility & 

Enrollment Systems—Advance Planning 

Document (E&E–APD); Use: Under 

sections 1903(a)(3)(A)(i) and 

1903(a)(3)(B) of the Social Security Act, 

CMS has issued new standards and 

conditions that must be met by States 

for Medicaid technology investments 

(including traditional claims processing 

systems, as well as eligibility systems) 

to be eligible for enhanced match 

funding. The Checklist will be 

submitted by States to the E&E APD 

National Coordinator for review and 

coordination in the Eligibility/ 

Enrollment Systems APD approval 

assignment. The information requested 

on the Checklist will be used to 

determine and approve enhanced FFP to 

States and to determine how States are 

complying with the seven standards and 

conditions; Form Number: CMS–10385 

(OMB#: 0938–1125); Frequency: 

Occasionally; Affected Public: State, 

Local, or Tribal Governments; Number 

of Respondents: 56; Total Annual 

Responses: 168; Total Annual Hours: 

204. (For policy questions regarding this 

collection contact Richard Friedman at 

410–786–4451. For all other issues call 

410–786–1326.) 

4. Type of Information Collection 

Request: New collection; Title of 

Information Collection: Medicaid State 

Plan Preprint for Use by States When 

Implementing Section 6401 of the 

Patient Protection and Affordable Care 

Act under the Medicaid Program; Use: 

The Secretary, in consultation with the 

Department of Health of Human 

Services’ Office of the Inspector 

General, is required to establish 

procedures under which screening is 

conducted with respect to providers of 

medical or other items or services and 

suppliers under Medicare, Medicaid, 

and CHIP. The Secretary is also required 

to impose a fee on each institutional 

provider of medical or other items or 

services or supplier that would be used 

by the Secretary for program integrity 

efforts. States are required to comply 

with the process of screening providers 

and suppliers as established by the 

Secretary under 1866(j)(2) of the 

Affordable Care Act. The Office of 

General Counsel through guidance, is 

requiring that States use the Medicaid 

State Plan Preprint to assure CMS 

compliance with the law. CMS will use 

the information to review and approve 

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41800 Federal Register / Vol. 76, No. 136 / Friday, July 15, 2011 / Notices 

the State plan. States would refer to the 

State plan on an as needed basis to 

manage and operate their Medicaid 

programs under Title XIX of the Social 

Security Act; Form Number: CMS– 

10402 (OMB # 0938–New); Frequency: 

Once; Affected Public: State, Local, or 

Tribal Governments; Number of 

Respondents: 56; Total Annual 

Responses: 56; Total Annual Hours: 14. 

(For policy questions regarding this 

collection contact Richard Friedman at 

410–786–4451. 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 

at http://www.cms.gov/Paperwork

ReductionActof1995/PRAL/list.asp#Top

OfPage or e-mail your request, including 

your address, phone number, OMB 

number, and CMS document identifier, 

to Paperwork@cms.hhs.gov, or call the 

Reports Clearance Office at 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 September 13, 2011: 

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, Room C4–26–05, 7500 

Security Boulevard, Baltimore, 

Maryland 21244–1850. 

Notice of Correction 

A notice published on July 1, 2011 (76 

FR 38657) incorrectly included text for 

CMS–10385 (OMB#: 0938–1125) 

concerning an Expedited Checklist: 

Medicaid Eligibility & Enrollment 

Systems—Advance Planning Document 

(E&#-APD). This correction removes that 

paragraph. 

Correction 

In the Federal Register of July 1, 

2011, in the FR Doc. 2011–16599, on 

page 38657 (in the third column) and on 

page 38658 (in the first column) remove 

the paragraph designated ‘‘2.’’. 

Dated: July 12, 2011. 

Michelle Shortt, 

Director, Regulations Development Group, 

Office of Strategic Operations and Regulatory 

Affairs. 

[FR Doc. 2011–17890 Filed 7–14–11; 8:45 am] 

BILLING CODE 4120–01–P 

DEPARTMENT OF HEALTH AND 

HUMAN SERVICES 

Administration for Children and 

Families 

Estimated Federal Allotments to State 

Developmental Disabilities Councils 

and Protection and Advocacy Systems 

Formula Grant Programs for Fiscal 

Year 2012 

AGENCY: Administration on 

Developmental Disabilities (ADD), 

Administration for Children and 

Families (ACF), Department of Health 

and Human Services (HHS). 

ACTION: Notification of Estimated Fiscal 

Year (FY) 2012 Federal Allotments to 

State Developmental Disabilities 

Councils and Protection and Advocacy 

Systems Formula Grant Programs. 

SUMMARY: This notice sets forth 

estimated FY 2012 individual 

allotments and estimated percentages of 

the total allotments to States 

administering the State Developmental 

Disabilities Councils and Protection and 

Advocacy Systems programs, pursuant 

to section 122 and section 142 of the 

Developmental Disabilities Assistance 

and Bill of Rights Act (the Act) [Pub. L. 

106–402, October 30, 2000]. The 

estimated allotment amounts are based 

on the FY 2012 President’s Budget 

request and are contingent on 

Congressional appropriations for FY 

2012. Once Congress enacts an 

appropriation for FY 2012 and after 

ADD updates the data elements listed in 

the SUPPLEMENTARY INFORMATION section 

below, the estimated allotments will be 

adjusted accordingly. The estimated 

allotments contained herein will be 

adjusted for FY2012. 

The final State allotments will be 

available on the ADD homepage after a 

final 2012 Continuing Resolution or 

HHS appropriations bill is passed by 

Congress. 

DATES: Effective Date: October 1, 2011. 

CFDA Number: 93.630, 

Developmental Disabilities Basic 

Support and Advocacy Grants. 

SUPPLEMENTARY INFORMATION: Section 

122(a)(2) of the Act requires that 

adjustments in the amounts of State 

allotments shall be made not more often 

than annually and that States must be 

notified no less than six months before 

the beginning of the fiscal year in which 

such adjustment is to take effect. In 

relation to the State Developmental 

Disabilities Council allotments, the 

descriptions of service needs were 

reviewed in the State plans and are 

consistent with the results obtained 

from the data elements and projected 

formula amounts for each State (Section 

122(a)(5)). In addition, Section 142(a) of 

the Act makes the allotment and 

reallotment structure in Section 122 

applicable to grants to States for 

Protection and Advocacy Systems. 

ADD will update the following FY 

2011 data elements for issuance of FY 

2012 allotments for both of the 

Developmental Disabilities formula 

grant programs: 

The number of beneficiaries in each 

State and Territory under the Childhood 

Disabilities Beneficiary Program are 

from Table 5.J10 of the 2009 Annual 

Statistical Supplement to the Social 

Security Bulletin issued by the Social 

Security Administration; 

State data on Per Capita Income are 

from Table SA1–3—Per Capita Personal 

Income, 2006–2008 from the Regional 

Economic Information System, issued 

by the Bureau of Economic Analysis, 

U.S. Department of Commerce, 

September 2010. The most recent 

comparable data for the Territories were 

obtained from the U.S. Department of 

Commerce, October 2009; and 

State population data is based on 

table GCT–T1.—Population Estimates 

at: July 1, 2009 issued by the U.S. 

Census Bureau. State working 

populations (ages 18–64) are based on 

the Estimates of the Resident Population 

by Selected Age Groups for the United 

States and Puerto Rico: July 1, 2009 

(SC–EST2009–01) from the U.S. Census 

Bureau. Total population and working 

population estimates for the Territories 

other than Puerto Rico are based on 

Population and Housing Profile: 2000 

data sets from the ‘‘Island Areas’’ 

surveys conducted as part of the 2000 

Census by the U.S. Census Bureau. 

FOR FURTHER INFORMATION CONTACT: 

Nathaniel Morris West, Financial 

Management Specialist, Office of Grants 

Management, Office of Administration, 

Administration for Children and 

Families. Phone: 202–401–1230, e-mail: 

nathaniel.west@acf.hhs.gov. 

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