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[Federal Register Volume 75, Number 88 (Friday, May 7, 2010)]
[Notices]
[Pages 25266-25267]
From the Federal Register Online via the Government Printing Office [www.gpo.gov]
[FR Doc No: 2010-10622]

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DEPARTMENT OF HEALTH AND HUMAN SERVICES

[Document Identifier: CMS-10293]

Centers for Medicare & Medicaid Services; Agency Information 
Collection Activities: Submission for OMB Review; Comment Request

AGENCY: Centers for Medicare & Medicaid Services.

    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: New Collection; Title of 
Information Collection: Tribal Consultation State Plan Amendment 
Template; Use: Effective July 1, 2009, section 5006 of the American 
Recovery and Reinvestment Act of 2009 (Recovery Act) amended section 
1902(a)(73) of the Act to require that certain States utilize a process 
for the State to seek advice on a regular, ongoing basis from designees 
of the Indian Health Service (IHS) and Urban Indian Organizations 
concerning Medicaid and Children's Health Insurance Program (CHIP) 
matters having a direct effect on them. The consultation process is 
required for the 37 States in which 1 or more Indian Health Programs or 
Urban Indian Organizations furnish health care services. The State 
Medicaid agency for each of these States will complete the template 
page and submit it for approval as part of a State plan amendment, to 
document how it meets the requirements for tribal consultation. Form 
Number: CMS-10293 (OMB: 0938-NEW); Frequency: Reporting--Once 
and occasionally; Affected Public: State, Local, or Tribal Governments; 
Number of Respondents: 37; Total Annual Responses: 37; Total Annual 
Hours: 37. (For policy questions regarding this collection contact Lane 
Terwilliger at 410-786-2059. 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 
E-mail your request, including your address, phone number, OMB number, 
and CMS document identifier, to

[[Page 25267]]

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 June 7, 2010.
    OMB, Office of Information and Regulatory Affairs, Attention: CMS 
Desk Officer, Fax Number: (202) 395-6974, E-mail: OIRA_submission@omb.eop.gov.

Michelle Shortt,
Director, Regulations Development Group, Office of Strategic Operations 
and Regulatory Affairs.
[FR Doc. 2010-10622 Filed 5-6-10; 8:45 am]
BILLING CODE 4120-01-P
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