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[Federal Register Volume 77, Number 203 (Friday, October 19, 2012)]
[Notices]
[Pages 64343-64344]
From the Federal Register Online via the Government Printing Office [www.gpo.gov]
[FR Doc No: 2012-25772]

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DEPARTMENT OF HEALTH AND HUMAN SERVICES

Centers for Medicare & Medicaid Services

[Document Identifier: CMS-10444 and CMS-R-284]

Agency Information Collection Activities: Submission for OMB 
Review; 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), 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;

[[Page 64344]]

(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: Minimum Data Set for Medicaid Incentives for 
Prevention of Chronic Diseases Program Grantees; Use: The Medicaid 
Incentives for Prevention of Chronic Diseases (MIPCD) demonstration 
program provides grants to states to implement programs that provide 
incentives to Medicaid beneficiaries of all ages who participate in 
prevention programs and demonstrate changes in health risk and 
outcomes, including the adoption of healthy behaviors. The prevention 
programs address at least one of the following prevention goals: 
tobacco cessation, controlling or reducing weight, lowering 
cholesterol, lowering blood pressure, and avoiding the onset of 
diabetes or in the case of a diabetic, improving the management of the 
condition. The programs are also comprehensive, widely available, 
easily accessible, and based on relevant evidence-based research and 
resources, including: the Guide to Community Preventive Services; the 
Guide to Clinical Preventive Services; and the National Registry of 
Evidence-Based Programs.
    The proposed information collection, the MIPCD Minimum Data Set 
(MDS), is intended to collect data for program performance monitoring 
and evaluation. The MDS is a secondary data collection that assembles 
information already collected by grantees in the course of tracking 
beneficiary participation and outcomes and performing their own 
evaluation activities. Data collected through the MDS will be used to 
report on program implementation and evaluation to CMS and the 
Congress. Form Number: CMS-10444 (OCN: 0938-New); Frequency: Quarterly; 
Affected Public: State, Local, or Tribal Governments; Number of 
Respondents: 10; Total Annual Responses: 40; Total Annual Hours: 3,467. 
(For policy questions regarding this collection contact Sherrie Fried 
at 410-786-6619. For all other issues call 410-786-1326.)
    2. Type of Information Collection Request: Extension without change 
of a currently approved collection. Title of Information Collection: 
Medicaid Statistical Information System (MSIS). Use: The Balanced 
Budget Act of 1997 mandated that states report their Medicaid data via 
MSIS. MSIS is used by states and other jurisdictions to report 
fundamental statistical data on the operation of their Medicaid 
program. Data provided on eligibles, beneficiaries, payments and 
services are vital to those studying and assessing Medicaid policies 
and costs. Medicaid statistical data are routinely requested by CMS, 
Department agencies, the Congress and their research offices, state 
Medicaid agencies, research organizations, social service interest 
groups, universities and colleges, and the health care industry. The 
data provides the only national level information available on 
enrollees, beneficiaries, and expenditures. It also provides the only 
national level information available on Medicaid utilization. This 
information is the basis for analyses and for cost savings estimates 
for the Department's cost sharing legislative initiatives to the 
Congress. The data is also crucial to CMS and HHS actuarial forecasts. 
Form Number: CMS-R-284 (OCN 0938-0345). Frequency: Quarterly. Affected 
Public: State, Local, or Tribal Governments. Number of Respondents: 51. 
Total Annual Responses: 204. Total Annual Hours: 2,040. (For policy 
questions regarding this collection contact Kay Spence at 410-786-1617. 
For all other issues call 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 November 19, 
2012.

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

    Dated: October 16, 2012.
Martique Jones,
Director, Regulations Development Group, Division B, Office of 
Strategic Operations and Regulatory Affairs.
[FR Doc. 2012-25772 Filed 10-18-12; 8:45 am]
BILLING CODE 4120-01-P
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