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[Federal Register Volume 77, Number 57 (Friday, March 23, 2012)]
[Notices]
[Page 17068]
From the Federal Register Online via the Government Printing Office [www.gpo.gov]
[FR Doc No: 2012-7066]

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DEPARTMENT OF HEALTH AND HUMAN SERVICES

Centers for Medicare & Medicaid Services

[Document Identifier: CMS-179 and CMS-R-74]

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; (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: Revision of a currently 
approved collection; Title of Information Collection: State Plan Under 
Title XIX of the Social Security Act (Base plan pages, Attachments, 
Supplements to attachments); Use: State Medicaid agencies complete the 
plan pages and CMS reviews the information to determine if the State 
has met all of the provisions that the State has chosen to implement. 
If the requirements are met, CMS will approve the amendments to the 
State's Medicaid plan giving the State the authority to implement the 
flexibilities. For a State to receive Medicaid Title XIX funding, there 
must be an approved Title XIX State plan. In addition to the revisions 
associated with the 60-day notice that published on December 16, 2011 
(76 FR 78264), additional changes have been made to the Pre-Print 
(Attachment 4.19-B) subsequent to the publication of that notice; Form 
Number: CMS-179 (OCN 0938-0193); Frequency: Occasionally; Affected 
Public: State, Local, or Tribal Governments; Number of Respondents: 56; 
Total Annual Responses: 1,120; Total Annual Hours: 400. (For policy 
questions regarding this collection contact Falecia Smith at 202-260-
5991. For all other issues call 410-786-1326.)
    2. Type of Information Collection Request: Revision of a currently 
approved collection; Title of Information Collection: Income and 
Eligibility Verification System (IEVS) Reporting and Supporting 
Regulations Contained in 42 CFR 431.17, 431.306, 435.910, 435.920, and 
435.940-960; Use: The information collected is used to verify the 
income and eligibility of Medicaid applicants and recipients, as 
required by section 1137 of the Social Security Act. Under Section 
1137, States must request applicants' Social Security Numbers and use 
that number to verify the income and eligibility information contained 
on each application through data matches with specified agencies and 
entities. The State must use information collected by unemployment 
compensation agencies and the Internal Revenue Service to the extent 
useful.
    The Qualifying Individual Program Supplemental Funding Act of 2008 
amended section 1903(r) of the Social Security Act to incorporate the 
requirement that States include data matching through the Public 
Assistance Reporting Information System (PARIS) in their Income and 
Eligibility Verification Systems (IEVS). PARIS is a system for matching 
data from certain public assistance programs, including State Medicaid 
programs, with selected Federal and State data for purposes of 
facilitating appropriate enrollment and retention in public programs. 
States are required to sign an agreement to participate in PARIS as a 
condition of receiving Medicaid funding for automated data systems 
(including the Medicaid Management Information System).
    States can use the PARIS data match to ensure that individuals 
enrolled in Medicaid or other public assistance benefits in one State 
are not receiving duplicate benefits based on simultaneous enrollment 
in the Medicaid program or other public benefit programs in another 
State. In certain circumstances, PARIS may also be used as a tool to 
identify individuals who have not applied for Medicaid coverage, but 
who may be eligible based on their income.
    Subsequent to the publication of the 60-day notice that published 
on January 4, 2012 (77 FR 291), a State Plan Amendment template has 
been added to the PRA package and the burden estimate and Supporting 
Statement have been revised; Form Number: CMS-R-74 (OCN 0938-0467); 
Frequency: Monthly; Affected Public: State, Local, or Tribal 
Governments; Number of Respondents: 54; Total Annual Responses: 54; 
Total Annual Hours: 134,865. (For policy questions regarding this 
collection contact Barbara Washington at 410-786-9964. 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.
    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 April 23, 2012.
    OMB, Office of Information and Regulatory Affairs, Attention: CMS 
Desk Officer, Fax Number: (202) 395-6974, Email: OIRA_submission@omb.eop.gov.

    Dated: March 19, 2012.
Martique Jones,
Director, Regulations Development Group, Division-B, Office of 
Strategic Operations and Regulatory Affairs.
[FR Doc. 2012-7066 Filed 3-22-12; 8:45 am]
BILLING CODE 4120-01-P
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