Federal Register / Vol. 89, No. 217 / Friday, November 8, 2024 / Notices 88783 

of Information Collection: Applications 

for Part C Medicare Advantage, 1876 

Cost Plans, and Employer Group Waiver 

Plans to Provide Part C Benefits; Use: 

Collection of this information is 

mandated by the Code of Federal 

Regulations, MMA, and CMS 

regulations at 42 CFR part 422, subpart 

K, in ‘‘Application Procedures and 

Contracts for Medicare Advantage 

Organizations.’’ In addition, the 

Medicare Improvement for Patients and 

Providers Act of 2008 (MIPPA) further 

amended titles XVII and XIX of the 

Social Security Act. 

This information collection includes 

the process for organizations wishing to 

provide healthcare services under MA 

plans. These organizations must 

complete an application annually (if 

required), file a bid, and receive final 

approval from CMS. The MA 

application process has two options for 

applicants that include (1) request for 

new MA product or (2) request for 

expanding the service area of an existing 

product. CMS utilizes the application 

process as the means to review, assess 

and determine if applicants are 

compliant with the current 

requirements for participation in the 

MA program and to make a decision 

related to contract award. This 

collection process is the only 

mechanism for organizations to 

complete the required MA application 

process. Form Number: CMS–10237 

(OMB control number: 0938–0935); 

Frequency: Yearly; Affected Public: 

Private Sector, Business or other forprofits, not for-profits and Federal 

Government; Number of Respondents: 

500; Number of Responses: 500; Total 

Annual Hours: 9,173. (For policy 

questions regarding this collection 

contact Jackie Ford at 410–786–7767 or 

Jacqueline.Ford@cms.hhs.gov). 

3. Type of Information Collection 

Request: Revision of an approved 

information collection; Title of 

Information Collection: The PACE 

Organization Application Process in 42 

CFR part 460; Use: The Programs of AllInclusive Care for the Elderly (PACE) 

consist of pre-paid, capitated plans that 

provide comprehensive health care 

services to frail, older adults in the 

community who are eligible for nursing 

home care according to state standards. 

PACE organizations (PO) must provide 

all Medicare and Medicaid covered 

services; financing of this model is 

accomplished through prospective 

capitation of both Medicare and 

Medicaid payments. Upon approval of a 

PACE application, CMS executes a 3- 

way program agreement with the 

applicant entity and the applicable State 

Administering Agency (SAA). CMS 

regulations at 42 CFR 460.98(b)(2) 

require a PO to provide PACE services 

in at least the PACE center, the home, 

and inpatient facilities. The PACE 

center is the focal point for the delivery 

of PACE services; the center is where 

the interdisciplinary team (IDT) is 

located, services are provided, and 

socialization occurs with staff that is 

consistent and familiar to participants. 

Collection of this information is 

mandated by statute under sections 

1894(f) and 1934(f) of the Act and at 42 

CFR part 460, subpart B, which 

addresses the PO application and 

waiver process. In general, PACE 

services are provided through a PO. An 

entity wishing to become a PO must 

submit an application to CMS that 

describes how the entity meets all the 

requirements in the PACE program. An 

entity’s application must be 

accompanied by an assurance from the 

SAA of the State in which the PO 

wishes to operate its PACE program. 

CMS accepts applications on a 

designated date four times per year (i.e., 

on a quarterly basis, generally the last 

Friday of March, June, September and 

December). Form Number: CMS–10631 

(OMB control number: 0938–1326); 

Frequency: Occasionally; Affected 

Public: Private Sector, Business or other 

for-profits, not for-profits and Federal 

Government State, Local; Number of 

Respondents: 72; Number of Responses: 

109; Total Annual Hours: 7,271. (For 

policy questions regarding this 

collection contact Jackie Ford at 410– 

786–7767 or Jacqueline.Ford@

cms.hhs.gov). 

William N. Parham, III, 

Director, Division of Information Collections 

and Regulatory Impacts, Office of Strategic 

Operations and Regulatory Affairs. 

[FR Doc. 2024–26018 Filed 11–7–24; 8:45 am] 

BILLING CODE 4120–01–P 

DEPARTMENT OF HEALTH AND 

HUMAN SERVICES 

Administration for Community Living 

Agency Information Collection 

Activities: Proposed Collection; Public 

Comment Request; for the National 

Center on Law and Elder Rights— 

Resource Support and User 

Satisfaction Information Collection 

(OMB Control Number 0985–0060) 

AGENCY: Administration for Community 

Living, Health and Human Services 

(HHS). 

ACTION: Notice. 

SUMMARY: The Administration for 

Community Living (ACL) is announcing 

an opportunity for the public to 

comment on the proposed collection of 

information listed above. Under the 

Paperwork Reduction Act of 1995 

(PRA), Federal agencies are required to 

publish a notice in the Federal Register 

concerning each proposed collection of 

information, including each proposed 

extension of an existing collection of 

information, and to allow 60 days for 

public comment in response to the 

notice. This Information Collection (IC) 

extension solicits comments on the 

information collection requirements 

relating to the National Center on Law 

and Elder Rights—Resource Support 

and User Satisfaction information 

collection (OMB Control Number 0985– 

0060). 

DATES: Comments on the collection of 

information must be submitted 

electronically by 11:59 p.m. (ET) or 

postmarked by January 7, 2025. 

ADDRESSES: Submit electronic 

comments on the collection of 

information to: Sara Planthaber at 

Sara.Planthaber@acl.hhs.gov. Submit 

written comments on the collection of 

information to Administration for 

Community Living, 330 C Street SW, 

Washington, DC 20201, Attention: Sara 

Planthaber. 

FOR FURTHER INFORMATION CONTACT: Sara 

Planthaber, email Sara.Planthaber@

acl.hhs.gov or by phone at (202) 795– 

7365. 

SUPPLEMENTARY INFORMATION: Under the 

PRA (44 U.S.C. 3501–3520), Federal 

agencies must obtain approval from the 

Office of Management and Budget 

(OMB) for each collection of 

information they conduct or sponsor. 

‘‘Collection of information’’ is defined 

in 44 U.S.C. 3502(3) and 5 CFR 

1320.3(c) and includes agency requests 

or requirements that members of the 

public submit reports, keep records, or 

provide information to a third party. 

The PRA requires Federal agencies to 

provide a 60-day notice in the Federal 

Register concerning each proposed 

collection of information, including 

each proposed extension of an existing 

collection of information, before 

submitting the collection to OMB for 

approval. To comply with this 

requirement, ACL is publishing a notice 

of the proposed collection of 

information set forth in this document. 

With respect to the following 

collection of information, ACL invites 

comments on our burden estimates or 

any other aspect of this collection of 

information, including: 

(1) whether the proposed collection of 

information is necessary for the proper 

performance of ACL’s functions, 


ddrumheller on DSK120RN23PROD with NOTICES1
88784 Federal Register / Vol. 89, No. 217 / Friday, November 8, 2024 / Notices 

including whether the information will 

have practical utility; 

(2) the accuracy of ACL’s estimate of 

the burden of the proposed collection of 

information, including the validity of 

the methodology and assumptions used 

to determine burden estimates; 

(3) ways to enhance the quality, 

utility, and clarity of the information to 

be collected; and 

(4) ways to minimize the burden of 

the collection of information on 

respondents, including using automated 

collection techniques when appropriate, 

and other forms of information 

technology. 

The National Center on Law and Elder 

Rights—Resource Support and User 

Satisfaction information collection is 

authorized through legal assistance 

programs under section 420— 

Demonstration and Support Projects for 

Legal Assistance for Older Individuals— 

of the Older Americans Act (OAA). 

Section 420(a)(1) is intended to create a 

national legal assistance support system 

to assist states and area agencies on 

aging in providing, developing, or 

supporting legal assistance for older 

individuals. ACL contracts with the 

National Center on Law and Elder 

Rights (NCLER), to provide the required 

services. Through the NCLER contract, 

ACL provides aging, disability, and 

related legal professionals with training, 

complex case consultations and support 

for demonstration projects regarding 

contractually identified priority legal 

topics. When legal and aging/disability 

providers request legal training, case 

consultation, or technical assistance, 

NCLER asks a series of basic questions 

related to service requests and follow-up 

surveys which properly assess resource 

support needs, audience targeting, 

participant satisfaction, and outcomes of 

the training and technical assistance 

delivered. 

The purpose of the information 

requested is for ACL to ensure that 

NCLER creates and prioritizes the 

training, case consultations, and 

technical assistance resources it is 

contracted to provide and to ensure the 

resource center targets designated aging 

and disability network practitioners 

about the priority subject matters. This 

approach enables ACL to make datainformed decisions about deployment of 

its resource center assets. 

Section 2—Descriptions and 

Specifications (Objective 7) under the 

NCLER contract addresses performance 

outcome measurement of the services 

provided. The contractor is required to 

achieve anticipated outcomes as 

measured by a series of performance 

indicators. Section 2.8 of the NCLER 

contract references the Quality 

Assurance Surveillance Plan (QUASP) 

and sets forth the performance 

indicators. The information collected by 

the contractor from recipients of 

resource support through NCLER will be 

provided to ACL in a report submitted 

annually to determine contractual 

compliance in view of requirements in 

the QUASP. 

These data are necessary for ACL to 

evaluate contractual compliance with 

established performance indicators 

under the NLCER contract (Section 2— 

Descriptions and Specifications— 

Objective 7) and delineated in the 

QUASP. These metrics include 

quantifiable increases in uptake by 

stakeholders of training, case 

consultation and technical assistance, 

and measures of satisfaction with and 

perceived benefit from these services. 

For example, the metrics measure 

successful problem resolution because 

of the services provided, and present 

quantifiable data on the fulfillment of 

requests for training, technical 

assistance, and consultation related to 

contractually designated legal and 

systems development topic areas. The 

information requested by ACL from 

legal, aging, and disability professionals 

falls into the following areas: (1) 

requests for training, case consultation, 

and technical assistance through an 

online, secure Uniform Resource 

Support Request Tool (URSRT); general 

requests for legal training (including the 

volume of webinar registrations), case 

consultation and technical assistance; 

and (2) information about satisfaction 

and use of the services and support 

received in order to enable ACL to 

measure performance outcomes. 

Resource Support Requests 

ACL proposes (through NCLER) to ask 

aging/disability service providers and 

legal service providers who may need 

various forms of resource support a 

series of questions regarding appropriate 

delivery of needed assistance in a 

targeted and efficient manner. 

These questions will be presented 

through a web based URSRT that will be 

used for soliciting and accepting 

requests for legal training, case 

consultation, and technical assistance. 

Legal Training, Case Consultation, 

Technical Assistance Requests 

ACL proposes to ask legal and aging/ 

disability providers who request legal 

training, case consultation, or technical 

assistance (through the NCLER website 

using the URSRT) for background 

information and the following 

substantive data: 

• Type of Organization (Title III–B 

attorney, Legal Services Corporation 

attorney, other legal services attorney, 

other elder law attorney, other legal 

services professional, aging and/or 

disability network professional, other); 

and 

• Services requested: (legal training, 

case consultation, technical assistance 

on legal services delivery, or general 

information). 

Performance Outcome Measurement 

ACL proposes to ask legal and aging/ 

disability providers who request legal 

training, case consultation, or technical 

assistance the following series of survey 

questions in order to properly assess 

audience targeting, participant 

satisfaction, and anticipated outcomes 

of the training and technical assistance 

delivered: 

• Type of Organization (Title III–B 

attorney, Legal Services Corporation 

attorney, other legal services attorney, 

other elder law attorney, other legal 

services professional, aging and/or 

disability network professional, and 

other job title (e.g., executive director, 

management, staff attorney, counselor); 

• Please rank the quality of assistance 

provided in this (legal training/case 

consultation/technical assistance); 

• Did the assistance provided by this 

(legal training/case consultation/ 

technical assistance) contribute to a 

successful resolution of a specific client 

issue? 

• If requesting assistance on legal 

services delivery, will the assistance 

provided contribute to the successful 

completion of legal needs and capacity 

assessments, legal services delivery 

plans, legal service delivery guidelines, 

or data collection/reporting systems? 

These questions will be presented 

through a web-based User Satisfaction 

Form that will be used for accepting 

user feedback on the legal training, case 

consultation, and technical assistance 

received through NCLER. The 

information under all categories will be 

collected by NCLER and provided to 

ACL’s Office of Elder Justice and Adult 

Protective Services (OEJAPS) on a 

regular basis through the submittal of 

monthly reports and an annual report. 

The data will be reviewed by ACL and 

analyzed for the following 

programmatic purposes: 

To determine the resource support 

requested and legal issues presented: 

Section 420(a) of the OAA and the 

NCLER contract require that 

professionals within the aging network 

have access to resource support in the 

form of training, case consultations, and 

technical assistance in the development 

of legal assistance delivery systems. The 

information collected on requests for 

resource support from aging and 


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Federal Register / Vol. 89, No. 217 / Friday, November 8, 2024 / Notices 88785 

disability networks will be analyzed to 

determine resource needs in legal 

subject matter areas and systems 

development topics indicated by the 

target audience. The information 

collected will be used by ACL and the 

Contract Officer Representative (COR) to 

tailor the resource support provided 

through the NCLER contract to the 

ongoing and emerging priority needs of 

aging and disability networks. 

To determine effectiveness in 

reaching intended target audience: The 

NCLER contract and OAA section 420(a) 

requires that support services are 

provided to specific groups of providers 

within the aging and disability 

networks. The audience in need of 

comprehensive resource support 

through NCLER includes a broad range 

of legal, elder rights, and aging/ 

disability services professionals, 

advocates, and organizations. These 

include legal assistance providers, legal 

assistance developers, long-term care 

ombudsmen, adult protective services, 

state units on aging, area agencies on 

aging, aging and disability resource 

centers, and others involved in 

protecting the legal rights of older 

persons. The information collected on 

requests for resource support from aging 

and disability networks will be 

reviewed and analyzed by ACL and the 

COR to determine whether the 

appropriate target audiences are 

requesting and receiving resource 

support through NCLER. ACL and the 

COR will also use the information to 

determine if the use of resource support 

through NCLER by intended target 

audiences is increasing at a set 

percentage annually in compliance with 

contractual performance indicators. 

To determine the quality of legal 

resource support provided: The NCLER 

contract performance indicators require 

that the quality of resource support 

provided be measured through 

voluntary recipient feedback. The 

Contractor is required to assure that a 

set percentage of recipients of resource 

support responding to evaluative tools 

will rate the quality of the assistance 

provided as good to excellent. The 

Contractor will have processes in place 

to ensure the integrity of information 

received by target audience. The 

information collected on quality of 

resource support received by target 

audiences will be analyzed by ACL and 

the COR to determine whether 

minimum performance standards are 

met and whether necessary actions need 

to be taken to improve the quality of 

resource support provided through 

NCLER. 

To determine the usefulness of 

resource support provided: The NCLER 

contract performance indicators require 

the anticipated usefulness of resource 

support provided be measured through 

voluntary recipient feedback. The 

Contractor is required to assure that a 

set percentage of recipients of resource 

support responding to evaluative tools 

will agree or strongly agree that the 

assistance provided contributed to the 

successful resolution of a specific legal 

issue. 

The information collected on the 

usefulness of resource support received 

by target audiences will be analyzed by 

ACL and the COR to determine whether 

minimum performance standards are 

met and whether necessary actions need 

to be taken to improve the practical 

usefulness of resource support provided 

through NCLER. 

The data collected will be reviewed 

by the COR on monthly basis through 

contractually required monthly reports 

provided by NCLER. Review of the data 

will be the focus of monthly calls with 

the Contractor to guide ongoing program 

improvements and adjustments as 

directed by the COR. The data will also 

be incorporated into the contractually 

required Summary of Stakeholder Input 

Document (SSID) designed to guide the 

ongoing evolution and improvement of 

NCLER into subsequent contract option 

years. The data will also be compiled in 

a final annual report provided by the 

Contractor and reviewed by the COR 

against the QUASP to determine 

contractual compliance. 

This IC does not collect demographic 

data from grantees receiving programs 

and services funded by HHS. This 

includes guidance specific to the 

collection of sexual orientation and 

gender identity items that align with 

Executive Order 13985 on Advancing 

Racial Equity and Support for 

Underserved Communities Through the 

Federal Government, Executive Order 

14075 on Advancing Equality for 

Lesbian, Gay, Bisexual, Transgender, 

Queer, and Intersex Individuals, and 

Executive Order 13988 on Preventing 

and Combating Discrimination on the 

Basis of Gender Identity and Sexual 

Orientation, and the updated Statistical 

Policy Directive No. 15: Standards for 

Maintaining, Collecting, and Presenting 

Federal Data on Race and Ethnicity 

(effective March 28, 2024). 

The proposed data collection tools 

may be found on the ACL website for 

review at: https://www.acl.gov/aboutacl/public-input. 

Estimates of Burden: Burden 

calculation for each category of 

information: 

Respondent/data collection activity Number of 

respondents Minutes per response Annual burden hours 

Resource Support Requests .......................................................... 80 2 .................................................................. 2.53 

Legal Training, Case Consultation, Technical Assistance Requests-User Satisfaction.14,000 2 .................................................................. 397 

Total ........................................................................................ 14,080 4 min 39 sec ............................................... 399.53 hours 

Dated: November 4, 2024. 

Maura Calsyn, 

Principal Deputy Administrator for the 

Administration for Community Living, 

performing the delegable duties of the 

Administrator and the Assistant Secretary for 

Aging. 

[FR Doc. 2024–25931 Filed 11–7–24; 8:45 am] 

BILLING CODE 4154–01–P 

DEPARTMENT OF HEALTH AND 

HUMAN SERVICES 

Food and Drug Administration 

[Docket No. FDA–2024–N–4776] 

Export Lists for Human Food: Request 

for Information 

AGENCY: Food and Drug Administration, 

HHS. 

ACTION: Notice; request for information. 

SUMMARY: The Food and Drug 

Administration (FDA, the Agency, or 

we) invites comment relating to the 

listing requirements of other countries 

and FDA’s approach to facilitating U.S. 

industry compliance with these 

requirements through the issuance of 

export certification for human food 

products provided in the form of lists 

(export lists). 

DATES: Submit either electronic or 

written comments on the request for 


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