88296 Federal Register / Vol. 89, No. 216 / Thursday, November 7, 2024 / Notices 

6See, website for Pearson PTE Academic: https:// 

www.pearsonpte.com/pte-academic. 

‘‘Reading,’’ ‘‘Writing,’’ and ‘‘Listening,’’ 

and 350 for ‘‘Speaking’’ which, per 

consultation with OET, does not 

represent an increase or decrease in 

minimum passing test scores. 

b. For health care workers holding 

less than a Bachelor of Science degree, 

the current minimum passing score for 

‘‘Reading,’’ ‘‘Writing,’’ and ‘‘Listening’’ 

is a letter grade of C and a letter grade 

of B for ‘‘Speaking.’’ HRSA proposes to 

replace these letter scores with the 

equivalent numeric scores of 250 for 

‘‘Reading,’’ ‘‘Writing,’’ ‘‘Listening,’’ and 

350 for ‘‘Speaking’’ which, per 

consultation with OET, does not 

represent an increase or decrease in 

minimum passing test scores. 

c. For occupational and physical 

therapists, there are currently no 

minimum passing tests scores listed for 

OET. HRSA proposes the minimum 

passing scores of 300 for ‘‘Reading,’’ 

‘‘Writing,’’ and ‘‘Listening’’ and the 

score of 350 for ‘‘Speaking’’ to include 

versions of OET designed specifically 

for occupational and physical 

therapists. 

(6) Pearson PTE Academic is a 

computer-based exam that measures 

academic-level speaking, writing, 

reading, and listening skills.6 HRSA 

proposes the following modification to 

the listing: 

a. Add a new passing minimum score 

of 63 for ‘‘Speaking’’ for registered 

nurses and Bachelor of Science level 

health care workers. Previously, no 

passing minimum score for ‘‘Speaking’’ 

was listed. HRSA proposes this change 

to enhance parity among minimum 

passing test scores. 

To reflect the aforementioned 

modifications*, HRSA proposes to 

update its website to replace the June 

2022 listing of approved standardized 

tests and minimum passing scores with 

the following table, which reflects the 

information described above: 

* Proposed modifications are bolded 

and italicized for this document but will 

not appear in bold and italics when 

published on the website. 

English competency tests Scores: occupational therapists/ 

physical therapists 

Scores: registered nurses and 

B.S. level health care workers 

Scores: <B.S. level health care 

workers 

Cambridge English B2 First, C1 

Advanced, or C2 Proficiency.

Cambridge English Scale 185 

overall and 185 Speaking.

Cambridge English Scale 176 

overall and 185 Speaking.

Cambridge English Scale 169 

overall and 185 Speaking. 

Educational Testing Service: 

TOEFL Internet-Based Test.

Overall 89 with minimum of 63 on 

Reading, Listening and Writing 

and 26 on Speaking.

Overall 83 with minimum of 57 on 

Reading, Listening and Writing 

and 26 on Speaking.

Overall 77 with minimum of 53 on 

Reading, Listening, and Writing 

and 24 on Speaking. 

Educational Testing Service: 

TOEIC (Listening and Reading).

Not applicable ............................... 725 ................................................ 725. 

Educational Testing Service: 

TOEIC (Speaking/Writing).

Not applicable ............................... 160 Speaking/150 Writing ............ 160 Speaking/150 Writing. 

International English Language 

Testing System (IELTS).

Not applicable ............................... 6.5 academic with minimum of 7 

on Speaking.

6 academic or general with minimum of 7 on Speaking. 

Michigan English Test (MET) ........ Not applicable ............................... Overall 55; minimum Speaking 

section score of 55.

Overall 55; minimum Speaking 

section score of 55. 

Occupational English Test (OET) .. Reading, Writing, Listening/300; 

Speaking 350.

Reading, Writing, Listening/300; 

Speaking 350.

Reading, Writing, Listening/250; 

Speaking 350. 

Pearson PTE Academic ................ Not applicable ............................... Overall 55; Reading, Writing, Listening, no section below 50.

63 minimum for Speaking ............

Overall 55; Reading, Writing, Listening, no section below 50. 

Maria G. Button, 

Director, Executive Secretariat. 

[FR Doc. 2024–25854 Filed 11–6–24; 8:45 am] 

BILLING CODE 4165–15–P 

DEPARTMENT OF HEALTH AND 

HUMAN SERVICES 

[Document Identifier: OS–0990–NEW] 

Agency Information Collection 

Request; 30-Day Public Comment 

Request 

AGENCY: Office of the Secretary, Health 

and Human Services (HHS). 

ACTION: Notice. 

SUMMARY: In compliance with the 

requirement of the Paperwork 

Reduction Act of 1995, the Office of the 

Secretary (OS), Department of Health 

and Human Services, is publishing the 

following summary of a proposed 

collection for public comment. 

DATES: Comments on the ICR must be 

received on or before December 9, 2024. 

ADDRESSES: Written comments and 

recommendations for the proposed 

information collection should be sent 

within 30 days of publication of this 

notice to www.reginfo.gov/public/do/ 

PRAMain. Find this particular 

information collection by selecting 

‘‘Currently under 30-day Review—Open 

for Public Comments’’ or by using the 

search function. 

FOR FURTHER INFORMATION CONTACT: 

Sherrette Funn, Sherrette.Funn@hhs.gov 

or (202) 264–0041, or PRA@HHS.GOV. 

When submitting comments or 

requesting information, please include 

the document identifier 0990–new–30D 

and project title for reference. 

SUPPLEMENTARY INFORMATION: 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. 

Title of the Collection: Evaluation of 

the Certified Community Behavioral 

Health Clinic Demonstration in 

Accordance with the Bipartisan Safer 

Communities Act. 

Type of Collection: New. 

OMB No.: 0990–NEW. 

Abstract: The Office of the Assistant 

Secretary for Planning and Evaluation 

(ASPE) at the U.S. Department of Health 

and Human Services (HHS) is 

requesting Office of Management and 

Budget (OMB) approval for new data 

collection activities to support its 

evaluation of the Certified Community 

Behavioral Health Clinic (CCBHC) 


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Federal Register / Vol. 89, No. 216 / Thursday, November 7, 2024 / Notices 88297 

demonstration program in accordance 

with the Bipartisan Safer Communities 

Act. 

Section 223 of the Protecting Access 

to Medicare Act (Pub. L. 113–93; 

PAMA) authorized the Certified 

Community Behavioral Health Clinic 

(CCBHC) demonstration to allow states 

to test a different strategy for delivering 

and reimbursing a comprehensive array 

of services provided in community 

behavioral health clinics. The 

demonstration aims to improve the 

availability, quality, and outcomes of 

outpatient services provided in these 

clinics by establishing a standard 

definition for CCBHCs and develops a 

new Medicaid prospective payment 

system (PPS) in each state that accounts 

for the total cost of providing nine types 

of services to all people who seek care. 

The PPS in each state is designed to 

provide CCBHCs with the financial 

support and stability necessary to 

deliver these required services. The 

demonstration also aims to incentivize 

quality through quality bonus payments 

to clinics and requires CCBHCs to report 

quality measures and costs. The 

demonstration was originally authorized 

for two years. 

Need and Proposed Use of the 

Information: PAMA mandates that HHS 

submit reports to Congress about the 

Section 223 demonstration that assess 

(1) access to community-based mental 

health services under Medicaid in the 

area or areas of a state targeted by a 

demonstration program as compared to 

other areas of the state, (2) the quality 

and scope of services provided by 

certified community behavioral health 

clinics as compared to communitybased mental health services provided 

in states not participating in a 

demonstration program and in areas of 

a demonstration state that are not 

participating in the demonstration, and 

(3) the impact of the demonstration on 

the federal and state costs of a full range 

of mental health services (including 

inpatient, emergency, and ambulatory 

services). The ability of ASPE to provide 

this information to Congress requires a 

rigorously designed and independent 

evaluation of the CCBHC demonstration. 

The total annual burden hours 

estimated for this information collection 

request are summarized in the table 

below. 

Type of respondent Number of respondents 

Number 

responses per 

respondent 

Average 

burden per 

response 

(in hours) 

Total burden 

hours 

State official interviews .................................................................................... 75 1 1.5 113 

CCBHC interviews ........................................................................................... 20 1 1.5 30 

CCBHC survey ................................................................................................ 231 1 4 924 

CCBHC client focus groups ............................................................................. 8 1 1.5 12 

Total .......................................................................................................... 334 ........................ ........................ 1,079 

Sherrette A. Funn, 

Paperwork Reduction Act Reports Clearance 

Officer, Office of the Secretary. 

[FR Doc. 2024–25856 Filed 11–6–24; 8:45 am] 

BILLING CODE 4150–05–P 

DEPARTMENT OF HOMELAND 

SECURITY 

Federal Emergency Management 

Agency 

[Docket ID FEMA–2024–0002; Internal 

Agency Docket No. FEMA–B–2472] 

Changes in Flood Hazard 

Determinations 

AGENCY: Federal Emergency 

Management Agency, Department of 

Homeland Security. 

ACTION: Notice. 

SUMMARY: This notice lists communities 

where the addition or modification of 

Base Flood Elevations (BFEs), base flood 

depths, Special Flood Hazard Area 

(SFHA) boundaries or zone 

designations, or the regulatory floodway 

(hereinafter referred to as flood hazard 

determinations), as shown on the Flood 

Insurance Rate Maps (FIRMs), and 

where applicable, in the supporting 

Flood Insurance Study (FIS) reports, 

prepared by the Federal Emergency 

Management Agency (FEMA) for each 

community, is appropriate because of 

new scientific or technical data. The 

FIRM, and where applicable, portions of 

the FIS report, have been revised to 

reflect these flood hazard 

determinations through issuance of a 

Letter of Map Revision (LOMR), in 

accordance with Federal Regulations. 

The currently effective community 

number is shown in the table below and 

must be used for all new policies and 

renewals. 

DATES: These flood hazard 

determinations will be finalized on the 

dates listed in the table below and 

revise the FIRM panels and FIS report 

in effect prior to this determination for 

the listed communities. 

From the date of the second 

publication of notification of these 

changes in a newspaper of local 

circulation, any person has 90 days in 

which to request through the 

community that the Deputy Associate 

Administrator for Insurance and 

Mitigation reconsider the changes. The 

flood hazard determination information 

may be changed during the 90-day 

period. 

ADDRESSES: The affected communities 

are listed in the table below. Revised 

flood hazard information for each 

community is available for inspection at 

both the online location and the 

respective community map repository 

address listed in the table below. 

Additionally, the current effective FIRM 

and FIS report for each community are 

accessible online through the FEMA 

Map Service Center at https://

msc.fema.gov for comparison. 

Submit comments and/or appeals to 

the Chief Executive Officer of the 

community as listed in the table below. 

FOR FURTHER INFORMATION CONTACT: Rick 

Sacbibit, Chief, Engineering Services 

Branch, Federal Insurance and 

Mitigation Administration, FEMA, 400 

C Street SW, Washington, DC 20472, 

(202) 646–7659, or (email) 

patrick.sacbibit@fema.dhs.gov; or visit 

the FEMA Mapping and Insurance 

eXchange (FMIX) online at https://

www.floodmaps.fema.gov/fhm/fmx_

main.html. 

SUPPLEMENTARY INFORMATION: The 

specific flood hazard determinations are 

not described for each community in 

this notice. However, the online 

location and local community map 

repository address where the flood 

hazard determination information is 

available for inspection is provided. 

Any request for reconsideration of 

flood hazard determinations must be 

submitted to the Chief Executive Officer 

of the community as listed in the table 

below. 

The modifications are made pursuant 

to section 201 of the Flood Disaster 

Protection Act of 1973, 42 U.S.C. 4105, 

and are in accordance with the National 


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