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[Federal Register Volume 76, Number 175 (Friday, September 9, 2011)]
[Notices]
[Page 55917]
From the Federal Register Online via the Government Printing Office [www.gpo.gov]
[FR Doc No: 2011-23118]

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DEPARTMENT OF HEALTH AND HUMAN SERVICES

Centers for Medicare & Medicaid Services

[Document Identifier CMS-10408]

Agency Information Collection Activities: Proposed Collection; 
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) 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 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.
    1. Type of Information Collection Request: New collection; Title of 
Information Collection: Early Retiree Reinsurance Program Survey of 
Plan Sponsors; Use: Under the Patient Protection and Affordable Care 
Act (42 U.S.C. 18002) and implementing regulations at 45 CFR part 149, 
employment-based plans that offer health coverage to early retirees and 
their spouses, surviving spouses, and dependents are eligible to 
receive tax-free reimbursement for a portion of the costs of health 
benefits provided to such individuals. The statute limits how the 
reimbursement funds can be used, and requires the Secretary of HHS to 
develop a mechanism to monitor the appropriate use of such funds. The 
survey that is the subject of this PRA package, is part of that 
mechanism. Form Number: CMS-10408 (OMB 0938-New); Frequency: Yearly; 
Affected Public: Private Sector: Business or other for-profit and not-
for-profit institutions; Number of Respondents: 3,130; Total Responses: 
3,130; Total Hours: 34,430. (For policy questions regarding this 
collection contact Catherine Kelly at 301-492-4156. 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 Paperwork@cms.hhs.gov, or call 
the Reports Clearance Office on (410) 786-1326.
    In commenting on the proposed information collections please 
reference the document identifier or OMB control number. To be assured 
consideration, comments and recommendations must be submitted in one of 
the following ways by November 8, 2011:
    1. Electronically. You may submit your comments electronically to 
http://www.regulations.gov. Follow the instructions for ``Comment or 
Submission'' or ``More Search Options'' to find the information 
collection document(s) accepting comments.
    2. By regular mail. You may mail written comments to the following 
address: CMS, Office of Strategic Operations and Regulatory Affairs, 
Division of Regulations Development, Attention: Document Identifier/OMB 
Control Number -------- , Room C4-26-05, 7500 Security Boulevard, 
Baltimore, Maryland 21244-1850.

    Dated: September 6, 2011.
Martique Jones,
Director, Regulations Development Group, Division B, Office of 
Strategic Operations and Regulatory Affairs.
[FR Doc. 2011-23118 Filed 9-8-11; 8:45 am]
BILLING CODE 4120-01-P
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