Federal Register / Vol. 76, No. 34 / Friday, February 18, 2011 / Notices 9579 

Place: DoubleTree Hotel Atlanta 

Buckhead, 3342 Peachtree Road, NE., 

Piedmont Room, Atlanta, Georgia 

30326. 

Contact Person for Additional 

Information: Nancy Anderson, Chief, 

Laboratory Practice Standards Branch, 

Division of Laboratory Science and 

Standards, Laboratory Science, Policy 

and Practice Program Office, Office of 

Surveillance, Epidemiology and 

Laboratory Services, Centers for Disease 

Control and Prevention, 1600 Clifton 

Road, NE., Mailstop F–11, Atlanta, 

Georgia 30333; telephone (404) 498– 

2741; fax (404) 498–2219; or via e-mail 

at Nancy.Anderson@cdc.hhs.gov. 

The Director, Management Analysis 

and Services Office, has been delegated 

the authority to sign Federal Register 

Notices pertaining to announcements of 

meetings and other committee 

management activities, for the Centers 

for Disease Control and Prevention and 

the Agency for Toxic Substances and 

Disease Registry. 

Dated: February 14, 2011. 

Elaine L. Baker, 

Director, Management Analysis and Services 

Office, Centers for Disease Control and 

Prevention. 

[FR Doc. 2011–3707 Filed 2–17–11; 8:45 am] 

BILLING CODE 4163–18–P 

DEPARTMENT OF HEALTH AND 

HUMAN SERVICES 

Centers for Medicare & Medicaid 

Services 

[Document Identifier: CMS–10251] 

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: Extension of a currently 

approved collection; Title of 

Information Collection: Integrated 

Medicare and Medicaid State Plan 

Preprint; Form No.: CMS–10251 (OMB#: 

0938–1047); Use: The Integrated Care 

Preprint is an optional tool for use by 

States to highlight the arrangements 

provided between the State and 

Medicare Advantage Special Needs 

Plans that are also providing Medicaid 

services. The preprint also provides the 

opportunity for States to confirm that 

their integrated care model complies 

with Federal statutory and regulatory 

requirements. State Medicaid Agencies 

may complete the preprint and CMS 

will review the information provided to 

determine if the State has properly 

completed and explained their 

integrated care arrangements and that 

the appropriate assurances have been 

met; Frequency: Once; Affected Public: 

State, Local, or Tribal Governments; 

Number of Respondents: 56; Total 

Annual Responses: 10; Total Annual 

Hours: 200. (For policy questions 

regarding this collection contact Mary 

Pat Farkas at 410–786–5731. 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 

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 at 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 April 19, 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. 

Martique Jones, 

Director, Regulations Development Group, 

Division B, Office of Strategic Operations and 

Regulatory Affairs. 

[FR Doc. 2011–3749 Filed 2–17–11; 8:45 am] 

BILLING CODE 4120–01–P 

DEPARTMENT OF HEALTH AND 

HUMAN SERVICES 

Centers for Medicare & Medicaid 

Services 

[Document Identifier: CMS–21 and –21B, 

CMS–37, CMS–64, CMS–10098, CMS–10106, 

CMS–10120, CMS–10292, and CMS–10220] 

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: CMS–21 

(Quarterly Children’s Health Insurance 

Program (CHIP) Statement of 

Expenditures for the Title XXI Program) 

and CMS–21B (State Children’s Health 

Insurance Program Budget Report for 

the Title XXI Program State Plan 

Expenditures); Use: Forms CMS–21 and 

–21B provide CMS with the information 

necessary to issue quarterly grant 

awards, monitor current year 

expenditure levels, determine the 

allowability of State claims for 

reimbursement, develop CHIP financial 

management information, provide for 

State reporting of waiver expenditures, 

and ensure that the Federally 

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