Federal Register / Vol. 76, No. 178 / Wednesday, September 14, 2011 / Notices 56767 

Dated: September 8, 2011. 

Martique Jones, 

Director, Regulations Development Group, 

Division B Office of Strategic Operations and 

Regulatory Affairs. 

[FR Doc. 2011–23430 Filed 9–13–11; 8:45 am] 

BILLING CODE 4120–01–P 

DEPARTMENT OF HEALTH AND 

HUMAN SERVICES 

Centers for Medicare & Medicaid 

Services 

[Document Identifier: CMS–10334] 

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: Application for 

Coverage in the Pre-Existing Condition 

Insurance Plan; Use: The Department of 

Health and Human Services (HHS) 

Centers for Medicare & Medicaid 

Services, Center for Consumer 

Information and Insurance Oversight is 

requesting clearance by the Office of 

Management and Budget for 

modifications to this previously 

approved collection package. These 

changes are being requested to (1) 

provide a mechanism for a PCIP 

enrollee who has moved from a stateadministered PCIP to quickly and 

efficiently enroll into the federallyadministered PCIP (2) provide a 

mechanism for a PCIP applicant to 

identify a third party entity will pay 

their premium to ensure appropriate 

premium billing (3) provide a 

mechanism whereby a licensed 

insurance agent or broker may identify 

their referral of an applicant (4) request 

employer information to expand ways to 

identify and prevent instances of insurer 

dumping and (5) make clarifications to 

existing application language. Form 

Number: CMS–10334 (OCN: 0938–1095) 

Frequency: Once; Affected Public: 

Individuals or households; Number of 

Respondents: 83,333; Number of 

Responses: 83,333; Total Annual Hours: 

179,499. (For policy questions regarding 

this collection, contact Laura Dash at 

410–786–8623. 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 October 14, 2011 

OMB, Office of Information and 

Regulatory Affairs, Attention: CMS Desk 

Officer, Fax Number: (202) 395–6974, Email: OIRA_submission@omb.eop.gov. 

Dated: September 8, 2011. 

Martique Jones, 

Director, Regulations Development Group, 

Division B, Office of Strategic Operations and 

Regulatory Affairs. 

[FR Doc. 2011–23429 Filed 9–13–11; 8:45 am] 

BILLING CODE 4120–01–P 

DEPARTMENT OF HEALTH AND 

HUMAN SERVICES 

Centers for Medicare & Medicaid 

Services 

[CMS–9980–NC] 

Request for Information Regarding 

State Flexibility To Establish a Basic 

Health Program Under the Affordable 

Care Act 

AGENCY: Centers for Medicare & 

Medicaid Services (CMS), HHS. 

ACTION: Request for information. 

SUMMARY: This notice is a request for 

information regarding section 1331 of 

the Affordable Care Act, which provides 

States with the option to establish a 

Basic Health Program. This option 

permits States to enter into contracts to 

offer one or more ‘‘standard health 

plans’’ providing at least the essential 

health benefits described in section 

1302(b) of the Affordable Care Act to 

eligible individuals in lieu of offering 

such individuals coverage through the 

Affordable Insurance Exchange 

(Exchange). 

DATES: Comment Date: To be assured 

consideration, responses must be 

received at one of the addresses 

provided below, no later than 5 p.m. on 

October 31, 2011. 

ADDRESSES: In responding, please refer 

to file code CMS–9980–NC. Because of 

staff and resource limitations, we cannot 

accept comments by facsimile (FAX) 

transmission. 

You may submit responses in one of 

four ways (please choose only one of the 

ways listed): 

1. Electronically. You may submit 

electronic comments on this regulation 

to http://www.regulations.gov. Follow 

the instructions under the ‘‘More Search 

Options’’ tab. 

2. By regular mail. You may mail 

written comments to the following 

address ONLY: Centers for Medicare & 

Medicaid Services, Department of 

Health and Human Services, Attention: 

CMS–9980–NC, P.O. Box 8016, 

Baltimore, MD 21244–8016. 

Please allow sufficient time for mailed 

comments to be received before the 

close of the comment period. 

3. By express or overnight mail. You 

may send written comments to the 

following address ONLY: Centers for 

Medicare & Medicaid Services, 

Department of Health and Human 

Services, Attention: CMS–9980–NC, 

Mail Stop C4–26–05, 7500 Security 

Boulevard, Baltimore, MD 21244–1850. 

4. By hand or courier. If you prefer, 

you may deliver (by hand or courier) 

your written comments before the close 

of the comment period to either of the 

following addresses: 

a. For delivery in Washington, DC— 

Centers for Medicare & Medicaid 

Services, Department of Health and 

Human Services, Room 445–G, Hubert 

H. Humphrey Building, 200 

Independence Avenue, SW., 

Washington, DC 20201. 

(Because access to the interior of the 

Hubert H. Humphrey Building is not 

readily available to persons without 

Federal government identification, 

commenters are encouraged to leave 

their comments in the CMS drop slots 

located in the main lobby of the 

building. A stamp-in clock is available 

for persons wishing to retain a proof of 

filing by stamping in and retaining an 

extra copy of the comments being filed.) 

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