16400 Federal Register / Vol. 74, No. 68 / Friday, April 10, 2009 / Notices 

Assistance Formula Grants is to obtain 

necessary information so that ORR can 

assess the allowability of applicants’ 

proposed programs. The application 

will include contact information for the 

grantee agency and for the local 

agencies that are proposed as 

subgrantees; the applicant’s allocation 

plan for the grant funds among qualified 

counties; a description of the applicant’s 

plan for evaluating and monitoring the 

subgrantees; a line item budget and 

budget justification; and performance 

goals. The application will also require 

assurances from the applicant that the 

program will be conducted in 

accordance with the grant 

announcement. The application is a 

necessary data collection to allow ORR 

to ensure that all targeted assistance 

applicants propose programs that are in 

accordance with the Refugee Act and 

with ORR regulations. 

Respondents: State Governments, 

Wilson/Fish Project Grantees and State 

Replacement Agencies. 

ANNUAL BURDEN ESTIMATES

Instrument Number 

of respondents 

Number of 

responses per 

respondent 

Average 

burden hours 

per response 

Total burden 

hours 

Application for Office of Refugee Resettlement Targeted Assistance Formula Grants .................................................................................................. 30 1 1 30 

Estimated Total Annual Burden 

Hours: 30. 

In compliance with the requirements 

of Section 506(c)(2)(A) of the Paperwork 

Reduction Act of 1995, the 

Administration for Children and 

Families is soliciting public comment 

on the specific aspects of the 

information collection described above. 

Copies of the proposed collection of 

information can be obtained and 

comments may be forwarded by writing 

to the Administration for Children and 

Families, Office of Administration, 

Office of Information Services, 370 

L’Enfant Promenade, SW., Washington, 

DC 20447, Attn: ACF Reports Clearance 

Officer. E-mail address: 

infocollection@acf.hhs.gov. All requests 

should be identified by the title of the 

information collection. 

The Department specifically requests 

comments on: (a) Whether the proposed 

collection of information is necessary 

for the proper performance of the 

functions of the agency, including 

whether the information shall have 

practical utility; (b) the accuracy of the 

agency’s estimate of the burden of the 

proposed collection of information; (c) 

the quality, utility, and clarity of the 

information to be collected; and (d) 

ways to minimize the burden of the 

collection of information on 

respondents, including through the use 

of automated collection techniques or 

other forms of information technology. 

Consideration will be given to 

comments and suggestions submitted 

within 60 days of this publication. 

Dated: April 7, 2009. 

Janean Chambers, 

Reports Clearance Officer. 

[FR Doc. E9–8225 Filed 4–9–09; 8:45 am] 

BILLING CODE 4184–01–P 

DEPARTMENT OF HEALTH AND 

HUMAN SERVICES 

Centers for Medicare & Medicaid 

Services 

[Document Identifier: CMS–R–205 and 

CMS–R–206] 

Agency Information Collection 

Activities: Proposed Collection; 

Comment Request 

AGENCY: Centers for Medicare & 

Medicaid Services. 

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: Information 

Collection Requirements Referenced in 

HIPAA title I for the Individual Market, 

Supporting Regulations at 45 CFR Part 

148 (148.120, 148.122, 148.124, 148.126, 

and 148.128), Forms and Instructions; 

Use: The provisions of title I of the 

Health Insurance Portability and 

Accountability Act of 1996 (HIPAA) 

amend the Public Health Service Act 

(PHS Act) and are designed to make it 

easier for people to get access to health 

care coverage; to reduce the limitations 

that can be put on the coverage; and to 

make it more difficult for issuers to 

terminate the coverage. The information 

collection requirements will ensure that 

issuers in the individual market comply 

with HIPAA title I, provide individuals 

with certificates of creditable coverage 

necessary to demonstrate prior 

creditable coverage and file 

documentation with CMS for review in 

a Federal direct enforcement state. 

Requirements must also ensure states’ 

flexibility to implement state alternative 

mechanisms. Form Number: CMS–R– 

205 (OMB#: 0938–0703); Frequency: 

Reporting—Yearly and Occasionally; 

Affected Public: Business or other forprofits and not-for-profit institutions; 

Number of Respondents: 2,042; Total 

Annual Responses: 2,979,801; Total 

Annual Hours: 856,384. (For policy 

questions regarding this collection 

contact Louis Blank at 410–786–5511. 

For all other issues call 410–786–1326.) 

2. Type of Information Collection 

Request: Extension of a currently 

approved collection; Title of 

Information Collection: Information 

Collection Requirements in HIPAA title 

I for the Group Market, Supporting 

Regulations 45 CFR 146 (146.111, 

146.115, 146.117, 146.150, 146.152, 

146.160 and 146.180) Forms and 

Instructions; Use: The provisions of title 

I of the Health Insurance Portability and 

Accountability Act of 1996 (HIPAA) are 

designed to make it easier for people to 

get access to health care coverage and to 

reduce the limitations that can be put on 

the coverage. This collection pertains to 

notices issued by group health 

insurance issuers and self-funded nonFederal governmental plans as required 

by 45 CFR 146. These notices are 

triggered by the issuance of certificates 

Federal Register / Vol. 74, No. 68 / Friday, April 10, 2009 / Notices 16401 

of creditable coverage; notification of 

preexisting condition exclusions; 

notification of special enrollment rights; 

and State review of issuers’ filings of 

group market products or similar 

Federal review in cases in which a State 

is not enforcing a HIPAA group market 

provision. Form Number: CMS–R–206 

(OMB#: 0938–0702); Frequency: 

Reporting—Yearly; Affected Public: 

Private sector; business or other forprofits and not-for-profit institutions, 

and State, local, or tribal governments; 

Number of Respondents: 8,050; Total 

Annual Responses: 37,002,217; Total 

Annual Hours: 2,920,012. (For policy 

questions regarding this collection 

contact Louis Blank at 410–786–5511. 

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 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. 

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 June 9, 2009: 

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 lll, Room C4–26– 

05, 7500 Security Boulevard, Baltimore, 

Maryland 21244–1850. 

Dated: April 3, 2009. 

Michelle Shortt, 

Director, Regulations Development Group, 

Office of Strategic Operations and Regulatory 

Affairs. 

[FR Doc. E9–8224 Filed 4–9–09; 8:45 am] 

BILLING CODE 4120–01–P 

DEPARTMENT OF HEALTH AND 

HUMAN SERVICES 

Centers for Medicare & Medicaid 

Services 

[Document Identifier: CMS–10275] 

Agency Information Collection 

Activities: Submission for OMB 

Review; Comment Request 

AGENCY: Centers for Medicare & 

Medicaid Services. 

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: New collection; Title of 

Information Collection: CAHPS Home 

Health Care Survey: Use: As part of the 

Department of Health and Human 

Services (DHHS) Transparency Initiative 

on Quality Reporting, CMS plans to 

implement a process to measure and 

publicly report home health care patient 

experiences through the CAHPS 

(Consumer Assessment of Healthcare 

Providers and Systems) Home Health 

Care Survey. The Home Health Care 

CAHPS survey, as initially discussed in 

the May 4, 2007 Federal Register (72 FR 

25356, 25452), is part of a family of 

CAHPS ® surveys that ask patients about 

their health care experiences. The Home 

Health Care CAHPS survey, developed 

by the Agency for Healthcare Research 

and Quality (AHRQ), creates a 

standardized survey for home health 

patients to assess their home health care 

providers and the quality of their home 

health care. Prior to this survey, there 

was no national standard for collecting 

such information that would allow 

comparisons across all home health 

agencies. 

AHRQ conducted a field test to 

determine the length and content of the 

Home Health Care CAHPS Survey. CMS 

has submitted the survey to the National 

Quality Forum (NQF) for consideration 

and approval in their consensus 

process. NQF endorsement represents 

the consensus opinion of many 

healthcare providers, consumer groups, 

professional organizations, purchasers, 

Federal agencies, and research and 

quality organizations. The final survey 

will also be submitted to the Office of 

Management and Budget (OMB) for 

their approval under the Paperwork 

Reduction Act (PRA) process. 

The survey captures topics such as 

patients’ interactions with the agency, 

access to care, interactions with home 

health staff, provider care and 

communication, and patient 

characteristics. The survey allows the 

patient to give an overall rating of the 

agency, and asks if the patient would 

recommend the agency to family and 

friends. 

CMS is beginning plans for 

implementation of Home Health Care 

CAHPS Survey. Administration of the 

survey will be conducted by multiple, 

independent survey vendors working 

under contract with home health 

agencies to facilitate data collection and 

reporting. Recruitment and training of 

vendors who wish to be approved to 

collect Home Health Care CAHPS data 

will begin in 2009. Home health 

agencies interested in learning about the 

survey and/or voluntarily participating 

in the survey are encouraged to view the 

Home Health Care CAHPS Web site: 

http://www.homehealthCAHPS.org. 

Information about the project can also 

be obtained by sending an e-mail to 

HHCAHPS@rti.org. 

Home health agency participation in 

the Home Health Care CAHPS Survey is 

currently voluntary. Form Number: 

CMS–10275 (OMB# 0938–New); 

Frequency: Semi-annually, once and 

occasionally; Affected Public: 

Individuals or households; Number of 

Respondents: 2,706,000; Total Annual 

Responses: 2,706,000; Total Annual 

Hours: 541,200. (For policy questions 

regarding this collection contact 

Elizabeth Goldstein at 410–786–6665. 

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