11436 Federal Register / Vol. 79, No. 40 / Friday, February 28, 2014 / Notices 

amendments to the Social Security Act 

made by the ACA, and the 

implementing regulations. The AEs, 

which are state entities administering 

Insurance Affordability Programs, will 

use the data, accessed through the CMS 

Data Services Hub (Hub), to make 

Eligibility Determinations for Insurance 

Affordability Programs and certificates 

of exemption. 

The AEs shall report suspected or 

confirmed incidents affecting loss or 

suspected loss of PII within one hour of 

discovery to their designated Center for 

Consumer Information and Insurance 

Oversight State Officer who will then 

notify the affected Federal agency data 

sources, i.e., Internal Revenue Service, 

Department of Defense, Department of 

Homeland Security, Social Security 

Administration, Peace Corps, Office of 

Personnel Management and Veterans 

Health Administration. Additionally, 

AEs shall contact the office of the 

appropriate Special Agent-in-Charge, 

Treasury Inspector General for Tax 

Administration (TIGTA), and the IRS 

Office of Safeguards within 24 hours of 

discovery of any potential breach, loss, 

or misuse of Return Information. Form 

Number: CMS–10496 (OCN: 0938– 

1216); Frequency: Occasionally; 

Affected Public: State, Local or Tribal 

governments; Number of Respondents: 

18; Total Annual Responses: 936; Total 

Annual Hours: 234. (For policy 

questions regarding this collection 

contact Theodora Wills at 410–786– 

1504.) 

Dated: February 24, 2014. 

Martique Jones, 

Deputy Director, Regulations Development 

Group, Office of Strategic Operations and 

Regulatory Affairs. 

[FR Doc. 2014–04327 Filed 2–27–14; 8:45 am] 

BILLING CODE 4120–01–P 

DEPARTMENT OF HEALTH AND 

HUMAN SERVICES 

Centers for Medicare & Medicaid 

Services 

[CMS–2389–N] 

Medicaid Program; Preliminary 

Disproportionate Share Hospital 

Allotments (DSH) for Fiscal Year (FY) 

2014 and the Preliminary Institutions 

for Mental Diseases Disproportionate 

Share Hospital Limits for FY 2014 

AGENCY: Centers for Medicare & 

Medicaid Services (CMS), HHS. 

ACTION: Notice. 

SUMMARY: This notice announces the 

preliminary federal share DSH 

allotments for FY 2014 and the 

preliminary federal share FY 2014 limits 

on aggregate DSH payments that states 

may make to institutions for mental 

diseases (IMDs) and other mental health 

facilities. This notice also includes 

additional information regarding the 

calculation of the FY 2014 DSH 

allotments and FY 2014 IMD DSH 

limits. 

DATES: Effective Date: This notice is 

effective on March 31, 2014. The final 

allotments and limitations set forth in 

this notice are effective for the fiscal 

years specified. 

FOR FURTHER INFORMATION CONTACT: Rory 

Howe, (410) 786–4878; or Richard 

Strauss, (410) 786–2019. 

SUPPLEMENTARY INFORMATION: 

I. Background 

A. Fiscal Year DSH Allotments 

A state’s federal fiscal year (FY) 

disproportionate share hospital (DSH) 

allotment represents the aggregate limit 

on the federal share amount of the 

state’s payments to DSH hospitals in the 

state for the FY. The amount of such 

allotment is determined in accordance 

with the provisions of section 1923(f)(3) 

of the Social Security Act (the Act). 

Under such provisions, in general a 

state’s FY DSH allotment is calculated 

by increasing the amount of its DSH 

allotment for the preceding FY by the 

percentage change in the Consumer 

Price Index for all Urban Consumers 

(CPI–U) for the previous FY. 

The Affordable Care Act amended 

Medicaid DSH provisions, adding 

section 1923(f)(7) of the Act which 

would have required reductions to 

states’ FY DSH allotments beginning 

with FY 2014, the calculation of which 

was described in the Disproportionate 

Share Hospital Payment Reduction final 

rule published in the September 18, 

2013 Federal Register (78 FR 57293). 

Under the DSH reduction methodology, 

first, each state’s unreduced FY DSH 

allotment would have been calculated 

in accordance with the provisions of 

section 1923(f) of the Act, excluding 

section 1923(f)(7) of the Act; then, the 

reduction amount for each state would 

have been determined under the 

provisions of section 1923(f)(7) of the 

Act and implementing regulations at 42 

CFR 447.294; and, finally, the net FY 

DSH allotment for each state would 

have been determined by subtracting the 

DSH reduction amount for the state 

from its unreduced FY 2014 DSH 

allotment. 

The reductions under section 

1923(f)(7) of the Act were delayed and 

modified by section 1204 of Division B 

(Medicare and Other Health Provisions) 

of the ‘‘Pathway for SGR Reform Act of 

2013’’ (Pub. L. 113–67), which was 

enacted on December 26, 2013. The 

reductions of states’ fiscal year DSH 

allotments under section 1923(f)(7) of 

the Act that were applicable to FY 2014 

and 2015 were repealed, and the FY 

2016 was increased substantially. 

Because there is no reduction to DSH 

allotments for FY 2014 under section 

1923(f)(7) of the Act, this notice 

contains only the state-specific FY 2014 

DSH allotments, as calculated under the 

statute without application of the 

reductions that would have been 

imposed under the Affordable Care Act 

provisions beginning with FY 2014. 

This notice also provides information 

on the calculation of such FY DSH 

allotments, the calculation of the states’ 

IMD DSH limits, and the amounts of 

states’ preliminary FY 2014 IMD DSH 

limits. 

B. Determination of Fiscal Year DSH 

Allotments 

Generally, in accordance with the 

methodology specified under section 

1923(f)(3) of the Act, a state’s FY DSH 

allotment is calculated by increasing the 

amount of its DSH allotment for the 

preceding FY by the percentage change 

in the CPI–U for the previous FY. Also 

in accordance with section 1923(f)(3) of 

the Act, a state’s DSH allotment for a FY 

is subject to the limitation that an 

increase to a state’s DSH allotment for 

a FY cannot result in the DSH allotment 

exceeding the greater of the state’s DSH 

allotment for the previous FY or 12 

percent of the state’s total medical 

assistance expenditures for the 

allotment year (this is referred to as the 

12 percent limit). 

Furthermore, under section 1923(h) of 

the Act, federal financial participation 

(FFP) for DSH payments to institutions 

for mental diseases (IMDs) and other 

mental health facilities is limited to 

state-specific aggregate amounts. Under 

this provision, the aggregate limit for 

DSH payments to IMDs and other 

mental health facilities is the lesser of 

a state’s FY 1995 total computable (state 

and federal share) IMD and other mental 

health facility DSH expenditures 

applicable to the state’s FY 1995 DSH 

allotment (as reported on the Form 

CMS–64 as of January 1, 1997), or the 

amount equal to the product of the 

state’s current year total computable 

DSH allotment and the applicable 

percentage specified in section 1902(h) 

of the Act (the applicable percentage is 

the IMD share of DSH total computable 

expenditures as of FY 1995). 

In general, we determine states’ DSH 

allotments for a FY and the IMD DSH 

limits for the same FY using the most 


tkelley on DSK3SPTVN1PROD with NOTICES
Federal Register / Vol. 79, No. 40 / Friday, February 28, 2014 / Notices 11437 

recent available estimates of or actual 

medical assistance expenditures, 

including DSH expenditures in their 

Medicaid programs and the most recent 

available change in the CPI–U used for 

the FY in accordance with the 

methodology prescribed in the statute. 

The indicated estimated or actual 

expenditures are obtained from states 

for each relevant FY from the most 

recent available quarterly Medicaid 

budget reports (Form CMS–37) or 

quarterly Medicaid expenditure reports 

(Form CMS–64), respectively, submitted 

by the states. For example, as part of the 

initial determination of a state’s FY DSH 

allotment (referred to as the preliminary 

DSH allotments) that is determined 

before the beginning of the FY for which 

the DSH allotments and IMD DSH limits 

are being determined, we use estimated 

expenditures for the FY obtained from 

the August submission of the CMS–37 

submitted by states prior to the 

beginning of the FY; such estimated 

expenditures are subject to update and 

revision during the FY before such 

actual expenditure data become 

available. We also use the most recent 

available estimated CPI–U percentage 

change that is available before the 

beginning of the FY for determining the 

states’ preliminary FY DSH allotments; 

such estimated CPI–U percentage 

change is subject to update and revision 

during the FY before the actual CPI–U 

percentage change becomes available. In 

determining the final DSH allotments 

and IMD DSH limits for a FY we use the 

actual expenditures for the FY and 

actual CPI–U percentage change for the 

previous FY. 

II. Provisions of the Notice 

A. Calculation of the Preliminary FY 

2014 Federal Share State DSH 

Allotments and the Preliminary FY 2014 

IMD DSH Limits 

1. Calculation of the Preliminary FY 

2014 Federal Share State DSH 

Allotments 

Addendum 1 to this notice provides 

the preliminary FY 2014 DSH 

allotments determined in accordance 

with section 1923(f)(3) of the Act. The 

preliminary FY 2014 DSH allotments 

contained in this notice were 

determined based on the most recent 

available estimates from states of their 

FY 2014 total computable Medicaid 

expenditures. Also, the preliminary FY 

2014 allotments contained in this notice 

were determined by increasing the 

preliminary FY 2013 DSH allotments as 

contained in the notice published in the 

Federal Register on July 26, 2013 (78 FR 

45217) by 1.5 percent, representing the 

most recent available estimate of the 

percentage increase in the CPI–U for FY 

2013 (the previous FY to FY 2014). 

We will publish states’s final FY 2014 

DSH allotments in future notices based 

on the states’ four quarterly Medicaid 

expenditure reports (Form CMS–64) for 

FY 2014 available following the end of 

FY 2014 and the actual change in the 

CPI–U for FY 2013. 

B. Calculation of the Preliminary FY 

2014 IMD DSH Limits 

Section 1923(h) of the Act specifies 

the methodology to be used to establish 

the limits on the amount of DSH 

payments that a state can make to IMDs 

and other mental health facilities. FFP 

is not available for IMD or DSH 

payments that exceed the IMD limits. In 

this notice, we are publishing the 

preliminary FY 2014 IMD DSH Limits 

determined in accordance with the 

provisions discussed above. 

Addendum 2 to this notice details 

each state’s preliminary FY 2014 IMD 

DSH Limit, determined in accordance 

with section 1923(h) of the Act. 

III. Collection of Information 

Requirements 

This notice does not impose any new 

or revised information collection, 

recordkeeping, or third-party disclosure 

requirements. The currently approved 

requirements and burden estimates 

associated with Form CMS–37 (OCN 

0938–0101) and Form CMS–64 (OCN 

0938–0067) are unaffected by this 

notice. Consequently, this notice, Form 

CMS–37, and Form CMS–64 are not 

subject to Office of Management and 

Budget review under the authority of 

the Paperwork Reduction Act of 1995 

(44 U.S.C. 3501 et seq.). 

IV. Regulatory Impact Analysis 

We have examined the impact of this 

notice as required by Executive Order 

12866 on Regulatory Planning and 

Review (September 1993), the 

Regulatory Flexibility Act (RFA) 

(September 19, 1980, Pub. L. 96–354), 

section 1102(b) of the Act, section 202 

of the Unfunded Mandates Reform Act 

of 1995 (March 22, 1995; Pub. L. 104– 

4), Executive Order 13132 on 

Federalism (August 4, 1999) and the 

Congressional Review Act (5 U.S.C. 

804(2)). 

Executive Order 12866 directs 

agencies to assess all costs and benefits 

of available regulatory alternatives and, 

if regulation is necessary, to select 

regulatory approaches that maximize 

net benefits (including potential 

economic, environmental, public health 

and safety effects, distributive impacts, 

and equity). A regulatory impact 

analysis (RIA) must be prepared for 

major rules with economically 

significant effects ($100 million or more 

in any 1 year). This notice reaches the 

$100 million economic threshold and 

thus is considered a major rule under 

the Congressional Review Act. 

The preliminary FY 2014 DSH 

allotments being published in this 

notice are about $108 million more than 

the preliminary FY 2013 DSH 

allotments previously published in the 

July 26, 2013 Federal Register (78 FR 

45217). The increase in the FY DSH 

allotments is due to the application of 

the statutory formula for calculating 

DSH allotments under which the prior 

fiscal year allotments are increased by 

the percentage increase in the CPI–U for 

the prior fiscal year. 

The preliminary FY 2014 IMD DSH 

limits being published in this notice are 

about $9 million more than the 

preliminary FY 2013 IMD DSH limits 

previously published in the FR on July 

26, 2013 (78 FR 45217). The increase in 

the IMD DSH limits is because the DSH 

allotment for a FY is a factor in the 

determination of the IMD DSH limit for 

the FY. Since the preliminary FY 2014 

DSH allotments were increased as 

compared to the preliminary FY 2013 

DSH allotments previously published in 

the Federal Register, the associated FY 

2014 IMD DSH limits for some states 

were also increased. 

The RFA requires agencies to analyze 

options for regulatory relief of small 

businesses, if a rule has a significant 

impact on a substantial number of small 

entities. For purposes of the RFA, small 

entities include small businesses, 

nonprofit organizations, and small 

governmental jurisdictions. Most 

hospitals and most other providers and 

suppliers are small entities, either by 

nonprofit status or by having revenues 

of less than $7.0 million to less than 

$35.5 million in any one year. 

Individuals and states are not included 

in the definition of a small entity. We 

are not preparing an analysis for the 

RFA because the Secretary has 

determined that this notice will not 

have significant economic impact on a 

substantial number of small entities. 

Specifically, any impact on providers is 

due to the effect of the various 

controlling statutes; providers are not 

impacted as a result of the independent 

regulatory action in publishing this 

notice. The purpose of the notice is to 

announce the latest state distributions 

as required by the statute. 

In addition, section 1102(b) of the Act 

requires us to prepare a regulatory 

impact analysis if a rule may have a 

significant impact on the operations of 

a substantial number of small rural 

hospitals. This analysis must conform to 


tkelley on DSK3SPTVN1PROD with NOTICES
11438 Federal Register / Vol. 79, No. 40 / Friday, February 28, 2014 / Notices 

the provisions of section 604 of the 

RFA. For purposes of section 1102(b) of 

the Act, we define a small rural hospital 

as a hospital that is located outside of 

a Core-Based Statistical Area for 

Medicaid payment regulations and has 

fewer than 100 beds. We are not 

preparing analysis for section 1102(b) of 

the Act because the Secretary has 

determined that this notice will not 

have a significant impact on the 

operations of a substantial number of 

small rural hospitals. 

The Medicaid statute specifies the 

methodology for determining the 

amounts of states’ DSH allotments and 

IMD DSH limits; and as described 

previously, the application of the 

methodology specified in statute results 

in the changes in states’ DSH allotments 

and IMD DSH limits for the applicable 

FYs. The statute applicable to these 

allotments and limits does not apply to 

the determination of the amounts of 

DSH payments made to specific DSH 

hospitals; rather, these allotments and 

limits represent an overall limit on the 

total of such DSH payments a state can 

make. In this regard, we do not believe 

that this notice will have a significant 

economic impact on a substantial 

number of small entities. 

Section 202 of the Unfunded 

Mandates Reform Act of 1995 also 

requires that agencies assess anticipated 

costs and benefits before issuing any 

rule whose mandates require spending 

in any 1 year of $100 million in 1995 

dollars, updated annually for inflation. 

Currently the threshhold is 

approximately $141 million. This notice 

will have no consequential effect on 

state, local, or tribal governments, in the 

aggregate, or on the private sector. 

Executive Order 13132 establishes 

certain requirements that an agency 

must meet when it promulgates a 

proposed rule (and subsequent final 

rule) that imposes substantial direct 

requirement costs on state and local 

governments, preempts state law, or 

otherwise has Federalism implications. 

Since this notice does not impose any 

costs on state or local governments, the 

requirements of E.O. 13132 are not 

applicable. 

A. Alternatives Considered 

We calculated the state-specific FY 

2014 DSH allotments and the associated 

state-specific IMD DSH limits in 

accordance with the methodologies 

specified in statute and regulation. This 

notice does not put forward any further 

discretionary administrative policies for 

determining such allotments. 

B. Accounting Statement 

As required by OMB Circular A–4 

(available at http:// 

www.whitehouse.gov/omb/circulars/ 

a004/a-4.pdf), in the Table 1, we have 

prepared an accounting statement 

showing the classification of the 

estimated expenditures associated with 

the provisions of this notice. Table 1 

provides our best estimate of the change 

(decrease) in the federal share of states’ 

Medicaid DSH payments resulting from 

the application of the provisions of the 

Medicaid statute relating to the 

calculation of states’ FY DSH allotments 

and the increase in the FY DSH 

allotments from FY 2013 to FY 2014. 

TABLE 1—ACCOUNTING STATEMENT: CLASSIFICATION OF ESTIMATED EXPENDITURES, FROM THE FY 2013 TO FY 2014 

[In millions] 

Category Transfers 

Annualized Monetized Transfers ............................................................................................................................. $108. 

From Whom To Whom? .......................................................................................................................................... Federal Government to States. 

C. Congressional Review Act 

This proposed regulation is subject to 

the Congressional Review Act 

provisions of the Small Business 

Regulatory Enforcement Fairness Act of 

1996 (5 U.S.C. 801 et seq.) and has been 

transmitted to the Congress and the 

Comptroller General for review. 

In accordance with the provisions of 

Executive Order 12866, this notice was 

reviewed by the Office of Management 

and Budget. 

(Catalog of Federal Domestic Assistance 

Program No. 93.778, Medical Assistance 

Program) 

Dated: January 24, 2014. 

Marilyn Tavenner, 

Administrator, Centers for Medicare & 

Medicaid Services. 

Dated: February 11, 2014. 

Kathleen Sebelius, 

Secretary. 

Department of Health and Human 

Services. 

KEY TO ADDENDUM 1—PRELIMINARY DSH ALLOTMENTS FOR FY 2014. 

Column Description 

The Preliminary FY 2014 DSH Allotments for the NON-Low DSH States are presented in the top section of this addendum, and the 

Preliminary FY 2014 DSH Allotments for the Low-DSH States are presented in the bottom section of this addendum. 

Column A .......... State. 

Column B .......... FY 2014 FMAPs. 

This column contains the States’ FY 2014 Federal Medical Assistance Percentages. 

Column C ......... Prior FY (2013) DSH Allotments. 

This column contains the States’ prior FY 2013 DSH Allotments. 

Column D ......... Prior FY (2013) DSH Allotments (Col C) x (100 percent + Percentage Increase in CPIU): 101.5 percent. 

This column contains the amount in Column C increased by 1 plus the estimated percentage increase in the CPI–U for the 

prior FY (101.5 percent). 

Column E .......... FY 2014 TC MAP Exp. Including DSH. 

This column contains the amount of the States’ projected FY 2014 total computable (TC) medical assistance expenditures including DSH expenditures. 

Column F .......... FY 2014 TC DSH Expenditures. 

This column contains the amount of the States’ projected FY 2014 total computable DSH expenditures. 

Column G ......... FY 2014 TC MAP Exp. Net of DSH. 


tkelley on DSK3SPTVN1PROD with NOTICES
Federal Register / Vol. 79, No. 40 / Friday, February 28, 2014 / Notices 11439 

KEY TO ADDENDUM 1—PRELIMINARY DSH ALLOTMENTS FOR FY 2014.—Continued 

Column Description 

This column contains the amount of the States’ projected FY 2014 total computable medical assistance expenditures net of 

DSH expenditures, calculated as the amount in Column E minus the amount in Column F. 

Column H ......... 12 percent Amount. 

This column contains the amount of the ‘‘12 percent limit’’ in Federal share, determined in accordance with the provisions of 

section 1923(f)(3) of the Act. 

Column I ........... Greater of FY 2013 Allotment or 12 percent limit. 

This column contains the greater of the State’s prior FY (FY 2013) DSH allotment or the amount of the 12 percent limit, determined as the maximum of the amount in Column C or Column H 

Column J .......... FY 2014 DSH Allotment. 

This column contains the States’ preliminary FY 2014 DSH allotments, determined as the minimum of the amount in Column I 

or Column D. 

For states with ‘‘na’’ in Columns I or D, refer to the footnotes in the addendum. 


tkelley on DSK3SPTVN1PROD with NOTICES
11440 Federal Register / Vol. 79, No. 40 / Friday, February 28, 2014 / Notices 

ADDENDUM 1—PRELIMINARY DSH ALLOTMENTS FOR

FISCAL

YEAR 2014 

STATE 

FY 2014 

FMAPs 

(percent) 

Prior FY (2013) 

DSH allotments 

Prior FY (2013) 

DSH allotment 

(Col C) × 100% 

+ pct increase 

in CPIU: 

FY 2014 TC MAP 

Exp. including 

DSH 4

FY 2014 TC 

DSH 

Expenditures 4

FY 2014 TC 

MAPEXP. net of 

DSH Col E ¥ F 

‘‘12% Amount’’ 

=Col G × 

.12(1¥.12/Col B)’’ 

(in FS) 

Greater of Col 

H or Col C 

(12% Limit, FY 

2013 allotment) 

FY 2014 DSH 

allotment MIN 

Col I, Col D 

101.5% 

A B C D E F G H I J 

ALABAMA ......................................................... 68.12 $323,093,267 $327,939,666 $5,837,507,000 $517,367,000 $5,320,140,000 $774,927,876 $774,927,876 $327,939,666 ARIZONA .......................................................... 67.23 106,384,369 107,980,135 8,763,763,000 156,364,000 8,607,399,000 1,257,306,757 1,257,306,757 107,980,135 CALIFORNIA .................................................... 50.00 1,151,840,630 1,169,118,239 72,253,198,000 935,479,000 71,317,719,000 11,260,692,474 11,260,692,474 1,169,118,239 COLORADO ..................................................... 50.00 97,190,657 98,648,517 5,510,334,000 195,772,000 5,314,562,000 839,141,368 839,141,368 98,648,517 CONNECTICUT ................................................ 50.00 210,141,962 213,294,091 6,585,550,000 228,325,000 6,357,225,000 1,003,772,368 1,003,772,368 213,294,091 DISTRICT OF COLUMBIA ............................... 70.00 64,355,975 65,321,315 2,345,594,000 44,744,000 2,300,850,000 333,226,552 333,226,552 65,321,315 FLORIDA .......................................................... 58.79 210,141,962 213,294,091 21,065,753,000 361,462,000 20,704,291,000 3,121,706,180 3,121,706,180 213,294,091 GEORGIA ......................................................... 65.93 282,378,262 286,613,936 8,929,625,000 435,776,000 8,493,849,000 1,246,058,516 1,246,058,516 286,613,936 ILLINOIS ........................................................... 50.00 225,902,609 229,291,148 16,174,722,000 428,796,000 15,745,926,000 2,486,198,842 2,486,198,842 229,291,148 INDIANA ........................................................... 66.92 224,589,223 227,958,061 8,960,665,000 0 8,960,665,000 1,310,228,045 1,310,228,045 227,958,061 KANSAS ........................................................... 56.91 43,341,780 43,991,907 2,825,757,000 74,228,000 2,751,529,000 418,408,859 418,408,859 43,991,907 KENTUCKY ...................................................... 69.83 152,352,923 154,638,217 6,276,300,000 152,353,000 6,123,947,000 887,363,415 887,363,415 154,638,217 LOUISIANA1 ..................................................... na na na na na na na na 731,960,000 MAINE ............................................................... 61.55 110,324,530 111,979,398 2,491,965,000 37,000,000 2,454,965,000 365,940,898 365,940,898 111,979,398 MARYLAND ...................................................... 50.00 80,116,623 81,318,372 8,676,095,000 85,128,000 8,590,967,000 1,356,468,474 1,356,468,474 81,318,372 MASSACHUSETTS .......................................... 50.00 320,466,492 325,273,489 14,210,660,000 0 14,210,660,000 2,243,788,421 2,243,788,421 325,273,489 MICHIGAN ........................................................ 66.32 278,438,100 282,614,672 13,523,842,000 364,144,000 13,159,698,000 1,928,021,733 1,928,021,733 282,614,672 MISSISSIPPI ..................................................... 73.05 160,233,246 162,636,745 5,094,327,000 321,190,000 4,773,137,000 685,361,490 685,361,490 162,636,745 MISSOURI ........................................................ 62.03 497,773,773 505,240,380 9,279,932,000 684,657,000 8,595,275,000 1,278,828,483 1,278,828,483 505,240,380 NEVADA ........................................................... 63.10 48,595,328 49,324,258 2,092,603,000 77,014,000 2,015,589,000 298,670,057 298,670,057 49,324,258 NEW HAMPSHIRE ........................................... 50.00 168,217,088 170,740,344 1,340,075,000 124,810,000 1,215,265,000 191,883,947 191,883,947 170,740,344 NEW JERSEY .................................................. 50.00 676,394,441 686,540,358 13,682,358,000 1,207,107,000 12,475,251,000 1,969,776,474 1,969,776,474 686,540,358 NEW YORK ...................................................... 50.00 1,687,702,633 1,713,018,172 67,240,475,000 3,373,800,000 63,866,675,000 10,084,211,842 10,084,211,842 1,713,018,172 NORTH CAROLINA .......................................... 65.78 309,959,394 314,608,785 13,134,561,000 478,361,000 12,656,200,000 1,857,623,286 1,857,623,286 314,608,785 OHIO ................................................................. 63.02 426,850,861 433,253,624 19,534,779,000 0 19,534,779,000 2,895,527,493 2,895,527,493 433,253,624 PENNSYLVANIA .............................................. 53.52 589,710,881 598,556,544 21,451,173,000 732,037,000 20,719,136,000 3,204,879,071 3,204,879,071 598,556,544 RHODE ISLAND ............................................... 50.11 68,296,138 69,320,580 2,302,742,000 137,098,000 2,165,644,000 341,706,914 341,706,914 69,320,580 SOUTH CAROLINA .......................................... 70.57 344,107,463 349,269,075 5,582,305,000 474,540,000 5,107,765,000 738,511,134 738,511,134 349,269,075 TENNESSEE2 .................................................. 65.29 na na na na na na na 0 TEXAS .............................................................. 58.69 1,004,741,257 1,019,812,376 37,675,429,000 2,991,551,000 34,683,878,000 5,231,775,883 5,231,775,883 1,019,812,376 VERMONT5 ....................................................... 56.76 23,640,971 23,995,586 1,536,190,000 37,449,000 1,498,741,000 228,065,789 228,065,789 23,995,586 VIRGINIA .......................................................... 50.00 92,050,138 93,430,890 8,287,311,000 243,321,000 8,043,990,000 1,270,103,684 1,270,103,684 93,430,890 WASHINGTON ................................................. 50.00 194,381,315 197,297,035 7,949,059,000 456,511,000 7,492,548,000 1,183,033,895 1,183,033,895 197,297,035 WEST VIRGINIA ............................................... 71.09 70,922,912 71,986,756 3,534,234,000 70,185,000 3,464,049,000 500,103,388 500,103,388 71,986,756 

TOTAL ....................................................... .................. 10,244,637,203 10,398,306,761 424,148,883,000 15,426,569,000 408,722,314,000 62,783,822,812 62,783,822,812 11,130,266,762 

LOW DSH STATES 

ALASKA ............................................................ 50.00 21,402,636 21,723,676 1,583,467,000 20,638,000 1,562,829,000 246,762,473.68 246,762,474 21,723,676 ARKANSAS ...................................................... 70.10 45,325,292 46,005,171 4,549,145,000 43,820,000 4,505,325,000 652,302,821 652,302,821 46,005,171 DELAWARE ...................................................... 55.31 9,512,282 9,654,966 1,620,151,000 16,804,000 1,603,347,000 245,710,799 245,710,799 9,654,966 HAWAII 3 ........................................................... 51.85 10,240,000 10,393,600 1,940,694,000 0 1,940,694,000 303,011,243.86 303,011,244 10,393,600 IDAHO ............................................................... 71.64 17,271,044 17,530,110 1,867,605,000 23,451,000 1,844,154,000 265,825,337.14 265,825,337 17,530,110 IOWA ................................................................ 57.93 41,378,149 41,998,821 3,852,612,000 53,536,000 3,799,076,000 574,997,969 574,997,969 41,998,821 MINNESOTA ..................................................... 50.00 78,476,334 79,653,479 10,571,446,000 154,792,000 10,416,654,000 1,644,734,842 1,644,734,842 79,653,479 MONTANA ........................................................ 66.33 11,926,371 12,105,267 1,078,653,000 18,023,000 1,060,630,000 155,387,273 155,387,273 12,105,267 NEBRASKA ...................................................... 54.74 29,733,219 30,179,217 2,060,181,000 41,391,000 2,018,790,000 310,272,058 310,272,058 30,179,217 NEW MEXICO .................................................. 69.20 21,402,636 21,723,676 3,598,324,000 21,380,000 3,576,944,000 519,282,220 519,282,220 21,723,676 NORTH DAKOTA ............................................. 50.00 10,036,360 10,186,905 844,103,000 1,600,000 842,503,000 133,026,789 133,026,789 10,186,905 OKLAHOMA ...................................................... 64.02 38,049,129 38,619,866 5,219,568,000 58,140,000 5,161,428,000 762,248,260 762,248,260 38,619,866 OREGON .......................................................... 63.14 47,561,414 48,274,835 6,163,918,000 71,176,000 6,092,742,000 902,688,455 902,688,455 48,274,835 SOUTH DAKOTA ............................................. 53.54 11,604,719 11,778,790 843,570,000 1,476,000 842,094,000 130,242,791 130,242,791 11,778,790 UTAH ................................................................ 70.34 20,612,808 20,922,000 2,089,446,000 29,583,000 2,059,863,000 298,026,939 298,026,939 20,922,000 WISCONSIN ..................................................... 59.06 99,326,563 100,816,461 7,532,985,000 159,936,000 7,373,049,000 1,110,375,539 1,110,375,539 100,816,461 


tkelley on DSK3SPTVN1PROD with NOTICES
Federal Register / Vol. 79, No. 40 / Friday, February 28, 2014 / Notices 11441 

WYOMING ........................................................ 50.00 237,807 241,374 568,307,000 463,000 567,844,000 89,659,579 89,659,579 241,374 

TOTAL LOW DSH STATES ...................... .................. 514,096,763 521,808,214 55,984,175,000 716,209,000 55,267,966,000 8,344,555,389 8,344,555,389 521,808,214 

TOTAL ................................................ .................. 10,758,733,966 10,920,114,975 480,133,058,000 16,142,778,000 463,990,280,000 71,128,378,201 71,128,378,201 11,652,074,976 

1 Louisiana’s FY 2014 DSH allotment is determined under the provisions of section 1923(f)(3)(C) and (D) of the Act. 2Tennessee’s DSH allotment for FY 2014, determined under section 1923(f)(6)(A) of the Act, is 0. 3Begining FY 2013, under section 1923(f)(6)(B)(II) of the Act, Hawaii’s DSH allotment for a fiscal year is determined as for low-DSH states. This means Hawaii’s DSH alloment for a fiscal year is determined as for 

all States, by increasing the previous fiscal year allotment by the percentage increase in the CPIU for the previous fiscal year. 4Expenditures based on the amounts reported by States on the Form CMS–37. 

5FMAP for Vermont for FY 2014 determined in accordance with section 1905(z)(1)(A) of the Act. 


tkelley on DSK3SPTVN1PROD with NOTICES
11442 Federal Register / Vol. 79, No. 40 / Friday, February 28, 2014 / Notices 

KEY TO ADDENDUM 2—PRELIMINARY IMD DSH LIMITS FOR FY 2014 

Column Description 

The preliminary FY 2014 IMD DSH Limits for the Non-Low DSH States are presented in the top section of this addendum and the preliminary FY 2014 IMD DSH Limits for the Low-DSH States are presented in the bottom section of the addendum. 

Column A .......... State. 

Column B .......... Inpatient Hospital Services FY 95 DSH Total Computable. 

This column contains the States’ total computable FY 1995 inpatient hospital DSH expenditures as reported on the Form 

CMS–64. 

Column C ......... IMD and Mental Health Services FY 95 DSH Total. 

Computable. This column contains the total computable FY 1995 mental health facility DSH expenditures as reported on the 

Form CMS–64 as of January 1, 1997. 

Column D ......... Total Inpatient Hospital & IMD & Mental Health FY 95 DSH Total. 

Computable, Col. B + C. This column contains the total computation of all inpatient hospital DSH expenditures and mental 

health facility DSH expenditures for FY 1995 as reported on the Form CMS–64 as of January 1, 1997 (representing the 

sum of Column B and Column C). 

Column E .......... Applicable Percentage, Col. C/D. 

This column contains the ‘‘applicable percentage’’ representing the total Computable FY 1995 mental health facility DSH expenditures divided by total computable all inpatient hospital and mental health facility DSH expenditures for FY 1995 (the 

amount in Column C divided by the amount in Column D) Per section 1923(h)(2)(A)(ii)(III) of the Act, for FYs after FY 2002, 

the applicable percentage can be no greater than 33 percent. 

Column F .......... FY 2014 Federal Share DSH Allotment. 

This column contains the states’ preliminary FY 2014 DSH allotments from Column J Addendum 1. 

Column G ......... FY 2014 FMAP. 

Column H ......... FY 2014 DSH Allotments in Total Computable, Col. F/G. 

This column contains states’ FY 2014 total computable DSH allotment (determined as Column F/Column G). 

Column I ........... Applicable Percentage Applied to FY 2014 Allotments in TC, Col E x Col H. 

This column contains the applicable percentage of FY 2013 total computable DSH allotment (calculated as the percentage in 

Column E multiplied by the amount in Column H). 

Column J .......... FY 2014 TC IMD DSH Limit. Lesser of Col. 

I or C. This column contains the total computable FY 2014 TC IMD DSH Limit equal to the lesser of the amount in Column I 

or Column C. 

Column K .......... FY 2014 IMD DSH Limit in Federal Share, Col. G x J. 

This column contains the FY 2014 Federal Share IMD DSH limit determined by converting the total computable FY 2014 IMD 

DSH Limit from Column J into a federal share amount by multiplying it by the FY 2014 FMAP in Column G. 


tkelley on DSK3SPTVN1PROD with NOTICES
Federal Register / Vol. 79, No. 40 / Friday, February 28, 2014 / Notices 11443 

ADDENDUM 2—PRELIMINARY IMD DSH LIMIT FOR

FISCAL

YEAR 2014 

State 

Inpatient hospital 

services FY 95 

DSH total 

computable 

IMD and 

mental health 

services FY 95 

DSH total 

computable 

Total inpatient & 

IMD & mental 

health FY 95 DSH 

total computable 

col B + C 

Applicable 

percent 

col C/D 

FY 2014 

allotment in FS 

FY 2014 

FMAPs 

(percent) 

FY 2014 

allotments in 

TC 

col F/G 

Applicable 

percentage 

applied to FY 

2014 

allotments iin 

TC 

col E × Col H 

FY 2014 TC 

IMD limit 

(lesser of col I 

or Col C) 

FY 2014 IMD 

limit in FS 

col G × J 

A B C D E F G H I J K 

ALABAMA ........................................... $413,006,229 $4,451,770 $417,457,999 1.07 $327,939,666 68.12 $481,414,659 $5,133,804 $4,451,770 $3,032,546 ARIZONA ............................................ 93,916,100 28,474,900 122,391,000 23.27 107,980,135 67.23 160,613,022 37,367,451 28,474,900 19,143,675 CALIFORNIA ...................................... 2,189,879,543 1,555,919 2,191,435,462 0.07 1,169,118,239 50.00 2,338,236,478 1,660,148 1,555,919 777,960 COLORADO ....................................... 173,900,441 594,776 174,495,217 0.34 98,648,517 50.00 197,297,034 672,497 594,776 297,388 CONNECTICUT .................................. 303,359,275 105,573,725 408,933,000 25.82 213,294,091 50.00 426,588,182 110,131,741 105,573,725 52,786,863 DISTRICT OF COLUMBIA ................. 39,532,234 6,545,136 46,077,370 14.20 65,321,315 70.00 93,316,164 13,255,248 6,545,136 4,581,595 FLORIDA ............................................ 184,468,014 149,714,986 334,183,000 33.00 213,294,091 58.79 362,806,755 119,726,229 119,726,229 70,387,050 GEORGIA ........................................... 407,343,557 0 407,343,557 0.00 286,613,936 65.93 434,724,611 0 0 0 ILLINOIS ............................................. 315,868,508 89,408,276 405,276,784 22.06 229,291,148 50.00 458,582,296 101,168,027 89,408,276 44,704,138 INDIANA ............................................. 79,960,783 153,566,302 233,527,085 33.00 227,958,061 66.92 340,642,649 112,412,074 112,412,074 75,226,160 KANSAS ............................................. 11,587,208 76,663,508 88,250,716 33.00 43,991,907 56.91 77,300,838 25,509,277 25,509,277 14,517,329 KENTUCKY ........................................ 158,804,908 37,443,073 196,247,981 19.08 154,638,217 69.83 221,449,545 42,251,398 37,443,073 26,146,498 LOUISIANA ......................................... 1,078,512,169 132,917,149 1,211,429,318 10.97 731,960,000 60.98 1,200,327,976 131,699,118 131,699,118 80,310,122 MAINE ................................................. 99,957,958 60,958,342 160,916,300 33.00 111,979,398 61.55 181,932,409 60,037,695 60,037,695 36,953,201 MARYLAND ........................................ 22,226,467 120,873,531 143,099,998 33.00 81,318,372 50.00 162,636,744 53,670,126 53,670,126 26,835,063 MASSACHUSETTS ............................ 469,653,946 105,635,054 575,289,000 18.36 325,273,489 50.00 650,546,978 119,453,988 105,635,054 52,817,527 MICHIGAN .......................................... 133,258,800 304,765,552 438,024,352 33.00 282,614,672 66.32 426,137,925 140,625,515 140,625,515 93,262,842 MISSISSIPPI ....................................... 182,608,033 0 182,608,033 0.00 162,636,745 73.05 222,637,570 0 0 0 MISSOURI .......................................... 521,946,524 207,234,618 729,181,142 28.42 505,240,380 62.03 814,509,721 231,485,157 207,234,618 128,547,634 NEVADA ............................................. 73,560,000 0 73,560,000 0.00 49,324,258 63.10 78,168,396 0 0 0 NEW HAMPSHIRE ............................. 92,675,916 94,753,948 187,429,864 33.00 170,740,344 50.00 341,480,688 112,688,627 94,753,948 47,376,974 NEW JERSEY .................................... 736,742,539 357,370,461 1,094,113,000 32.66 686,540,358 50.00 1,373,080,716 448,489,771 357,370,461 178,685,231 NEW YORK ........................................ 2,418,869,368 605,000,000 3,023,869,368 20.01 1,713,018,172 50.00 3,426,036,344 685,463,469 605,000,000 302,500,000 NORTH CAROLINA ............................ 193,201,966 236,072,627 429,274,593 33.00 314,608,785 65.78 478,274,225 157,830,494 157,830,494 103,820,899 OHIO ................................................... 535,731,956 93,432,758 629,164,714 14.85 433,253,624 63.02 687,485,916 102,093,623 93,432,758 58,881,324 PENNSYLVANIA ................................ 388,207,319 579,199,682 967,407,001 33.00 598,556,544 53.52 1,118,379,193 369,065,134 369,065,134 197,523,660 RHODE ISLAND ................................. 108,503,167 2,397,833 110,901,000 2.16 69,320,580 50.11 138,336,819 2,991,033 2,397,833 1,201,554 SOUTH CAROLINA ............................ 366,681,364 72,076,341 438,757,705 16.43 349,269,075 70.57 494,925,712 81,303,266 72,076,341 50,864,274 TENNESSEE * .................................... 0 0 0 0.00 0 65.29 0 0 0 0 TEXAS ................................................ 1,220,515,401 292,513,592 1,513,028,993 19.33 1,019,812,376 58.69 1,737,625,449 335,934,780 292,513,592 171,676,227 VERMONT ** ....................................... 19,979,252 9,071,297 29,050,549 31.23 23,995,586 56.76 42,275,521 13,200,914 9,071,297 5,148,868 VIRGINIA ............................................ 129,313,480 7,770,268 137,083,748 5.67 93,430,890 50.00 186,861,780 10,591,818 7,770,268 3,885,134 WASHINGTON ................................... 171,725,815 163,836,435 335,562,250 33.00 197,297,035 50.00 394,594,070 130,216,043 130,216,043 65,108,022 WEST VIRGINIA ................................. 66,962,606 18,887,045 85,849,651 22.00 71,986,756 71.09 101,261,438 22,277,660 18,887,045 13,426,800 

TOTAL ......................................... 13,402,460,846 4,118,758,904 17,521,219,750 .................. 11,130,266,762 .................. 19,837,936,852 3,778,134,755 3,440,982,495 1,930,546,450 

LOW DSH STATES 

ALASKA .............................................. 2,506,827 17,611,765 20,118,592 33.00 21,723,676 50.00 43,447,352 14,337,626 14,337,626 7,168,813 ARKANSAS ........................................ 2,422,649 819,351 3,242,000 25.27 46,005,171 70.10 65,627,919 16,586,151 819,351 574,365 DELAWARE ........................................ 0 7,069,000 7,069,000 33.00 9,654,966 55.31 17,456,095 5,760,511 5,760,511 3,186,139 HAWAII ............................................... 0 0 0 0.00 10,393,600 51.85 20,045,516 0 0 0 IDAHO ................................................. 2,081,429 0 2,081,429 0.00 17,530,110 71.64 24,469,724 0 0 0 IOWA .................................................. 12,011,250 0 12,011,250 0.00 41,998,821 57.93 72,499,259 0 0 0 MINNESOTA ....................................... 24,240,000 5,257,214 29,497,214 17.82 79,653,479 50.00 159,306,958 28,392,877 5,257,214 2,628,607 MONTANA .......................................... 237,048 0 237,048 0.00 12,105,267 66.33 18,250,063 0 0 0 NEBRASKA ........................................ 6,449,102 1,811,337 8,260,439 21.93 30,179,217 54.74 55,131,927 12,089,248 1,811,337 991,526 NEW MEXICO .................................... 6,490,015 254,786 6,744,801 3.78 21,723,676 69.20 31,392,595 1,185,861 254,786 176,312 NORTH DAKOTA ............................... 214,523 988,478 1,203,001 33.00 10,186,905 50.00 20,373,810 6,723,357 988,478 494,239 OKLAHOMA ........................................ 20,019,969 3,273,248 23,293,217 14.05 38,619,866 64.02 60,324,689 8,477,046 3,273,248 2,095,533 OREGON ............................................ 11,437,908 19,975,092 31,413,000 33.00 48,274,835 63.14 76,456,818 25,230,750 19,975,092 12,612,273 SOUTH DAKOTA ............................... 321,120 751,299 1,072,419 33.00 11,778,790 53.54 21,999,981 7,259,994 751,299 402,245 UTAH .................................................. 3,621,116 934,586 4,555,702 20.51 20,922,000 70.34 29,744,100 6,101,896 934,586 657,388 WISCONSIN ....................................... 6,609,524 4,492,011 11,101,535 33.00 100,816,461 59.06 170,701,763 56,331,582 4,492,011 2,652,982 


tkelley on DSK3SPTVN1PROD with NOTICES
11444 Federal Register / Vol. 79, No. 40 / Friday, February 28, 2014 / Notices 

ADDENDUM 2—PRELIMINARY IMD DSH LIMIT FOR

FISCAL

YEAR 2014—Continued 

State 

Inpatient hospital 

services FY 95 

DSH total 

computable 

IMD and 

mental health 

services FY 95 

DSH total 

computable 

Total inpatient & 

IMD & mental 

health FY 95 DSH 

total computable 

col B + C 

Applicable 

percent 

col C/D 

FY 2014 

allotment in FS 

FY 2014 

FMAPs 

(percent) 

FY 2014 

allotments in 

TC 

col F/G 

Applicable 

percentage 

applied to FY 

2014 

allotments iin 

TC 

col E × Col H 

FY 2014 TC 

IMD limit 

(lesser of col I 

or Col C) 

FY 2014 IMD 

limit in FS 

col G × J 

A B C D E F G H I J K 

WYOMING .......................................... 0 0 0 0.00 241,374 50.00 482,748 0 0 0 

TOTAL LOW DSH STATES ........ 98,662,480 63,238,167 161,900,647 .................. 521,808,214 .................. 887,711,318 188,476,899 58,655,539 33,640,422 

TOTAL .................................. 13,501,123,326 4,181,997,071 17,683,120,397 .................. 11,652,074,976 .................. 20,724,648,170 3,966,611,654 3,499,638,034 1,964,186,872 

FOOTNOTES: * Tennessee’s DSH allotment for FY 2014, determined under section 1923(f)(6)(A) of the Act, is $0. ** Vermont’s FMAP for FY 2014 determined in accordance with section 1905(z)(1)(A) of the Act. 


tkelley on DSK3SPTVN1PROD with NOTICES
Federal Register / Vol. 79, No. 40 / Friday, February 28, 2014 / Notices 11445 

[FR Doc. 2014–04032 Filed 2–27–14; 8:45 am] 

BILLING CODE 4120–01–P 

DEPARTMENT OF HEALTH AND 

HUMAN SERVICES 

Administration for Children and 

Families 

Proposed Information Collection 

Activity; Comment Request 

Title: Head Start Family and Child 

Experiences Survey (FACES). 

OMB No.: 0970–0151. 

Description: The Office of Planning, 

Research and Evaluation (OPRE), 

Administration for Children and 

Families (ACF), U.S. Department of 

Health and Human Services (HHS), is 

proposing to collect data for the Head 

Start Family and Child Experiences 

Survey (FACES). Featuring a new ‘‘Core 

Plus’’ study design, FACES will provide 

data on a set of key indicators, including 

information for performance measures. 

This design also allows for more rapid 

and frequent data reporting (Core study) 

and serves as a vehicle for studying 

more complex issues and topics in 

greater detail and with increased 

efficiency (Plus studies). 

The FACES Core study will assess the 

school readiness skills of Head Start 

children, survey their parents, and ask 

their Head Start teachers to rate 

children’s social and emotional skills. In 

addition, FACES will include 

observations in Head Start classrooms, 

and program director, center director, 

and teacher surveys. FACES Plus 

studies include additional survey 

content of policy or programmatic 

interest, and may include additional 

programs or respondents beyond those 

participating in the Core FACES study. 

Previous notices provided the 

opportunity for public comment on the 

proposed Head Start program 

recruitment and center selection process 

(FR V.78, pg. 75569 12/12/2013; FR 

V.79, pg. 8461 02/12/2014). This notice 

describes the planned data collection 

activities for the FACES Core study and 

Plus studies. Direct child assessments, 

parent surveys, and teacher child 

reports for the Core study are included 

in this clearance package. Additionally, 

we describe instruments to support the 

Core study at the program and 

classroom levels and the Plus studies 

anticipated for future submission. Since 

these instruments will be informed by 

initial findings of FACES and emerging 

policy needs, they cannot be fully 

specified at this time. However, we 

describe the respondents and data 

collection methods, estimated 

respondent burden, and how the 

information will be used to the extent 

possible at this time. Subsequently, 

when fully developed in a manner 

consistent with the description 

provided in this 60-day notice and prior 

to use, we will submit these materials 

for a 30-day public comment period 

under the Paperwork Reduction Act. 

Methods for Core data collection start 

with site visits in fall 2014 to 60 Head 

Start programs to directly assess the 

school readiness skills of 2,400 children 

sampled to participate in FACES. 

Parents of sampled children will 

complete surveys on the Web or by 

telephone about their children and 

family background. Head Start teachers 

will rate each sampled child 

(approximately 10 children per 

classroom) using the Web or paper-andpencil forms. These activities will occur 

a second time in spring 2015. 

Additionally, the program sample size 

will increase to 180 programs in the 

spring to collect program- and 

classroom-level data. The methods of 

data collection for this phase will 

feature site visitors conducting 

observations of the types and quality of 

classroom activities. Head Start program 

directors, center directors, and teachers 

will complete surveys about themselves 

and the services and instruction at Head 

Start. The program- and classroom-level 

data collection will occur a second time 

in spring 2017. 

Plus study data collection will 

parallel the Core design in many ways, 

including recruitment and data 

collection procedures, to add new 

respondents, include new populations, 

or expand on the information gathered 

in the Core study. Additional early care 

and education administrators or 

providers (such as Education 

Coordinators or Family Service Staff) 

may be sampled. Plus studies may 

involve data collection in additional 

programs, such as programs serving 

different populations or programs 

implementing specific interventions. 

Data collection for these Plus studies 

may include child assessments, parent 

surveys, teacher child reports, and staff 

surveys. Plus studies may also feature 

topical modules to gather information in 

greater depth on particular topics (for 

example, parent engagement or program 

functioning). The methods of data 

collection will involve new 

methodologies such as qualitative 

interviews and supplemental surveys 

with expanded content. 

The purpose of the Core data 

collection is to support the 2007 

reauthorization of the Head Start 

program (P.L. 110–134), which calls for 

periodic assessments of Head Start’s 

quality and effectiveness. Plus data 

collection will further support 

understanding Head Start functioning 

for a broader set of programs or in more 

depth for particular topics. 

Annual Burden Estimates 

Respondents: Head Start children, 

parents of Head Start children, and 

Head Start teachers, directors, and other 

early care and education program staff. 

Instrument Total number 

of respondents 

Annual 

number of 

respondents 

Number of 

responses per 

respondent 

Average 

burden hour 

per response 

Estimated 

annual burden 

hours 

Core Study 

Head Start core child assessment ....................................... 2,400 800 2 0.75 1,200 

Head Start core parent survey ............................................ 2,400 800 2 0.25 400 

Head Start fall parent supplemental survey ........................ 2,400 800 1 0.08 64 

Head Start spring parent supplemental survey ................... 2,400 800 1 0.08 64 

Head Start core teacher child report ................................... 240 80 20 0.17 272 

Head Start core teacher survey ........................................... 720 240 2 0.50 240 

Head Start core program director survey ............................ 180 60 2 0.25 30 

Head Start core center director survey ............................... 360 120 2 0.25 60 

Plus Studies 

Head Start parent qualitative interview ................................ 400 133 2 1.00 267 

Head Start staff qualitative interview ................................... 300 100 2 1.00 200 

Head Start child assessment for plus study ........................ 1,350 450 2 0.75 675 


tkelley on DSK3SPTVN1PROD with NOTICES