[Federal Register Volume 74, Number 73 (Friday, April 17, 2009)]
[Notices]
[Pages 17870-17871]
From the Federal Register Online via the Government Publishing Office [www.gpo.gov]
[FR Doc No: E9-8780]


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DEPARTMENT OF HEALTH AND HUMAN SERVICES

Centers for Medicare & Medicaid Services

[Document Identifier: CMS-10283]


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: State Plan Amendment Template for Transitional 
Medical Assistance for Low-Income Families; Use: Section 5004 of the 
American Recovery and Reinvestment Act of 2009, Public Law 111-5, 
amends Section 1925 of the Social Security Act effective July 1, 2009 
to offer States two new options for eligibility requirements under 
Transitional Medical Assistance. To select either or both of these 
options a State Medicaid Agency will complete the template page and 
submit it for approval as part of a State plan amendment. The law also 
imposes new reporting requirements for States which are mentioned on 
the template. Form Number: CMS-10283 (OMB<greek-i>: 0938-NEW); 
Frequency: Reporting--One-time and Occasionally; Affected Public: 
State, local or tribal government; Number of Respondents: 51; Total 
Annual Responses: 51; Total Annual Hours: 51. (For policy questions 
regarding this collection contact Mary Corddry at 410-786-6618. 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

[[Page 17871]]

at http://www.cms.hhs.gov/PaperworkReductionActof1995, or e-mail your 
request, including your address, phone number, OMB number, and CMS 
document identifier, to <a href="/cdn-cgi/l/email-protection#0d5d6c7d687f7a627f664d6e607e2365657e236a627b"><span class="__cf_email__" data-cfemail="7a2a1b0a1f080d1508113a19170954121209541d150c">[email protected]</span></a>, 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 16, 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 (CMS-10283), Room C4-26-05, 7500 Security Boulevard, 
Baltimore, Maryland 21244-1850.

    Dated: April 9, 2009.
Michelle Shortt,
Director, Regulations Development Group, Office of Strategic Operations 
and Regulatory Affairs.
[FR Doc. E9-8780 Filed 4-16-09; 8:45 am]
BILLING CODE 4120-01-P


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