17870 Federal Register / Vol. 74, No. 73 / Friday, April 17, 2009 / Notices 

DEPARTMENT OF HEALTH AND 

HUMAN SERVICES 

Centers for Medicare & Medicaid 

Services 

[Document Identifier: CMS–8003] 

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: Home and 

Community Based Waiver Requests and 

Supporting Regulations in 42 CFR 

440.180 and 441.300–310; Use: Under a 

Secretarial waiver, States may offer a 

wide array of home and communitybased services to individuals who 

would otherwise require 

institutionalization. States requesting a 

waiver must provide certain assurances, 

documentation and cost and utilization 

estimates which are reviewed, approved 

and maintained for the purpose of 

identifying/verifying States’ compliance 

with such statutory and regulatory 

requirements. CMS has recently revised 

this data collection tool, as well as the 

methodology by which the data is 

collected. Form Number: CMS–8003 

(OMB# 0938–0449); Frequency: 

Annually; Affected Public: State, local 

or tribal governments; Number of 

Respondents: 49; Total Annual 

Responses: 71; Total Annual Hours: 

9,059. 

(For policy questions regarding this 

collection contact Mary Sowers at 410– 

786–6814. 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 May 18, 2009. 

OMB, Office of Information and 

Regulatory Affairs, Attention: CMS Desk 

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

Dated: April 9, 2009. 

Michelle Shortt, 

Director, Regulations Development Group, 

Office of Strategic Operations and Regulatory 

Affairs. 

[FR Doc. E9–8778 Filed 4–16–09; 8:45 am] 

BILLING CODE 4120–01–P 

DEPARTMENT OF HEALTH AND 

HUMAN SERVICES 

Centers for Medicare & Medicaid 

Services 

[Document Identifier: CMS–10165] 

Agency Information Collection 

Activities: Submission for OMB 

Review; Comment Request; Retraction 

ACTION: Notice, retraction. 

SUMMARY: On Friday, March 6, 2009 (74 

FR 9820), the Centers for Medicare & 

Medicaid Services (CMS) published a 

Notice document titled ‘‘Agency 

Information Collection Activities; 

Proposed Collection; Comment 

Request’’. That notice invited public 

comments on one information 

collection. Through the publication of 

this document, CMS is retracting that 

notice requesting public comment on 

the Information Collection Requirement 

titled ‘‘Electronic Health Records (EHR) 

Demonstration Web Enabled 

Application for Phase II’’, form number 

CMS–10165 (OMB #0938–0965). 

Dated: April 10, 2009. 

Michelle Shortt, 

Director, Regulations Development Group, 

Office of Strategic Operations and Regulatory 

Affairs. 

[FR Doc. E9–8781 Filed 4–16–09; 8:45 am] 

BILLING CODE 4120–01–P 

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#: 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 

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