Federal Register / Vol. 74, No. 78 / Friday, April 24, 2009 / Notices 18727 

Instrument Number of 

respondents 

Responses per 

respondent 

Total 

responses 

Hours per 

response 

Total burden 

hours 

Surveys .............................................................................. 50,000 1 50,000 .1 5,000 

Focus groups ..................................................................... 50 1 50 1.5 75 

Total ............................................................................ 50,050 .......................... 50,050 ........................ 5,075 

Written comments and 

recommendations concerning the 

proposed information collection should 

be sent within 30 days of this notice to 

the desk officer for HRSA, either by email to OIRA_submission@omb.eop.gov 

or by fax to 202–395–6974. Please direct 

all correspondence to the ‘‘attention of 

the desk officer for HRSA.’’ 

Dated: April 17, 2009. 

Alexandra Huttinger, 

Director, Division of Policy Review and 

Coordination. 

[FR Doc. E9–9383 Filed 4–23–09; 8:45 am] 

BILLING CODE 4165–15–P 

DEPARTMENT OF HEALTH AND 

HUMAN SERVICES 

Office of Refugee Resettlement 

Notice of Grants Awards 

AGENCY: Office of Refugee Resettlement, 

Administration for Children and 

Families. 

ACTION: Notice is hereby given that 

awards will be made to nine 

unaccompanied alien children (UAC) 

care providers in the amount of 

$9,714,681: Catholic Charities 

Archdiocese of Miami, FL: $1,460,667; 

Heartland Alliance, Chicago, IL: 

$935,645; Southwest Key Phoenix, AZ: 

$762,970; Southwest Key El Paso, TX: 

229,590; Florence Crittenton, Fullerton, 

CA: $2,215,000; LSS of the South, 

Corpus Christi, TX: $439,955; Baptist 

Children and Families, San Antonio, 

TX: $2,970,854; Lutheran Immigrant 

and Refugee Services, Baltimore, MD: 

$350,000; and US Conference of 

Catholic Bishops, Baltimore, MD: 

$350,000. 

CFDA#: 93.676. 

Legislative Authority: Section 462 of 

the Homeland Security Act of 2002, 6 

U.S.C. 279, and Section 235 of the 

William Wilberforce Trafficking Victims 

Protection Reauthorization Act of 2008, 

8 U.S.C. 1232. 

Project Period: 5/1/2009–9/30/2009. 

SUMMARY: This funding will support the 

expansion of shelter/foster care program 

bed capacity to meet the additional 

number of unaccompanied alien 

children (UAC) referrals from the 

Department of Homeland Security 

(DHS) and other Federal agencies 

resulting from the recent passage of the 

William Wilberforce Trafficking Victims 

Protection Reauthorization Act (TVPRA) 

of 2008. Many provisions in the TVPRA 

will dramatically affect the Office of 

Refugee Resettlement (ORR) UAC 

program’s capacity to provide 

placement, custodial and residential 

shelter care services. ORR expects an 

additional 6,800 referrals annually from 

DHS. 

The program has very specific 

requirements for the provision of 

services. Existing grantees are the only 

entities with the infrastructure, 

licensing, experience and appropriate 

level of trained staff to meet the service 

requirements and the urgent need for 

expansion. The program’s ability to 

avoid a backlog of children waiting in 

border patrol stations for placement can 

only be accommodated through the 

expansion of existing programs through 

this supplemental award process. 

FOR FURTHER INFORMATION CONTACT: 

Kenneth Tota, Office of Refugee 

Resettlement, Administration for 

Children and Families, 370 L’Enfant 

Promenade, SW., Washington, DC 

20447, (202) 401–4858. 

Dated: April 13, 2009. 

David H. Siegel, 

Acting Director, Office of Refugee 

Resettlement. 

[FR Doc. E9–9429 Filed 4–23–09; 8:45 am] 

BILLING CODE P 

DEPARTMENT OF HEALTH AND 

HUMAN SERVICES 

Health Resources and Services 

Administration 

‘‘Low Income Levels’’ Used for Various 

Health Professions and Nursing 

Programs Included in Titles III, VII and 

VIII of the Public Health Service Act 

AGENCY: Health Resources and Services 

Administration, HHS. 

ACTION: Notice. 

SUMMARY: The Health Resources and 

Services Administration (HRSA) is 

updating income levels used to identify 

a ‘‘low income family’’ for the purpose 

of determining eligibility for programs 

that provide health professions and 

nursing training for individuals from 

disadvantaged backgrounds. These 

various programs are included in Titles 

III, VII and VIII of the Public Health 

Service Act. 

The Department periodically 

publishes in the Federal Register lowincome levels used to determine 

eligibility for grants and cooperative 

agreements to institutions providing 

training for (1) disadvantaged 

individuals, (2) individuals from 

disadvantaged backgrounds, or (3) 

individuals from ‘‘low-income’’ 

families. 

SUPPLEMENTARY INFORMATION: The 

various health professions and nursing 

grant and cooperative agreement 

programs that use the low-income levels 

to determine whether an individual is 

from an economically disadvantaged 

background in making eligibility and 

funding determinations generally make 

awards to: Accredited schools of 

medicine, osteopathic medicine, public 

health, dentistry, veterinary medicine, 

optometry, pharmacy, allied health 

podiatric medicine, nursing, 

chiropractic, public or private nonprofit 

schools which offer graduate programs 

in behavioral health and mental health 

practice, and other public or private 

nonprofit health or education entities to 

assist the disadvantaged to enter and 

graduate from health professions and 

nursing schools. Some programs 

provide for the repayment of health 

professions or nursing education loans 

for disadvantaged students. 

Low-Income Levels 

The Secretary defines a ‘‘low-income 

family’’ for programs included in Titles 

III, VII and VIII of the Public Health 

Service Act as having an annual income 

that does not exceed 200 percent of the 

Department’s poverty guidelines. A 

family is a group of two or more 

individuals related by birth, marriage, or 

adoption who live together or an 

individual who is not living with any 

relatives. Most HRSA programs use the 

income of the student’s parents to 

compute low income status, while a few 

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18728 Federal Register / Vol. 74, No. 78 / Friday, April 24, 2009 / Notices 

programs, depending upon the 

legislative intent of the program, 

programmatic purpose of the low 

income level, as well as the age and 

circumstances of the average 

participant, will use the student’s family 

as long as he or she is not listed as a 

dependent upon the parents’ tax form. 

Each program will announce the 

rationale and choice of methodology for 

determining low income levels in their 

program guidance. The Department’s 

poverty guidelines are based on poverty 

thresholds published by the U.S. Bureau 

of the Census, adjusted annually for 

changes in the Consumer Price Index. 

The Secretary annually adjusts the 

low-income levels based on the 

Department’s poverty guidelines and 

makes them available to persons 

responsible for administering the 

applicable programs. The income 

figures below have been updated to 

reflect increases in the Consumer Price 

Index through December 31, 2008. 

Size of parents’ family * Income 

level ** 

1 .................................................. $21,660 

2 .................................................. 29,140 

3 .................................................. 36,620 

4 .................................................. 44,100 

5 .................................................. 51,580 

6 .................................................. 59,060 

7 .................................................. 66,540 

8 .................................................. 74,020 

* Includes only dependents listed on Federal 

income tax forms. Some programs will use the 

student’s family rather than his or her parents’ 

family. 

** Adjusted gross income for calendar year 

2008. 

Dated: April 17, 2009. 

Marcia K. Brand, 

Deputy Administrator. 

[FR Doc. E9–9381 Filed 4–23–09; 8:45 am] 

BILLING CODE 4165–15–P 

DEPARTMENT OF HEALTH AND 

HUMAN SERVICES 

Centers for Medicare & Medicaid 

Services 

[CMS–2299–PN] 

Medicare and Medicaid Programs; 

Application of the American 

Osteopathic Association for Continued 

Deeming Authority for Hospitals 

AGENCY: Centers for Medicare and 

Medicaid Services (CMS), HHS. 

ACTION: Proposed notice. 

SUMMARY: This proposed notice with 

comment period acknowledges the 

receipt of a deeming application from 

the American Osteopathic Association 

for continued recognition as a national 

accrediting organization for hospitals 

that wish to participate in the Medicare 

or Medicaid programs. 

Section 1865(a)(3)(A) of the Social 

Security Act requires that within 60 

days of receipt of an organization’s 

complete application, we publish a 

notice that identifies the national 

accrediting body making the request, 

describes the nature of the request, and 

provides at least a 30-day public 

comment period. 

DATES: To be assured consideration, 

comments must be received at one of 

the addresses provided below, no later 

than 5 p.m. May 26, 2009. 

ADDRESSES: In commenting, please refer 

to file code CMS–2299–PN. Because of 

staff and resource limitations, we cannot 

accept comments by facsimile (FAX) 

transmission. 

You may submit comments 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–2299–PN, 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–2299–PN, 

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.) 

b. For delivery in Baltimore, MD— 

Centers for Medicare & Medicaid 

Services, Department of Health and 

Human Services, 7500 Security 

Boulevard, Baltimore, MD 21244–1850. 

If you intend to deliver your 

comments to the Baltimore address, 

please call telephone number (410) 786– 

7195 in advance to schedule your 

arrival with one of our staff members. 

Comments mailed to the addresses 

indicated as appropriate for hand or 

courier delivery may be delayed and 

received after the comment period. 

For information on viewing public 

comments, see the beginning of the 

SUPPLEMENTARY INFORMATION section. 

FOR FURTHER INFORMATION CONTACT: 

Lillian Williams, (410) 786–8636. 

Patricia Chmielewski, (410) 786–6899. 

SUPPLEMENTARY INFORMATION: Inspection 

of Public Comments: All comments 

received before the close of the 

comment period are available for 

viewing by the public, including any 

personally identifiable or confidential 

business information that is included in 

a comment. We post all comments 

received before the close of the 

comment period on the following Web 

site as soon as possible after they have 

been received: http://www. 

regulations.gov. Follow the search 

instructions on that Web site to view 

public comments. 

Comments received timely will also 

be available for public inspection as 

they are received, generally beginning 

approximately 3 weeks after publication 

of a document, at the headquarters of 

the Centers for Medicare & Medicaid 

Services, 7500 Security Boulevard, 

Baltimore, Maryland 21244, Monday 

through Friday of each week from 8:30 

a.m. to 4 p.m. To schedule an 

appointment to view public comments, 

phone 1–800–743–3951. 

I. Background 

Under the Medicare program, eligible 

beneficiaries may receive covered 

services from a hospital provided 

certain requirements are met. Sections 

1861(e) of the Social Security Act (the 

Act) establish distinct criteria for 

facilities seeking designation as a 

hospital. Regulations concerning 

provider agreements are located at 42 

CFR part 489 and those pertaining to 

activities relating to the survey and 

certification of facilities are located at 

42 CFR part 488. The regulations at 42 

CFR part 482, specify the conditions 

that a hospital must meet in order to 

participate in the Medicare program, the 

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