[Federal Register Volume 74, Number 83 (Friday, May 1, 2009)]
[Notices]
[Page 20321]
From the Federal Register Online via the Government Publishing Office [www.gpo.gov]
[FR Doc No: E9-9959]


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DEPARTMENT OF HEALTH AND HUMAN SERVICES

Centers for Medicare & Medicaid Services

[Document Identifier: CMS-10284 and CMS-2567]


Agency Information Collection Activities: Proposed Collection; 
Comment Request

AGENCY: Centers for Medicare & Medicaid Services, Department of Health 
and Human 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: New Collection; Title of 
Information Collection: Children's Health Insurance Program 
Reauthorization Act (CHIPRA) of 2009, State Option Pre-print to Include 
Pregnant Women in Title XXI; Use: Section 111 of CHIPRA adds a new 
section 2112 to the Social Security Act which gives States the option 
of providing necessary prenatal, delivery and postpartum care to low-
income uninsured pregnant women through an amendment to its State Child 
Health Plan (CHIP plan). The purpose of this draft State plan amendment 
template is to provide States with the format needed to enable a State 
to amend their CHIP plan to reflect the coverage of pregnant women. 
Form Number: CMS-10284 (OMB<greek-i>: 0938-NEW); Frequency: Reporting--
One-time and Occasionally; Affected Public: State, Local or Tribal 
Government; Number of Respondents: 40; Total Annual Responses: 40; 
Total Annual Hours: 3,200. (For policy questions regarding this 
collection contact Meredith Robertson at 410-786-6543. For all other 
issues call 410-786-1326.)
    2. Type of Information Collection Request: Reinstatement without 
change of a previously approved collection; Title of Information 
Collection: Statement of Deficiencies and Plan of Correction; Use: The 
information from the CMS-2567 is used by the States and CMS regional 
offices to document and certify compliance. Form Number: CMS-2567 
(OMB<greek-i>: 0938-0391); Frequency: Reporting--Annually; Affected 
Public: State, Local or Tribal Government, Federal Government, Business 
or other for-profits and Not-for-profit Institutions; Number of 
Respondents: 60,000; Total Annual Responses: 60,000; Total Annual 
Hours: 120,000. (For policy questions regarding this collection contact 
Joanne Perry at 410-786-3336. 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 E-
mail your request, including your address, phone number, OMB number, 
and CMS document identifier, to <a href="/cdn-cgi/l/email-protection#9bcbfaebfee9ecf4e9f0dbf8f6e8b5f3f3e8b5fcf4ed"><span class="__cf_email__" data-cfemail="96c6f7e6f3e4e1f9e4fdd6f5fbe5b8fefee5b8f1f9e0">[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 30, 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 23, 2009.
Michelle Shortt,
Director, Regulations Development Group, Office of Strategic Operations 
and Regulatory Affairs.
[FR Doc. E9-9959 Filed 4-30-09; 8:45 am]
BILLING CODE 4120-01-P


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