25274 Federal Register / Vol. 87, No. 82 / Thursday, April 28, 2022 / Notices 

raise access issues to state Medicaid 

agencies and work with agencies to 

address those issues. Form Number: 

CMS–10391 (OMB control number: 

0938–1134); Frequency: Annually; 

Affected Public: State, Local, or Tribal 

Governments); Number of Respondents: 

51; Total Annual Responses: 212; Total 

Annual Hours: 12,262. (For questions 

regarding this collection contact Jeremy 

Silanskis at 410–786–1592.) 

2. Type of Information Collection 

Request: Extension of a currently 

approved collection; Title of 

Information Collection: Income and 

Eligibility Verification System Reporting 

and Supporting Regulations; Use: 

Section 1137 of the Social Security Act 

requires that States verify the income 

and eligibility information contained on 

the applicant’s application and in the 

applicant’s case file through data 

matches with the agencies and entities 

identified in this section. The State 

Medicaid/CHIP agency will report the 

existence of a system to collect all 

information needed to determine and 

redetermine eligibility for Medicaid and 

CHIP. The State Medicaid/CHIP agency 

will attest to using the PARIS system in 

determining beneficiary eligibility in 

Medicaid or CHIP benefit programs. 

Form Number: CMS–R–74 (OMB control 

number: 0938–0467); Frequency: 

Occasionally; Affected Public: State, 

Local, or Tribal Governments; Number 

of Respondents: 55; Total Annual 

Responses: 3,241; Total Annual Hours: 

1,071. (For policy questions regarding 

this collection contact Stephanie Bell at 

410–786–0617.) 

3. Type of Information Collection 

Request: Extension of a currently 

approved collection; Title of 

Information Collection: Use of Restraint 

and Seclusion in Psychiatric Residential 

Treatment Facilities (PRTFs) for 

Individuals Under Age 21 and 

Supporting Regulations; Use: 

Psychiatric residential treatment 

facilities are required to report deaths, 

serious injuries and attempted suicides 

to the State Medicaid Agency and the 

Protection and Advocacy Organization. 

They are also required to provide 

residents the restraint and seclusion 

policy in writing, and to document in 

the residents’ records all activities 

involving the use of restraint and 

seclusion. Form Number: CMS–R–306 

(OMB control number: 0938–0833); 

Frequency: Occasionally; Affected 

Public: Private sector (Business or other 

for-profits); Number of Respondents: 

390; Total Annual Responses: 

1,466,823; Total Annual Hours: 449,609. 

(For policy questions regarding this 

collection contact Kirsten Jensen at 410– 

786–8146.) 

4. Type of Information Collection 

Request: New collection (Request for a 

new OMB control number); Title of 

Information Collection: Requirements 

Related to Surprise Billing; Part II; Use: 

On December 27, 2020, the 

Consolidated Appropriations Act, 2021 

(CAA), which includes the No Surprises 

Act, was signed into law. The No 

Surprises Act provides Federal 

protections against surprise billing and 

limits out-of-network cost sharing under 

many of the circumstances in which 

surprise bills arise most frequently. The 

information requirements of the October 

2021 interim final rules included in 

CMS–10791 have two components: 

Good Faith Estimates. Providers and 

facilities must furnish a good faith 

estimate of expected items and services 

beginning on or after January 1, 2022, 

which will allow uninsured (or self-pay) 

individuals to have access to 

information about health care pricing 

before receiving care. This information 

will allow uninsured (or self-pay) 

individuals to evaluate options for 

receiving health care, make costconscious health care purchasing 

decisions, and reduce surprises in 

relation to their health care costs for 

items and services. Additionally, 

uninsured (or self-pay) individuals will 

need a good faith estimate to initiate the 

patient-provider dispute resolution 

process. HHS will request information 

from entities seeking to be certified or 

recertified as an SDR entity. This 

information will be used to assess 

whether or not the entity satisfies the 

requirements for certification. Form 

Number: CMS–10791 (OMB control 

number: 0938–NEW); Frequency: 

Annually; Affected Public: Private 

sector (Business or other for-profits and 

Not-for-profit institutions); Number of 

Respondents: 4,010,691; Total Annual 

Responses: 4,010,691; Total Annual 

Hours: 6,242,227. For policy questions 

regarding this collection contact Janny 

Frimpong at 301–492–4174. 

Dated: April 25, 2022. 

William N. Parham, III, 

Director, Paperwork Reduction Staff, Office 

of Strategic Operations and Regulatory 

Affairs. 

[FR Doc. 2022–09112 Filed 4–27–22; 8:45 am] 

BILLING CODE 4120–01–P 

DEPARTMENT OF HEALTH AND 

HUMAN SERVICES 

Administration for Children and 

Families 

[OMB No. 0970–0427] 

Submission for OMB Review; Head 

Start Program Information Report 

AGENCY: Office of Head Start, 

Administration for Children and 

Families, HHS. 

ACTION: Request for public comment. 

SUMMARY: The Administration for 

Children and Families’ (ACF) is 

requesting a 3-year extension of the 

Head Start Program Information Report 

(PIR), Monthly Enrollment reporting 

instrument, and Center Locations and 

Contacts instrument (OMB #0970–0427, 

expiration 4/30/2022). OHS has made 

updates to these instruments, as 

described below. 

DATES: Comments due within 30 days of 

publication. OMB must make a decision 

about the collection of information 

between 30 and 60 days after 

publication of this document in the 

Federal Register. Therefore, a comment 

is best assured of having its full effect 

if OMB receives it within 30 days of 

publication. 

ADDRESSES: Written comments and 

recommendations for the proposed 

information collection should be sent 

within 30 days of publication of this 

notice to www.reginfo.gov/public/do/ 

PRAMain. Find this particular 

information collection by selecting 

‘‘Currently under 30-day Review—Open 

for Public Comments’’ or by using the 

search function. You can also obtain 

copies of the proposed collection of 

information by emailing infocollection@

acf.hhs.gov. Identify all emailed 

requests by the title of the information 

collection. 

SUPPLEMENTARY INFORMATION: 

Description: OHS is requesting an 

extension, with changes, of the Head 

Start PIR information collection 

authority. The following instruments are 

included in this information collection: 

(1) PIR, (2) Monthly Enrollment, and (3) 

Center Locations and Contacts. The PIR 

is used for federal program management 

purposes including to promote decisionmaking using data, is a major source of 

information used to respond to 

Congressional and public inquiries 

about Head Start programs, and is used 

often by researchers. Monthly 

enrollment reporting supports oversight 

activities related to promoting full 

enrollment of programs. Center 

locations and contact reporting is used 


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Federal Register / Vol. 87, No. 82 / Thursday, April 28, 2022 / Notices 25275 

to help parents locate a program in their 

community. In general, these 

information collections together create 

key administrative datasets to support 

administration of the program. 

The proposed changes include new 

questions on the PIR to collect 

information on collaboration activities 

with Part C agencies and the average 

benefits provided to certain education 

staff as part of their compensation. 

Additionally, new questions were 

added to the centers reporting to capture 

participation in a local or state Quality 

Rating Improvement System and 

licensing status for each center. Lastly, 

minor changes were made to these 

instruments for clarification purposes. 

Respondents: Head Start Grant 

Recipients. 

ANNUAL BURDEN ESTIMATES

Instrument Annual number 

of respondents 

Annual number 

of responses per 

respondent 

Average burden 

hours per 

response 

Annual burden 

hours 

Head Start PIR ................................................................................ 1,600 2.25 1 3,600 

Monthly Enrollment .......................................................................... 1,600 27 0.05 2,160 

Center Locations and Contacts ....................................................... 1,600 15 0.25 6,000 

Estimated Total Annual Burden 

Hours: 11,760. 

Authority: 42 U.S.C. 9801 et seq. 

Mary B. Jones, 

ACF/OPRE Certifying Officer. 

[FR Doc. 2022–09053 Filed 4–27–22; 8:45 am] 

BILLING CODE 4184–40–P 

DEPARTMENT OF HEALTH AND 

HUMAN SERVICES 

Administration for Children and 

Families 

Submission for OMB Review; OPRE 

Data Collection for State Child Welfare 

Data Linkages Descriptive Study (New 

Collection) 

AGENCY: Office of Planning, Research, 

and Evaluation, Administration for 

Children and Families, HHS. 

ACTION: Request for public comment. 

SUMMARY: The Administration for 

Children and Families (ACF) is 

requesting approval from the Office of 

Management and Budget (OMB) for a 

new primary data collection about 

connected child welfare data. We define 

connected data as child welfare data 

that are linked or integrated with data 

from other systems or agencies. The 

State Child Welfare Data Linkages 

Descriptive Study (Data Linkages 

Descriptive Study) will gather 

systematic information on the extent to 

which states connect their child 

maltreatment data to other data sets; 

how any linked data sets are created, 

managed, and used; and challenges 

states face in linking data. 

DATES: Comments due within 30 days of 

publication. OMB must make a decision 

about the collection of information 

between 30 and 60 days after 

publication of this document in the 

Federal Register. Therefore, a comment 

is best assured of having its full effect 

if OMB receives it within 30 days of 

publication. 

ADDRESSES: Written comments and 

recommendations for the proposed 

information collection should be sent 

within 30 days of publication of this 

notice to www.reginfo.gov/public/do/ 

PRAMain. Find this particular 

information collection by selecting 

‘‘Currently under 30-day Review—Open 

for Public Comments’’ or by using the 

search function. You can also obtain 

copies of the proposed collection of 

information by emailing 

OPREinfocollection@acf.hhs.gov. All 

emailed requests should be identified by 

the title of the information collection. 

SUPPLEMENTARY INFORMATION: 

Description: The State Child Welfare 

Data Linkages Descriptive Study will 

examine the extent to which child 

welfare agencies in 50 states, Puerto 

Rico, and Washington, DC, link 

administrative data on child 

maltreatment to data in other systems 

and to learn more about states’ practices 

related to sharing and linking data. The 

study aims to inform the ongoing and 

accurate surveillance of child 

maltreatment and identify facilitators 

and barriers to connected data efforts 

(integrated data or linked data). 

These data are not available from 

existing sources. This study aims to 

present an internally valid description 

of the data capacity of participating state 

child welfare agencies, not to promote 

statistical generalization to different 

sites or service populations. 

Respondents: State child welfare 

directors, designated state child welfare 

agency staff (identified by a state child 

welfare director as having knowledge 

about the state’s connected data efforts), 

and designated county staff (identified 

by a state child welfare director as 

having knowledge about a county’s 

connected data efforts). 

ANNUAL BURDEN ESTIMATES

Instrument 

Number of 

respondents 

(total over 

request 

period) 

Number of 

responses per 

respondent 

(total over 

request 

period) 

Average 

burden per 

response 

(in hours) 

Total burden 

(in hours) 

Annual burden 

(in hours) 

Initial survey of state child welfare directors ....................... 52 1 0.67 35 18 

Survey of connected data efforts 1 ...................................... 208 1 0.58 121 61 

Interviews with individuals responsible for connected data 

efforts ................................................................................ 120 1 1 120 60 

1Estimates for burden hours define respondent by survey administration and not necessarily by the number of different people completing the 

survey. 


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