Federal Register / Vol. 87, No. 87 / Thursday, May 5, 2022 / Notices 26759 

FEDERAL RESERVE SYSTEM 

Change in Bank Control Notices; 

Acquisitions of Shares of a Bank or 

Bank Holding Company 

The notificants listed below have 

applied under the Change in Bank 

Control Act (Act) (12 U.S.C. 1817(j)) and 

§ 225.41 of the Board’s Regulation Y (12 

CFR 225.41) to acquire shares of a bank 

or bank holding company. The factors 

that are considered in acting on the 

applications are set forth in paragraph 7 

of the Act (12 U.S.C. 1817(j)(7)). 

The public portions of the 

applications listed below, as well as 

other related filings required by the 

Board, if any, are available for 

immediate inspection at the Federal 

Reserve Bank(s) indicated below and at 

the offices of the Board of Governors. 

This information may also be obtained 

on an expedited basis, upon request, by 

contacting the appropriate Federal 

Reserve Bank and from the Board’s 

Freedom of Information Office at 

https://www.federalreserve.gov/foia/ 

request.htm. Interested persons may 

express their views in writing on the 

standards enumerated in paragraph 7 of 

the Act. 

Comments regarding each of these 

applications must be received at the 

Reserve Bank indicated or the offices of 

the Board of Governors, Ann E. 

Misback, Secretary of the Board, 20th 

Street and Constitution Avenue NW, 

Washington, DC 20551–0001, not later 

than May 20, 2022. 

A. Federal Reserve Bank of San 

Francisco (Mongkha Pavlick, Group 

Vice President, Formations & 

Transactions) 101 Market Street, San 

Francisco, California 94105–1579: 

1. Adams Tri-Cities Enterprises, Inc., 

Kennewick, Washington; to retain voting 

shares of Coeur D’Alene Bancorp, and 

thereby indirectly retain voting shares of 

Bankcda, both of Coeur D’Alene, Idaho. 

Board of Governors of the Federal Reserve 

System, May 2, 2022. 

Michele Taylor Fennell, 

Deputy Associate Secretary of the Board. 

[FR Doc. 2022–09687 Filed 5–4–22; 8:45 am] 

BILLING CODE P 

DEPARTMENT OF HEALTH AND 

HUMAN SERVICES 

Centers for Medicare & Medicaid 

Services 

[Document Identifiers: CMS–10718] 

Agency Information Collection 

Activities: Submission for OMB 

Review; Comment Request 

AGENCY: Centers for Medicare & 

Medicaid Services, Health and Human 

Services (HHS). 

ACTION: Notice. 

SUMMARY: The Centers for Medicare & 

Medicaid Services (CMS) is announcing 

an opportunity for the public to 

comment on CMS’ intention to collect 

information from the public. Under the 

Paperwork Reduction Act of 1995 

(PRA), federal agencies are required to 

publish notice in the Federal Register 

concerning each proposed collection of 

information, including each proposed 

extension or reinstatement of an existing 

collection of information, and to allow 

a second opportunity for public 

comment on the notice. Interested 

persons are invited to send comments 

regarding the burden estimate or any 

other aspect of this collection of 

information, including the necessity and 

utility of the proposed information 

collection for the proper performance of 

the agency’s functions, the accuracy of 

the estimated burden, ways to enhance 

the quality, utility, and clarity of the 

information to be collected, and the use 

of automated collection techniques or 

other forms of information technology to 

minimize the information collection 

burden. 

DATES: Comments on the collection(s) of 

information must be received by the 

OMB desk officer by June 6, 2022. 

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. 

To obtain copies of a supporting 

statement and any related forms for the 

proposed collection(s) summarized in 

this notice, you may make your request 

using one of following: 

1. Access CMS’ website address at 

website address at: https://

www.cms.gov/Regulations-andGuidance/Legislation/Paperwork

ReductionActof1995/PRA-Listing.html 

FOR FURTHER INFORMATION CONTACT: 

William Parham at (410) 786–4669. 

SUPPLEMENTARY INFORMATION: Under the 

Paperwork Reduction Act of 1995 (PRA) 

(44 U.S.C. 3501–3520), federal agencies 

must obtain approval from the Office of 

Management and Budget (OMB) for each 

collection of information they conduct 

or sponsor. The term ‘‘collection of 

information’’ is defined in 44 U.S.C. 

3502(3) and 5 CFR 1320.3(c) and 

includes agency requests or 

requirements that members of the public 

submit reports, keep records, or provide 

information to a third party. Section 

3506(c)(2)(A) of the PRA (44 U.S.C. 

3506(c)(2)(A)) requires federal agencies 

to publish a 30-day notice in the 

Federal Register concerning each 

proposed collection of information, 

including each proposed extension or 

reinstatement of an existing collection 

of information, before submitting the 

collection to OMB for approval. To 

comply with this requirement, CMS is 

publishing this notice that summarizes 

the following proposed collection(s) of 

information for public comment: 

1. Type of Information Collection 

Request: Revision of a currently 

approved collection; Title of 

Information Collection: Model Medicare 

Advantage and Medicare Prescription 

Drug Plan Individual Enrollment 

Request; Use: The enrollment form is 

considered a ‘‘model’’ under Medicare 

regulations at §§ 422.2262 and 423.2262, 

for purposes of communication and 

marketing review and approval; 

therefore, MA and Part D plans are able 

to modify the language, content, format, 

or order of the enrollment form. The 

model enrollment form includes the 

minimal amount of information to 

process the enrollment, located in 

Section 1, and other limited 

information, in Section 2, that the 

sponsor is required (i.e., race and 

ethnicity data, accessible format 

preference) or chooses to provide to the 

beneficiary (i.e., premium payment 

information). The optional data 

elements, which aid the MA and Part D 

plans in processing the enrollment, is 

developed for efficiency for the plans. 

Plan sponsors can obtain information at 

the initial point of contact to help 

streamline the beneficiary’s enrollment 

process. The optional questions include 

information, specific to the plan’s 

business needs that serves to reduce 

overall burden and allow for timely 

processing of an enrollment request. All 

data elements in Section 2 are optional 

for the beneficiary to complete, but the 

plan will be required to have the 

questions on the enrollment forms. Plan 

enrollment will not be affected if the 


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26760 Federal Register / Vol. 87, No. 87 / Thursday, May 5, 2022 / Notices 

beneficiary does not complete this 

additional information. 

With the long-term goal of collecting 

race and ethnicity data from all 

Medicare beneficiaries, CMS will focus 

initial efforts on beneficiaries who 

newly elect or change coverage in the 

Medicare Part C and D program. The 

detailed race and ethnicity categories 

collected through the demographic pilot 

on the enrollment form will be 

compliant with the 2011 HHS Data 

Collection Standards to provide 

granular information for plans and CMS 

to understand the diversity of the 

beneficiary population. The data will be 

used to: (1) Explore the response rate to 

race and ethnicity questions as a whole 

and how it intersects with beneficiary 

income and other demographics; (2) 

Conduct focus groups, to be approved in 

a separate PRA package, among nonresponders to the race and ethnicity 

questions to understand how people 

who elect to not respond to the race and 

ethnicity questions perceive the 

addition of those questions on the form; 

(32) Continue to test CMS’ race and 

ethnicity imputation models by adding 

additional race and ethnicity data to the 

data CMS already has; and (4) 

Determine the data necessary for 

sufficient samples sizes to conduct 

analyses of disaggregated race and 

ethnicity categories. As part of a broader 

health equity effort, CMS has interest in 

identifying patterns of differences across 

many key process and care outcomes by 

sociodemographic characteristics, 

including race and ethnicity. To best 

characterize these differences, selfreported and granular data are needed. 

Collecting these data will support efforts 

to continue to strengthen, for example, 

CMS OMH’s stratified reporting efforts, 

which currently do consider quality 

indicators by race and ethnicity, but at 

present these data are not granular and 

not self-reported. In addition, this data 

will allow us to validate imputation 

methods CMS currently uses for race 

and ethnicity, to ensure that we do not 

rely on methodologies that 

unintentionally create or exacerbate 

disparities. To assess readiness for 

analysis of collected data (particularly 

with regard to considering sample sizes, 

especially of small groups), continual 

assessment will be required— 

simultaneously as enrollment 

happens—because readiness will 

depend partly on distribution of 

responses to these items by enrollees. 

These categories are of great interest 

to CMS and will improve the accuracy 

of current data sets. We acknowledge 

that it may take several years of data 

collection to conduct other meaningful 

studies CMS intends to pursue that are 

not listed above. In addition to the 

aforementioned uses, CMS will 

ultimately use this information to: Track 

beneficiary enrollment, including 

tracking patterns in enrollment by race 

and ethnicity over time; to identify, 

monitor, and develop effective and 

efficient strategies and incentives to 

reduce and eliminate health and health 

care inequities; to validate existing race 

and ethnicity imputation methods; and 

to ensure that clinically appropriate and 

equitable care (in terms of payment, 

access, and quality) is consistently 

provided to all beneficiaries. Form 

Number: CMS–10718 (OMB control 

number: 0938–1378); Frequency: Yearly; 

Affected Public: State, Local, or Tribal 

Governments, Federal Government, 

Private Sector (Business or other forprofits and Not-for-profits); Number of 

Respondents: 80,539,628; Number of 

Responses: 80,539,628; Total Annual 

Hours: 8,567,975. (For questions 

regarding this collection contact Deme 

Umo at (410) 786–8854.) 

Dated: May 2, 2022. 

William N. Parham, III, 

Director, Paperwork Reduction Staff, Office 

of Strategic Operations and Regulatory 

Affairs. 

[FR Doc. 2022–09685 Filed 5–4–22; 8:45 am] 

BILLING CODE 4120–01–P 

DEPARTMENT OF HEALTH AND 

HUMAN SERVICES 

Centers for Medicare & Medicaid 

Services 

[Document Identifiers: CMS–265–11, CMS– 

10544, CMS–10338, and CMS–10599] 

Agency Information Collection 

Activities: Submission for OMB 

Review; Comment Request 

AGENCY: Centers for Medicare & 

Medicaid Services, Health and Human 

Services (HHS). 

ACTION: Notice. 

SUMMARY: The Centers for Medicare & 

Medicaid Services (CMS) is announcing 

an opportunity for the public to 

comment on CMS’ intention to collect 

information from the public. Under the 

Paperwork Reduction Act of 1995 

(PRA), federal agencies are required to 

publish notice in the Federal Register 

concerning each proposed collection of 

information, including each proposed 

extension or reinstatement of an existing 

collection of information, and to allow 

a second opportunity for public 

comment on the notice. Interested 

persons are invited to send comments 

regarding the burden estimate or any 

other aspect of this collection of 

information, including the necessity and 

utility of the proposed information 

collection for the proper performance of 

the agency’s functions, the accuracy of 

the estimated burden, ways to enhance 

the quality, utility, and clarity of the 

information to be collected, and the use 

of automated collection techniques or 

other forms of information technology to 

minimize the information collection 

burden. 

DATES: Comments on the collection(s) of 

information must be received by the 

OMB desk officer by June 6, 2022. 

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. 

To obtain copies of a supporting 

statement and any related forms for the 

proposed collection(s) summarized in 

this notice, you may make your request 

using one of following: 

1. Access CMS’ website address at 

website address at: https://

www.cms.gov/Regulations-andGuidance/Legislation/Paperwork

ReductionActof1995/PRA-Listing.html. 

FOR FURTHER INFORMATION CONTACT: 

William Parham at (410) 786–4669. 

SUPPLEMENTARY INFORMATION: Under the 

Paperwork Reduction Act of 1995 (PRA) 

(44 U.S.C. 3501–3520), federal agencies 

must obtain approval from the Office of 

Management and Budget (OMB) for each 

collection of information they conduct 

or sponsor. The term ‘‘collection of 

information’’ is defined in 44 U.S.C. 

3502(3) and 5 CFR 1320.3(c) and 

includes agency requests or 

requirements that members of the public 

submit reports, keep records, or provide 

information to a third party. Section 

3506(c)(2)(A) of the PRA (44 U.S.C. 

3506(c)(2)(A)) requires federal agencies 

to publish a 30-day notice in the 

Federal Register concerning each 

proposed collection of information, 

including each proposed extension or 

reinstatement of an existing collection 

of information, before submitting the 

collection to OMB for approval. To 

comply with this requirement, CMS is 

publishing this notice that summarizes 

the following proposed collection(s) of 

information for public comment: 

1. Type of Information Collection 

Request: Reinstatement with change of a 

previously approved collection; Title of 

Information Collection: Independent 

Renal Dialysis Facility Cost Report; Use: 

Under the authority of sections 1815(a) 


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