Federal Register / Vol. 72, No. 8 / Friday, January 12, 2007 / Notices 1537 

DEPARTMENT OF HEALTH AND 

HUMAN SERVICES 

Centers for Medicare & Medicaid 

Services 

[Document Identifier: CMS–R–204, CMS–

10208 and CMS–R–234] 

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: Extension of a currently 

approved collection; Title of 

Information Collection: Data Collection 

for the Second Generation Social Health 

Maintenance Organization 

Demonstration; Use: The purpose of the 

Second Generation Social Health 

Maintenance Organization 

Demonstration (S/HMO–II) is to refine 

the targeting and financing 

methodologies, and benefit design of the 

Social Health Maintenance Organization 

Demonstration model. Four primary 

components of the S/HMO–II 

demonstration are: (1) A geriatric care 

approach that will be applied across the 

entire spectrum of S/HMO–II enrollees; 

(2) expanded community care 

coordination through links between 

chronic care case-management and 

acute care providers; (3) provision of 

long-term-benefits; and (4) an adjusted 

average per capita costs based riskadjusted payment methodology. Form 

Number: CMS–R–204 (OMB#: 0938–

0709); Frequency: Reporting—Yearly; 

Affected Public: Individuals or 

households; Number of Respondents: 

17,624; Total Annual Responses: 

17,624; Total Annual Hours: 3,425. 

2. Type of Information Collection 

Request: New collection; Title of 

Information Collection: Assessing 

Degrees of Health Care Involvement 

Survey Use: It is not sufficient to merely 

mail information about the Medicare 

program to each beneficiary. CMS needs 

to know that the beneficiaries received 

the information, understood the 

information and found the information 

useful in making choices about their 

Medicare participation. To this end, 

CMS must have measure(s) over time of 

what beneficiaries know and 

understand about the Medicare program 

now to be able to quantify and attribute 

any changes to their understanding or 

behavior to information/education 

initiatives. Measuring beneficiary 

information needs and knowledge over 

time will help CMS to evaluate the 

impact of information/education and 

other initiatives, as well as to 

understand how the population is 

changing separate from such initiatives. 

Form Number: CMS–10208 (OMB#: 

0938–NEW); Frequency: Reporting—

Weekly; Affected Public: Individuals or 

households; Number of Respondents: 

4,000; Total Annual Responses: 3,500; 

Total Annual Hours: 1,200. 

3. Type of Information Collection 

Request: Extension of a currently 

approved collection; Title of 

Information Collection: Subpart D—

Private Contracts and Supporting 

Regulations in 42 CFR 405.410, 405.430, 

405.435, 405.440, 405.445, and 405.455; 

Use: Under the section 4507 of the 

Balanced Budget Act of 1997, CMS is 

required to permit certain physicians 

and practitioners to opt out of Medicare 

and furnish covered services to 

Medicare beneficiaries through private 

contracts. Form Number: CMS–R–234 

(OMB#: 0938–0730); Frequency: 

Reporting—Biennially; Affected Public: 

Business or other for-profits; Number of 

Respondents: 26,820; Total Annual 

Responses: 26,820; Total Annual Hours: 

7,197. 

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. 

Written comments and 

recommendations for the proposed 

information collections must be mailed 

or faxed within 30 days of this notice 

directly to the OMB desk officer: OMB 

Human Resources and Housing Branch, 

Attention: Carolyn Lovett, New 

Executive Office Building, Room 10235, 

Washington, DC 20503. Fax Number: 

(202) 395–6974. 

Dated: January 5, 2007. 

Michelle Shortt, 

Director, Regulations Development Group, 

Office of Strategic Operations and Regulatory 

Affairs. 

[FR Doc. E7–225 Filed 1–11–07; 8:45 am] 

BILLING CODE 4120–01–P 

DEPARTMENT OF HEALTH AND 

HUMAN SERVICES 

Administration for Children and 

Families 

Proposed Information Collection 

Activity; Comment Request 

Proposed Projects: 

Title: Protection and Advocacy (P&A) 

Voting Access Annual Report. 

OMB No.: New Collection. 

Description: An annual report is 

required by Federal statute (the Help 

America Vote Act (HAVA) of 2002, 

Public Law 107–252, Section 291, 

Payments for Protection and Advocacy 

Systems, 42 U.S.C. 15461). Each State 

Protection & Advocacy (P&A) System 

must prepare and submit an annual 

report at the end of every fiscal year. 

The report addresses the activities 

conducted with the funds provided 

during the year. The information from 

the annual report will be aggregated into 

an annual profile of how HAVA funds 

have been spent. The report will also 

provide an overview of the P&A goals 

and accomplishments and permit the 

Administration on Developmental 

Disabilities to track progress to monitor 

grant activities. 

Respondents: Protection & Advocacy 

Systems—All States, the District of 

Columbia, Puerto Rico, the U.S. Virgin 

Islands, American Samoa, and Guam. 


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1538 Federal Register / Vol. 72, No. 8 / Friday, January 12, 2007 / Notices 

ANNUAL BURDEN ESTIMATES

Instrument Number of respondents 

Number of responses per 

respondent 

Average burden hours per 

response 

Total burden 

hours 

Protection and Advocacy (P&A) Voting Access Annual Report ...................... 55 1 16 880 

Estimated Total Annual Burden Hours: .................................................... ........................ ........................ ........................ 880 

In compliance with the requirements 

of Section 3506(c)(2)(A) of the 

Paperwork Reduction Act of 1995, the 

Administration for Children and 

Families is soliciting public comment 

on the specific aspects of the 

information collection described above. 

Copies of the proposed collection of 

information can be obtained and 

comments may be forwarded by writing 

to the Administration for Children and 

Families, Office of Administration, 

Office of Information Services, 370 

L’Enfant Promenade, SW., Washington, 

DC 20447, Attn: ACF Reports Clearance 

Officer. E-mail address: 

infocollection@acf.hhs.gov. All requests 

should be identified by the title of the 

information collection. 

The Department specifically requests 

comments on: (a) Whether the proposed 

collection of information is necessary 

for the proper performance of the 

functions of the agency, including 

whether the information shall have 

practical utility; (b) the accuracy of the 

agency’s estimate of the burden of the 

proposed collection of information; (c) 

the quality, utility, and clarity of the 

information to be collected; and (d) 

ways to minimize the burden of the 

collection of information on 

respondents, including through the use 

of automated collection techniques or 

other forms of information technology. 

Consideration will be given to 

comments and suggestions submitted 

within 60 days of this publication. 

Dated: January 8, 2007. 

Robert Sargis, 

Reports Clearance Officer. 

[FR Doc. 07–86 Filed 1–11–07; 8:45 am] 

BILLING CODE 4184–01–M 

DEPARTMENT OF HEALTH AND 

HUMAN SERVICES 

Administration for Children and 

Families 

Proposed Information Collection 

Activity; Comment Request 

Title: Help America Vote Act (HAVA) 

Voting Access Annual Report. 

OMB No.: New Collection. 

Description: An annual report is 

required by Federal statute (the Help 

America Vote Act (HAVA) of 2002, 

Public Law 107–252, Section 291, 

Payments for Protection and Advocacy 

Systems, 42 U.S.C. 15461). Each State or 

Unit of Local Government must prepare 

and submit an annual report at the end 

of every fiscal year. The report 

addresses the activities conducted with 

the funds provided during the year. The 

information collected from the annual 

report will be aggregated into an annual 

profile of how States have utilized the 

funds and establish best practices for 

election officials. It will also provide an 

overview of the State election goals and 

accomplishments and permit the 

Administration on developmental 

Disabilities to track voting progress to 

monitor grant activities. 

Respondents: Secretaries of State, 

Directors, State Election Boards, State 

Chief Election Officials. 

ANNUAL BURDEN ESTIMATES

Instrument Number of respondents 

Number of responses per 

respondent 

Average burden hours per 

response 

Total burden 

hours 

Help America Vote Act (HAVA) Voting Access Annual Report ...................... 55 1 24 1,320 

Estimated Total Annual Burden Hours: .................................................... ........................ ........................ ........................ 1,320 

In compliance with the requirements 

of Section 3506(c)(2)(A) of the 

Paperwork Reduction Act of 1995, the 

Administration for children and 

Families is soliciting public comment 

on the specific aspects of the 

information collection described above. 

Copies of the proposed collection of 

information can be obtained and 

comments may be forwarded by writing 

to the Administration for Children and 

Families, Office of Administration, 

Office of Information Services, 370 

L’Enfant Promenade, SW., Washington, 

DC 20447, Attn: ACF Reports Clearance 

Officer. E-mail address: 

information@acf.hshs.gov. All requests 

should be identified by the title of the 

information collection. 

The Department specifically requests 

comments on: (a) Whether the proposed 

collection of information is necessary 

for the proper performance of the 

functions of the agency, including 

whether the information of the 

functions of the agency, including 

whether the information shall have 

practical utility; (b) the accuracy of the 

agency’s estimate of the burden of the 

proposed collection of information; (c) 

the quality, utility, and clarity of the 

information to be collected; and (d) 

ways to minimize the burden of the 

collection of information on 

respondents, including through the use 

of automated collection techniques or 

other forms of information technology. 

Consideration will be given to 

comments and suggestions submitted 

within 60 days of this publication. 

Dated: January 8, 2007. 

Robert Sargis, 

Reports Clearance Officer. 

[FR Doc. 07–87 Filed 1–11–07; 8:45 am] 

BILLING CODE 4184–01–M 


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