27788 Federal Register / Vol. 75, No. 95 / Tuesday, May 18, 2010 / Notices 

pocket (TrOOP) expenditures; and (5) 

other processes that the Secretary 

determines. CMS, via the TrOOP 

facilitation contractor, automated the 

transfer of beneficiary coverage 

information when a beneficiary changes 

Part D plans. This information is 

necessary to assist with coordination of 

prescription drug benefits provided to 

the Medicare beneficiary. Refer to the 

crosswalk document for a list of the 

current changes. Form Number: CMS– 

10171 (OMB#: 0938–0978); Frequency: 

Yearly; Affected Public: Business or 

other for-profits; Number of 

Respondents: 57,227; Total Annual 

Responses: 248,018; Total Annual 

Hours: 754,788 (For policy questions 

regarding this collection contact 

Christine Hinds at 410–786–4578. For 

all other issues call 410–786–1326.) 

2. Type of Information Collection 

Request: Extension of a currently 

approved collection; Title of 

Information Collection: Medicare 

Participating Physician or Supplier 

Agreement; Form No.: CMS–460 (OMB# 

0938–0373); Use: The CMS–460 is the 

agreement a physician, supplier or their 

authorized official signs to participate in 

Medicare Part B. By signing the 

agreement to participate in Medicare, 

the physician, supplier or their 

authorized official agrees to accept the 

Medicare-determined payment for 

Medicare covered services as payment 

in full and to charge the Medicare Part 

B beneficiary no more than the 

applicable deductible or coinsurance for 

the covered services. For purposes of 

this explanation, the term a supplier 

means any person or entity that may bill 

Medicare for Part B services (e.g. DME 

supplier, nurse practitioner, supplier of 

diagnostic tests) except a Medicare 

provider of services (e.g. hospital), 

which must participate to be paid by 

Medicare for covered care. 

There are additional benefits 

associated with payment for services 

paid under the Medicare fee schedule. 

Payments made under the Medicare fee 

schedule for physician services to 

participating physicians and suppliers 

are based on 100 percent of the 

Medicare fee schedule amount, while 

the Medicare fee schedule payment for 

physician services by nonparticipating 

physicians and suppliers is based on 95 

percent of the fee schedule amount. 

Physicians and suppliers who do not 

participate in Medicare are subject to 

limits on their actual charges for 

unassigned claims for physician 

services. These limits, known as 

limiting charges, cannot exceed 115 

percent of the non-participant fee 

schedule, which is set at 95 percent of 

the full fee schedule amount. In 

addition, if a physician or supplier does 

not accept assignment on a claim for 

Medicare payment, the physician or 

supplier must collect payment from the 

beneficiary. If the physician or supplier 

accepts assignment on the claim, 

Medicare pays its share of the payment 

directly to the physician or supplier, 

resulting in faster and more certain 

payment. Frequency: Reporting, Other— 

when starting a new business; Affected 

Public: Business or other for-profit; 

Number of Respondents: 8,000; Total 

Annual Responses: 8,000; Total Annual 

Hours: 2,000. (For policy questions 

regarding this collection contact April 

Billingsley at 410–786–0410. For all 

other issues call 410–786–1326.) 

3. Type of Information Collection 

Request: New collection; Title of 

Information Collection: Survey to 

Inform the Children’s Health Insurance 

Program (CHIP) National Outreach & 

Education Campaign; Form No.: CMS– 

10318 (OMB# 0938–New); Use: The 

Children’s Health Insurance Program 

Reauthorization Act of 2009 (CHIPRA or 

Pub. L. 111–3) reauthorized the 

Children’s Health Insurance Program 

(CHIP) through FY 2013. It will preserve 

coverage for the millions of children 

who rely on CHIP today and provide the 

resources for States to reach millions of 

additional uninsured children. This 

legislation will help ensure the health 

and well-being of our nation’s children. 

To support this legislation and to help 

people who would benefit from CHIP 

make more informed decisions, CMS 

will be conducting outreach. The 

outreach will employ numerous 

communications channels to educate 

people who would benefit from CHIP 

concerning the program benefits, 

eligibility and enrollment requirements, 

utilization, and retention. As part of the 

outreach, CMS will seek to increase 

awareness, enrollment and retention in 

CHIP for the eligible audiences. The 

primary target audience for the outreach 

includes parents and guardians of 

potentially eligible children as well as 

pregnant women. Secondary audiences 

are information intermediaries 

including State, local, and tribal 

governments, educators (including nonparental caregivers), health care 

providers/social workers, national and 

local partners. The challenge is reaching 

the population segments that have 

access barriers to information including 

language, literacy, location, and culture 

to understand health insurance. To 

support the outreach and education, 

CMS needs to conduct survey research 

to be able to effectively reach the target 

audiences. Frequency: Reporting—Once; 

Affected Public: Individuals or 

Households; Number of Respondents: 

1,850; Total Annual Responses: 1,850; 

Total Annual Hours: 2,000. (For policy 

questions regarding this collection 

contact Barbara Allen at 410–786–6716. 

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/Paperwork

ReductionActof1995, or E-mail 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. 

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 July 19, 2010: 

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, Room C4–26–05, 7500 

Security Boulevard, Baltimore, 

Maryland 21244–1850. 

Michelle Shortt, 

Director, Regulations Development Group, 

Office of Strategic Operations and Regulatory 

Affairs. 

[FR Doc. 2010–11774 Filed 5–17–10; 8:45 am] 

BILLING CODE 4120–01–P 

DEPARTMENT OF HEALTH AND 

HUMAN SERVICES 

Administration for Children and 

Families 

Submission for OMB Review; 

Comment Request 

Title: Form CB–496. Title IV–E 

Programs Quarterly Financial Report. 

OMB No.: 0970–0205. 

Description: Through FY 2008, only 

State agencies were responsible for 

administering the Foster Care and 

Adoption Assistance Programs under 

title IV–E of the Social Security Act. 

With the enactment of Public Law 110– 

351, the ‘‘Fostering Connections to 

Success and Increasing Adoptions Act 

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Federal Register / Vol. 75, No. 95 / Tuesday, May 18, 2010 / Notices 27789 

of 2008,’’ title IV–E was expanded, 

effective with FY 2009, to include a 

third program, Guardianship Assistance, 

and was further expanded, effective 

with FY 2010, to include Tribes, tribal 

organizations and consortia as 

additional grantees. 

Ultimately, the combined effect of 

these changes will be to significantly 

increase the number of grantees, the 

number of grant awards and the 

required amount of financial reporting. 

In recognition of these substantial 

program revisions and to accommodate 

these changes, the quarterly financial 

report has been revised, redesigned and 

re-designated as Form CB–496, the 

‘‘Title IV–E Programs Quarterly 

Financial Report.’’ 

The Administration for Children and 

Families (ACF) provides Federal 

funding at the rate of 50 percent for 

most administrative and other related 

costs and at enhanced rates ranging 

from 55 to 75 percent for training costs 

as detailed in Federal statute and 

regulations. This form is submitted 

quarterly by each State and Tribe to 

estimate the funding needs for the 

upcoming fiscal quarter and to report 

expenditures for the fiscal quarter just 

ended. The information collected in this 

report is used by this agency to calculate 

quarterly Federal grant awards and to 

enable oversight of the financial 

management of the programs. 

Comments concerning these revisions 

were received from both Federal and 

grantee staffs by the ACF Office of 

Grants Management, both directly and 

in response to an earlier Federal 

Register Notice (74 FR 22749, May 14, 

2009) that provided many useful 

recommendations and suggestions, 

many of which were incorporated into 

the final draft product. 

Respondents: State and Tribal title 

IV–E agencies administering the Foster 

Care, Adoption Assistance and 

Guardianship Assistance Programs. 

ANNUAL BURDEN ESTIMATES

Instrument Number of 

respondents 

Number of responses per 

respondent 

Average burden hours per 

response 

Total burden 

hours 

Form CB–496 .................................................................................................. 62 4 17 4,216 

Estimated Total Annual Burden 

Hours: 4,216 

Additional Information: Copies of the 

proposed collection may be obtained 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. 

OMB Comment: OMB is required to 

make a decision concerning 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. Written 

comments and recommendations for the 

proposed information collection should 

be sent directly to the following: Office 

of Management and Budget, Paperwork 

Reduction Project, 725 17th Street, NW., 

Washington, DC 20503, Attn: Desk 

Officer for ACF. 

Dated: May 12, 2010. 

Robert Sargis, 

Reports Clearance Officer. 

[FR Doc. 2010–11814 Filed 5–17–10; 8:45 am] 

BILLING CODE 4184–01–M 

DEPARTMENT OF HEALTH AND 

HUMAN SERVICES 

National Institutes of Health 

Proposed Collection; Comment 

Request; Application for the 

Pharmacology Research Associate 

Program 

SUMMARY: In compliance with the 

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

the Paperwork Reduction Act of 1995, 

for opportunity for public comment on 

proposed data collection projects, the 

National Institute of General Medical 

Sciences (NIGMS), the National 

Institutes of Health (NIH) will publish 

periodic summaries of proposed 

projects to be submitted to the Office of 

Management and Budget (OMB) for 

review and approval. 

Proposed Collection: Title: 

Application for the Pharmacology 

Research Associate Program. Type of 

Information Collection Request: 

Extension of a currently approved 

collection, OMB No. 0925–0378, 

expiration date December 31, 2010. 

Form Numbers: NIH 2721–1, NIH 2721– 

2. Need and Use of Information 

Collection: The Pharmacology Research 

Associate (PRAT) Program will use the 

applicant and referee information to 

award opportunities for training and 

experience in laboratory or clinical 

investigation to individuals with a Ph.D. 

degree in pharmacology or a related 

science, M.D., or other professional 

degree through appointments as PRAT 

Fellows at the National Institutes of 

Health or the Food and Drug 

Administration. The goal of the program 

is to develop leaders in pharmacological 

research for key positions in academic, 

industrial, and Federal research 

laboratories. Frequency of Response: 

Once a year. Affected Public: 

Individuals or households; Businesses 

or other for-profit. Type of Respondents: 

Applicants and Referees. 

The annual reporting burden is as 

follows: 

Type and number of respondents 

Estimated 

number of responses per 

respondent 

Estimated total 

responses 

Average burden hours per 

responses 

Estimated total 

annual burden 

hours 

requested 

Applicants, 25 .................................................................................................. 1 25 8.00 200 

Referees, 75 .................................................................................................... 1 75 1.75 131 .25 

Total Number of Respondents: 100. 

Total Number of Responses: 100. 

Total Hours: 331.25. 

The annualized cost to respondents is 

estimated at: 

Applicants: $10,250.00. 

Referees: $6,562.50. 

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