Federal Register / Vol. 86, No. 109 / Wednesday, June 9, 2021 / Notices 30607 

Board of Governors of the Federal Reserve 

System, June 4, 2021. 

Ann Misback, 

Secretary of the Board. 

[FR Doc. 2021–12090 Filed 6–8–21; 8:45 am] 

BILLING CODE 6210–01–P 

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 June 24, 2021. 

A. Federal Reserve Bank of Chicago 

(Colette A. Fried, Assistant Vice 

President) 230 South LaSalle Street, 

Chicago, Illinois 60690–1414: 

1. Heather Cook, Ames, Iowa; to join 

the Simington Family Group, a group 

acting in concert, to retain voting shares 

of Fostoria Bankshares, Inc., and thereby 

indirectly retain voting shares of 

Farmers Savings Bank, both of Fostoria, 

Iowa. 

Board of Governors of the Federal Reserve 

System, June 4, 2021. 

Ann Misback, 

Secretary of the Board. 

[FR Doc. 2021–12085 Filed 6–8–21; 8:45 am] 

BILLING CODE P 

DEPARTMENT OF HEALTH AND 

HUMAN SERVICES 

Centers for Medicare & Medicaid 

Services 

[Document Identifier: CMS–1984–14] 

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 July 9, 2021. 

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 without of 

change of a previously approved 

collection; Title of Information 

Collection: Hospice Facility Cost Report 

Form; Use: Under the authority of 

§§ 1815(a) and 1833(e) of the Social 

Security Act (the Act), CMS requires 

that providers of services participating 

in the Medicare program submit 

information to determine costs for 

health care services rendered to 

Medicare beneficiaries. CMS requires 

that providers follow reasonable cost 

principles under 1861(v)(1)(A) of the 

Act when completing the Medicare cost 

report (MCR). The regulations at 42 CFR 

413.20 and 413.24 require that providers 

submit acceptable cost reports on an 

annual basis and maintain sufficient 

financial records and statistical data, 

capable of verification by qualified 

auditors. In addition, regulations require 

that providers furnish such Information 

to the contractor as may be necessary to 

assure proper payment by the program, 

receive program payments, and satisfy 

program overpayment determinations. 

CMS regulations at 42 CFR 

413.24(f)(4) require that each hospice 

submit an annual cost report to their 

contractor in a standard American 

Standard Code for Information 

Interchange (ASCII) electronic cost 

report (ECR) format. A hospice submits 

the ECR file to contractors using a 

compact disk (CD), flash drive, or the 

CMS approved Medicare Cost Report Efiling (MCREF) portal, [URL: https:// 

mcref.cms.gov]. The instructions for 


lotter on DSK11XQN23PROD with NOTICES1
30608 Federal Register / Vol. 86, No. 109 / Wednesday, June 9, 2021 / Notices 

submission are included in the hospice 

cost report instructions on page 43–3. 

CMS requires the Form CMS–1984–14 

to determine a hospice’s reasonable 

costs incurred in furnishing medical 

services to Medicare beneficiaries. CMS 

uses the Form CMS–1984–14 for rate 

setting; payment refinement activities, 

including developing a market basket; 

Medicare Trust Fund projections; and 

program operations support. 

Additionally, the Medicare Payment 

Advisory Commission (MedPAC) uses 

the hospice cost report data to calculate 

Medicare margins (a measure of the 

relationship between Medicare’s 

payments and providers’ Medicare 

costs) and analyze data to formulate 

Medicare Program recommendations to 

Congress. Form Number: CMS–1984–14 

(OMB control number: 0938–0758); 

Frequency: Yearly; Affected Public: 

Private Sector, Business or other forprofits, Not for profits institutions; 

Number of Respondents: 4,379; Total 

Annual Responses: 4,379; Total Annual 

Hours: 823,252. (For policy questions 

regarding this collection contact Duncan 

Gail at 410–786–7278.) 

Dated: June 3, 2021. 

William N. Parham, III, 

Director, Paperwork Reduction Staff, Office 

of Strategic Operations and Regulatory 

Affairs. 

[FR Doc. 2021–12010 Filed 6–8–21; 8:45 am] 

BILLING CODE 4120–01–P 

DEPARTMENT OF HEALTH AND 

HUMAN SERVICES 

Administration for Children and 

Families 

Proposed Information Collection 

Activity; ‘‘State SNAP Agency NDNH 

Matching Program Performance 

Report’’ (OMB No.: 0970–0464) 

AGENCY: Office of Child Support 

Enforcement, Administration for 

Children and Families, HHS. 

ACTION: Request for public comment. 

SUMMARY: The Office of Child Support 

Enforcement (OCSE), Administration for 

Children and Families (ACF) is 

requesting the federal Office of 

Management and Budget (OMB) 

approve the ‘‘State SNAP Agency NDNH 

Matching Program Performance Report,’’ 

with minor revisions, for an additional 

three years. State agencies administering 

their Supplemental Nutrition Assistance 

Program (SNAP) provide the annual 

performance report to OCSE in 

accordance with the computer matching 

agreement between state SNAP agencies 

and OCSE. The current OMB approval 

expires on February 28, 2022. 

DATES: Comments due within 60 days of 

publication. In compliance with the 

requirements of the Paperwork 

Reduction Act of 1995, ACF is soliciting 

public comment on the specific aspects 

of the information collection described 

above. 

ADDRESSES: To submit comments and 

obtain copies of the proposed collection 

of information, email infocollection@

acf.hhs.gov. Alternatively, copies are 

obtainable by writing to the 

Administration for Children and 

Families, Office of Planning, Research, 

and Evaluation (OPRE), 330 C Street 

SW, Washington, DC 20201, Attn: ACF 

Reports Clearance Officer. Identify all 

requests, emailed or written, by the title 

of the information collection. 

SUPPLEMENTARY INFORMATION: 

Description: State agencies 

administering SNAP are mandated to 

participate in a computer matching 

program with the federal OCSE. The 

matching program compares SNAP 

applicant and recipient information 

with employment and wage information 

maintained in the National Directory of 

New Hires (NDNH). The outcomes of 

the compared information help state 

SNAP agencies with verifying and 

determining an individual’s benefit 

eligibility. To receive NDNH 

information, state agencies enter into a 

computer matching agreement and 

adhere to its terms and conditions, 

including providing OCSE with annual 

performance outcomes that are 

attributable to the use of NDNH 

information. 

To fulfill OMB requirements, OCSE 

periodically reports performance 

measurements demonstrating how the 

use of information in the NDNH 

supports OCSE’s strategic mission, 

goals, and objectives. OCSE will provide 

the annual SNAP performance outcomes 

to OMB. 

Respondents: State SNAP Agencies. 

ANNUAL BURDEN ESTIMATES

Instrument Total number 

of respondents 

Number of 

responses per 

respondent 

Average 

burden hours 

per response 

Total 

burden 

hours 

SNAP Agency Performance Reporting Tool and Instructions ......................... 53 1 0.83 43.99 

Estimated Total Annual Burden 

Hours: 43.99. 

Comments: 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. OCSE will consider 

comments and suggestions submitted 

within 60 days of this publication. 

Authority: 42 U.S.C. 653(j)(10); 5 U.S.C. 

552a; and Pub. L. 111–352. 

Mary B. Jones, 

ACF/OPRE Certifying Officer. 

[FR Doc. 2021–12057 Filed 6–8–21; 8:45 am] 

BILLING CODE 4184–41–P 

DEPARTMENT OF HEALTH AND 

HUMAN SERVICES 

Administration for Children and 

Families 

Proposed Information Collection 

Activity; Evaluation of the Family 

Unification Program—Extension (OMB 

#0970–0514) 

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) at the U.S. 

Department of Health and Human 


lotter on DSK11XQN23PROD with NOTICES1