30050 Federal Register / Vol. 86, No. 106 / Friday, June 4, 2021 / Notices 

public submit reports, keep records, or 

provide information to a third party. 

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

requires federal agencies to publish a 

60-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. 

Information Collection 

1. Type of Information Collection 

Request: Extension of a currently 

approved collection; Title of 

Information Collection: Request for 

Certification in the Medicare/Medicaid 

Program for Provides of Outpatient 

Physical Therapy and/or SpeechLanguage Pathology; Use: The form is 

used as an application to be completed 

by providers of outpatient physical 

therapy and/or speech-language 

pathology services requesting 

participation in the Medicare and 

Medicaid programs. This form initiates 

the process of obtaining a decision as to 

whether the conditions of participation 

are met as a provider of outpatient 

physical therapy and/or speechlanguage pathology services. The form is 

used by the State Agencies (SAs) to 

enter the new prospective provider into 

the national surveyor database. The 

form is also used for recertification of 

the provider. Surveyors are no longer 

required to use form CMS–1856. 

Surveyors are now able to access survey 

resources electronically from the 

national surveyor database, as a result, 

the need for surveyors to carry printed 

copies of the survey information data is 

no longer efficient. Form Number: 

CMS–1856 (OMB control number: 

0938–0065); Frequency: Annually, 

occasionally; Affected Public: Private 

sector—Business or other for-profit and 

Not-for-profit institutions; Number of 

Respondents: 195; Total Annual 

Responses: 195; Total Annual Hours: 

49. (For policy questions regarding this 

collection contact Caecilia Blondiaux at 

410–786–2190.) 

Dated: June 1, 2021. 

William N. Parham, III 

Director, Paperwork Reduction Staff, Office 

of Strategic Operations and Regulatory 

Affairs. 

[FR Doc. 2021–11774 Filed 6–3–21; 8:45 am] 

BILLING CODE 4120–01–P 

DEPARTMENT OF HEALTH AND 

HUMAN SERVICES 

Administration for Children and 

Families 

Proposed Information Collection 

Activity; Head Start REACH: 

Strengthening Outreach, Recruitment, 

and Engagement Approaches With 

Families (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) within the 

U.S. Department of Health and Human 

Services (HHS) is proposing to collect 

data on different approaches that Head 

Start programs use for the recruitment, 

selection, enrollment, and retention 

(RSER) of families facing adversities and 

the community organizations with 

which it partners to support these 

activities. This study aims to present an 

internally valid description of RSER 

approaches used by six purposively 

selected programs, not to promote 

statistical generalization to different 

sites or service populations. 

DATES: Comments due within 60 days of 

publication. In compliance with the 

requirements 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. 

ADDRESSES: Copies of the proposed 

collection of information can be 

obtained and comments may be 

forwarded by emailing 

OPREinfocollection@acf.hhs.gov. 

Alternatively, copies can also be 

obtained by writing to the 

Administration for Children and 

Families, Office of Planning, Research, 

and Evaluation, 330 C Street SW, 

Washington, DC 20201, Attn: OPRE 

Reports Clearance Officer. All requests, 

emailed or written, should be identified 

by the title of the information collection. 

SUPPLEMENTARY INFORMATION: 

Description: The Head Start REACH: 

Strengthening Outreach, Recruitment, 

and Engagement Approaches with 

Families project is proposing to conduct 

qualitative case studies to examine the 

approaches used by Head Start 

programs to recruit, select, enroll, and 

retain families experiencing adversities 

and the implementation of these 

approaches, including supporting 

factors and barriers. Adversities is a 

broad term that refers to a wide range 

of circumstances or events that pose a 

threat to a child or caregiver’s physical 

or psychological well-being. The 

adversities that families experience are 

often intertwined with poverty, may cooccur, and are affected by systematic 

factors, such as structural racism. 

Common examples include (but are not 

limited to) families experiencing 

homelessness; involvement in child 

welfare, including foster care; and 

affected by substance use, mental health 

issues, and domestic violence. 

We will collect information from six 

sites; each site will include (1) a Head 

Start program that has demonstrated 

success in the RSER of families 

experiencing adversities, and (2) up to 

four of its community partner 

organizations that serve families 

experiencing adversities. 

We will collect information on how 

programs determine which adversities 

to focus on for their RSER efforts; RSER 

approaches programs use, focusing 

specifically on families experiencing 

adversities; RSER-related training and 

support that Head Start staff receive; 

partnerships that programs form with 

organizations in the community to 

support these activities; and supporting 

factors and barriers to participation of 

enrolled and non-enrolled families who 

face adversities. 

Respondents: Head Start program 

directors; Head Start staff conducting 

eligibility, recruitment, selection, 

enrollment, attendance (ERSEA) 

activities; staff from community 

organizations with which Head Start 

programs partner for ERSEA activities; 

Head Start-eligible parents enrolled in 

Head Start, and those not enrolled in 

Head Start. 

Federal Register / Vol. 86, No. 106 / Friday, June 4, 2021 / Notices 30051 

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/annual 

burden 

(in hours) 

Program director recruitment call protocol (Instrument 1) ............................... 6 1 0.50 3.0 

Program staff interview protocol: Program director (Instrument 2) a ............... 6 1 1.0 6.0 

Program staff interview protocol ERSEA staff (Instrument 2) a ....................... 24 1 1.5 36 

Head Start enrolled families focus group guide (Instrument 3) ...................... 60 1 1.5 90 

Community partner recruitment call protocol (Instrument 4) ........................... 24 1 0.17 4.0 

Community partner staff interview protocol (Instrument 5) ............................. 24 1 0.75 18 

Community partner focus group coordination b ............................................... 6 1 2.0 12 

Families not enrolled in Head Start focus group guide (Instrument 6) ........... 60 1 1.5 90 

aThere is one interview protocol for both the program director and the ERSEA staff and the interviewer will tailor it to the respondent(s). bThere is no instrument, only a document of duties associated with this activity. 

Estimated Total Annual Burden 

Hours: 259 

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. Consideration will be given 

to comments and suggestions submitted 

within 60 days of this publication. 

Authority: Head Start Act Section 640 [42 

U.S.C. 9835]. 

Mary B. Jones, 

ACF/OPRE Certifying Officer. 

[FR Doc. 2021–11777 Filed 6–3–21; 8:45 am] 

BILLING CODE 4184–22–P 

DEPARTMENT OF HEALTH AND 

HUMAN SERVICES 

Administration for Community Living 

Intent To Award 54 Single-Source 

Supplements for Current Senior 

Medicare Patrol (SMP) State Grantee 

ACTION: Notice of single-source 

supplements. 

SUMMARY: The Administration for 

Community Living (ACL) announces the 

intent to award 54 administrative 

supplements in the form of cooperative 

agreements to existing SMP project 

grantees to further support SMP 

activities in each state, the District of 

Columbia, Guam, Puerto Rico, and the 

U.S. Virgin Islands. The purpose of 

existing grantees’ work is to empower 

and assist Medicare beneficiaries, their 

families, and caregivers to prevent, 

detect, and report health care fraud, 

errors, and abuse through outreach, 

counseling, and education with an 

emphasis on reaching Medicare 

beneficiaries with limited income and 

those residing in rural areas. The 

administrative supplements for FY 2021 

will be distributed via formula to the 

existing 54 SMP state grantees, bringing 

the total for the supplement awards to 

$2,002,468. These current SMP grantees 

will use this funding to further enhance 

or expand existing and prior established 

plans to empower and assist Medicare 

beneficiaries, their families, and 

caregivers to prevent, detect, and report 

health care fraud, errors, and abuse 

through outreach, counseling, and 

education. This additional funding will 

be targeted to reach Medicare 

beneficiaries with limited income, and/ 

or those residing in rural areas. 

FOR FURTHER INFORMATION CONTACT: For 

further information or comments 

regarding this program supplement, 

contact Marissa Whitehouse, U.S. 

Department of Health and Human 

Services, Administration for 

Community Living, Center for Integrated 

Programs, Office of Healthcare 

Information and Counseling; telephone 

(202) 795–7425; email 

Marissa.Whitehouse@acl.hhs.gov. 

SUPPLEMENTARY INFORMATION: 

Program Name: Senior Medicare 

Patrol (SMP). 

Recipient: 54 current SMP grantees. 

Current grantee State 

FY21 ACL 

recommended 

supplement 

amount 

Alabama Dept of Senior Services ........................................................................................................... Alabama ......................... $41,488 

Alaska Department of Health and Social Services ................................................................................. Alaska ............................ 4,408 

Arizona Department of Economic Security ............................................................................................. Arizona ........................... 32,105 

Arkansas Department of Human Services .............................................................................................. Arkansas ........................ 36,963 

California Health Advocates .................................................................................................................... California ........................ 170,823 

Colorado Division of Insurance ............................................................................................................... Colorado ........................ 22,047 

The Department of Rehabilitation Services ............................................................................................ Connecticut .................... 16,044 

Delaware Division of Social Services ..................................................................................................... Delaware ........................ 4,199 

Legal Counsel For The Elderly ............................................................................................................... District of Columbia ....... 2,658 

Florida Department of Elder Affairs ........................................................................................................ Florida ............................ 116,372 

Eqhealth Solutions, Inc ........................................................................................................................... Georgia .......................... 59,236 

Guam Department of Public Health & Social Services .......................................................................... Guam ............................. 1,318 

Hawaii Department of Health .................................................................................................................. Hawaii ............................ 10,665 

Idaho Commission on Aging ................................................................................................................... Idaho .............................. 12,481 

AgeOptions, Inc ....................................................................................................................................... Illinois ............................. 65,894