Federal Register / Vol. 73, No. 159 / Friday, August 15, 2008 / Notices 47955 

Monthly, Quarterly and Yearly; Affected 

Public: Business or Other For-Profits 

and Not-for-Profit Institutions; Number 

of Respondents: 12,037; Total Annual 

Responses: 300,148; Total Annual 

Hours: 75,007. 

4. Type of Information Collection 

Request: Revision of a currently 

approved collection; Title of 

Information Collection: Medicare 

Advantage & Part D Disenrollment 

Requests Collected Through 1–800–

MEDICARE; Use: Section 4001 of the 

Balanced Budget Act of 1997 amended 

the Social Security Act to add Section 

1851(c)(1), through which Medicare 

Advantage elections are made and 

changed. Section 101 of the Medicare 

Prescription Drug, Improvement, and 

Modernization Act amended the Social 

Security Act to include section 1860D–

1(b)(1), through which Medicare 

Prescription Drug Plan enrollments are 

made and changed. The disenrollment 

process offered at 1–800–MEDICARE 

provides beneficiaries with the option of 

submitting a disenrollment request to a 

neutral third party, who then processes 

the disenrollment action as a change of 

enrollment. 

The collection updates: 1. Continue to 

allow Medicare beneficiaries to 

disenroll from Medicare Advantage 

plans by calling CMS’ toll-free call 

center; 2. Continue to allow Medicare 

beneficiaries enrolled in Medicare 

Prescription Drug (Part D) Plans to 

request disenrollment from Medicare 

Prescription Drug Plans, and 3. Retire 

the CMS–R–257 Medicare Advantage 

Disenrollment Form given limited (zero) 

requests for the paper form since 2005. 

The information collected in the 

disenrollment process will be used to 

update the Medicare beneficiary’s 

Health Insurance Master Record System 

in order to disenroll the beneficiary 

from a Medicare Advantage managed 

care plan or a Medicare prescription 

drug plan on a timely basis. Form 

Number: CMS–R–257 (OMB# 0938–

0741); Frequency: Occasionally; 

Affected Public: Individuals or 

households; Number of Respondents: 

117,000; Total Annual Responses: 

117,000; Total Annual Hours: 19,539. 

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/ 

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. 

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 October 14, 2008: 

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. 

Dated: August 7, 2008. 

Michelle Shortt, 

Director, Regulations Development Group, 

Office of Strategic Operations and Regulatory 

Affairs. 

[FR Doc. E8–18958 Filed 8–14–08; 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: Evaluation of the Improving 

Child Welfare Outcome through 

Systems of Care Grant Program. 

OMB No.: 0970–0288. 

Description: The 1994 Amendments 

to the Social Security Act (SSA) 

authorize the U.S. Department of Health 

and Human Services to review State 

child and family service programs to 

ensure conformance with the 

requirements in titles IV–B and IV–E of 

SSA. Under the Final Rule, which took 

effect March 25, 2000, States are 

assessed for substantial conformity with 

certain Federal requirements for childwelfare services. The Child and Family 

Service Reviews (CFSR), administered 

by the Children’s Bureau, are designed 

to ensure conformity with Federal childwelfare requirements and, ultimately, to 

help States improve child welfare 

services and outcomes, specifically 

safety, permanency and well-being 

outcomes for child-welfare-involved 

children and their families. States 

determined not to have achieved 

substantial conformity in any of the 

areas assessed are required to develop 

and implement Program Improvement 

Plans (PIP) addressing the areas of 

nonconformity. 

The Systems of Care grant cluster, 

from which these data are proposed to 

be collected, is designed to encourage 

public child-welfare agencies to address 

the issues identified in their State’s 

CPSR. The data collected from these 

demonstration sites will allow the 

Children’s Bureau to test whether this 

approach can help States reach the goals 

stated in their PIP and explore how 

child-welfare can benefit from being 

part of a system of care. Data will be 

collected via interviews, forms 

completed by project staff, surveys, 

focus groups and case-file reviews. Data 

also will be collected to determine the 

extent to which the Technical 

Assistance (TA) provided, brokered or 

contracted by the TA and Evaluation 

Center is meeting the needs of the 

grantees, and how. 

Respondents: Systems of Care Project 

Directors (members of the Systems of 

Care collaborative may include 

representatives from mental health, 

juvenile justice, education, health, 

among others); child-welfare agency 

supervisors and caseworkers; partner 

agency caseworkers; and families who 

have been involved with the childwelfare system. 

ANNUAL BURDEN ESTIMATES

Instrument Affected public Number of 

respondents 

Number of 

responses per 

respondent 

Average 

burden hours 

per response 

Total burden 

hours 

Stakeholder Survey ........................... Individuals/Households .................... 20 1 .5 10 

Private Sector .................................. 60 1 .5 30 

State/Local/Tribal ............................. 190 1 .5 95 

Child-Welfare Agency Survey ........... State/Local/Tribal ............................. 600 1 1 600 

Supervisor Interviews ........................ State/Local/Tribal ............................. 90 1 1 90 

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47956 Federal Register / Vol. 73, No. 159 / Friday, August 15, 2008 / Notices 

ANNUAL BURDEN ESTIMATES—Continued 

Instrument Affected public Number of 

respondents 

Number of 

responses per 

respondent 

Average 

burden hours 

per response 

Total burden 

hours 

Stakeholder Interviews ...................... Individuals/Households .................... 10 1 1 10 

Private Sector .................................. 30 1 1 30 

State/Local/Tribal ............................. 50 1 1 50 

Project Director Interviews ................ State/Local/Tribal ............................. 23 1 1 23 

Focus Group with Family Members .. Individuals/Households .................... 102 1 1.5 153 

Parent Partner Interviews .................. State/Local/Tribal ............................. 24 1 1 24 

Child-Welfare Agency and Partner 

agency group interviews.

Private Sector ..................................

State/Local/ Tribal ............................

80 

200 

1 

1 

1.5 

1.5 

120 

300 

Community Description Form ............ State/Local/Tribal ............................. 9 1 2.5 23 

Organizational Structure Form for 

Case Study Sites.

State/Local/Tribal ............................. 3 1 2 6 

Organizational Structure Form for 

Non-Case Study Sites.

State/Local/Tribal ............................. 20 1 1 20 

Collaborative Membership Form ....... State/Local/Tribal ............................. 23 1 1.5 35 

Training and Technical Assistance 

Quality Assurance Assessment.

State/Local/Tribal ............................. 23 1 1 23 

Training and Technical ...................... Individuals/Households .................... 2 12 .25 6 

State/Local/Tribal ............................. 8 12 .25 24 

Estimated Total Annual Burden 

Hours:.

.......................................................... ........................ ........................ ........................ 1672 

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: ACE Reports Clearance 

Officer. All requests should be 

identified by the title of the information 

collection. E-mail address: 

infocollection@acf.hhs.gov. 

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, Fax: 202–395–6974, 

Attn: Desk Officer for the 

Administration for Children and 

Families. 

Dated: August 7, 2008. 

Robert Sargis, 

Reports Clearance, Officer. 

[FR Doc. E8–18788 Filed 8–14–08; 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 

Proposed Projects 

Title: State Council on Developmental 

Disabilities Program Performance 

Report. 

OMB No.: 0980–0172. 

Description: A Developmental 

Disabilities Council Program 

Performance Report is required by 

federal statute. Each State 

Developmental Disabilities Council 

must submit an annual report for the 

preceding fiscal year of activities and 

accomplishments. Information provided 

in the Program Performance Report will 

be used (1) in the preparation of the 

biennial Report to the President, the 

Congress, and the National Council on 

Disabilities and (2) to provide a national 

perspective on program 

accomplishments and continuing 

challenges. This information will also 

be used to comply with requirements in 

the Government Performance and 

Results Act of 1993. 

Respondents: State and Tribal 

Governments. 

ANNUAL BURDEN ESTIMATES

Instrument Number of 

respondents 

Number of 

responses per 

respondent 

Average burden 

hours per 

response 

Total burden 

hours 

State Council on Program Developmental Disabilities Program 

Performance Report ..................................................................... 55 1 44 2,420 

Estimated Total Annual Burden Hours ..................................... ............................ ............................ ............................ 2,420 

In compliance with the requirements 

of Section 506(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: ACE Reports Clearance 

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