36718 Federal Register / Vol. 74, No. 141 / Friday, July 24, 2009 / Notices 

automated collection techniques or 

other forms of information technology to 

minimize the information collection 

burden. 

1. Type of Information Collection 

Request: Revision of a currently 

approved collection; Title of 

Information Collection: Medicaid and 

Children’s Health Insurance (CHIP) 

Managed Care; Use: The Payment Error 

Rate Measurement (PERM) program 

measures improper payments for 

Medicaid and the State Children’s 

Health Insurance Program (SCHIP). The 

program was designed to comply with 

the Improper Payments Information Act 

(IPIA) of 2002 and the Office of 

Management and Budget (OMB) 

guidance. Although OMB guidance 

requires error rate measurement for 

SCHIP, 2009 SCHIP legislation 

temporarily suspended PERM 

measurement for this program and 

changed to Children’s Health Insurance 

Program (CHIP) effective April 01, 2009. 

See Children’s Health Insurance 

Program Reauthorization Act of 2009 

(CHIPRA) Public Law 111–3 for more 

details. 

There are two phases of the PERM 

program, the measurement phase and 

the corrective action phase. PERM 

measures improper payments in 

Medicaid and CHIP and produces State 

and national-level error rates for each 

program. The error rates are based on 

reviews of Medicaid and CHIP fee-forservice (FFS) and managed care 

payments made in the Federal fiscal 

year under review. States conduct 

eligibility reviews and report eligibility 

related payment error rates also used in 

the national error rate calculation. CMS 

created a 17 State rotation cycle so that 

each State will participate in PERM 

once every three years. 

The information collected from the 

selected States will be used by Federal 

contractors to conduct Medicaid and 

CHIP managed care data processing 

reviews on which State-specific error 

rates will be calculated. The quarterly 

capitation payments will provide the 

contractor with the actual claims to be 

sampled. The managed care contracts, 

rate schedules, and updates to both, will 

be used by the Federal contractor when 

conducting the managed care claims 

reviews. Form Number: CMS–10178 

(OMB#: 0938–0994); Frequency: 

Reporting—Occasionally; Affected 

Public: State, Local, or Tribal 

governments; Number of Respondents: 

34; Total Annual Responses: 2,040; 

Total Annual Hours: 28,050. (For policy 

questions regarding this collection 

contact Nicole Perry at 410–786–8786. 

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/ 

PaperworkReductionActof1995, 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 September 22, 2009: 

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: July 16, 2009. 

Michelle Shortt, 

Director, Regulations Development Group, 

Office of Strategic Operations and Regulatory 

Affairs. 

[FR Doc. E9–17604 Filed 7–23–09; 8:45 am] 

BILLING CODE 4120–01–P 

DEPARTMENT OF HEALTH AND 

HUMAN SERVICES 

Centers for Medicare and Medicaid 

Services 

[Document Identifier: CMS–10184] 

Emergency Clearance: Public 

Information Collection Requirements 

Submitted to the Office of Management 

and Budget (OMB) 

AGENCY: Centers for Medicare and 

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 and 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 functions; 

(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. 

We are, however, requesting an 

emergency review of the information 

collection referenced below. In 

compliance with the requirement of 

section 3506(c)(2)(A) of the Paperwork 

Reduction Act of 1995, we have 

submitted to the Office of Management 

and Budget (OMB) the following 

requirements for emergency review. We 

are requesting an emergency review 

because the collection of this 

information is needed before the 

expiration of the normal time limits 

under OMB’s regulations at 5 CFR part 

1320(a)(2)(ii). This is necessary to 

ensure compliance with an initiative of 

the Administration. We cannot 

reasonably comply with the normal 

clearance procedures because of an 

unanticipated event, as stated in 5 CFR 

1320.13(a)(2)(iii). The Centers for 

Medicare and Medicaid Services (CMS) 

is requesting that an information 

collection request (ICR) for the Payment 

Error Rate Measurement (PERM) and 

Medicaid Eligibility Quality Control 

(MEQC), be processed under the 

emergency clearance process. Approval 

of this package is essential in order to 

comply with the Children’s Health 

Insurance Program Reauthorization Act 

(CHIPRA). CHIPRA requires CMS to 

give States in a year that they are 

participating in PERM the option to 

substitute MEQC data to complete the 

requirements of the PERM eligibility 

review and also the option to substitute 

PERM eligibility data to complete the 

requirements of the MEQC review. 

CHIPRA makes the substitution of 

MEQC data effective April 1, 2009 and 

CMS must implement this option 

quickly for States to use. 

In addition, a State in the ongoing 

Fiscal Year (FY) 2009 cycle has already 

implemented this option but has no 

means to report the data to CMS. CMS 

also has an upcoming cycle for FY 2010 

in which more States will consider 

substituting MEQC data for the coming 

PERM measurement. CMS hopes that 

with an emergency approval of this PRA 

package, the FY 2009 cycle can continue 

and the FY 2010 cycle can begin as 


srobinson on DSKHWCL6B1PROD with NOTICES
Federal Register / Vol. 74, No. 141 / Friday, July 24, 2009 / Notices 36719 

close to the scheduled start date as 

possible. 

1. Type of Information Collection 

Request: Revision of a currently 

approved collection; Title of 

Information Collection: Eligibility Error 

Rate Measurement in Medicaid and the 

Children’s Health Insurance Program; 

Use: The collection of information is 

necessary for CMS to produce national 

error rates for Medicaid and CHIP as 

required by Public Law 107–300, the 

IPIA of 2002. The collection of 

information is also necessary to 

implement provisions from the 

Children’s Health Insurance Program 

Reauthorization Act of 2009 (CHIPRA) 

(Pub. L. 111–3) with regard to the 

Medicaid Eligibility Quality Control 

(MEQC) and Payment Error Rate 

Measurement (PERM) programs. The 

information collected from the States 

selected for review will be used by CMS 

to ensure States use a statistically sound 

sampling methodology, to ensure the 

States complete reviews on all cases 

sampled, and will be used by the federal 

contractor to calculate State and 

national Medicaid and CHIP eligibility 

error rates. Form Number: CMS–10184 

(OMB#: 0938–1012); Frequency: 

Reporting—Occasionally; Affected 

Public: State, Local, Tribal 

Governments; Number of Respondents: 

34; Total Annual Responses: 53; Total 

Annual Hours: 942,764. (For policy 

questions regarding this collection 

contact Jessica Woodard at 410–786– 

9249. For all other issues call 410–786– 

1326.) 

CMS is requesting OMB review and 

approval of this collection by August 21, 

2009, with a 180-day approval period. 

Written comments and 

recommendations will be considered 

from the public if received by the 

individuals designated below by August 

10, 2009. 

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/ 

regulations/pra 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. 

Interested persons are invited to send 

comments regarding the burden or any 

other aspect of these collection of 

information requirements. However, as 

noted above, comments on these 

information collection and 

recordkeeping requirements must be 

mailed and/or faxed to the designees 

referenced below by August 10, 2009. 

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. 

3. By Facsimile or E-mail to OMB. 

OMB, Office of Information and 

Regulatory Affairs, Attention: CMS Desk 

Officer, Fax Number: (202) 395–6974, Email: OIRA_submission@omb.eop.gov. 

Dated: July 17, 2009. 

Michelle Shortt, 

Director, Regulations Development Group, 

Office of Strategic Operations and Regulatory 

Affairs. 

[FR Doc. E9–17603 Filed 7–23–09; 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: Procedures for Requests to use 

Child Care and Development Fund for 

Construction or Major Renovation of 

Child Care Facilities. 

OMB No.: 0970–0160. 

Description: The Child Care and 

Development Block Grant Act, as 

amended, allows Indian Tribes to use 

Child Care and Development Fund 

(CCDF) grant awards for construction 

and renovation of child care facilities. A 

tribal grantee must first request and 

receive approval from the 

Administration for Children and 

Families (ACF) before using CCDF funds 

for construction or major renovation. 

This information collection contains the 

statutorily-mandated uniform 

procedures for the solicitation and 

consideration of requests, including 

instructions for preparation of 

environmental assessments in 

conjunction with the National 

Environmental Policy Act. The 

proposed draft procedures update the 

procedures that were originally issued 

in August 1997 and last updated in May 

2007. Respondents will be CCDF tribal 

grantees requesting to use CCDF funds 

for construction or major renovation. 

Respondents: Tribal Child Care Lead 

Agencies acting on behalf of Tribal 

Governments. 

ANNUAL BURDEN ESTIMATES

Instrument Number of 

respondents 

Number of 

responses per 

respondent 

Average 

burden hours 

per response 

Total burden 

hours 

Construction or Major Renovation of Tribal Child Care Facilities ................... 10 1 20 200 

Estimated Total Annual Burden 

Hours: 200. 

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: 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) 


srobinson on DSKHWCL6B1PROD with NOTICES