Federal Register / Vol. 82, No. 195 / Wednesday, October 11, 2017 / Notices 47211 

ADDRESSES: When commenting on the 

proposed information collections, 

please reference the document identifier 

or OMB control number. To be assured 

consideration, comments and 

recommendations must be received by 

the OMB desk officer via one of the 

following transmissions: OMB, Office of 

Information and Regulatory Affairs, 

Attention: CMS Desk Officer, Fax 

Number: (202) 395–5806 OR, Email: 

OIRA_submission@omb.eop.gov. 

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’ Web site address at 

https://www.cms.gov/Regulations-andGuidance/Legislation/Paperwork

ReductionActof1995/PRA-Listing.html. 

2. Email your request, including your 

address, phone number, OMB number, 

and CMS document identifier, to 

Paperwork@cms.hhs.gov. 

3. Call the Reports Clearance Office at 

(410) 786–1326. 

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 change 

of a previously approved collection; 

Title of Information Collection: 

Identification of Extension Units of 

Medicare Approved Outpatient Physical 

Therapy/Outpatient Speech Pathology 

(OPT/OSP) Providers and Supporting 

Regulations; Use: The provider uses the 

form to report to the state survey agency 

extension locations that it has added 

since the date of last report. The form 

is used by the state survey agencies and 

by our regional offices to identify and 

monitor extension locations to ensure 

their compliance with the federal 

requirements for the providers of 

outpatient physical therapy and speechlanguage pathology services. Form 

Number: CMS–381 (OMB control 

number: 0938–0273); Frequency: 

Annually; Affected Public: Private 

Sector; Business or other for-profit and 

not-for-profit institutions; Number of 

Respondents: 2,161; Total Annual 

Responses: 2,161; Total Annual Hours: 

540. (For policy questions regarding this 

collection contact Peter Ajuonuma at 

410–786–3580.) 

Dated: October 5, 2017. 

William N. Parham, III, 

Director, Paperwork Reduction Staff, Office 

of Strategic Operations and Regulatory 

Affairs. 

[FR Doc. 2017–21875 Filed 10–10–17; 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: Renewal of the Low Income 

Home Energy Assistance Program 

(LIHEAP) Performance Data Form 

(LPDF) 

Title: LIHEAP Performance Data Form 

for Federal Fiscal Year (FFY) XXXX. 

OMB No.: 0970–0449. 

Description: In response to the 2010 

Government Accountability Office 

(GAO) report, Low Income Home Energy 

Assistance Program—Greater Fraud 

Prevention Controls are Needed (GAO– 

10–621), and in consideration of the 

recommendations issued by the Low 

Income Home Energy Assistance 

Program (LIHEAP) Performance 

Measures Implementation Work Group, 

the Office of Community Services (OCS) 

required the collection and reporting of 

the new performance measures by state 

LIHEAP grantees and the District of 

Columbia. Office of Management and 

Budget (OMB) approved the LIHEAP 

Performance Data Form (LPDF) in 

November 2014 (OMB Clearance No. 

0970–0449) that expires on October 31, 

2017. The LPDF provides for the 

collection of the following LIHEAP 

performance measures which are 

considered to be developmental as part 

of the LPDF: 

1. The benefit targeting index for high 

burden households receiving LIHEAP 

fuel assistance; 

2. The burden reduction targeting 

index for high burden households 

receiving LIHEAP fuel assistance; 

3. The number of households where 

LIHEAP prevented a potential home 

energy crisis; and 

4. The number of households where 

LIHEAP benefits restored home energy. 

All State LIHEAP grantees and the 

District of Columbia are required to 

complete the LPDF data through the 

Administration for Children and 

Families’ (ACF) web-based data 

collection and reporting system, the 

Online Data Collection (OLDC), which 

is available at: https://

home.grantsolutions.gov/home. The 

reporting requirements will be 

described through OLDC. 

The previous OMB-approved LIHEAP 

Grantee Survey on sources and uses of 

LIHEAP funds was added in 2014 to the 

LPDF as an addition to the LIHEAP 

performance data. No substantive 

changes are being proposed for this data 

collection activity. A sample of the draft 

form is available for viewing here: 

https://www.acf.hhs.gov/ocs/resource/ 

funding-applications. 

The form is divided into the following 

three modules to add clarity: 

Module 1. LIHEAP Grantee Survey 

(Required Reporting) 

Module 1 of the LPDF will continue 

to require the following data from each 

state for the federal fiscal year: 

• Grantee information, 

• sources and uses of LIHEAP funds, 

• average LIHEAP household 

benefits, and 

• maximum income cutoffs for 4- 

person households for each type of 

LIHEAP assistance provided by each 

grantee for the fiscal year. 

Module 2. LIHEAP Performance 

Measures (Required Reporting) 

Module 2 of the LPDF will continue 

to require the following data from each 

state for the federal fiscal year: 

• Grantee information, 

• energy burden targeting, 

• restoration of home energy service, 

and 

• prevention of loss of home energy. 

Module 3. LIHEAP Performance 

Measures (Optional Reporting) 

Module 3 of the LIHEAP LPDF will 

continue to voluntarily collect the 

following additional information from 

each interested grantee for the federal 

fiscal year: 

• Average annual energy usage, 

• Unduplicated number of 

households using supplemental heating 

fuel and air conditioning, 


asabaliauskas on DSKBBXCHB2PROD with NOTICES
47212 Federal Register / Vol. 82, No. 195 / Wednesday, October 11, 2017 / Notices 

• Unduplicated number of 

households that had restoration of home 

energy service, and 

• Unduplicated number of 

households that had prevention of loss 

of home energy. 

Based on the data collected in the 

LPDF: 

• ACF will provide reliable and 

complete LIHEAP fiscal and household 

data to Congress in the Department’s 

annual LIHEAP Report to Congress. 

• ACF will calculate LHEAP 

performance measures and report the 

results through the annual budget 

development process and in LIHEAP’s 

annual Congressional Justification (CJ) 

under the Government Performance and 

Results Act of 1993. 

• ACF and grantees will be informed 

about the impact LIHEAP has with 

respect to LIHEAP households’ home 

energy burden (the proportion of their 

income spent towards their home 

heating and cooling bills), including 

information on the difference between 

the average recipient and high burden 

recipients, restoring home energy 

service, and preventing loss of home 

energy service. 

• ACF will be able to respond to 

questions on sources and uses of 

LIHEAP funds from the Congress, 

Department, OMB, White House, and 

other interested parties in a timely 

manner. 

• LIHEAP grantees will be able to 

compare their own results to the results 

for other states, as well as to regional 

and national results, through the Data 

Warehouse of the LIHEAP Performance 

Management Web site as they manage 

their programs. 

Respondents: State Governments and 

the District of Columbia. 

Annual Burden Estimates 

The table below shows the estimated 

data collection and reporting burden for 

the LPDF as reported in 2014. These 

estimates are based on a small number 

of interviews conducted in 2014 with 

grantees, sub-grantees, and energy 

vendors. In support of this submission 

requesting comments, ACF is currently 

re-assessing the level of effort to collect 

and report the required data in order to 

develop updated burden estimates. The 

original 2014 estimates were based on 

grantee reporting capabilities at that 

time and included time and costs for 

initial system development. However, 

since most grantees have improved their 

reporting capabilities, many grantees 

have completed their system 

development, and ACF has furnished 

reporting resources and technical 

assistance to assist grantees, it is 

expected that the time and costs 

associated with reporting are lower than 

the original 2014 estimates show below. 

Instrument Number of 

respondents 

Number of 

responses per 

respondent 

Average 

burden hours 

per 

response 

Total burden 

hours 

Module 1: Grantee Survey 

Grantees .......................................................................................... 51 ................................... 1 3.5 .................. 178.50 

Module 2: Performance Measures 

Grantees .......................................................................................... 51 ................................... 1 100 ................. 5,100 

Sub-Grantees (in states with sub-grantee managed systems) ...... 200 (estimate) ................ 1 80 hours ......... 16,000 

Large Energy Vendors (largest 5 electric, 5 gas, 10 fuel oil, and 

10 propane vendors per state—average).

1,530 (estimate) ............. 1 40 hours ......... 61,200 

Small Energy Vendors (excluded except in special circumstances).200 ................................. 1 10 ................... 2,000 

Total Annual Burden Hours ..................................................... 2,032 .............................. 1 Varies ............. 84,478 

Estimated Total Annual Burden 

Hours: 168,956.50. 

In compliance with the requirements 

of the Paperwork Reduction Act of 1995 

(Pub. L. 104–13, 44 U.S.C. Chap 35), 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 Planning, Research 

and Evaluation, 330 C Street SW., 

Washington, DC 20201. Attn: ACF 

Reports Clearance Officer. Email 

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) 

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. 

Mary Jones, 

Reports Clearance Officer. 

[FR Doc. 2017–21774 Filed 10–10–17; 8:45 am] 

BILLING CODE 4184–80–P 

DEPARTMENT OF HEALTH AND 

HUMAN SERVICES 

Administration for Children and 

Families 

[OMB No. 0970–0356] 

Proposed Information Collection 

Activity; Comment Request 

Title: Formative Data Collections for 

ACF Research and Program Support 

Description: The Office of Planning, 

Research, and Evaluation (OPRE), in the 

Administration for Children and 

Families (ACF) at the U.S. Department 

of Health and Human Services (HHS) 

intends to request approval from the 

Office of Management and Budget 

(OMB) to renew a generic clearance to 

conduct a variety of formative data 

collections with more than nine 

respondents. The data collections will 

inform future research and program 


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