48514 Federal Register / Vol. 82, No. 200 / Wednesday, October 18, 2017 / Notices 

Board of Governors of the Federal Reserve 

System, October 13, 2017. 

Michele Taylor Fennell, 

Assistant Secretary of the Board. 

[FR Doc. 2017–22621 Filed 10–17–17; 8:45 am] 

BILLING CODE P 

DEPARTMENT OF HEALTH AND 

HUMAN SERVICES 

Centers for Medicare & Medicaid 

Services 

[Document Identifier: CMS–10054 and CMS– 

10106] 

Agency Information Collection 

Activities: Proposed Collection; 

Comment Request 

AGENCY: Centers for Medicare & 

Medicaid 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 (the 

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 

60 days for public comment on the 

proposed action. Interested persons are 

invited to send comments regarding our 

burden estimates 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 must be received by 

December 18, 2017. 

ADDRESSES: When commenting, please 

reference the document identifier or 

OMB control number. To be assured 

consideration, comments and 

recommendations must be submitted in 

any one of the following ways: 

1. Electronically. You may send 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) that are 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 Numberlll, Room C4–26– 

05, 7500 Security Boulevard, Baltimore, 

Maryland 21244–1850. 

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 

http://www.cms.hhs.gov/ 

PaperworkReductionActof1995. 

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: 

Contents 

This notice sets out a summary of the 

use and burden associated with the 

following information collections. More 

detailed information can be found in 

each collection’s supporting statement 

and associated materials (see 

ADDRESSES). 

CMS–10054 New Technology 

Payments for APCs Under the 

Outpatient Prospective Payment 

System 

CMS–10106 Medicare Authorization 

to Disclose Personal Health 

Information 

Under the 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 

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: Reinstatement without change 

of a previously approved collection; 

Title of Information Collection: New 

Technology Payments for APCs Under 

the Outpatient Prospective Payment 

System; Use: CMS needs to keep pace 

with emerging new technologies and 

make them accessible to Medicare 

beneficiaries in a timely manner. It is 

necessary that we continue to collect 

appropriate information from interested 

parties such as hospitals, medical 

device manufacturers, pharmaceutical 

companies and others that bring to our 

attention specific services that they 

wish us to evaluate for New Technology 

APC payment. We are making no 

changes to the information that we 

collect. The information that we seek to 

continue to collect is necessary to 

determine whether certain new services 

are eligible for payment in New 

Technology APCs, to determine 

appropriate coding and to set an 

appropriate 4 payment rate for the new 

technology service. The intent of these 

provisions is to ensure timely 

beneficiary access to new and 

appropriate technologies Form Number: 

CMS–10054 (OMB control number: 

0938–0860); Frequency: Annually; 

Affected Public: Private Sector; Business 

or Other for-profits; Number of 

Respondents: 10; Total Annual 

Responses: 10; Total Annual Hours: 

160. (For policy questions regarding this 

collection contact Joshua McFeeters at 

410–786–9732). 

2. Type of Information Collection 

Request: Extension of a currently 

approved collection; Title of 

Information Collection: Medicare 

Authorization to Disclose Personal 

Health Information; Use: Unless 

permitted or required by law, the Health 

Insurance Portability and 

Accountability Act (HIPAA) Privacy 

Rule (§ 164.508) prohibits Medicare (a 

HIPAA covered entity) from disclosing 

an individual’s protected health 

information without a valid 

authorization. In order to be valid, an 

authorization must include specified 

core elements and statements. Medicare 

will make available to Medicare 

beneficiaries a standard, valid 

authorization to enable beneficiaries to 

request the disclosure of their protected 

health information. This standard 

authorization will simplify the process 

of requesting information disclosure for 

beneficiaries and minimize the response 

time for Medicare. Form CMS–10106, 

the Medicare Authorization to Disclose 

Personal Health Information, will be 

used by Medicare beneficiaries to 

authorize Medicare to disclose their 

protected health information to a third 

party. Form Number: CMS–10106 (OMB 

control number: 0938–0930); Frequency: 

Occasionally; Affected Public: 


ethrower on DSK3G9T082PROD with NOTICES
Federal Register / Vol. 82, No. 200 / Wednesday, October 18, 2017 / Notices 48515 

Individuals or Households; Number of 

Respondents: 2,200,000; Total Annual 

Responses: 2,200,000; Total Annual 

Hours: 550,000. (For policy questions 

regarding this collection contact Sam 

Jenkins at 410–786–3261.) 

Dated: October 13, 2017. 

William N. Parham, III, 

Director, Paperwork Reduction Staff, Office 

of Strategic Operations and Regulatory 

Affairs. 

[FR Doc. 2017–22630 Filed 10–17–17; 8:45 am] 

BILLING CODE 4120–01–P 

DEPARTMENT OF HEALTH AND 

HUMAN SERVICES 

Administration for Children and 

Families 

[OMB No.: 0970–0426] 

Submission for OMB Review; 

Comment Request; Child and Family 

Services Plan (CFSP), Annual Progress 

and Services Review (APSR), and 

Annual Budget Expenses Request and 

Estimated Expenditures (CFS–101) 

Description: Under title IV–B, 

subparts 1 and 2, of the Social Security 

Act (the Act), States, Territories, and 

Tribes are required to submit a Child 

and Family Services Plan (CFSP). The 

CFSP lays the groundwork for a system 

of coordinated, integrated, and 

culturally relevant family services for 

the subsequent five years (45 CFR 

1357.15(a)(1)). The CFSP outlines 

initiatives and activities the State, 

Territory, and Tribes will carry out in 

administering programs and services to 

promote the safety, permanency, and 

well-being of children and families, 

including, as applicable, those activities 

conducted under the John H. Chafee 

Foster Care Independence Program 

(Section 477 of the Act) and the State 

grant authorized by the Child Abuse 

Prevention and Treatment Act. By June 

30 of each year, States, Territories, and 

Tribes are also required to submit an 

Annual Progress and Services Report 

(APSR) and a financial report called the 

CFS–101. The APSR is a yearly report 

that discusses progress made by a State, 

Territory or Tribe in accomplishing the 

goals and objectives cited in its CFSP 

(45 CFR 1357.16(a)). The APSR contains 

new and updated information about 

service needs and organizational 

capacities throughout the five-year plan 

period. The CFS–101 has three parts. 

Part I is an annual budget request for the 

upcoming fiscal year. Part II includes a 

summary of planned expenditures by 

program area for the upcoming fiscal 

year, the estimated number of 

individuals or families to be served, and 

the geographical service area. Part III 

includes actual expenditures by 

program area, numbers of families and 

individuals served by program area, and 

the geographic areas served for the last 

complete fiscal year. 

Respondents: States, Territories, and 

Tribes must complete the CFSP, APSR, 

and CFS–101. States and Territories 

must also report data annually on 

caseworker visits with children in foster 

care. Tribes are exempted from the 

caseworker visits reporting requirement 

of the CFSP/APSR. There are 

approximately 189 Tribal entities that 

currently receive IV–B funding. There 

are 53 States (including Puerto Rico, the 

District of Columbia, and the U.S. Virgin 

Islands) that must complete the CFSP, 

APSR, and CFS–101. There are a total of 

242 possible respondents. 

ANNUAL BURDEN ESTIMATES

Instrument Number of 

respondents 

Number of 

responses per 

respondent 

Average 

burden hours 

per response 

Total burden 

hours 

APSR ............................................................................................................... 242 1 80 19,360 

CFSP ............................................................................................................... 48.4 1 120.25 5,820.10 

CFS–101, Parts I, II, and III ............................................................................ 242 1 5 1,210 

Caseworker Visits ............................................................................................ 53 1 99.33 5,264.49 

Estimated Total Annual Burden 

Hours: 31,654.59. 

Additional Information: Copies of the 

proposed collection may 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: Reports Clearance Officer. All 

requests should be identified by the title 

of the information collection. Email 

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, Email: OIRA_

SUBMISSION@OMB.EOP.GOV, Attn: 

Desk Officer for the Administration for 

Children and Families. 

Mary Jones, 

ACF/OPRE Certifying Officer. 

[FR Doc. 2017–22519 Filed 10–17–17; 8:45 am] 

BILLING CODE 4184–25–P 

DEPARTMENT OF HEALTH AND 

HUMAN SERVICES 

Food and Drug Administration 

[Docket No. FDA–2017–N–1003] 

Center for Devices and Radiological 

Health: Experiential Learning Program 

AGENCY: Food and Drug Administration, 

HHS. 

ACTION: Notice of availability. 

SUMMARY: The Food and Drug 

Administration’s (FDA) Center for 

Devices and Radiological Health (CDRH 

or Center) is announcing the 2018 

Experiential Learning Program (ELP). 

This training is intended to provide 

CDRH and other FDA staff with an 

opportunity to understand laboratory 

practices, quality system management, 

patient perspective/input, and 

challenges that impact the medical 

device development life cycle. The 

purpose of this document is to invite 

medical device industry, academia, and 

health care facilities, and others to 

participate in this formal training 

program for CDRH and other FDA staff, 

or to contact CDRH for more 

information regarding the ELP. 

DATES: Submit electronic proposals for 

participation in the ELP within the 

dates provided at the ELP Web site at: 

https://www.fda.gov/scienceresearch/ 

sciencecareeropportunities/ 

ucm380676.htm. 

ADDRESSES: For access to the docket to 

read background documents, go to 

https://www.regulations.gov and insert 


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