Federal Register / Vol. 80, No. 60 / Monday, March 30, 2015 / Notices
supplier that tells us whether it meets
certain qualifications to be a DMEPOS
supplier (as found in 42 CFR 424.57(c))
and where it practices or renders its
services. The site investigation form has
been used in the past to aid in verifying
compliance with the required supplier
standards found in 42 CFR 424.57(c). No
revisions have been made to this form
since the last submission for OMB
approval. Form Number: CMS–R–263
(OMB Control Number: 0938–0749);
Frequency: Occasionally; Affected
Public: Private Sector (Business or other
for-profits and Not-for-profit
institutions); Number of Respondents:
30,000; Total Annual Responses:
30,000; Total Annual Hours: 15,000.
(For policy questions regarding this
collection contact Kim McPhillips at
410–786–5374).
Dated: March 25, 2015.
William N. Parham, III,
Director, Paperwork Reduction Staff, Office
of Strategic Operations and Regulatory
Affairs.
[FR Doc. 2015–07219 Filed 3–27–15; 8:45 am]
BILLING CODE 4120–01–P
DEPARTMENT OF HEALTH AND
HUMAN SERVICES
Centers for Medicare & Medicaid
Services
[Document Identifier: CMS–10558 and CMS–
10463]
Agency Information Collection
Activities: Proposed Collection;
Comment Request
Centers for Medicare &
Medicaid Services, HHS.
ACTION: Notice.
AGENCY:
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
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,
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SUMMARY:
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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.
DATES: Comments must be received by
May 29, 2015.
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 Number lll, 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
[email protected].
3. Call the Reports Clearance Office at
(410) 786–1326.
FOR FURTHER INFORMATION CONTACT:
Reports Clearance Office at (410) 786–
1326.
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–10558 Information Collection for
Machine Readable Data for Provider
Network and Prescription
Formulary Content for FFM QHPs
CMS–10463 Cooperative Agreement to
Support Navigators in FederallyFacilitated and State Partnership
Exchanges
Under the PRA (44 U.S.C. 3501–
3520), federal agencies must obtain
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16687
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. Title of Information Collection:
Information Collection for Machine
Readable Data for Provider Network and
Prescription Formulary Content for FFM
QHPs; Type of Information Collection
Request: New collection (Request for a
new OMB control number); Use: For
plan years beginning on or after January
1, 2016, qualified health plan (QHP)
issuers must make available provider
and formulary data in a machinereadable format. As required by the final
rule Patient Protection and Affordable
Care Act; HHS Notice of Benefit and
Payment Parameters for 2016 (CMS–
9944–F), 80 Federal Register 10750
February 27, 2015, QHP issuers in the
Federally-facilitated Marketplaces
(FFMs) are required to publish
information regarding their formulary
drug lists and provider directories on its
Web site in an HHS-specified format, in
a format and at times determined by
HHS. Form Number: CMS–10558 (0938New); Frequency: Monthly; Affected
Public: Private Sector (Business or other
For-profits and Not-for-Profit
institutions); Number of Respondents:
475; Number of Responses: 36; Total
Annual Hours: 79,800. (For questions
regarding this collection, contact LisaAnn Bailey at (301) 492- 4169.)
2. Type of Information Collection
Request: Revision of a currently
approved information collection; Title
of Information Collection: Cooperative
Agreement to Support Navigators in
Federally-facilitated and State
Partnership Exchanges; Use: Section
1311(i) of the Affordable Care Act
requires Exchanges to establish a
Navigator grant program as part of its
function to provide consumers with
assistance when they need it. Navigators
will assist consumers by providing
education about and facilitating
selection of qualified health plans
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Federal Register / Vol. 80, No. 60 / Monday, March 30, 2015 / Notices
(QHPs) within Exchanges, as well as
other required duties. Section 1311(i)
requires that an Exchange operating as
of January 1, 2014, must establish a
Navigator Program under which it
awards grants to eligible individuals or
entities who satisfy the requirements to
be Exchange Navigators. In States with
a Federally-facilitated Marketplace
(FFM) or State Partnership Marketplace
(SPM), we will be awarding these
grants. Navigator awardees must
provide weekly, monthly, quarterly, and
annual progress reports to us on the
activities performed during the grant
period and any sub-awardees receiving
funds. Form Number: CMS–10463
(OMB Control Number: 0938–1215);
Frequency: Annually; Quarterly;
Monthly; Weekly; Affected Public:
Private sector (For-profit and Not-forprofit institutions); Number of
Respondents: 102; Total Annual
Responses: 7,038; Total Annual Hours:
29,226. (For policy questions regarding
this collection, contact Julia Dreier at
301–492–4123.)
Dated: March 24, 2015.
William N. Parham, III,
Director, Paperwork Reduction Staff, Office
of Strategic Operations and Regulatory
Affairs.
[FR Doc. 2015–07089 Filed 3–27–15; 8:45 am]
BILLING CODE 4120–01–P
DEPARTMENT OF HOMELAND
SECURITY
United States Immigration and
Customs Enforcement
[File No. I–352, Immigration Bond; OMB
Control No. 1653–0022]
Agency Information Collection
Activities: Extension, With Change, of
an Existing Information Collection;
Comment Request
60-Day notice of information
collection.
mstockstill on DSK4VPTVN1PROD with NOTICES
ACTION:
The Department of Homeland
Security, U.S. Immigration and Customs
Enforcement (ICE), is submitting the
following information collection request
for review and clearance in accordance
with the Paperwork Reduction Act of
1995. The information collection is
published in the Federal Register to
obtain comments from the public and
affected agencies. Comments are
encouraged and will be accepted for
sixty days until May 29, 2015.
Written comments and suggestions
regarding items contained in this notice,
and especially with regard to the
estimated public burden and associated
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response time should be directed to the
Department of Homeland Security
(DHS), Scott Elmore, Forms
Management, U.S. Immigration and
Customs Enforcement, 801 I Street NW.,
Stop 5800, Washington, DC 20536.
Written comments and suggestions
from the public and affected agencies
concerning the proposed collection of
information should address one or more
of the following four points:
(1) Evaluate whether the proposed
collection of information is necessary
for the proper performance of the
functions of the agency, including
whether the information will have
practical utility;
(2) Evaluate the accuracy of the
agencies estimate of the burden of the
proposed collection of information,
including the validity of the
methodology and assumptions used;
(3) Enhance the quality, utility, and
clarity of the information to be
collected; and
(4) Minimize the burden of the
collection of information on those who
are to respond, including through the
use of appropriate automated,
electronic, mechanical, or other
technological collection techniques or
other forms of information technology,
e.g., permitting electronic submission of
responses.
Overview of This Information
Collection
(1) Type of Information Collection:
Extension, with change, of an existing
information collection.
(2) Title of the Form/Collection:
Immigration Bond.
(3) Agency form number, if any and
the applicable component of the
Department of Homeland Security
sponsoring the collection: I–352, U.S.
Immigration and Customs Enforcement.
(4) Affected public who will be asked
or required to respond, as well as a brief
abstract: Primary: Individual or
Households; Business or other for-profit.
The data collected on this collection
instrument is used by ICE to ensure that
the person or company posting the bond
is aware of the duties and
responsibilities associated with the
bond. The collection instrument serves
the purpose of instruction in the
completion of the form, together with an
explanation of the terms and conditions
of the bond. Sureties have the capability
of accessing, completing and submitting
a bond electronically through ICE’s
eBonds system which encompasses the
I–352, while individuals are still
required to complete the bond form
manually.
(5) An estimate of the total number of
respondents and the amount of time
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estimated for an average respondent to
respond: 25,000 responses at 30 minutes
(.50 hours) per response.
(6) An estimate of the total public
burden (in hours) associated with the
collection: 12,500 annual burden hours.
Comments and/or questions; requests
for a copy of the proposed information
collection instrument, with instructions;
or inquiries for additional information
should be directed to: Scott Elmore,
Forms Management, U.S. Immigration
and Customs Enforcement, 801 I Street
NW., Stop 5800, Washington, DC 20536.
Dated: March 24, 2015.
Scott Elmore,
Forms Management, U.S. Immigration and
Customs Enforcement, Department of
Homeland Security.
[FR Doc. 2015–07131 Filed 3–27–15; 8:45 am]
BILLING CODE 9111–28–P
DEPARTMENT OF HOMELAND
SECURITY
U.S. Citizenship and Immigration
Services
[OMB Control Number 1615–0123]
Agency Information Collection
Activities: Application for Provisional
Unlawful Presence Waiver of
Inadmissibility, Form I–601A; Revision
of a Currently Approved Collection
U.S. Citizenship and
Immigration Services, Department of
Homeland Security.
ACTION: 30-Day notice.
AGENCY:
The Department of Homeland
Security (DHS), U.S. Citizenship and
Immigration Services (USCIS) will be
submitting the following information
collection request to the Office of
Management and Budget (OMB) for
review and clearance in accordance
with the Paperwork Reduction Act of
1995. The information collection notice
was previously published in the Federal
Register on June 27, 2014, at 79 FR
36543, allowing for a 60-day public
comment period. USCIS received two
comments in connection with the 60day notice.
DATES: The purpose of this notice is to
allow an additional 30 days for public
comments. Comments are encouraged
and will be accepted until April 29,
2015. This process is conducted in
accordance with 5 CFR 1320.10.
ADDRESSES: Written comments and/or
suggestions regarding the item(s)
contained in this notice, especially
regarding the estimated public burden
and associated response time, must be
directed to the OMB USCIS Desk Officer
SUMMARY:
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