4120-01-U-P
DEPARTMENT OF HEALTH AND HUMAN SERVICES
Centers for Medicare & Medicaid Services
[Document Identifier: CMS-10398]
Agency Information Collection Activities: Proposed Collection; Comment Request
AGENCY: Centers for Medicare & Medicaid Services (CMS), Department of Health and Human
Services.
ACTION: Notice of request for reinstatement of a previously approved information collection.
SUMMARY: On May 28, 2010, the Office of Management and Budget (OMB) issued Paperwork
Reduction Act (PRA) guidance related to the “generic” clearance process. Generally, this is an
expedited clearance process by which agencies may obtain OMB’s approval of collection of
information requests that are “usually voluntary, low-burden, and uncontroversial,” do not raise any
substantive or policy issues, and do not require policy or methodological review. The process
requires the submission of an overarching plan that defines the scope of the individual collections
that may be submitted under that umbrella. This notice is intended to advise the public of our intent
to reinstate OMB’s approval of our generic umbrella (CMS-10398, OMB control number 09381148) and all of the individual generic collection of information requests that fall under that
umbrella. This notice also provides the public with general instructions for obtaining documents that
are associated with such collections and for submitting comments.
DATES: Comments must be received by [INSERT DATE 60 DAYS AFTER DATE OF
PUBLICATION IN THE FEDERAL REGISTER].
ADDRESSES: Submitting comments: When commenting, please reference the applicable
collection’s CMS ID number and/or the OMB control number (both numbers are listed below under
the SUPPLEMENTARY INFORMATION caption). To be assured consideration, comments and
recommendations must be submitted in any one of the following ways and by the applicable due
date:

1.

Electronically. We encourage you to submit comments through the Federal

eRulemaking portal at the applicable web address listed below under the SUPPLEMENTARY
INFORMATION caption under “Docket Information.” If needed, instructions for submitting such
comments can be found on that website.
2.

By regular mail. Alternatively, you can submit written comments to the following

address:
CMS, Office of Strategic Operations and Regulatory Affairs (OSORA)
Division of Regulations Development
Attention: CMS-10398/OMB 0938-1148
Room C4-26-05
7500 Security Boulevard
Baltimore, MD 21244-1850.
Obtaining documents: To obtain copies of supporting statements and any related forms and
supporting documents for the collections listed in this notice, we encourage you to access the Federal
eRulemaking portal at the applicable web address listed below under the SUPPLEMENTARY
INFORMATION caption under “Docket Information” and “Docket Web Address” If needed,
follow the online instructions for accessing the applicable docket and the documents contained
therein.
FOR FURTHER INFORMATION CONTACT: For general information contact William N.
Parham at 410-786-4669. For policy related questions contact the individual listed below under the
SUPPLEMENTARY INFORMATION caption under “Docket Information.”
SUPPLEMENTARY INFORMATION: Under the PRA (44 U.S.C. 3501-3520), Federal agencies
must obtain approval from OMB for each collection of information that they conduct or sponsor.
The term "collection of information" is defined in 44 U.S.C. 3502(3) and 5 CFR 1320.3(c).
Generally, it applies to voluntary and mandatory requirements that are related to any one or more of

the following activities: the collection of information, the reporting of information, the disclose of
information to a third-party, and/or recordkeeping.
While there are some exceptions (such as collections having non-substantive changes and
collections requesting emergency approval) section 3506(c)(2)(A) of the PRA requires Federal
agencies to publish a 60-day notice in the Federal Register and solicit comment on each of its
proposed collections of information, including: new collections, extensions of existing collections,
revisions of existing collections, and reinstatements of previously approved collections before
submitting such collections to OMB for approval. To comply with this requirement, CMS is
publishing this notice.
Interested parties are invited to submit comments regarding our burden estimates or any other
aspect of the collection, including: the necessity and utility of the proposed information collection
for the proper performance of our agency’s functions; the accuracy of burden estimates; 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. See DATES and ADDRESSES for instructions for submitting comments.
While we will review all comments received, we may choose not to post off-topic or
inappropriate comments. Otherwise, all comments will be posted without edit under the applicable
docket number, including any personal information that the commenter provides. Our response to
such comments will be posted at reginfo.gov under the applicable OMB control number.
Generic Umbrella for Medicaid and CHIP State Plan, Waiver, and Program Submissions
At this time, our collection is made up of the main umbrella (see collection number 1 in the
following list) and fifty individual generic collections of information (see collection numbers 2
through 51 in the following list). Details such as the collection’s requirements and burden estimates
can be found in the collection’s supporting statement and associated materials (see ADDRESSES
for instructions for obtaining such documents).
Docket Information

1.

Title: Generic Clearance for Medicaid and CHIP State Plan, Waiver, and Program

Submissions
Type of Request: Reinstatement of a previously approved collection.
CMS ID Number: CMS-10398
OMB Control Number: 0938-1148
eRulemaking Docket ID Number: CMS-2024-0029
Docket Web Address: https://www.regulations.gov/docket/CMS-2024-0029
For Policy Related Questions Contact: William N. Parham at 410-786-4669.
2.

Title: CHIP Annual Report Template System (CARTs)

Type of Request: Reinstatement of a previously approved information collection.
CMS ID Number: CMS-10398 #1
OMB Control Number: 0938-1148
eRulemaking Docket ID Number: CMS-2024-0030
Docket Web Address: https://www.regulations.gov/docket/CMS-2024-0030
For Policy Related Questions Contact: Gigi Raney at 410-786-6117.
3.

Title: Medicaid Managed Care Data Collection

Type of Request: Reinstatement of a previously approved information collection.
CMS ID Number: CMS-10398 #2
OMB Control Number: 0938-1148
eRulemaking Docket ID Number: CMS-2024-0031
Docket Web Address: https://www.regulations.gov/docket/CMS-2024-0031
For Policy Related Questions Contact: Alexis Gibson at 410-786-2813.
4.

Title: Medicaid Payment Suspensions

Type of Request: Reinstatement of a previously approved information collection.
CMS ID Number: CMS-10398 #5
OMB Control Number: 0938-1148

eRulemaking Docket ID Number: CMS-2024-0032
Docket Web Address: https://www.regulations.gov/docket/CMS-2024-0032
For Policy Related Questions Contact: Vikki Guarisco at 443-764-4776.
5.

Title: Cycle IV (AI/AN Round II Outreach & Enrollment Grant Final Report

Addendum) and Cycle V (Connecting Kids to Coverage Outreach and Enrollment Semi-Annual and
Final
Type of Request: Reinstatement of a previously approved information collection.
CMS ID Number: CMS-10398 #7
OMB Control Number: 0938-1148
eRulemaking Docket ID Number: CMS-2024-0033
Docket Web Address: https://www.regulations.gov/docket/CMS-2024-0033
For Policy Related Questions Contact: Stephanie Bell at 410-786-0617.
6.

Title: Application for Section 1915(b)(4) Waiver - Fee For Service Selective

Contracting Program
Type of Request: Reinstatement of a previously approved information collection.
CMS ID Number: CMS-10398 #9
OMB Control Number: 0938-1148
eRulemaking Docket ID Number: CMS-2024-0034
Docket Web Address: https://www.regulations.gov/docket/CMS-2024-0034
For Policy Related Questions Contact: Rebecca Burch Mack at 303-844-7355.
7.

Title: Section 1115 Demonstration and Waiver Application

Type of Request: Reinstatement of a previously approved information collection.
CMS ID Number: CMS-10398 #10
OMB Control Number: 0938-1148
eRulemaking Docket ID Number: CMS-2024-0035
Docket Web Address: https://www.regulations.gov/docket/CMS-2024-0035

For Policy Related Questions Contact: Teresa DeCaro at 202-384-6309.
8.

Title: MAGI- Based Eligibility Verification Plan

Type of Request: Reinstatement of a previously approved information collection.
CMS ID Number: CMS-10398 #11
OMB Control Number: 0938-1148
eRulemaking Docket ID Number: CMS-2024-0036
Docket Web Address: https://www.regulations.gov/docket/CMS-2024-0036
For Policy Related Questions Contact: Martin Burian at 410-786-3246.
9.

Title: Medicaid Accountability – Nursing Facility, Outpatient Hospital and Inpatient

Hospital Upper Payment Limits
Type of Request: Reinstatement of a previously approved information collection.
CMS ID Number: CMS-10398 #13
OMB Control Number: 0938-1148
eRulemaking Docket ID Number: CMS-2024-0037
Docket Web Address: https://www.regulations.gov/docket/CMS-2024-0037
For Policy Related Questions Contact: Richard Kimball at 410-786-2278.
10.

Title: Federally-Facilitated Marketplace (FFM) Integration Data Collection Tool

Type of Request: Reinstatement of a previously approved information collection.
CMS ID Number: CMS-10398 #16
OMB Control Number: 0938-1148
eRulemaking Docket ID Number: CMS-2024-0039
Docket Web Address: https://www.regulations.gov/docket/CMS-2024-0039
For Policy Related Questions Contact: Pascale Ghafari at 410-786-0719.
11.

Title: CHIP State Plan Eligibility

Type of Request: Reinstatement of a previously approved information collection.
CMS ID Number: CMS-10398 #17

OMB Control Number: 0938-1148
eRulemaking Docket ID Number: CMS-2024-0040
Docket Web Address: https://www.regulations.gov/docket/CMS-2024-0040
For Policy Related Questions Contact: Joyce Jordan at 410-786-3413.
12.

Title: FMAP Claiming State Plan Amendment

Type of Request: Reinstatement of a previously approved information collection.
CMS ID Number: CMS-10398 #21
OMB Control Number: 0938-1148
eRulemaking Docket ID Number: CMS-2024-0042
Docket Web Address: https://www.regulations.gov/docket/CMS-2024-0042
For Policy Related Questions Contact: Robert Lane at 410-786-2015.
13.

Title: Medicaid Accountability – UPL ICF/IID, Clinic Services, Medicaid Qualified

Practitioner Services and Other Inpatient & Outpatient Facility Providers
Type of Request: Reinstatement of a previously approved information collection.
CMS ID Number: CMS-10398 #24
OMB Control Number: 0938-1148
eRulemaking Docket ID Number: CMS-2024-0044
Docket Web Address: https://www.regulations.gov/docket/CMS-2024-0044
For Policy Related Questions Contact: Richard Kimball at 410-786-2278.
14.

Title: MAGI Conversion Plan Part 2

Type of Request: Reinstatement of a previously approved information collection.
CMS ID Number: CMS-10398 #27
OMB Control Number: 0938-1148
eRulemaking Docket ID Number: CMS-2024-0046
Docket Web Address: https://www.regulations.gov/docket/CMS-2024-0046
For Policy Related Questions Contact: Martin Burian at 410-786-3246.

15.

Title: MMIS APD Template NCCI Coding Initiative

Type of Request: Reinstatement of a previously approved information collection.
CMS ID Number: CMS-10398 #28
OMB Control Number: 0938-1148
eRulemaking Docket ID Number: CMS-2024-0047
Docket Web Address: https://www.regulations.gov/docket/CMS-2024-0047
For Policy Related Questions Contact: Wendy Alexander at 410-786-5245.
16.

Title: Medicaid Cost Sharing

Type of Request: Reinstatement of a previously approved information collection.
CMS ID Number: CMS-10398 #29
OMB Control Number: 0938-1148
eRulemaking Docket ID Number: CMS-2024-0048
Docket Web Address: https://www.regulations.gov/docket/CMS-2024-0048
For Policy Related Questions Contact: Stephanie Bell at 410-786-0617.
17.

Title: State Reporting Medicaid Payment Suspension

Type of Request: Reinstatement of a previously approved information collection.
CMS ID Number: CMS-10398 #30
OMB Control Number: 0938-1148
eRulemaking Docket ID Number: CMS-2024-0049
Docket Web Address: https://www.regulations.gov/docket/CMS-2024-0049
For Policy Related Questions Contact: Wendy Alexander at 410-786-5245.
18.

Title: Statewide HCBS Transition Plans

Type of Request: Reinstatement of a previously approved information collection.
CMS ID Number: CMS-10398 #31
OMB Control Number: 0938-1148
eRulemaking Docket ID Number: CMS-2024-0050

Docket Web Address: https://www.regulations.gov/docket/CMS-2024-0050
For Policy Related Questions Contact: Michele MacKenzie at 410-786-5929.
19.

Title: Provider- Preventable Conditions under 42 CFR 438.6 and 447.26 and Title

2702 Non-Payment Preprint (Attachment 4.19)
Type of Request: Reinstatement of a previously approved information collection.
CMS ID Number: CMS-10398 #32
OMB Control Number: 0938-1148
eRulemaking Docket ID Number: CMS-2024-0051
Docket Web Address: https://www.regulations.gov/docket/CMS-2024-0051
For Policy Related Questions Contact: Andrew Badaracco at 410-786-4589.
20.

Title: Opportunity for families of Disabled Children to Purchase Medicaid Coverage

for Such Children (DRA 6062)
Type of Request: Reinstatement of a previously approved information collection.
CMS ID Number: CMS-10398 #33
OMB Control Number: 0938-1148
eRulemaking Docket ID Number: CMS-2024-0053
Docket Web Address: https://www.regulations.gov/docket/CMS-2024-0053
For Policy Related Questions Contact: Martin Burian at 410-786-3246.
21.

Title: Model Application Template and Instructions for State Child Health Plan

Under Title XXI of the Social Security Act, State Children's Health Insurance Program
Type of Request: Reinstatement of a previously approved information collection.
CMS ID Number: CMS-10398 #34
OMB Control Number: 0938-1148
eRulemaking Docket ID Number: CMS-2024-0054
Docket Web Address: https://www.regulations.gov/docket/CMS-2024-0054
For Policy Related Questions Contact: Chanelle Parker at 667-290-9798.

22.

Title: Eligibility and Enrollment Performance Indicators

Type of Request: Reinstatement of a previously approved information collection.
CMS ID Number: CMS-10398 #35
OMB Control Number: 0938-1148
eRulemaking Docket ID Number: CMS-2024-0055
Docket Web Address: https://www.regulations.gov/docket/CMS-2024-0055
For Policy Related Questions Contact: Vikki Guarisco at 443-764-4776.
23.

Title: Managed Care Rate Setting Guidance

Type of Request: Reinstatement of a previously approved information collection.
CMS ID Number: CMS-10398 #37
OMB Control Number: 0938-1148
eRulemaking Docket ID Number: CMS-2024-0056
Docket Web Address: https://www.regulations.gov/docket/CMS-2024-0056
For Policy Related Questions Contact: Rebecca Burch Mack at 303-844-7355.
24.

Title: Section 223 Demonstration Programs to Improve Community Mental Health

Services
Type of Request: Reinstatement of a previously approved information collection.
CMS ID Number: CMS-10398 #43
OMB Control Number: 0938-1148
eRulemaking Docket ID Number: CMS-2024-0057
Docket Web Address: https://www.regulations.gov/docket/CMS-2024-0057
For Policy Related Questions Contact: Beverly Boston at 410-786-4186.
25.

Title: 1915(i) State Plan Home and Community Based Services

Type of Request: Reinstatement of a previously approved information collection.
CMS ID Number: CMS-10398 #46
OMB Control Number: 0938-1148

eRulemaking Docket ID Number: CMS-2024-0059
Docket Web Address: https://www.regulations.gov/docket/CMS-2024-0059
For Policy Related Questions Contact: Kathy Poisal at 410-786-5940.
26.

Title: Section 223 Demonstration Programs to Improve Community Mental Health

Services
Type of Request: Reinstatement of a previously approved information collection.
CMS ID Number: CMS-10398 #48
OMB Control Number: 0938-1148
eRulemaking Docket ID Number: CMS-2024-0061
Docket Web Address: https://www.regulations.gov/docket/CMS-2024-0061
For Policy Related Questions Contact: Beverly Boston at 410-786-4186.
27.

Title: Community First Choice State Plan

Type of Request: Reinstatement of a previously approved information collection.
CMS ID Number: CMS-10398 #50
OMB Control Number: 0938-1148
eRulemaking Docket ID Number: CMS-2024-0062
Docket Web Address: https://www.regulations.gov/docket/CMS-2024-0062
For Policy Related Questions Contact: Adrienne Delozier at 410-786-0278.
28.

Title: Fast Track Federal Review Process for Section 1115 Medicaid and CHIP

Demonstration Extensions
Type of Request: Reinstatement of a previously approved information collection.
CMS ID Number: CMS-10398 #51
OMB Control Number: 0938-1148
eRulemaking Docket ID Number: CMS-2024-0063
Docket Web Address: https://www.regulations.gov/docket/CMS-2024-0063
For Policy Related Questions Contact: Teresa DeCaro at 202-384-6309.

29.

Title: Delivery System and Provider Payment Initiatives Under Medicaid Managed

Care Products
Type of Request: Reinstatement of a previously approved information collection.
CMS ID Number: CMS-10398 #52
OMB Control Number: 0938-1148
eRulemaking Docket ID Number: CMS-2024-0064
Docket Web Address: https://www.regulations.gov/docket/CMS-2024-0064
For Policy Related Questions Contact: John Giles at 667-290-8626.
30.

Title: Section 1115 Substance Use Disorder (SUD) Demonstration: Guide for

Developing Implementation Plan Protocols
Type of Request: Reinstatement of a previously approved information collection.
CMS ID Number: CMS-10398 #53
OMB Control Number: 0938-1148
eRulemaking Docket ID Number: CMS-2024-0065
Docket Web Address: https://www.regulations.gov/docket/CMS-2024-0065
For Policy Related Questions Contact: Theresa DeCaro at 202-384-6309.
31.

Title: Electronic Visit Verification (EVV) Good Faith Effort Exemption Requests

Type of Request: Reinstatement of a previously approved information collection.
CMS ID Number: CMS-10398 #54
OMB Control Number: 0938-1148
eRulemaking Docket ID Number: CMS-2024-0066
Docket Web Address: https://www.regulations.gov/docket/CMS-2024-0066
For Policy Related Questions Contact: Ryan Shannahan at 410-786-0295.
32.

Title: Limit on Federal Financial Participation for Durable Medical Equipment in

Medicaid
Type of Request: Reinstatement of a previously approved information collection.

CMS ID Number: CMS-10398 #55
OMB Control Number: 0938-1148
eRulemaking Docket ID Number: CMS-2024-0067
Docket Web Address: https://www.regulations.gov/docket/CMS-2024-0067
For Policy Related Questions Contact: Richard Kimball at 410-786-2278.
33.

Title: Section 1115 Demonstration: Budget Neutrality Workbook

Type of Request: Reinstatement of a previously approved information collection.
CMS ID Number: CMS-10398 #56
OMB Control Number: 0938-1148
eRulemaking Docket ID Number: CMS-2024-0068
Docket Web Address: https://www.regulations.gov/docket/CMS-2024-0068
For Policy Related Questions Contact: Theresa DeCaro at 202-384-6309.
34.

Title: Section 1115 Substance Use Disorder (SUD) Demonstration: Monitoring

Reports Documents and Templates
Type of Request: Reinstatement of a previously approved information collection.
CMS ID Number: CMS-10398 #57
OMB Control Number: 0938-1148
eRulemaking Docket ID Number: CMS-2024-0069
Docket Web Address: https://www.regulations.gov/docket/CMS-2024-0069
For Policy Related Questions Contact: Theresa DeCaro at 202-384-6309.
35.

Title: Medicaid Section 1115 Eligibility and Coverage Demonstration

Implementation Plan and Monitoring Reports Documents and Templates
Type of Request: Reinstatement of a previously approved information collection.
CMS ID Number: CMS-10398 #58
OMB Control Number: 0938-1148
eRulemaking Docket ID Number: CMS-2024-0070

Docket Web Address: https://www.regulations.gov/docket/CMS-2024-0070
For Policy Related Questions Contact: Theresa DeCaro at 202-384-6309.
36.

Title: Medicaid Section 1115 Severe Mental Illness and Children with Serious

Emotional Disturbance Demonstrations
Type of Request: Reinstatement of a previously approved information collection.
CMS ID Number: CMS-10398 #59
OMB Control Number: 0938-1148
eRulemaking Docket ID Number: CMS-2024-0071
Docket Web Address: https://www.regulations.gov/docket/CMS-2024-0071
For Policy Related Questions Contact: Theresa DeCaro at 202-384-6309.
37.

Title: Medicaid Disaster Relief for the COVID-19 National Emergency State Plan

Amendment Template and Instructions
Type of Request: Reinstatement of a previously approved information collection.
CMS ID Number: CMS-10398 #61
OMB Control Number: 0938-1148
eRulemaking Docket ID Number: CMS-2024-0073
Docket Web Address: https://www.regulations.gov/docket/CMS-2024-0073
For Policy Related Questions Contact: Anne Marie Costello at 410-786-5075.
38.

Title: Data Collection for Section 1003 of the SUPPORT Act

Type of Request: Reinstatement of a previously approved information collection.
CMS ID Number: CMS-10398 #62
OMB Control Number: 0938-1148
eRulemaking Docket ID Number: CMS-2024-0074
Docket Web Address: https://www.regulations.gov/docket/CMS-2024-0074
For Policy Related Questions Contact: Melanie Brown at 410-786-1095.
39.

Title: 1932(a) State Plan Amendment Template

Type of Request: Reinstatement of a previously approved information collection.
CMS ID Number: CMS-10398 #63
OMB Control Number: 0938-1148
eRulemaking Docket ID Number: CMS-2024-0075
Docket Web Address: https://www.regulations.gov/docket/CMS-2024-0075
For Policy Related Questions Contact: Amy Gentile at 410-786-3499.
40.

Title: Federal Meta-Analysis Support: Section 1115 Substance Use Disorder

Demonstrations
Type of Request: Reinstatement of a previously approved information collection.
CMS ID Number: CMS-10398 #64
OMB Control Number: 0938-1148
eRulemaking Docket ID Number: CMS-2024-0076
Docket Web Address: https://www.regulations.gov/docket/CMS-2024-0076
For Policy Related Questions Contact: Danielle Daly at 410-786-0897.
41.

Title: Medicaid and CHIP COVID 19 Public Health Emergency Unwinding Reports

Type of Request: Reinstatement of a previously approved information collection.
CMS ID Number: CMS-10398 #66
OMB Control Number: 0938-1148
eRulemaking Docket ID Number: CMS-2024-0077
Docket Web Address: https://www.regulations.gov/docket/CMS-2024-0077
For Policy Related Questions Contact: Jessica Stephens at 410-786-3341.
42.

Title: Section 1006(b) of the SUPPORT Act: Medicaid Assisted Treatment (MAT)

Type of Request: Reinstatement of a previously approved information collection.
CMS ID Number: CMS-10398 #68
OMB Control Number: 0938-1148
eRulemaking Docket ID Number: CMS-2024-0078

Docket Web Address: https://www.regulations.gov/docket/CMS-2024-0078
For Policy Related Questions Contact: Kirsten Jensen at 410-786-8146.
43.

Title: Reporting Requirements for Additional Funding for Medicaid HCBS During

the COVID-19 Emergency
Type of Request: Reinstatement of a previously approved information collection.
CMS ID Number: CMS-10398 #69
OMB Control Number: 0938-1148
eRulemaking Docket ID Number: CMS-2024-0079
Docket Web Address: https://www.regulations.gov/docket/CMS-2024-0079
For Policy Related Questions Contact: Stephanie Bell at 410-786-0617.
44.

Title: Reporting Requirements for State Planning Grants for Qualifying Community

Based Mobile Crisis Intervention Services During the COVID–19 Emergency
Type of Request: Reinstatement of a previously approved information collection.
CMS ID Number: CMS-10398 #71
OMB Control Number: 0938-1148
eRulemaking Docket ID Number: CMS-2024-0080
Docket Web Address: https://www.regulations.gov/docket/CMS-2024-0080
For Policy Related Questions Contact: Effie George at 410-786-8639.
45.

Title: Expressions of Interest in the Infant Well-Child Visit Affinity Group

Type of Request: Reinstatement of a previously approved information collection.
CMS ID Number: CMS-10398 #72
OMB Control Number: 0938-1148
eRulemaking Docket ID Number: CMS-2024-0081
Docket Web Address: https://www.regulations.gov/docket/CMS-2024-0081
For Policy Related Questions Contact: Kristin Zycherman at 410-786-6974.

46.

Title: Supplemental Payment Reporting under the Consolidated Appropriations Act,

2021
Type of Request: Reinstatement of a previously approved information collection.
CMS ID Number: CMS-10398 #73
OMB Control Number: 0938-1148
eRulemaking Docket ID Number: CMS-2024-0082
Docket Web Address: https://www.regulations.gov/docket/CMS-2024-0082
For Policy Related Questions Contact: Richard Kimball at 410-786-2278.
47.

Title: Coverage of Routine Patient Cost for Items & Services in Qualifying Clinical

Trials
Type of Request: Reinstatement of a previously approved information collection.
CMS ID Number: CMS-10398 #74
OMB Control Number: 0938-1148
eRulemaking Docket ID Number: CMS-2024-0083
Docket Web Address: https://www.regulations.gov/docket/CMS-2024-0083
For Policy Related Questions Contact: Myla Adams at 410-786-8107.
48.

Title: ARP 1135 State Plan Amendment

Type of Request: Reinstatement of a previously approved information collection.
CMS ID Number: CMS-10398 #75
OMB Control Number: 0938-1148
eRulemaking Docket ID Number: CMS-2024-0084
Docket Web Address: https://www.regulations.gov/docket/CMS-2024-0084
For Policy Related Questions Contact: Kirsten Jensen at 410-786-8146.
49.

Title: Expressions of Interest in the Improving Maternal Health by Reducing Low-

Risk Cesarean Delivery Affinity Group
Type of Request: Reinstatement of a previously approved information collection.

CMS ID Number: CMS-10398 #76
OMB Control Number: 0938-1148
eRulemaking Docket ID Number: CMS-2024-0085
Docket Web Address: https://www.regulations.gov/docket/CMS-2024-0085
For Policy Related Questions Contact: Richard Kimball at 410-786-2278.
50.

Title: COVID-19 Risk Corridor Reconciliation Reporting Template

Type of Request: Reinstatement of a previously approved information collection.
CMS ID Number: CMS-10398 #79
OMB Control Number: 0938-1148
eRulemaking Docket ID Number: CMS-2024-0086
Docket Web Address: https://www.regulations.gov/docket/CMS-2024-0086
For Policy Related Questions Contact: Elizabeth Jones at 410-786-7111.
51.

Title: Improving Quality of Care and Outcomes Data for Pregnant Medicaid

Beneficiaries and Newborn Infants through Linkage and Evaluation of VR, BC, DC, and TAF
Type of Request: Reinstatement of a previously approved information collection.
CMS ID Number: CMS-10398 #81
OMB Control Number: 0938-1148
eRulemaking Docket ID Number: CMS-2024-0172
Docket Web Address: https://www.regulations.gov/docket/CMS-2024-0172
For Policy Related Questions Contact: Ali Fokar at 410-786-0020.


William N. Parham, III,
Director,
Division of Information Collections and Regulatory Impacts,
Office of Strategic Operations and Regulatory Affairs.

[FR Doc. 2024-13127 Filed: 6/11/2024 11:15 am; Publication Date: 6/13/2024]