Tap any paragraph to write a margin note. Your notes collect in the Desk below the text and file under cases with @. The side-by-side margin rail opens on a larger screen.

Code · REGISTER · 2006-09-27 · DEPARTMENT OF HEALTH AND HUMAN SERVICES · Notices

Notices. Notice of Hearing

4,845 words·~22 min read·/register/2006/09/27/06-8272

A research copy — for the controlling text, always check the official state or federal source. Not legal advice.

BILLING CODE 4150-24-M DEPARTMENT OF HEALTH AND HUMAN SERVICES Centers for Disease Control and Prevention Breast and Cervical Cancer Early Detection and Control Advisory Committee: Notice of Charter Renewal This gives notice under the Federal Advisory Committee Act (Pub. L. 92-463) of October 6, 1972, that the Breast and Cervical Cancer Early Detection and Control Advisory Committee, Centers for Disease Control and Prevention, Department of Health and Human Services, has been renewed for a 2-year period through September 12, 2008.
For information, contact Debra Younginer, Executive Secretary, Breast and Cervical Cancer Early Detection and Control Advisory Committee, Centers for Disease Control and Prevention, Department of Health and Human Services, 1600 Clifton Road, NE., Mailstop K57, Atlanta, Georgia 30333, telephone 770/488-1074 or fax 770/488-3230. The Director, Management Analysis and Services Office, has been delegated the authority to sign **Federal Register** notices pertaining to announcements of meetings and other committee management activities, for both CDC and the Agency for Toxic Substances and Disease Registry.
Dated: September 20, 2006. Alvin Hall, Director, Management Analysis and Services Office. [FR Doc. E6-15846 Filed 9-26-06; 8:45 am] BILLING CODE 4163-18-P DEPARTMENT OF HEALTH AND HUMAN SERVICES Centers for Disease Control and Prevention Mine Safety and Health Research Advisory Committee: Meeting In accordance with section 10(a)(2) of the Federal Advisory Committee Act (Pub. L. 92-463), the Centers for Disease Control and Prevention
(CDC)announces the following committee meeting. *Name:* Mine Safety and Health Research Advisory Committee (MSHRAC). *Times and Dates:* 9 a.m.-4:45 p.m., October 17, 2006. 8:45 a.m.-12:15 p.m., October 18, 2006. *Place:* Hilton Garden Inn Pittsburgh/Southpointe, 1000 Corporate Drive, Canonsburg, PA 15317, telephone
(724)743-5000, fax
(724)743-5010. *Status:* Open to the public, limited only by the space available. The meeting room accommodates approximately 50 people. *Purpose:* This committee is charged with providing advice to the Secretary, Department of Health and Human Services; the Director, CDC; and the Director, NIOSH, on priorities in mine safety and health research, including grants and contracts for such research, 30 U.S.C. 812(b)(2), Section 102(b)(2). *Matters to be Discussed:* The meeting will focus on current and planned NIOSH research related to mine disaster prevention and response and impact of the new Mine Improvement and New Emergency Response Act of 2006 (Miners Act) on the research plans. The agenda will also include an update on the Miners Choice Program and a report from the Associate Director for Mining. Agenda items are subject to change as priorities dictate. *For Further Information Contact:* Jeffery L. Kohler, PhD, Executive Secretary, MSHRAC, NIOSH, CDC,626 Cochrans Mill Road, telephone
(412)386-5301, fax
(412)386-5300. The Director, Management Analysis and Services Office, has been delegated the authority to sign **Federal Register** notices pertaining to announcements of meetings and other committee management activities for both the Centers for Disease Control and Prevention and the Agency for Toxic Substances and Disease Registry. Dated: September 20, 2006. Alvin Hall, Director, Management Analysis and Services Office Centers for Disease Control and Prevention (CDC). [FR Doc. E6-15845 Filed 9-26-06; 8:45 am] BILLING CODE 4163-18-P DEPARTMENT OF HEALTH AND HUMAN SERVICES Centers for Medicare & Medicaid Services Notice of Hearing: Reconsideration of Disapproval of New York State Plan Amendment 05-50 AGENCY: Centers for Medicare & Medicaid Services (CMS), HHS. ACTION: Notice of Hearing. SUMMARY: This notice announces an administrative hearing to be held on December 6, 2006, at 26 Federal Plaza, New York, NY 10278, Room 38-110a, to reconsider CMS' decision to disapprove New York State plan amendment 05-50. *Closing Date:* Requests to participate in the hearing as a party must be received by the presiding officer by October 12, 2006. FOR FURTHER INFORMATION CONTACT: Kathleen Scully-Hayes, Presiding Officer, CMS, Lord Baltimore Drive, Mail Stop LB-23-20, Baltimore, Maryland 21244, telephone:
(410)786-2055. SUPPLEMENTARY INFORMATION: This notice announces an administrative hearing to reconsider CMS' decision to disapprove New York State plan amendment
(SPA)05-50 which was submitted on September 29, 2005. This SPA was disapproved on June 23, 2006. Under SPA 05-50, New York proposed to extend payment provisions for New York's Indigent Care Program for certain diagnostic and treatment centers. The amendment was disapproved because it did not comport with the requirements of section 1902(a)(4), 1902(a)(10), 1902(a)(30)(A), and 1905(a) of the Social Security Act (the Act). At issue on reconsideration is:
(1)Whether the proposed payments under SPA 05-50 would be for services furnished to individuals within the statutory categories of permissible eligible individuals set forth in sections 1902(a)(10) and 1905(a) of the Act;
(2)whether the proposed payments under SPA 05-50 would result in claims for Federal financial participation that would not be within the scope of medical assistance which would be inconsistent with sections 1902(a)(4), 1902(a)(10), and 1905(a) of the Act; and
(3)whether the State has demonstrated that the proposed payment rate, which would provide for payments unrelated to the covered Medicaid services furnished by the provider, is an efficient and economical method to pay for covered Medicaid services, consistent with the requirements of section 1902(a)(30)(A). The basis for these issues was set out in the disapproval determination and is summarized below. Section 1902(a)(4) of the Act requires that State Medicaid plans provide for methods of administration that are found by the Secretary to be necessary for the proper and efficient operation of the plan. Section 1902(a)(10) of the Act sets forth mandatory and optional groups of individuals for whom States may make medical assistance available under a State plan. Section 1902(a)(10) of the Act must be read in concert with the definition of medical assistance at section 1905(a), which includes additional specification of the categories of eligible individuals. SPA 05-50 would provide for payment for services furnished to individuals who are not within the listed groups or categories of individuals for whom medical assistance is authorized under the statute. Such payment is outside the scope of the definition of medical assistance. Including in the State plan a provision which would pay for provider costs that are not within the scope of medical assistance furnished to eligible individuals is not necessary for the proper and efficient operation of the plan. It will result in State claims for Federal financial participation in expenditures as medical assistance, which are not within the statutory definition of medical assistance. The requirements of section 1902(a)(10) of the Act, read in concert with section 1905(a) of the Act, as noted above, define the range of individuals who must or may be eligible under a State plan, and the scope of medical assistance that may be made available. These sections do not provide for payment of provider costs of treating ineligible individuals, which is the apparent purpose of the Indigent Care Program. Section 1902(a)(30)(A) of the Act requires that State plans provide payment methods for care and services available under the plan that are consistent with efficiency, economy, and quality of care. The proposed Medicaid payment method is determined by the individual diagnostic and treatment center's level of uncompensated care associated with uninsured patients and distributed without regard to the volume of Medicaid activity in the facility. The specific Medicaid reimbursement methodology applies a Medicaid rate to bad debt and charity care visits in the facility. This method results in an aggregate Medicaid payment which clearly is without regard to the provision of covered Medicaid services to eligible individuals, and cannot be considered an economical means of paying for such services. Section 1116 of the Act and Federal regulations at 42 CFR part 430, establish Department procedures that provide an administrative hearing for reconsideration of a disapproval of a State plan or plan amendment. CMS is required to publish a copy of the notice to a State Medicaid agency that informs the agency of the time and place of the hearing, and the issues to be considered. If we subsequently notify the agency of additional issues that will be considered at the hearing, we will also publish that notice. Any individual or group that wants to participate in the hearing as a party must petition the presiding officer within 15 days after publication of this notice, in accordance with the requirements contained at 42 CFR 430.76(b)(2). Any interested person or organization that wants to participate as *amicus curiae* must petition the presiding officer before the hearing begins in accordance with the requirements contained at 42 CFR 430.76(c). If the hearing is later rescheduled, the presiding officer will notify all participants. The notice to New York announcing an administrative hearing to reconsider the disapproval of its SPA reads as follows: Mr. Gregor N. Macmillan, *Director, Bureau of Medicaid Law, State of New York, Department of Health, Corning Tower, The Governor Nelson A. Rockefeller Empire State Plaza, Albany, NY 12237.* Dear Mr. Macmillan: I am responding to your request for reconsideration of the decision to disapprove the New York State plan amendment
(SPA)05-50, which was submitted on September 29, 2005, and disapproved on June 23, 2006. Under SPA 05-50, New York was proposing to extend payment provisions for New York's Indigent Care Program for certain diagnostic and treatment centers. The amendment was disapproved because it did not comport with the requirements of section 1902(a)(4), 1902(a)(10), 1902(a)(30)(A), and 1905(a) of the Social Security Act (the Act). At issue on reconsideration is:
(1)Whether the proposed payments under SPA 05-050 would be for services furnished to individuals within the statutory categories of permissible eligible individuals set forth in sections 1902(a)(10) and 1905(a) of the Act;
(2)whether the proposed payments under SPA 05-50 would result in claims for Federal financial participation that would not be within the scope of medical assistance which would be inconsistent with sections 1902(a)(4), 1902(a)(10), and 1905(a) of the Act; and
(3)whether the State has demonstrated that the proposed payment rate, which would provide for payments unrelated to the covered Medicaid services furnished by the provider, is an efficient and economical method to pay for covered Medicaid services, consistent with the requirements of section 1902(a)(30)(A). The basis for these issues was set out in the disapproval determination and is summarized below. Section 1902(a)(4) of the Act requires that State Medicaid plans provide for methods of administration that are found by the Secretary to be necessary for the proper and efficient operation of the plan. Section 1902(a)(10) of the Act sets forth mandatory and optional groups of individuals for whom States may make medical assistance available under a State plan. Section 1902(a)(10) of the Act must be read in concert with the definition of medical assistance at section 1905(a), which includes additional specification of the categories of eligible individuals. SPA 05-50 would provide for payment for services furnished to individuals who are not within the listed groups or categories of individuals for whom medical assistance is authorized under the statute. Such payment is outside the scope of the definition of medical assistance. Including in the State plan a provision which would pay for provider costs that are not within the scope of medical assistance furnished to eligible individuals is not necessary for the proper and efficient operation of the plan. It will result in State claims for Federal financial participation in expenditures as medical assistance, which are not within the statutory definition of medical assistance. The requirements of section 1902(a)(10) of the Act, read in concert with section 1905(a) of the Act, as noted above, define the range of individuals who must or may be eligible under a State plan, and the scope of medical assistance that may be made available. These sections do not provide for payment of provider costs of treating ineligible individuals, which is the apparent purpose of the Indigent Care Program. Section 1902(a)(30)(A) of the Act requires that State plans provide payment methods for care and services available under the plan that are consistent with efficiency, economy, and quality of care. The proposed Medicaid payment method is determined by the individual diagnostic and treatment center's level of uncompensated care associated with uninsured patients and distributed without regard to the volume of Medicaid activity in the facility. The specific Medicaid reimbursement methodology applies a Medicaid rate to bad debt and charity care visits in the facility. This method results in an aggregate Medicaid payment which clearly is without regard to the provision of covered Medicaid services to eligible individuals, and cannot be considered an economical means of paying for such services. For the reasons cited above, and after consultation with the Secretary, as required by Federal regulations at 42 CFR 430.15(c)(2), New York 05-50 was disapproved on June 23, 2006. I am scheduling a hearing on your request for reconsideration to be held on December 6, 2006, at 26 Federal Plaza, New York, NY 10278, Room 38-110a, to reconsider the decision to disapprove SPA 05-50. If this date is not acceptable, we would be glad to set another date that is mutually agreeable to the parties. The hearing will be governed by the procedures prescribed at 42 CFR part 430. I am designating Ms. Kathleen Scully-Hayes as the presiding officer. If these arrangements present any problems, please contact the presiding officer at
(410)786-2055. In order to facilitate any communication which may be necessary between the parties to the hearing, please notify the presiding officer to indicate acceptability of the hearing date that has been scheduled and provide names of the individuals who will represent the State at the hearing. Sincerely, Mark B. McClellan, M.D., PhD. (Section 1116 of the Social Security Act (42 U.S.C. section 1316); 42 CFR section 430.18) (Catalog of Federal Domestic Assistance program No. 13.714, Medicaid Assistance Program.) Dated: September 18, 2006. Mark B. McClellan, Administrator, Centers for Medicare & Medicaid Services. [FR Doc. E6-15779 Filed 9-26-06; 8:45 am] BILLING CODE 4120-01-P DEPARTMENT OF HEALTH AND HUMAN SERVICES Centers for Medicare & Medicaid Services Notice of Hearing: Reconsideration of Disapproval of Missouri State Plan Amendment 05-11 AGENCY: Centers for Medicare & Medicaid Services (CMS), HHS. ACTION: Notice of hearing. SUMMARY: This notice announces an administrative hearing to be held on November 15, 2006, at the Richard Bolling Federal Building, 601 E. 12th Street, Kansas City, MO 64106-2898, the Kansas City Room, to reconsider CMS' decision to disapprove Missouri State plan amendment 05-11. *Closing Date:* Requests to participate in the hearing as a party must be received by the presiding officer by October 12, 2006. FOR FURTHER INFORMATION CONTACT: Kathleen Scully-Hayes, Presiding Officer, CMS Lord Baltimore Drive, Mail Stop LB-23-20, Baltimore, Maryland 21244, telephone:
(410)786-2055. SUPPLEMENTARY INFORMATION: This notice announces an administrative hearing to reconsider CMS' decision to disapprove Missouri State plan amendment
(SPA)05-11 which was submitted on September 27, 2005. This SPA was disapproved on June 16, 2006. Under SPA 05-11, Missouri proposed to alter the provider qualifications and payment methodology for personal care assistance services by transferring administrative responsibility for such providers from one State agency to another. *At issue is:*
(1)Whether SPA 05-11 complied with the requirements of section 1902(a) of the Social Security Act (the Act) generally, and 1902(a)(30) of the Act specifically, in providing for coverage of services for which the State plan did not contain a clear payment methodology that the State had shown was consistent with efficiency and economy;
(2)whether the proposed coverage of personal care services in SPA 05-11 was consistent with the definition of personal care services in section 1905(a)(24) of the Act (which is integral to the definition of “medical assistance” in sections 1905(a) and 1902(a)(10)(A) of the Act), and applicable regulations, including services of registered nurses. This amendment was disapproved because the resulting plan would not have comported with the requirements of section 1902(a)(30)(A) and section 1905(a)(24) of the Act and implementing regulations. Section 1902(a)(30)(A) of the Act requires that State plans have methods and procedures to assure that payments are consistent with economy, efficiency, and quality of care. While this SPA would have provided for coverage of personal care services, the methodology for paying for such services was not clearly set forth in the State plan. Moreover, Missouri provided information that personal care services, and personal care assistance services, are reimbursed based on a 15-minute service unit. However, the State did not provide to CMS the rate for the 15-minute service unit, or any rate derivation information, to conclude that this payment is economic or efficient. In light of this, CMS cannot conclude that the coverage of the proposed services would have been accomplished through an efficient and economical payment methodology in compliance with the requirements of section 1902(a)(30)(A). Further, the overall requirement in section 1902(a) for a State plan, and the specific requirement at section 1902(a)(30)(A) for methods and procedures related to payment, as implemented by Federal regulations at 42 CFR 430.10 and 42 CFR 447.252(b) require that the State plan include a comprehensive description of the methods and standards used to set payment rates. Payment methodologies should be understandable and auditable. In addition, since the plan is the basis for Federal financial participation, it is important that the plan language be clear and unambiguous. The proposed methodology does not provide sufficient information for providers to determine the payment amount to which they are entitled. Additionally, the Medicaid personal care services benefit does not include registered nurse services in the definitions at section 1905(a)(24) of the Act and Federal regulations at 42 CFR 440.167 and thus such coverage is not within the scope of “medical assistance” under sections 1905(a) and 1902(a)(10) of the Act. As CMS had indicated in the State Medicaid Manual Part 4, section 4480(C), although personal care services may be similar to, or overlap, some services furnished by home health aides, “skilled services that may be performed only by a health professional are not considered personal care services.” It would not be consistent with efficiency and economy for a State to pay higher rates to attract overqualified individuals (registered nurses) to provide personal care services. Registered nurse services may instead be furnished as a home health service under 42 CFR 440.70(b)(1), or as private duty nursing services as defined at 42 CFR 440.80(a). Furthermore, there is no provision in Medicaid for payment for training of personal care providers, including the “training and supervision” of the “qualified staff licensed by the Department of Mental Health” or supervision visits by a registered nurse. For these reasons, and after consulting with the Secretary as required by Federal regulations at 42 CFR section 430.15(c)(2), I disapproved this SPA on June 16, 2006. Section 1116 of the Act and Federal regulations at 42 CFR Part 430, establish Department procedures that provide an administrative hearing for reconsideration of a disapproval of a State plan or plan amendment. CMS is required to publish a copy of the notice to a State Medicaid agency that informs the agency of the time and place of the hearing, and the issues to be considered. If we subsequently notify the agency of additional issues that will be considered at the hearing, we will also publish that notice. Any individual or group that wants to participate in the hearing as a party must petition the presiding officer within 15 days after publication of this notice, in accordance with the requirements contained at 42 CFR 430.76(b)(2). Any interested person or organization that wants to participate as *amicus curiae* must petition the presiding officer before the hearing begins in accordance with the requirements contained at 42 CFR 430.76(c). If the hearing is later rescheduled, the presiding officer will notify all participants. The notice to Missouri announcing an administrative hearing to reconsider the disapproval of its SPA reads as follows: Mr. Steven E. Renne, Interim Director, Missouri, Department of Social Services, P.O. Box 1527, Broadway State Office Building, Jefferson City, MO 65102-1527. Dear Mr. Renne: I am responding to your request for reconsideration of the decision to disapprove the Missouri State plan amendment
(SPA)05-11, which was submitted on September 27, 2005, and disapproved on June 16, 2006. Under SPA 05-11, Missouri was proposing to alter the provider qualifications and payment methodology for personal care assistance services by transferring administrative responsibility for such providers from one State agency to another. At issue in this reconsideration is:
(1)whether SPA 05-11 complied with the requirements of section 1902(a) of the Social Security Act (the Act) generally, and 1902(a)(30) of the Act specifically, in providing for coverage of services for which the State plan did not contain a clear payment methodology that the State had shown was consistent with efficiency and economy;
(2)whether the proposed coverage of personal care services in SPA 05-11 was consistent with the definition of personal care services in section 1905(a)(24) of the Act (which is integral to the definition of “medical assistance” at sections 1905(a) and 1902(a)(10) of the Act), and applicable regulations, including services of registered nurses. This amendment was disapproved because it did not comport with the requirements of section 1902(a) generally, section 1902(a)(30)(A) specifically, and section 1905(a)(24) of the Act and implementing regulations. Section 1902(a)(30)(A) of the Act requires that State plans have methods and procedures to assure that payments are consistent with economy, efficiency, and quality of care. While this SPA would have provided for coverage of personal care services, the methodology for paying for such services was not clearly set forth in the State plan. Moreover, Missouri provided information that personal care services and personal care assistance services are reimbursed based on a 15-minute service unit. However, the State did not provide to the Centers for Medicare & Medicaid Services
(CMS)the rate for the 15-minute service unit or any rate derivation information to conclude that this payment is economic or efficient. In light of this, CMS cannot conclude that coverage of the proposed services would be accomplished through an efficient and economical payment methodology in compliance with the requirements of section 1902(a)(30)(A). Further, the overall requirement in section 1902(a) for a State plan, and the specific requirement at section 1902(a)(30)(A) for methods and procedures related to payment, as implemented by Federal regulations at 42 CFR §§ 430.10 and 447.252(b) require that the State plan include a comprehensive description of the methods and standards used to set payment rates. Payment methodologies should be understandable and auditable. In addition, since the plan is the basis for Federal financial participation, it is important that the plan language be clear and unambiguous. The proposed methodology does not provide sufficient information for providers to determine the payment amount to which they are entitled. Additionally, the Medicaid personal care services benefit does not include registered nurse services in the definitions at section 1905(a)(24) of the Act and Federal regulations at 42 CFR 440.167, and thus such coverage is not within the scope of “medical assistance” defined under section 1905(a) and 1902(a)(10) of the Act. As CMS had indicated in the State Medicaid Manual Part 4, section 4480(C), although personal care services may be similar to, or overlap, some services furnished by home health aides, “skilled services that may be performed only by a health professional are not considered personal care services.” It would not be consistent with efficiency and economy for a State to pay higher rates to attract overqualified individuals (registered nurses) to provide personal care services. Registered nurse services may instead be furnished as a home health service under 42 CFR 440.70(b)(1), or as private duty nursing services as defined at 42 CFR 440.80(a). Furthermore, there is no provision in Medicaid for payment for training of personal care providers, including the “training and supervision” of the “qualified staff licensed by the Department of Mental Health” or supervision visits by a registered nurse. For these reasons, and after consulting with the Secretary as required by Federal regulations at 42 CFR section 430.15(c)(2), I disapproved this SPA on June 16, 2006. I am scheduling a hearing on your request for reconsideration to be held on November 15, 2006, at the Richard Bolling Federal Building, 601 E. 12th Street, Kansas City, MO 64106-2898, the Kansas City Room, to reconsider the decision to disapprove SPA 05-11. If this date is not acceptable, we would be glad to set another date that is mutually agreeable to the parties. The hearing will be governed by the procedures prescribed at 42 CFR part 430. I am designating Ms. Kathleen Scully-Hayes as the presiding officer. If these arrangements present any problems, please contact the presiding officer at
(410)786-2055. In order to facilitate any communication which may be necessary between the parties to the hearing, please notify the presiding officer to indicate acceptability of the hearing date that has been scheduled and provide names of the individuals who will represent the State at the hearing. Sincerely, Mark B. McClellan, M.D., PhD (Section 1116 of the Social Security Act (42 U.S.C. section 1316); 42 CFR section 430.18) (Catalog of Federal Domestic Assistance program No. 13.714, Medicaid Assistance Program) Dated: September 20, 2006. Mark B. McClellan, Administrator, Centers for Medicare & Medicaid Services. [FR Doc. E6-15780 Filed 9-26-06; 8:45 am] BILLING CODE 4120-01-P DEPARTMENT OF HEALTH AND HUMAN SERVICES Administration for Children and Families Submission for OMB Review; Comment Request *Title:* Title IV-E Foster Care Eligibility Reviews; Child and Family Services Reviews; Anti-Discrimination Enforcement. *OMB No.:* 0970-0214. *Description:* The following five separate activities are associated with this information collection: • Foster Care Eligibility Review
(FCER)Program Improvement Plan; • Child and Family Services Reviews
(CFSR)State agency Statewide Assessment; • CFSR On-site review; • CFSR Program Improvement Plan; and • Anti-Discrimination Enforcement Corrective Action Plan. The collection of information for review of Federal payments to States for foster care maintenance payments (45 CFR 1356.71(i)) is authorized by title IV-E of the social Security Act (the Act), section 474 [42 U.S.C. 674]. The Foster Care Eligibility Reviews
(FCER)ensure that States claim title IV-E funds on behalf of title IV-E eligible children. The collection of informaiton for review of State child and family services programs (45 CFR 1355.33(b), 1355.33(c) and 1355.35(a)) to determine whether such programs are in substantial conformity with State plan requirements under parts B and E of the Act is authorized by section 1123(a) [42 U.S.C 1320a-1a] of the Act. The CFSR looks at both the outcomes related to safety, permanency and well-being of children served by the child welfare system and at seven systemic factors that support the outcomes. Section 474(d) of the Act [42 U.S.C 674] deploys enforcement provisions (45 CFR 1355.38(b) and (c)) for the requirements at section 4371(a)(18) [42 U.S.C 671], which prohibit the delay or denial of foster and adoptive placements based on the race, color, or national origin of any of the individuals involved. The enforcement provisions include the execution and completion of corrective action plans when a State is in violation of section 471(a)(18). The information collection is needed:
(1)To ensure compliance with title IV-E foster care eligibility requirements;
(2)to monitor State plan requirements under titles IV-B and IV-E of the Act, as required by Federal statute; and
(3)to enforce the title IV-E anti-discrimination requirements through State corrective action plans. The resultant information will allow ACF to determine if States are in compliance with State plan requirements and are achieving desired outcomes for children and families, help ensure that claims by States for title IV-E funds are made on behalf of title IV-E eligible children, and require States to revise applicable statutes, rules, policies and procedures, and provide proper training to staff, through the development and implementation of corrective action plans. These reviews not only address compliance with eligibility requirements but also assist States in enhancing the capacities to serve children and families. In computing the number of burden hours for this information collection, ACF based the annual burden estimates on ACF's and States' experiences in conducting reviews and developing program improvement plans. *Respondents:* State Agencies. Annual Burden Estimates Instrument Number of respondents Number of responses per respondent Average burden hours per response Total burden hours 45 CFR 1356.7
(i)Program Improvement Plan
(FCER)7 1 90 630 45 CFR 1366.33
(b)Statewide Assessment
(CFSR)13 1 240 3,120 45 CFR 1355.33
(c)On-site Review
(CFSR)13 1 1,170 15,210 45 CFR 1355.35
(a)Program Improvement Plan
(CFSR)13 1 240 3,120 45 CFR 1355.38
(b)and
(c)Corrective Action Plan (Anti-discrimination enforcement) 1 1 780 780 *Estimated Total Annual Burden Hours:* 22,860. *Additional Information:* Copies of the proposed collection may be obtained 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. All requests should be identified by the title of the information collection. E-mail 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, Attn: Desk Office for ACF, E-mail address: *Katherine_T._Astrich@omb.eop.gov.* Dated: September 20, 2006. Robert Sargis, Reports Clearance Officer. [FR Doc. 06-8272 Filed 9-26-06; 8:45 am]
Connectionstraces to 5
19 references not yet in our index
  • Pub. L. 92-463
  • 42 CFR 430
  • 42 CFR 430.76(b)(2)
  • 42 CFR 430.76(c)
  • 42 CFR 430.15(c)(2)
  • 42 CFR 430.18
  • 42 CFR 430.10
  • 42 CFR 447.252(b)
  • 42 CFR 440.167
  • 42 CFR 440.70(b)(1)
  • 42 CFR 440.80(a)
  • 45 CFR 1356.71(i)
  • 45 CFR 1355.33(b)
  • 45 CFR 1355.38(b)
  • 45 CFR 1356.7
  • 45 CFR 1366.33
  • 45 CFR 1355.33
  • 45 CFR 1355.35
  • 45 CFR 1355.38
Citation graph
cites case law
Notices
Notice of Hearing
Pub. L.Pub. L. 92-463
Cite42 CFR 430
Cite42 CFR 430.76(b)(2)
Cite42 CFR 430.76(c)
Cite42 CFR 430.15(c)(2)
Cites 24 · showing 10Cited by 0 across 0 sources
★   the supreme law of the land   ★
Don't Tread on Me
E Pluribus Unum — out of many, one

"If you don't know your rights, you don't have any."

Marginalia · a citizen's law index
A research desk, not legal advice. Always read the cited source before relying on a summary.
Questions or an issue? support@self-law.org
disclaimerMarginalia is a research index, not a law firm. Nothing on this site is legal, tax, or financial advice and no attorney–client relationship is formed by using it. Statutes, regulations, and case law change; summaries, search results, AI output, and member posts may be incomplete, out of date, or wrong. Any interpretation drawn from material on this site should be validated by a licensed attorney in your jurisdiction before you act on it.