View Information Collection Request (ICR) Package

OMB Control No: 0938-1053	ICR Reference No: 201112-0938-010
Status: Historical Active	Previous ICR Reference No: 200810-0938-007
Agency/Subagency: HHS/CMS	Agency Tracking No:
Title: Administrative Requirements for Section 6071 of the Deficit Reduction Act of 2005 (CMS-10249)
Type of Information Collection: Revision of a currently approved collection	Common Form ICR: No
Type of Review Request: Regular
OIRA Conclusion Action: Approved with change	Conclusion Date: 06/12/2012
	Date Received in OIRA: 12/30/2011
Terms of Clearance:

	Inventory as of this Action	Requested	Previously Approved
Expiration Date	06/30/2015	36 Months From Approved	06/30/2012
Responses	106,269	0	304
Time Burden (Hours)	39,058	0	10,394
Cost Burden (Dollars)	0	0	0

Abstract: The Centers for Medicare & Medicaid Services (CMS) awarded 31 grants to States to participate in the Money Follows the Person Rebalancing Demonstration (MFP) from January 1, 2007 through September 30, 2011. This demonstration, created by section 6071 of the Deficit Reduction Act of 2005 (P.L. 109-171), supports State efforts to "rebalance" their long-term support systems by offering $1.75 billion over 5 years in competitive grants to States. Specifically, the demonstration will support State efforts to: a) Rebalance their long-term support system so that individuals have a choice of where they live and receive services; b) Transition individuals from institutions who want to live in the community; and c) Promote a strategic approach to implement a system that provides person centered, appropriate, needs based, quality of care and quality of life services and a quality management strategy that ensures the provision of, and improvement of such services in both home and community-based settings and institutions. The demonstration provides enhanced federal medical assistance percentage (FMAP) for 12 months for qualified home and community-based services for each person transitioned from an institution to the community during the demonstration period.

Authorizing Statute(s): PL: Pub.L. 109 - 171 6071 Name of Law: Money Follows the Person

Citations for New Statutory Requirements: None

Associated Rulemaking Information
RIN:	Stage of Rulemaking:	Federal Register Citation:	Date:
	Not associated with rulemaking

Federal Register Notices & Comments
60-day Notice:	Federal Register Citation:	Citation Date:
	76 FR 65515	10/21/2011
30-day Notice:	Federal Register Citation:	Citation Date:
	76 FR 81503	12/28/2011
Did the Agency receive public comments on this ICR? No

Number of Information Collection (IC) in this ICR: 1

IC Title	Form No.	Form Name
Administrative Requirements for Section 6071 of the DRA (CMS-10249)	CMS-10249, CMS-10249	,

ICR Summary of Burden

	Total Approved	Previously Approved	Change Due to Adjustment in Estimate
Annual Number of Responses	106,269	304	105,965
Annual Time Burden (Hours)	39,058	10,394	28,664
Annual Cost Burden (Dollars)	0	0	0

Burden increases because of Program Change due to Agency Discretion: No

Burden Increase Due to:

Burden decreases because of Program Change due to Agency Discretion: No

Burden Reduction Due to:

Short Statement: There have not been any program changes. All requirements, forms, instructions, respondent response times and response frequency, etc. are unchanged from the 2008 PRA package. As of March 2011, CMS had awarded 44 MFP grants. In 2012, CMS will award 3 MFP Grants, thus, the burden estimates are for 46 states and the District of Columbia (44 current Grantees and 3 being awarded in 2012 for a total of 47 MFP Demonstration Grantees). This package also adjusts our burden estimates by adding burden associated with the Quality of Life File questionnaire. Although the questionnaire was included in the 2008 PRA package, the burden estimates were inadvertently missing.

Annual Cost to Federal Government: $32,075

Does this IC contain surveys, censuses, or employ statistical methods? Yes Part B of Supporting Statement

Is the Supporting Statement intended to be a Privacy Impact Assessment required by the E-Government Act of 2002? No

Is this ICR related to the Affordable Care Act [Pub. L. 111-148 & 111-152]? Yes

Is this ICR related to the Dodd-Frank Wall Street Reform and Consumer Protection Act, [Pub. L. 111-203]? No

Is this ICR related to the American Recovery and Reinvestment Act of 2009 (ARRA)? No

Is this ICR related to the Pandemic Response? Uncollected

Agency Contact: Mitch Bryman 410 786-5258 Mitch.Bryman@cms.hhs.gov

View ICR - OIRA Conclusion