Change Requests

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Medicare Authorization to Disclose Personal Health Information (CMS-10106)

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Unless permitted or required by law, the Privacy Act and Health Insurance Portability and Accountability Act (HIPAA) Privacy Rule prohibit covered entities from disclosing an individual's protected health information to a third party without a valid privacy authorization. The authorization must include specified core elements and certain statements. Medicare beneficiaries will use the "Medicare Authorization to Disclose Personal Health Information" to authorize Medicare to diclose their protected health information to a third party.

Federal Register Notices

60-Day FRN	View Notice
30-Day FRN	View Notice

Authorizing Statutes

Pub.L. 104 - 191 164.508	View Law

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Maternal, Infant, and Early Childhood Home Visiting (MIECHV) Program Model Eligibility Review Survey

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The MIECHV program supports voluntary, evidence-based home visiting services during pregnancy and to families with young children up to kindergarten entry living in at-risk communities. One key program requirement is that programs deliver services using models that meet HHS criteria for evidence of effectiveness.1 HRSA and ACF define such service delivery models as “evidence-based.” ACF administers the Home Visiting Evidence of Effectiveness (HomVEE) review process to identify early childhood home visiting models that demonstrate evidence of effectiveness.2 However, not all evidence-based service delivery models approved through the HomVEE process meet MIECHV statutory requirements such that they may be used to carry out the MIECHV Program in fidelity to applicable program requirements. This ICR to proposes a survey to identify service delivery models that meet both HHS criteria for evidence of effectiveness, as determined by HomVEE review, and applicable MIECHV statutory requirements, and therefore may be used by eligible entities to provide home visiting services through the MIECHV Program.

Federal Register Notices

60-Day FRN	View Notice
30-Day FRN	View Notice

Authorizing Statutes

Pub.L. 117 - 328 6101	View Law

42 USC 711(d)(3)(ii-iii)	View Law

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SF-424 Mandatory

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The SF-424 Mandatory Form provides the Federal grant-making agencies an alternative to the Standard Form 424 data set and form. Agencies may use the SF-424 Mandatory Form for grant programs not required to collect all the data that is required on the SF-424 core data set and form.

Federal Register Notices

60-Day FRN	View Notice
30-Day FRN	View Notice

Authorizing Statutes

Pub.L. 106 - 107 468	View Law

Pub.L. 109 - 282 2590	View Law

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Determination of Fair and Reasonable Rates for the Carriage of Agricultural Cargoes on U.S. Commercial Vessels--46 CFR Part 382

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This collection of information requires U.S.-flag operators to submit vessel-operating costs and capital costs data to MARAD’s Office of Financial Approval on an annual basis. The collection is used by MARAD to calculate fair and reasonable rates for U.S.-flag vessels engaged in the carriage of preference cargoes. The collected information is mandatory.

Federal Register Notices

60-Day FRN	View Notice
30-Day FRN	View Notice

Authorizing Statutes

46 USC Section 901 (b) (1)	View Law

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