Agency Information Collection Activities: Submission for OMB Review; Comment Request, 12220-12221 [05-4886]
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Federal Register / Vol. 70, No. 47 / Friday, March 11, 2005 / Notices
study other than their time. The
estimated annualized burden is 5,922
hours.
ANNUALIZED BURDEN TABLE
Number of
respondents
Type of respondents
Patients ...........................................................
4180
Physicians .......................................................
140
Dated: March 7, 2005.
Betsey Dunaway,
Acting Reports Clearance Officer, Centers for
Disease Control and Prevention.
[FR Doc. 05–4803 Filed 3–10–05; 8:45 am]
BILLING CODE 4163–18–P
DEPARTMENT OF HEALTH AND
HUMAN SERVICES
Disease, Disability, and Injury
Prevention and Control; Special
Emphasis Panel: Grants for Education
Programs in Occupational Safety and
Health, Request for Applications (RFA)
OH–05–001
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 meeting:
Name: Disease, Disability, and Injury
Prevention and Control Special Emphasis
Panel (SEP): Grants for Education Programs
in Occupational Safety and Health, Request
for Applications (RFA) OH–05–001.
Times and Dates: 8 a.m.–6 p.m., March 28,
2005 (Closed).
Place: Embassy Suites Hotels, 1900
Diagonal Road, Alexandria, VA 23114,
telephone 703.684.5900.
Status: The meeting will be closed to the
public in accordance with provisions set
forth in section 552b(c)(4) and (6), Title 5
U.S.C., and the Determination of the Director,
Management Analysis and Services Office,
CDC, pursuant to Public Law 92–463.
Matters to be Discussed: The meeting will
include the review, discussion, and
evaluation of applications received in
response to Request for Applications OH–05–
001.
For Further Information Contact: S. Price
Connor, Ph.D., Scientific Review
Administrator, Office of Extramural
Programs, National Institute for Occupational
Safety and Health, CDC, 1600 Clifton Road,
NE, MS–E74, Atlanta, GA 30333, Telephone
404–498–2530.
The Director, Management Analysis and
Services Office has been delegated the
authority to sign Federal Register notices
pertaining to announcements of meetings and
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Screening .......................................................
Questionnaire (pre-test and post-test) ...........
Family HealthwareTM Tool .............................
Post Visit Assessment ...................................
other committee management activities, for
both CDC and the Agency for Toxic
Substances and Disease Registry.
Dated: March 4, 2005.
Alvin Hall,
Director, Management Analysis and Services
Office, Centers for Disease Control and
Prevention (CDC).
[FR Doc. 05–4808 Filed 3–10–05; 8:45 am]
BILLING CODE 4163–19–P
Centers for Disease Control and
Prevention
DEPARTMENT OF HEALTH AND
HUMAN SERVICES
Centers for Disease Control and
Prevention
National Center for Environmental
Health/Agency for Toxic Substances
and Disease Registry
The Program Peer Review
Subcommittee of the Board of Scientific
Counselors (BSC), National Center for
Environmental Health (NCEH)/Agency
for Toxic Substances and Disease
Registry (ATSDR): Teleconference
In accordance with section 10(a)(2) of
the Federal Advisory Committee Act
(Pub. L. 92–463), NCEH/ATSDR
announces the following subcommittee
meeting:
Name: Program Peer Review Subcommittee
(PPRS).
Time and Date: 12:30 p.m.–2 p.m., April 4,
2005.
Place: The teleconference will originate at
the National Center for Environmental
Health/Agency for Toxic Substances and
Disease Registry in Atlanta, Georgia. Please
see Supplementary Information for details
on accessing the teleconference.
Status: Open to the public, teleconference
access limited only by availability of
telephone ports.
Purpose: Under the charge of the Board of
Scientific counselors (BSC), NCEH/ATSDR,
the Program Peer Review Subcommittee
establishes and monitors working groups of
technical experts that perform program peer
reviews of NCEH and ATSDR. The
Subcommittee, working with the NCEH/
ATSDR, Office of Sciences (OS), will
establish the schedule and process for
program peer reviews, nominate working
group members, review summary reports and
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Frequency of
response
Type of response
Fmt 4703
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Average time
per response
(in hrs)
1
2
1
30
2/60
30/60
20/60
3/60
recommendations, and report back to the
Board. The OS will establish agency policy
for program peer review and directly support
each working group by collating program
documents, and organizing the working
groups review and site visit. Each NCEH/
ATSDR program eligible for review will be
reviewed every 5 years according to CDC/
ATSDR policy.
Matters To Be Discussed: The
teleconference agenda will include a review
of action items from the previous meeting,
discussion and updates on the program peer
review process, and the draft outline of a
generic self-assessment process.
Agenda items are tentative and subject to
change as priorities changes.
Supplementary Information: This
conference call is scheduled to begin at 12:30
p.m. Eastern Standard Time. To participate
in the teleconference, please dial (877) 315–
6535 and enter conference code 383520.
For Further Information Contact: Drue
Barrett, Ph.D., Executive Secretary, PRRS,
NCEH/ATSDR, M/S E–28, 1600 Clifton Road,
NE., Atlanta, Georgia 30333, telephone 404
498–0003.
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 ATSDR.
Dated: March 4, 2005.
Alvin Hall,
Director, Management Analysis and Services
Office, Centers for Disease Control and
Prevention.
[FR Doc. 05–4806 Filed 3–10–05; 8:45 am]
BILLING CODE 4163–70–P
DEPARTMENT OF HEALTH AND
HUMAN SERVICES
Centers for Medicare & Medicaid
Services
[Document Identifier: CMS–R–211, CMS–R–
306, CMS–R–185, and CMS–R–238]
Agency Information Collection
Activities: Submission for OMB
Review; Comment Request
Centers for Medicare &
Medicaid Services, HHS.
In compliance with the requirement
of section 3506(c)(2)(A) of the
AGENCY:
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Federal Register / Vol. 70, No. 47 / Friday, March 11, 2005 / Notices
Paperwork Reduction Act of 1995, the
Centers for Medicare & Medicaid
Services (CMS), Department of Health
and Human Services, is publishing the
following summary of proposed
collections for public comment.
Interested persons are invited to send
comments regarding this burden
estimate 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 function;
(2) the accuracy of the estimated
burden; (3) ways to enhance the quality,
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.
1. Type of Information Collection
Request: Extension of a currently
approved collection; Title of
Information Collection: Model
Application Template for State Child
Health Plan Under Title XXI of the
Social Security Act, State Children’s
Health Insurance Program, and Model
Application Template and Instructions;
Use: States are required to submit Title
XXI plans and amendments for approval
by the Secretary pursuant to Section
2102 of the Social Security Act in order
to receive funds for initiating and
expanding health insurance coverage for
uninsured children. The model
application template is used to assist
States in submitting a State Child Health
Plan and amendments to that plan;
Form Number: CMS–R–211 (OMB#:
0938–0707); Frequency: Quarterly and
annually; Affected Public: State, local or
tribal government; Number of
Respondents: 40; Total Annual
Responses: 40; Total Annual Hours:
3,200.
2. Type of Information Collection
Request: Extension of a currently
approved collection; Title of
Information Collection: Restraint and
Seclusion Standards for Psychiatric
Residential Treatment Facilities; Use:
Psychiatric residential treatment
facilities are required to report deaths,
serious injuries and attempted suicides
to State Medicaid Agency and
Protection and Advocacy Organization.
They are also required to provide
residents restraint and seclusion policy
in writing, and to document resident
record of all activities involving use of
restraint and seclusion. Form Number:
CMS–R–306 (OMB#: 0938–0833);
Frequency: On occasion; Affected
Public: Business or other for-profit and
not-for-profit institutions; Number of
Respondents: 500; Total Annual
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Responses: 1,199,000; Total Annual
Hours: 713,250.
3. Type of Information Collection
Request: Extension of a currently
approved collection; Title of
Information Collection: Granting and
Withdrawal of Deeming Authority to
Private Nonprofit Accreditation
Organizations and of State Exemption
Under State Laboratory Program and
Supporting Regulations in 42 CFR
493.551–493.557; Use: The information
required is necessary to determine
whether a private accreditation
organization’s or State licensure
program’s standards and accreditation/
licensure process is equal to or more
stringent than those of CLIA; Form
Number: CMS–R–185 (OMB#: 0938–
0686); Frequency: As needed; Affected
Public: Not-for-profit institutions,
business or other for-profit, and State,
local or tribal government; Number of
Respondents: 8; Total Annual
Responses: 76; Total Annual Hours:
768.
4. Type of Information Collection
Request: Extension of a currently
approved collection; Title of
Information Collection: Inpatient
Psychiatric Services for Individuals
Under Age 21 and Supporting
Regulations in 42 CFR 441.151 and
441.152; Use: Certification requirements
in Section 441.152 require that the
certification of need for inpatient
psychiatric services include
documented clinical evidence that
serves as the basis for the certification
of need for inpatient psychiatric care.
Section 1905(h)(1)(B) requires
physicians and other personnel
qualified to make determinations, with
respect to mental health conditions and
the treatment thereof, certify the need
for care which they have determined to
be necessary on an inpatient basis; Form
Number: CMS–R–238 (OMB#: 0938–
0754); Frequency: Recordkeeping;
Affected Public: State, local or tribal
government, not-for-profit institutions
and business or other for-profit; Number
of Respondents: 80,000; Total Annual
Responses: 80,000; Total Annual Hours:
1.
To obtain copies of the supporting
statement and any related forms for the
proposed paperwork collections
referenced above, access CMS Web site
address at https://www.cms.hhs.gov/
regulations/pra/, or e-mail your request,
including your address, phone number,
OMB number, and CMS document
identifier, to Paperwork@cms.hhs.gov,
or call the Reports Clearance Office on
(410) 786–1326.
Written comments and
recommendations for the proposed
information collections must be mailed
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12221
within 30 days of this notice directly to
the OMB desk officer: OMB Human
Resources and Housing Branch,
Attention: Christopher Martin, New
Executive Office Building, Room 10235,
Washington, DC 20503.
Dated: March 4, 2005.
John P. Burke, III,
CMS Paperwork Reduction Act Reports
Clearance Officer, Office of Strategic
Operations and Regulatory Affairs,
Regulations Development Group.
[FR Doc. 05–4886 Filed 3–10–05; 8:45 am]
BILLING CODE 4120–03–P
DEPARTMENT OF HEALTH AND
HUMAN SERVICES
Centers for Medicare & Medicaid
Services
[Document Identifier: CMS–10143, CMS–R–
295, CMS–R–79, and CMS–R–10]
Agency Information Collection
Activities: Proposed Collection;
Comment Request
Centers for Medicare &
Medicaid Services, HHS.
In compliance with the requirement
of section 3506(c)(2)(A) of the
Paperwork Reduction Act of 1995, the
Centers for Medicare & Medicaid
Services (CMS) is publishing the
following summary of proposed
collections for public comment.
Interested persons are invited to send
comments regarding this burden
estimate 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,
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.
1. Type of Information Collection
Request: New collection; Title of
Information Collection: Monthly State
File of Medicaid/Medicare Dual Eligible
Enrollees and Supporting Regulations in
42 CFR 423.900 through 423.910; Use:
The monthly file of dual eligible
enrollees will be used to determine
those duals with drug benefits for the
phased-down State contribution process
required by the Medicare Modernization
Act of 2003 (MMA). Section 103(a)(2) of
the MMA addresses the phased-down
State contribution (PDSC) process for
the Medicare program. The reporting of
the Medicare/Medicaid dual eligibles on
AGENCY:
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]]>Agencies
[Federal Register Volume 70, Number 47 (Friday, March 11, 2005)]
[Notices]
[Pages 12220-12221]
From the Federal Register Online via the Government Printing Office [www.gpo.gov]
[FR Doc No: 05-4886]
-----------------------------------------------------------------------
DEPARTMENT OF HEALTH AND HUMAN SERVICES
Centers for Medicare & Medicaid Services
[Document Identifier: CMS-R-211, CMS-R-306, CMS-R-185, and CMS-R-238]
Agency Information Collection Activities: Submission for OMB
Review; Comment Request
AGENCY: Centers for Medicare & Medicaid Services, HHS.
In compliance with the requirement of section 3506(c)(2)(A) of the
[[Page 12221]]
Paperwork Reduction Act of 1995, the Centers for Medicare & Medicaid
Services (CMS), Department of Health and Human Services, is publishing
the following summary of proposed collections for public comment.
Interested persons are invited to send comments regarding this burden
estimate 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 function; (2) the accuracy of the estimated burden; (3)
ways to enhance the quality, 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.
1. Type of Information Collection Request: Extension of a currently
approved collection; Title of Information Collection: Model Application
Template for State Child Health Plan Under Title XXI of the Social
Security Act, State Children's Health Insurance Program, and Model
Application Template and Instructions; Use: States are required to
submit Title XXI plans and amendments for approval by the Secretary
pursuant to Section 2102 of the Social Security Act in order to receive
funds for initiating and expanding health insurance coverage for
uninsured children. The model application template is used to assist
States in submitting a State Child Health Plan and amendments to that
plan; Form Number: CMS-R-211 (OMB: 0938-0707); Frequency:
Quarterly and annually; Affected Public: State, local or tribal
government; Number of Respondents: 40; Total Annual Responses: 40;
Total Annual Hours: 3,200.
2. Type of Information Collection Request: Extension of a currently
approved collection; Title of Information Collection: Restraint and
Seclusion Standards for Psychiatric Residential Treatment Facilities;
Use: Psychiatric residential treatment facilities are required to
report deaths, serious injuries and attempted suicides to State
Medicaid Agency and Protection and Advocacy Organization. They are also
required to provide residents restraint and seclusion policy in
writing, and to document resident record of all activities involving
use of restraint and seclusion. Form Number: CMS-R-306 (OMB:
0938-0833); Frequency: On occasion; Affected Public: Business or other
for-profit and not-for-profit institutions; Number of Respondents: 500;
Total Annual Responses: 1,199,000; Total Annual Hours: 713,250.
3. Type of Information Collection Request: Extension of a currently
approved collection; Title of Information Collection: Granting and
Withdrawal of Deeming Authority to Private Nonprofit Accreditation
Organizations and of State Exemption Under State Laboratory Program and
Supporting Regulations in 42 CFR 493.551-493.557; Use: The information
required is necessary to determine whether a private accreditation
organization's or State licensure program's standards and
accreditation/licensure process is equal to or more stringent than
those of CLIA; Form Number: CMS-R-185 (OMB: 0938-0686);
Frequency: As needed; Affected Public: Not-for-profit institutions,
business or other for-profit, and State, local or tribal government;
Number of Respondents: 8; Total Annual Responses: 76; Total Annual
Hours: 768.
4. Type of Information Collection Request: Extension of a currently
approved collection; Title of Information Collection: Inpatient
Psychiatric Services for Individuals Under Age 21 and Supporting
Regulations in 42 CFR 441.151 and 441.152; Use: Certification
requirements in Section 441.152 require that the certification of need
for inpatient psychiatric services include documented clinical evidence
that serves as the basis for the certification of need for inpatient
psychiatric care. Section 1905(h)(1)(B) requires physicians and other
personnel qualified to make determinations, with respect to mental
health conditions and the treatment thereof, certify the need for care
which they have determined to be necessary on an inpatient basis; Form
Number: CMS-R-238 (OMB: 0938-0754); Frequency: Recordkeeping;
Affected Public: State, local or tribal government, not-for-profit
institutions and business or other for-profit; Number of Respondents:
80,000; Total Annual Responses: 80,000; Total Annual Hours: 1.
To obtain copies of the supporting statement and any related forms
for the proposed paperwork collections referenced above, access CMS Web
site address at https://www.cms.hhs.gov/regulations/pra/, or e-mail your
request, including your address, phone number, OMB number, and CMS
document identifier, to Paperwork@cms.hhs.gov, or call the Reports
Clearance Office on (410) 786-1326.
Written comments and recommendations for the proposed information
collections must be mailed within 30 days of this notice directly to
the OMB desk officer: OMB Human Resources and Housing Branch,
Attention: Christopher Martin, New Executive Office Building, Room
10235, Washington, DC 20503.
Dated: March 4, 2005.
John P. Burke, III,
CMS Paperwork Reduction Act Reports Clearance Officer, Office of
Strategic Operations and Regulatory Affairs, Regulations Development
Group.
[FR Doc. 05-4886 Filed 3-10-05; 8:45 am]
BILLING CODE 4120-03-P
