Agency Information Collection Activities: Proposed Collection; Comment Request, 45860-45861 [E9-21425]

Download as PDF 45860 Federal Register / Vol. 74, No. 171 / Friday, September 4, 2009 / Notices mine workers were asked to identify those postures that are least and most comfortable/stressful. There is no cost to respondents other than their time. The total estimated annual burden hours are 12. ESTIMATED ANNUALIZED BURDEN HOURS Number of respondents Respondent Form name Continuous miner operator ............................. Foreman .......................................................... Maintenance Shift Worker .............................. Mobile Bridge Operator ................................... Roof Bolter Operator ....................................... Scoop Operator ............................................... Shuttle Car Operator ....................................... Mechanic ......................................................... Beltman ........................................................... Continuous Miner Operator Form .................. Foreman Form ............................................... Maintenance Shift Worker Form .................... Mobile Bridge Operator Form ........................ Roof Bolter Operator Form ............................ Scoop Operator Form .................................... Shuttle Car Operator Form ............................ Mechanic Form .............................................. Beltman Form ................................................. Dated: August 27, 2009. Maryam I. Daneshvar, Acting Reports Clearance Officer, Centers for Disease Control and Prevention. [FR Doc. E9–21376 Filed 9–3–09; 8:45 am] BILLING CODE 4163–18–P DEPARTMENT OF HEALTH AND HUMAN SERVICES Centers for Medicare & Medicaid Services [Document Identifier: CMS–10079 and CMS– 10293] srobinson on DSKHWCL6B1PROD with NOTICES Agency Information Collection Activities: Proposed Collection; Comment Request AGENCY: 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: Revision of a currently approved collection; Title of Information Collection: Hospital Wage VerDate Nov<24>2008 17:16 Sep 03, 2009 Jkt 217001 Index Occupational Mix Survey and Supporting Regulations in 42 CFR, Section 412.64; Use: Section 304(c) of Public Law 106–554 amended section 1886(d)(3)(E) of the Social Security Act to require CMS to collect data every 3 years on the occupational mix of employees for each short-term, acute care hospital participating in the Medicare program, in order to construct an occupational mix adjustment to the wage index, for application beginning October 1, 2004 (the FY 2005 wage index). The purpose of the occupational mix adjustment is to control for the effect of hospitals’ employment choices on the wage index. Refer to the summary of changes document for a list of current changes. Form Number: CMS–10079 (OMB#: 0938–0907); Frequency: Reporting—Yearly, Biennially and Occasionally; Affected Public: Private Sector—Business or other for-profits and Not-for-profit institutions; Number of Respondents: 3,522; Total Annual Responses: 3,522; Total Annual Hours: 1,690,560. (For policy questions regarding this collection contact Taimyra Jones at 410– 786–1562. For all other issues call 410– 786–1326.) 2. Type of Information Collection Request: New Collection; Title of Information Collection: Tribal Consultation State Plan Amendment Template; Use: Effective July 1, 2009, section 5006 of the American Recovery and Reinvestment Act of 2009 (Recovery Act) amended section 1902(a)(73) of the Act to require that certain States utilize a process for the State to seek advice on a regular, ongoing basis from designees of the Indian Health Service (IHS) and Urban Indian Organizations concerning Medicaid and Children’s Health Insurance Program (CHIP) matters having a direct effect on them. The consultation process is required for the 37 States in which 1 or more Indian PO 00000 Frm 00059 Fmt 4703 Sfmt 4703 5 5 10 10 14 6 6 6 2 Number of responses per respondent 1 1 1 1 1 1 1 1 1 Average burden per response (in hours) 10/60 10/60 10/60 10/60 10/60 10/60 10/60 10/60 10/60 Health Programs or Urban Indian Organizations furnish health care services. The State Medicaid agency for each of these States will complete the template page and submit it for approval as part of a State plan amendment, to document how it meets the requirements for tribal consultation. Form Number: CMS–10293 (OMB#: 0938–NEW); Frequency: Reporting— Once and occasionally; Affected Public: State, Local, or Tribal Governments; Number of Respondents: 37; Total Annual Responses: 37; Total Annual Hours: 37. (For policy questions regarding this collection contact Mary Corddry at 410–786–6618. For all other issues call 410–786–1326.) To obtain copies of the supporting statement and any related forms for the proposed paperwork collections referenced above, access CMS’ Web Site at https://www.cms.hhs.gov/ PaperworkReductionActof1995, or Email 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. In commenting on the proposed information collections please reference the document identifier or OMB control number. To be assured consideration, comments and recommendations must be submitted in one of the following ways by November 3, 2009: 1. Electronically. You may submit your comments electronically to https:// www.regulations.gov. Follow the instructions for ‘‘Comment or Submission’’ or ‘‘More Search Options’’ to find the information collection document(s) accepting comments. 2. By regular mail. You may mail written comments to the following address: CMS, Office of Strategic Operations and Regulatory Affairs, Division of Regulations Development, E:\FR\FM\04SEN1.SGM 04SEN1 Federal Register / Vol. 74, No. 171 / Friday, September 4, 2009 / Notices Attention: Document Identifier/OMB Control Number, Room C4–26–05, 7500 Security Boulevard, Baltimore, Maryland 21244–1850. Dated: August 28, 2009. Michelle Shortt, Director, Regulations Development Group, Office of Strategic Operations and Regulatory Affairs. [FR Doc. E9–21425 Filed 9–3–09; 8:45 am] BILLING CODE 4120–01–P DEPARTMENT OF HEALTH AND HUMAN SERVICES Centers for Medicare & Medicaid Services [Document Identifier: CMS–10285] srobinson on DSKHWCL6B1PROD with NOTICES 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 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: Revision of a currently approved collection; Title of Information Collection: Request for Expedited Review of Denial of Premium Assistance; Use: The American Recovery and Reinvestment Act of 2009 provides for premium assistance and expanded eligibility for health benefits under both the Consolidated Omnibus Budget Reconciliation Act of 1986, commonly called COBRA, and comparable State continuation coverage programs. This premium assistance is not paid directly to the covered employee or the qualified beneficiary, but instead is in the form of a tax credit for the health plan, the employer, or the VerDate Nov<24>2008 17:16 Sep 03, 2009 Jkt 217001 insurer. ‘‘Assistance eligible individuals’’ pay only 35% of their continuation coverage premiums to the plan and the remaining 65% is paid through the tax credit. If an individual requests treatment as an assistance eligible individual and the employee’s group health plan, employer, or insurer denies him or her the reduced premium assistance, the Secretary of Health and Human Services must provide for expedited review of the denial upon application to the Secretary in the form and manner the Secretary provides. The Secretary is required to make a determination within 15 business days after receipt of an individual’s application for review. The Request for Review If You Have Been Denied Premium Assistance (the ‘‘application’’) is the form that will be used by individuals to file their expedited review appeals. Each individual must complete all information requested on the application in order for CMS to begin reviewing his or her case. An application cannot be reviewed if sufficient information is not provided. Refer to the supporting document ‘‘Crosswalk of Changes Between Request for Expedited Review of Denial of Premium Assistance (4/09) and Request for Review if You Have Been Denied Premium Assistance (6/09)’’ for a list of changes: Form Number: CMS–10285 (OMB#: 0938–1062); Frequency: Reporting—Once; Affected Public: Individuals and households; Number of Respondents: 12,000; Total Annual Responses: 12,000; Total Annual Hours: 12,000. (For policy questions regarding this collection contact Jim Mayhew at 410–786–9244. For all other issues call 410–786–1326.) 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/ PaperworkReductionActof1995, 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. To be assured consideration, comments and recommendations for the proposed information collections must be received by the OMB desk officer at the address below, no later than 5 p.m. on October 5, 2009: OMB, Office of Information and Regulatory Affairs, Attention: CMS Desk Officer, Fax Number: (202) 395–6974, E-mail: OIRA_submission@omb.eop.gov. PO 00000 Frm 00060 Fmt 4703 Sfmt 4703 45861 Dated: August 28, 2009. Michelle Shortt, Director, Regulations Development Group, Office of Strategic Operations and Regulatory Affairs. [FR Doc. E9–21423 Filed 9–3–09; 8:45 am] BILLING CODE 4120–01–P DEPARTMENT OF HEALTH AND HUMAN SERVICES Centers for Disease Control and Prevention [60Day–09–0818] Proposed Data Collections Submitted for Public Comment and Recommendations In compliance with the requirement of Section 3506(c)(2)(A) of the Paperwork Reduction Act of 1995 for opportunity for public comment on proposed data collection projects, the Centers for Disease Control and Prevention (CDC) will publish periodic summaries of proposed projects. To request more information on the proposed projects or to obtain a copy of the data collection plans and instruments, call 404–639–5960 and send comments to Maryam I. Daneshvar, CDC Acting Reports Clearance Officer, 1600 Clifton Road, MS–D74, Atlanta, GA 30333 or send an e-mail to omb@cdc.gov. Comments are invited on: (a) Whether the proposed collection of information is necessary for the proper performance of the functions of the agency, including whether the information shall have practical utility; (b) the accuracy of the agency’s estimate of the burden of the proposed collection of information; (c) ways to enhance the quality, utility, and clarity of the information to be collected; and (d) ways to minimize the burden of the collection of information on respondents, including through the use of automated collection techniques or other forms of information technology. Written comments should be received within 60 days of this notice. Proposed Project Cost and Follow-up Assessment of Administration on Aging (AoA)Funded Fall Prevention Programs for Older Adults—Extension—National Center for Injury Prevention and Control (NCIPC), Centers for Disease Control and Prevention (CDC). Background and Brief Description CDC received OMB approval for Control number 0920–0818 to collect data for the Cost and Follow-up E:\FR\FM\04SEN1.SGM 04SEN1

Agencies

[Federal Register Volume 74, Number 171 (Friday, September 4, 2009)]
[Notices]
[Pages 45860-45861]
From the Federal Register Online via the Government Printing Office [www.gpo.gov]
[FR Doc No: E9-21425]


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DEPARTMENT OF HEALTH AND HUMAN SERVICES

Centers for Medicare & Medicaid Services

[Document Identifier: CMS-10079 and CMS-10293]


Agency Information Collection Activities: Proposed Collection; 
Comment Request

AGENCY: 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: Revision of a currently 
approved collection; Title of Information Collection: Hospital Wage 
Index Occupational Mix Survey and Supporting Regulations in 42 CFR, 
Section 412.64; Use: Section 304(c) of Public Law 106-554 amended 
section 1886(d)(3)(E) of the Social Security Act to require CMS to 
collect data every 3 years on the occupational mix of employees for 
each short-term, acute care hospital participating in the Medicare 
program, in order to construct an occupational mix adjustment to the 
wage index, for application beginning October 1, 2004 (the FY 2005 wage 
index). The purpose of the occupational mix adjustment is to control 
for the effect of hospitals' employment choices on the wage index. 
Refer to the summary of changes document for a list of current changes. 
Form Number: CMS-10079 (OMB: 0938-0907); Frequency: 
Reporting--Yearly, Biennially and Occasionally; Affected Public: 
Private Sector--Business or other for-profits and Not-for-profit 
institutions; Number of Respondents: 3,522; Total Annual Responses: 
3,522; Total Annual Hours: 1,690,560. (For policy questions regarding 
this collection contact Taimyra Jones at 410-786-1562. For all other 
issues call 410-786-1326.)
    2. Type of Information Collection Request: New Collection; Title of 
Information Collection: Tribal Consultation State Plan Amendment 
Template; Use: Effective July 1, 2009, section 5006 of the American 
Recovery and Reinvestment Act of 2009 (Recovery Act) amended section 
1902(a)(73) of the Act to require that certain States utilize a process 
for the State to seek advice on a regular, ongoing basis from designees 
of the Indian Health Service (IHS) and Urban Indian Organizations 
concerning Medicaid and Children's Health Insurance Program (CHIP) 
matters having a direct effect on them. The consultation process is 
required for the 37 States in which 1 or more Indian Health Programs or 
Urban Indian Organizations furnish health care services. The State 
Medicaid agency for each of these States will complete the template 
page and submit it for approval as part of a State plan amendment, to 
document how it meets the requirements for tribal consultation. Form 
Number: CMS-10293 (OMB: 0938-NEW); Frequency: Reporting--Once 
and occasionally; Affected Public: State, Local, or Tribal Governments; 
Number of Respondents: 37; Total Annual Responses: 37; Total Annual 
Hours: 37. (For policy questions regarding this collection contact Mary 
Corddry at 410-786-6618. For all other issues call 410-786-1326.)
    To obtain copies of the supporting statement and any related forms 
for the proposed paperwork collections referenced above, access CMS' 
Web Site at https://www.cms.hhs.gov/PaperworkReductionActof1995, 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.
    In commenting on the proposed information collections please 
reference the document identifier or OMB control number. To be assured 
consideration, comments and recommendations must be submitted in one of 
the following ways by November 3, 2009:
    1. Electronically. You may submit your comments electronically to 
https://www.regulations.gov. Follow the instructions for ``Comment or 
Submission'' or ``More Search Options'' to find the information 
collection document(s) accepting comments.
    2. By regular mail. You may mail written comments to the following 
address: CMS, Office of Strategic Operations and Regulatory Affairs, 
Division of Regulations Development,

[[Page 45861]]

Attention: Document Identifier/OMB Control Number, Room C4-26-05, 7500 
Security Boulevard, Baltimore, Maryland 21244-1850.

    Dated: August 28, 2009.
Michelle Shortt,
Director, Regulations Development Group, Office of Strategic Operations 
and Regulatory Affairs.
[FR Doc. E9-21425 Filed 9-3-09; 8:45 am]
BILLING CODE 4120-01-P

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