Agency Information Collection Activities: Submission for OMB Review; Comment Request, 4563-4564 [2012-1945]
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emcdonald on DSK29S0YB1PROD with NOTICES
Federal Register / Vol. 77, No. 19 / Monday, January 30, 2012 / Notices
of speeches and congressional testimony
for the division director, the center
director, and other public health
officials; (12) provides program services
support in extramural programs
management; and (13) collaborates, as
appropriate, with other divisions and
offices of NCHHSTP, other CIOs
throughout CDC, and other federal
agencies in carrying out these activities.
Program Development and Services
Branch (CVJJB). (1) Provides
consultation, training, educational, and
other technical services to assist state,
territorial, and local education and
health departments, tribal governments,
national nongovernmental
organizations, and other societal
institutions to implement and improve
policy, systems, and environmental
changes and interventions to reduce
priority sexual health risks among
youth; (2) uses the results of
surveillance and evaluation research
and research syntheses to improve the
impact of school- and community-based
interventions designed to reduce
priority health risks among youth and to
promote changes in behaviors related to
HIV/AIDS, other sexually transmitted
diseases, and unintended pregnancy; (3)
provides leadership to the nationwide
network of leaders in school-based HIV
prevention to promote linkages between
state and local public health
departments with education agencies;
(4) assesses training and technical
assistance needs and develops strategies
to build the capacity of funded partners,
other external partners, and division
staff, and (5) provides consultation to
other divisions within NCHHSTP and
CDC on how schools work and how to
foster effective collaboration between
public health and education
departments.
Research Application and Evaluation
Branch (CVJJC). (1) Conducts evaluation
research to expand knowledge of the
determinants of priority health risk
behaviors among youth and to identify
effective policies and practices that
schools and other societal institutions
can implement to reduce priority health
risks among youth; (2) synthesizes and
disseminates research findings to
improve the impact of interventions
designed to reduce priority sexual
health risks among youth, including
those designed to address cross-cutting
issues and protective factors; (3)
develops and disseminates guidelines
and tools to help schools and other
societal institutions apply research
synthesis findings to reduce priority
health risks among youth; and (4) in
collaboration with other NCHHSTP
divisions and with other governmental
and non-governmental organizations,
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15:09 Jan 27, 2012
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develops and promotes evidence-based
policies, practices, and evaluation
methods.
School-Based Surveillance Branch
(CVJJD). (1) Maintains international,
national, state, tribal, and local schoolbased surveillance systems to identify
and monitor priority health risk
behaviors and health outcomes among
youth; (2) maintains national, state,
tribal, and local surveillance systems to
monitor school health policies and
practices designed to address priority
health risk behaviors and health
outcomes among youth; (3) designs,
develops, and disseminates a wide
variety of products describing schoolbased surveillance data; (4) provides
comprehensive technical assistance to
state and local education and health
agencies, tribal governments, and
ministries of health and education in
the planning and implementation of
school-based surveillance systems; (5)
manages extramural funding of schoolbased surveillance systems; and (6)
collaborates with other branches,
divisions, and offices in NCHHSTP and
other CIOs throughout CDC to
accomplish the functions listed above.
Dated: January 11, 2012.
Sherri A. Berger,
Chief Operating Officer, Centers for Disease
Control and Prevention.
[FR Doc. 2012–1817 Filed 1–27–12; 8:45 am]
BILLING CODE 4160–18–M
DEPARTMENT OF HEALTH AND
HUMAN SERVICES
Centers for Medicare & Medicaid
Services
[Document Identifier: CMS–209]
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
PO 00000
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Sfmt 4703
4563
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 without change of a
currently approved collection; Title of
Information Collection: Laboratory
Personnel Report (CLIA) and Supporting
Regulations in 42 CFR 493.1357,
493.1363, 493.1405, 493.1406, 493.1411,
493.1417, 493.1423, 493.1443, 493.1449,
493.1455, 493.1461, 493.1462, 493.1469,
493.1483, 493.1489 and 493.1491; Use:
The information collected on this
survey form is used in the
administrative pursuit of the
Congressionally-mandated program
with regard to regulation of laboratories
participating in CLIA. The surveyor will
provide the laboratory with the CMS–
209 form. While the surveyor performs
other aspects of the survey, the
laboratory will complete the CMS–209
by recording the personnel data needed
to support their compliance with the
personnel requirements of CLIA. The
surveyor will then use this information
in choosing a sample of personnel to
verify compliance with the personnel
requirements. Information on personnel
qualifications of all technical personnel
is needed to ensure the sample is
representative of the entire laboratory;
Form Number: CMS–209 (OCN 0938–
0151); Frequency: Biennially; Affected
Public: Private Sector; State, Local, or
Tribal Governments; and Federal
Government; Number of Respondents:
20,486; Total Annual Responses:
10,243; Total Annual Hours: 5,121.50.
(For policy questions regarding this
collection contact Kathleen Todd at
(410) 786–3385. 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
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.
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 February 29, 2012.
OMB, Office of Information and
Regulatory Affairs, Attention: CMS
E:\FR\FM\30JAN1.SGM
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4564
Federal Register / Vol. 77, No. 19 / Monday, January 30, 2012 / Notices
Desk Officer. Fax Number: (202) 395–
6974.
Email:
OIRA_submission@omb.eop.gov.
Dated: January 24, 2012.
Martique Jones,
Director, Regulations Development Group,
Division-B, Office of Strategic Operations and
Regulatory Affairs.
[FR Doc. 2012–1945 Filed 1–27–12; 8:45 am]
BILLING CODE 4120–01–P
DEPARTMENT OF HEALTH AND
HUMAN SERVICES
Centers for Medicare & Medicaid
Services
[Document Identifier CMS–855I and CMS–
855R]
Agency Information Collection
Activities: Proposed Collection;
Comment Request
Centers for Medicare &
Medicaid Services.
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: Medicare
Enrollment Application for Physician
and Non-Physician Practitioners. Use:
Health care practitioners who wish to
enroll in the Medicare program must
complete the CMS 855I enrollment
application. It is submitted at the time
the applicant first requests a Medicare
billing number. The application is used
by the Medicare Administrative
Contractor (MAC), to collect data to
assure the applicant has the necessary
professional and/or business credentials
to provide the health care services for
which they intend to bill Medicare
emcdonald on DSK29S0YB1PROD with NOTICES
AGENCY:
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15:09 Jan 27, 2012
Jkt 226001
including information that allows the
MAC to correctly price, process and pay
the applicant’s claims. It also gathers
information that allows the MAC to
ensure that the practitioner is not
sanctioned from the Medicare program,
or debarred, suspended or excluded
from any other Federal agency or
program. Form Number: CMS–855I
(OCN 0938–0685). Frequency: Once and
Occasionally. Affected Public: Private
Sector (Business or other for-profit and
not-for-profit institutions). Number of
Respondents: 345,000. Total Annual
Responses: 345,000. Total Annual
Hours: 824,000. (For policy questions
regarding this collection contact
Kimberly McPhillips at (410) 786–5374.
For all other issues call (410) 786–1326.)
2. Type of Information Collection
Request: New collection. Title of
Information Collection: Medicare
Enrollment Application—Reassignment
of Medicare Benefits. Use: Health care
practitioners who wish to reassign their
benefits in the Medicare program must
complete the CMS 855R enrollment
application. It is submitted at the time
the physician or non-physician
practitioner first requests reassignment
of his/her Medicare benefits to a group
practice, as well as any subsequent
reassignments or terminations of
established reassignments as requested
by the physician or non-physician
practitioner. The application is used by
the Medicare Administrative Contractor
(MAC) to collect data to assure the
applicant has the necessary information
that allows the MAC to correctly
establish or terminate the reassignment.
Form Number: CMS–855R (OCN 0938New). Frequency: Occasionally.
Affected Public: Private Sector (Business
or other for-profit and not-for-profit
institutions). Number of Respondents:
100,000. Total Annual Responses:
100,000. Total Annual Hours: 50,000.
(For policy questions regarding this
collection contact Kimberly McPhillips
at (410) 786–5374. 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
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 at (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
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Fmt 4703
Sfmt 4703
be submitted in one of the following
ways by March 30, 2012:
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,
Attention: Document Identifier/OMB
Control Number llllRoom C4–26–
05, 7500 Security Boulevard, Baltimore,
Maryland 21244–1850.
Dated: January 24, 2012.
Martique Jones,
Director, Regulations Development Group,
Division B, Office of Strategic Operations and
Regulatory Affairs.
[FR Doc. 2012–1951 Filed 1–27–12; 8:45 am]
BILLING CODE 4120–01–P
DEPARTMENT OF HEALTH AND
HUMAN SERVICES
Centers for Medicare & Medicaid
Services
[CMS–9970–NC]
Request for Information Regarding the
Reinsurance Program Under the
Affordable Care Act
Centers for Medicare &
Medicaid Services (CMS), HHS.
ACTION: Request for information.
AGENCY:
This notice is a request for
information (RFI) to gain market
information on entities that could
administer a transitional reinsurance
program. This RFI will inform one or
more future Requests for Proposals
(RFP). This RFI solicits information
about entities that could function as a
reinsurance entity for the transitional
reinsurance program. CMS or one or
more States may contract for services
required to fulfill the statutory and
regulatory requirements of the
reinsurance entity.
DATES: Submit written or electronic
comments by February 29, 2012.
ADDRESSES: In responding, please refer
to file code CMS–9970–NC. Because of
staff and resource limitations, we cannot
accept comments by facsimile (FAX)
transmission.
You may submit responses in one of
four ways (please choose only one of the
ways listed):
1. Electronically. You may submit
electronic comments on this regulation
SUMMARY:
E:\FR\FM\30JAN1.SGM
30JAN1
]]>Agencies
[Federal Register Volume 77, Number 19 (Monday, January 30, 2012)]
[Notices]
[Pages 4563-4564]
From the Federal Register Online via the Government Printing Office [www.gpo.gov]
[FR Doc No: 2012-1945]
-----------------------------------------------------------------------
DEPARTMENT OF HEALTH AND HUMAN SERVICES
Centers for Medicare & Medicaid Services
[Document Identifier: CMS-209]
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: Extension without change
of a currently approved collection; Title of Information Collection:
Laboratory Personnel Report (CLIA) and Supporting Regulations in 42 CFR
493.1357, 493.1363, 493.1405, 493.1406, 493.1411, 493.1417, 493.1423,
493.1443, 493.1449, 493.1455, 493.1461, 493.1462, 493.1469, 493.1483,
493.1489 and 493.1491; Use: The information collected on this survey
form is used in the administrative pursuit of the Congressionally-
mandated program with regard to regulation of laboratories
participating in CLIA. The surveyor will provide the laboratory with
the CMS-209 form. While the surveyor performs other aspects of the
survey, the laboratory will complete the CMS-209 by recording the
personnel data needed to support their compliance with the personnel
requirements of CLIA. The surveyor will then use this information in
choosing a sample of personnel to verify compliance with the personnel
requirements. Information on personnel qualifications of all technical
personnel is needed to ensure the sample is representative of the
entire laboratory; Form Number: CMS-209 (OCN 0938-0151); Frequency:
Biennially; Affected Public: Private Sector; State, Local, or Tribal
Governments; and Federal Government; Number of Respondents: 20,486;
Total Annual Responses: 10,243; Total Annual Hours: 5,121.50. (For
policy questions regarding this collection contact Kathleen Todd at
(410) 786-3385. 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
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.
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 February 29,
2012.
OMB, Office of Information and Regulatory Affairs, Attention: CMS
[[Page 4564]]
Desk Officer. Fax Number: (202) 395-6974.
Email: OIRA_submission@omb.eop.gov.
Dated: January 24, 2012.
Martique Jones,
Director, Regulations Development Group, Division-B, Office of
Strategic Operations and Regulatory Affairs.
[FR Doc. 2012-1945 Filed 1-27-12; 8:45 am]
BILLING CODE 4120-01-P
