Agency Information Collection Activities: Submission to OMB for Review and Approval; Public Comment Request, 71425-71426 [2012-29009]
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wreier-aviles on DSK5TPTVN1PROD with NOTICES
Federal Register / Vol. 77, No. 231 / Friday, November 30, 2012 / Notices
The RFA requires agencies to analyze
options for regulatory relief of small
businesses. For purposes of the RFA,
small entities include small businesses,
nonprofit organizations, and small
governmental jurisdictions. Most
hospitals and most other providers and
suppliers are small entities, either by
nonprofit status or by having revenues
of $7.0 million to $34.5 million in any
1 year. Individuals and states are not
included in the definition of a small
entity. As we stated in the RIA for the
February 2, 2011 final rule with
comment period (76 FR 5952), the
regulatory impact statement of the
March 23, 2011 notice (76 FR 16423),
and the regulatory impact statement of
the November 2, 2011 notice (76 FR
67744), we do not believe that the
application fee will have a significant
impact on small entities.
In addition, section 1102(b) of the Act
requires us to prepare a regulatory
impact analysis if a rule may have a
significant impact on the operations of
a substantial number of small rural
hospitals. This analysis must conform to
the provisions of section 604 of the
RFA. For purposes of section 1102(b) of
the Act, we define a small rural hospital
as a hospital that is located outside of
a Metropolitan Statistical Area for
Medicare payment regulations and has
fewer than 100 beds. We are not
preparing an analysis for section 1102(b)
of the Act because we have determined,
and the Secretary certifies, that this
notice would not have a significant
impact on the operations of a substantial
number of small rural hospitals.
Section 202 of the Unfunded
Mandates Reform Act of 1995 (UMRA)
also requires that agencies assess
anticipated costs and benefits before
issuing any rule whose mandates
require spending in any 1 year of $100
million in 1995 dollars, updated
annually for inflation. In 2012, that
threshold is approximately $139
million. The Agency has determined
that there will be minimal impact from
the costs of this notice, as the threshold
is not met under the UMRA.
Executive Order 13132 establishes
certain requirements that an agency
must meet when it promulgates a
proposed rule (and subsequent final
rule) that imposes substantial direct
requirement costs on state and local
governments, preempts state law, or
otherwise has federalism implications.
Since this notice does not impose
substantial direct costs on state or local
governments, the requirements of
Executive Order 13132 are not
applicable.
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B. Estimated Costs
The costs associated with this notice
involve the increase in the application
fee that certain providers and suppliers
must pay in CY 2013. As alluded to
earlier, in the RIA for the February 2,
2011 final rule with comment period (76
FR 5955 through 5958), we estimated
the total amount of application fees for
CYs 2011 through 2015. For CY 2013,
and based on a $525 application fee, we
projected in tables 11 and 12 (76 FR
5955 and 5956) a total cost in fees of
$60,913,125 ($16,380,000 +
$44,533,125) for Medicare institutional
providers (or 116,025 providers × $525).
We also projected in tables 13 and 14
(76 FR 5957 and 5958) the total cost in
CY 2013 for Medicaid providers to be
$13,195,350 ($4,429,950 + $8,765,400 or
25,134 (8,438 newly enrolling + 16,696
re-enrolling) providers × $525).
Based on CY 2009 and CY 2010 data
furnished by State Medicaid agencies
through the annual State Program
Integrity Assessment, we are increasing
the estimated number of affected
Medicaid providers from 25,134 to
27,859. We are also changing the
Medicare provider estimate based on
our ongoing program of revalidating all
Medicare providers and suppliers by the
end of 2015—even if the revalidation is
considered ‘‘off-cycle’’ per 42 CFR
424.515(e).
1. Medicare
Frm 00030
CY 2013 of $588,840 (84,120 × $7.00)
from CY 2012 estimates.
2. Medicaid and CHIP
We estimate that 27,859 (8,438 newly
enrolling + 19,421 re-enrolling)
Medicaid and CHIP providers would be
subject to an application fee in CY 2013.
Using this figure, we estimate an
increase in the cost of the Medicaid and
CHIP application fee requirements in
CY 2013 of $195,013 (27,859 × $7.00)
from CY 2012 estimates.
3. Total
Based on the foregoing, we estimate
the total increase in the cost of the
application fee requirement for
Medicare, Medicaid, and CHIP
providers and suppliers in CY 2013 to
be $783,853 ($588,840 + $195,013) from
CY 2012.
In accordance with the provisions of
Executive Order 12866, this notice was
not reviewed by the Office of
Management and Budget.
(Catalog of Federal Domestic Assistance
Program No. 93.778, Medical Assistance
Program; No. 93.773 Medicare—Hospital
Insurance Program; and No. 93.774,
Medicare—Supplementary Medical
Insurance Program)
Dated: October 9, 2012.
Marilyn Tavenner,
Acting Administrator, Centers for Medicare
& Medicaid Services.
[FR Doc. 2012–29003 Filed 11–29–12; 8:45 am]
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For purposes of this notice only, we
estimate that approximately 400,000
Medicare providers and suppliers will
be subject to revalidation in CY 2013. Of
this total, and based on our experience,
we believe that roughly 80 percent will
be exempt from the application fee
requirement because the provider or
supplier: (1) Is of a type (for example,
a physician) that is exempt from the
requirement; or (2) qualifies for a
hardship exception under 42 CFR
424.514(c). This leaves 80,000
revalidating providers and suppliers
that will have to pay the fee.
In the February 2, 2011 final rule with
comment period (76 FR 5955), we
estimated that 31,200 newly-enrolling
institutional providers would be subject
to the application fee in CY 2013. In the
first quarter of CY 2012, there were
1,030 initial enrollments that required a
fee. Based on this, we must dramatically
reduce our earlier estimate of 31,200
Medicare institutional providers to
4,120 (1,030 × 4) for purposes of this
notice. Using a figure of 84,120 (80,000
+ 4,120) institutional providers, we
estimate an increase in the cost of the
Medicare application fee requirement in
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71425
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DEPARTMENT OF HEALTH AND
HUMAN SERVICES
Health Resources and Services
Administration
Agency Information Collection
Activities: Submission to OMB for
Review and Approval; Public Comment
Request
Health Resources and Services
Administration; HHS.
ACTION: Notice.
AGENCY:
In compliance with section
3506(c)(2)(A) of the Paperwork
Reduction Act of 1995 (44 U.S.C.
chapter 35), the Health Resources and
Services Administration (HRSA) will
submit an Information Collection
Request (ICR) to the Office of
Management and Budget (OMB).
Comments submitted during the first
public review of this ICR will be
provided to OMB. OMB will accept
further comments from the public
during the review and approval period.
To request a copy of the clearance
requests submitted to OMB for review,
SUMMARY:
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71426
Federal Register / Vol. 77, No. 231 / Friday, November 30, 2012 / Notices
email paperwork@hrsa.gov or call the
HRSA Reports Clearance Office at (301)
443–1984.
Information Collection Request Title:
Workforce Recruitment in Health
Resources and Services Administration
(HRSA)—Funded Health Centers (OMB
No. 0915–0353)—[Extension]
This semi-annual survey is designed
to collect information from HRSAfunded health centers regarding their
current workforce and recent hiring
efforts. The purpose of this data
collection instrument is to provide data
on health center workforce recruitment
and identify areas for additional training
or technical assistance that might be
needed to support health centers in
their hiring efforts. As authorized by
statute, HRSA provides technical
assistance to health centers to assist
them in meeting the Health Center
Program requirements and in providing
required primary health services, the
provisions of which are dependent on
maintaining a high quality and effective
workforce.
Ensuring that the primary care
workforce is able to meet the demands
of increasing patient volume is critical
to the future success of health centers in
serving the nation’s underserved and
vulnerable populations. As health
centers seek to fill open positions, one
growing pool of qualified candidates
increasingly being recruited is returning
veterans, many of whom have trained as
health care providers and/or
administrators during their time in the
service. The information collected in
this survey will help assess how health
centers have filled vacancies, whether
the availability of veterans to join the
health center workforce is impacting
their hiring efforts, and what additional
efforts might improve health center
recruitment.
Number of
respondents
Instrument
Responses
per
respondent
Burden Statement: Burden in this
context means the time expended by
persons to generate, maintain, retain,
disclose, or provide the information
requested. This includes the time
needed to review instructions, to
develop, acquire, install, and utilize
technology and systems for the purpose
of collecting, validating, and verifying
information; processing and
maintaining information; and disclosing
and providing information, to train
personnel and to be able to respond to
a collection of information, to search
data sources, to complete and review
the collection of information, and to
transmit or otherwise disclose the
information. The total annual burden
hours estimated for this ICR are
summarized in the table below.
The annual estimate of burden is as
follows:
Total
responses
Hours per
response*
Total burden
hours
Health Center Work Force Survey ......................................
1,200
2
2,400
1.0
2,400
Total ..............................................................................
1,200
2
2,400
1.0
2,400
* Note: This estimate includes the time for the grantee to read the survey instructions, collect the data and information requested, and to complete the online survey.
Submit your comments to
the desk officer for HRSA, either by
email to
OIRA_submission@omb.eop.gov or by
fax to 202–395–5806. Please direct all
correspondence to the ‘‘attention of the
desk officer for HRSA.’’
Deadline: Comments on this ICR
should be received within 30 days of
this notice.
28377 (77 FR 70169, November 23,
2012), announcing the meeting of the
Advisory Commission on Childhood
Vaccines, December 6, 2012, in the
Parklawn Building (and via audio
conference call), Conference Rooms 10–
65, 5600 Fishers Lane, Rockville, MD
20857.
Dated: November 26, 2012.
Bahar Niakan,
Director, Division of Policy and Information
Coordination.
In the Federal Register, FR 2012–
28377 (77 FR 70169, November 23,
2012), please make the following
corrections:
In the Date and Time section, correct
to read December 6, 2012, 1:00 p.m. to
5:00 p.m., EDT.
In the Place section, correct to read
via audio conference only.
The ACCV will meet on Thursday,
December 6, from 1:00 p.m. to 5:00 p.m.
(EDT). The public can join the meeting
via audio conference call by dialing 1–
800–369–3104 on December 6 and
providing the following information:
Leader’s Name: Dr. Vito Caserta.
Password: ACCV.
ADDRESSES:
[FR Doc. 2012–29009 Filed 11–29–12; 8:45 am]
BILLING CODE 4165–15–P
DEPARTMENT OF HEALTH AND
HUMAN SERVICES
wreier-aviles on DSK5TPTVN1PROD with NOTICES
Health Resources and Services
Administration
Advisory Commission on Childhood
Vaccines; Notice of Meeting
Health Resources and Services
Administration, HHS.
ACTION: Correction.
AGENCY:
The Health Resources and
Services Administration published a
notice in the Federal Register, FR 2012–
SUMMARY:
VerDate Mar<15>2010
15:17 Nov 29, 2012
Jkt 229001
Correction
Dated: November 26, 2012.
Bahar Niakan,
Director, Division of Policy and Information
Coordination.
[FR Doc. 2012–29008 Filed 11–29–12; 8:45 am]
BILLING CODE 4165–15–P
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DEPARTMENT OF HEALTH AND
HUMAN SERVICES
National Institutes of Health
Proposed Collection; Comment
Request: Healthy Communities Study:
How Communities Shape Children’s
Health (HCS)
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
National Heart, Lung, and Blood
Institute (NHLBI), the National
Institutes of Health (NIH) will publish
periodic summaries of proposed
projects to be submitted to the Office of
Management and Budget (OMB) for
review and approval.
Proposed Collection: Title: Healthy
Communities Study: How Communities
Shape Children’s Health (HCS). Type of
Information Collection Request:
Revision—OMB# 0925–0649. Need and
Use of Information Collection: The HCS
will address the need for a cross-cutting
national study of community programs
and policies and their relationship to
childhood obesity. The HCS is an
observational study of communities that
aims to (1) determine the associations
SUMMARY:
E:\FR\FM\30NON1.SGM
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]]>Agencies
[Federal Register Volume 77, Number 231 (Friday, November 30, 2012)]
[Notices]
[Pages 71425-71426]
From the Federal Register Online via the Government Printing Office [www.gpo.gov]
[FR Doc No: 2012-29009]
-----------------------------------------------------------------------
DEPARTMENT OF HEALTH AND HUMAN SERVICES
Health Resources and Services Administration
Agency Information Collection Activities: Submission to OMB for
Review and Approval; Public Comment Request
AGENCY: Health Resources and Services Administration; HHS.
ACTION: Notice.
-----------------------------------------------------------------------
SUMMARY: In compliance with section 3506(c)(2)(A) of the Paperwork
Reduction Act of 1995 (44 U.S.C. chapter 35), the Health Resources and
Services Administration (HRSA) will submit an Information Collection
Request (ICR) to the Office of Management and Budget (OMB). Comments
submitted during the first public review of this ICR will be provided
to OMB. OMB will accept further comments from the public during the
review and approval period. To request a copy of the clearance requests
submitted to OMB for review,
[[Page 71426]]
email paperwork@hrsa.gov or call the HRSA Reports Clearance Office at
(301) 443-1984.
Information Collection Request Title: Workforce Recruitment in Health
Resources and Services Administration (HRSA)--Funded Health Centers
(OMB No. 0915-0353)--[Extension]
This semi-annual survey is designed to collect information from
HRSA-funded health centers regarding their current workforce and recent
hiring efforts. The purpose of this data collection instrument is to
provide data on health center workforce recruitment and identify areas
for additional training or technical assistance that might be needed to
support health centers in their hiring efforts. As authorized by
statute, HRSA provides technical assistance to health centers to assist
them in meeting the Health Center Program requirements and in providing
required primary health services, the provisions of which are dependent
on maintaining a high quality and effective workforce.
Ensuring that the primary care workforce is able to meet the
demands of increasing patient volume is critical to the future success
of health centers in serving the nation's underserved and vulnerable
populations. As health centers seek to fill open positions, one growing
pool of qualified candidates increasingly being recruited is returning
veterans, many of whom have trained as health care providers and/or
administrators during their time in the service. The information
collected in this survey will help assess how health centers have
filled vacancies, whether the availability of veterans to join the
health center workforce is impacting their hiring efforts, and what
additional efforts might improve health center recruitment.
Burden Statement: Burden in this context means the time expended by
persons to generate, maintain, retain, disclose, or provide the
information requested. This includes the time needed to review
instructions, to develop, acquire, install, and utilize technology and
systems for the purpose of collecting, validating, and verifying
information; processing and maintaining information; and disclosing and
providing information, to train personnel and to be able to respond to
a collection of information, to search data sources, to complete and
review the collection of information, and to transmit or otherwise
disclose the information. The total annual burden hours estimated for
this ICR are summarized in the table below.
The annual estimate of burden is as follows:
----------------------------------------------------------------------------------------------------------------
Number of Responses per Total Hours per Total burden
Instrument respondents respondent responses response* hours
----------------------------------------------------------------------------------------------------------------
Health Center Work Force Survey. 1,200 2 2,400 1.0 2,400
-------------------------------------------------------------------------------
Total....................... 1,200 2 2,400 1.0 2,400
----------------------------------------------------------------------------------------------------------------
* Note: This estimate includes the time for the grantee to read the survey instructions, collect the data and
information requested, and to complete the online survey.
ADDRESSES: Submit your comments to the desk officer for HRSA, either by
email to OIRA_submission@omb.eop.gov or by fax to 202-395-5806. Please
direct all correspondence to the ``attention of the desk officer for
HRSA.''
Deadline: Comments on this ICR should be received within 30 days of
this notice.
Dated: November 26, 2012.
Bahar Niakan,
Director, Division of Policy and Information Coordination.
[FR Doc. 2012-29009 Filed 11-29-12; 8:45 am]
BILLING CODE 4165-15-P
