Agency Information Collection Activities: Proposed Collection; Comment Request, 67149-67150 [2013-26829]
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67149
Federal Register / Vol. 78, No. 217 / Friday, November 8, 2013 / Notices
2010, established a Federal program to
support health monitoring and
treatment for emergency responders;
recovery and cleanup workers; and
residents, building occupants, and area
workers in New York City who were
directly impacted and adversely affected
by the terrorist attacks of September 11,
2001. Section 3311(a)(2)(C) of the PHS
Act authorizes the WTC Program
Administrator (Administrator) to
develop eligibility criteria for
enrollment of Shanksville, Pennsylvania
and Pentagon responders. Pentagon and
Shanksville responders who believe
they may be eligible for enrollment in
the Program must complete an
enrollment form. The following
information includes the definition of
each population:
• A Pentagon responder is someone
who was a member of a fire or police
department (whether fire or emergency
personnel, active or retired), worked for
a recovery or cleanup contractor, or was
a volunteer; and performed rescue,
recovery, demolition, debris cleanup, or
other related services at the Pentagon
site of the terrorist-related aircraft crash
of September 11, 2001, during the
period beginning on September 11,
2001, and ending on November 19,
2001.
• A Shanksville responder is
someone who was a member of a fire or
police department (whether fire or
emergency personnel, active or retired),
worked for a recovery or cleanup
contractor, or was a volunteer; and
performed rescue, recovery, demolition,
debris cleanup, or other related services
at the Shanksville, Pennsylvania site of
the terrorist-related aircraft crash of
September 11, 2001, during the period
beginning on September 11, 2001, and
ending on October 3, 2001.
This information is being collected in
order to determine the eligibility of
Pentagon and Shanksville, Pennsylvania
responders as well as to provide
program participants with the
opportunity to appeal. This includes
individuals’ names, mailing address,
telephone number, date of birth, and
gender.
The World Trade Center Health
Program (WTCHP) expects to receive
approximately 1,605 applications in the
first year. The application is expected to
take 30 minutes to complete. Of the
1,605 applications it is expected that
that 10 percent of those individuals
found ineligible (4 respondents) will
appeal the decision. We also expect that
program participants will request
certification for 874 health conditions
each year. Of those 874, it is expected
that 1 percent (<1) will be denied
certification by the WTC Program
Administrator. We further expect that
such a denial will be appealed 95
percent of the time.
Of the projected 454 enrollees who
will receive medical care, it is estimated
that 3 percent (14) will appeal a
determination by the WTC Health
Program that the treatment being sought
is not medically necessary. We estimate
that the appeals letter will take no more
than 30 minutes to complete.
Pharmacies will electronically
transmit reimbursement claims to the
WTCHP. HHS estimates that 4
pharmacies will submit reimbursement
claims for 1,058 prescriptions per year,
or 265 per pharmacy; we estimate that
each submission will take 1 minute.
WTC responders who travel more
than 250 miles to a nationwide network
provider for medically necessary
treatment may be provided necessary
and reasonable transportation and other
expenses. These individuals may submit
a travel refund request form, which
should take respondents 10 minutes to
complete.
There is no cost to respondents other
than their time. The total estimated
burden is 831 hours.
ESTIMATED ANNUALIZED BURDEN HOURS
Number of
responses per
respondent
Number of
respondents
Average
burden per
response
(in hours)
Type of respondent
Form name
Pentagon or Shanksville, Pennsylvania Responder.
World Trade Center Health Program Pentagon & Shanksville, Pennsylvania Responder Eligibility Application.
Appeals to Eligibility Denial ............................
1,605
1
30/60
4
1
30/60
Appeals regarding certification of health conditions.
Appeals regarding treatment ..........................
1
1
30/60
14
1
30/60
4
1
265
1
1/60
10/60
Pentagon or Shanksville, Pennsylvania Responder.
Pentagon or Shanksville, Pennsylvania Responder.
Pentagon or Shanksville, Pennsylvania Responder.
Pharmacies .....................................................
Pentagon or Shanksville, Pennsylvania Responder.
Kimberly S. Lane,
Deputy Director, Office of Scientific Integrity,
Office of the Associate Director for Science,
Office of the Director, Centers for Disease
Control and Prevention.
Outpatient prescription pharmaceuticals ........
WTC Health Program Medical Travel Refund
Request.
DEPARTMENT OF HEALTH AND
HUMAN SERVICES
Centers for Medicare & Medicaid
Services
[FR Doc. 2013–26786 Filed 11–7–13; 8:45 am]
[Document Identifier: CMS–R–216]
TKELLEY on DSK3SPTVN1PROD with NOTICES
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Agency Information Collection
Activities: Proposed Collection;
Comment Request
Centers for Medicare &
Medicaid Services, HHS.
ACTION: Notice.
AGENCY:
VerDate Mar<15>2010
18:08 Nov 07, 2013
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The Centers for Medicare &
Medicaid Services (CMS) is announcing
an opportunity for the public to
comment on CMS’ intention to collect
information from the public. Under the
Paperwork Reduction Act of 1995 (the
PRA), federal agencies are required to
publish notice in the Federal Register
concerning each proposed collection of
information (including each proposed
extension or reinstatement of an existing
collection of information) and to allow
60 days for public comment on the
proposed action. Interested persons are
invited to send comments regarding our
SUMMARY:
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67150
Federal Register / Vol. 78, No. 217 / Friday, November 8, 2013 / Notices
burden estimates 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.
Comments must be received by
January 7, 2014:
ADDRESSES: When commenting, please
reference the document identifier or
OMB control number (OCN). To be
assured consideration, comments and
recommendations must be submitted in
any one of the following ways:
1. Electronically. You may send 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) that are 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 ____, Room C4–26–05,
7500 Security Boulevard, Baltimore,
Maryland 21244–1850.
To obtain copies of a supporting
statement and any related forms for the
proposed collection(s) summarized in
this notice, you may make your request
using one of following:
1. Access CMS’ Web site address at
https://www.cms.hhs.gov/
PaperworkReductionActof1995.
2. Email your request, including your
address, phone number, OMB number,
and CMS document identifier, to
Paperwork@cms.hhs.gov.
3. Call the Reports Clearance Office at
(410) 786–1326.
FOR FURTHER INFORMATION CONTACT:
Reports Clearance Office at (410) 786–
1326
DATES:
TKELLEY on DSK3SPTVN1PROD with NOTICES
SUPPLEMENTARY INFORMATION:
Contents
This notice sets out a summary of the
use and burden associated with the
following information collections. More
detailed information can be found in
each collection’s supporting statement
and associated materials (see
ADDRESSES).
VerDate Mar<15>2010
18:08 Nov 07, 2013
Jkt 232001
CMS–R–216 Procedures for Advisory
Opinions Concerning Physicians’
Referrals and Supporting Regulations
Under the Paperwork Reduction Act
(PRA) (44 U.S.C. 3501–3520), federal
agencies must obtain approval from the
Office of Management and Budget
(OMB) for each collection of
information they conduct or sponsor.
The term ‘‘collection of information’’ is
defined in 44 U.S.C. 3502(3) and 5 CFR
1320.3(c) and includes agency requests
or requirements that members of the
public submit reports, keep records, or
provide information to a third party.
Section 3506(c)(2)(A) of the PRA
requires federal agencies to publish a
60-day notice in the Federal Register
concerning each proposed collection of
information, including each proposed
extension or reinstatement of an existing
collection of information, before
submitting the collection to OMB for
approval. To comply with this
requirement, CMS is publishing this
notice.
Information Collections
1. Type of Information Collection
Request: Extension of a currently
approved collection; Title of
Information Collection: Procedures for
Advisory Opinions Concerning
Physicians’ Referrals and Supporting
Regulations; Use: The information
collection requirements contained in 42
CFR 411.372 and 411.373 allow us to
consider requests for advisory opinions
and provide accurate and useful
opinions. The information is read and
analyzed to develop and issue an
advisory opinion to the individual or
entity that submitted the information.
The primary office using the
information is the Center for Medicare,
which is responsible for the issuance of
advisory opinions. Form Number: CMS–
R–216 (OCN: 0938–0714); Frequency:
Occasionally; Affected Public: Private
sector—Business or other for-profits and
Not-for-profit institutions; Number of
Respondents: 25; Total Annual
Responses: 25; Total Annual Hours:
500. (For policy questions regarding this
collection contact Jacqueline Proctor at
410–786–0661).
Dated: November 5, 2013.
Martique Jones
Deputy Director, Regulations Development
Group, Office of Strategic Operations and
Regulatory Affairs.
[FR Doc. 2013–26829 Filed 11–7–13; 8:45 am]
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DEPARTMENT OF HEALTH AND
HUMAN SERVICES
Centers for Medicare & Medicaid
Services
[Document Identifiers: CMS–10171, CMS–
10207, CMS–10476, CMS–10497, CMS–
10482, CMS–R–245 and CMS–10495]
Agency Information Collection
Activities: Submission for OMB
Review; Comment Request
ACTION:
Notice.
The Centers for Medicare &
Medicaid Services (CMS) is announcing
an opportunity for the public to
comment on CMS’ intention to collect
information from the public. Under the
Paperwork Reduction Act of 1995
(PRA), federal agencies are required to
publish notice in the Federal Register
concerning each proposed collection of
information, including each proposed
extension or reinstatement of an existing
collection of information, and to allow
a second opportunity for public
comment on the notice. Interested
persons are invited to send comments
regarding the 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.
DATES: Comments on the collection(s) of
information must be received by the
OMB desk officer by December 9, 2013.
ADDRESSES: When commenting on the
proposed information collections,
please reference the document identifier
or OMB control number. To be assured
consideration, comments and
recommendations must be received by
the OMB desk officer via one of the
following transmissions: OMB, Office of
Information and Regulatory Affairs,
Attention: CMS Desk Officer, Fax
Number: (202) 395–6974 OR Email:
OIRA_ submission@omb.eop.gov.
To obtain copies of a supporting
statement and any related forms for the
proposed collection(s) summarized in
this notice, you may make your request
using one of following:
1. Access CMS’ Web site address at
https://www.cms.hhs.gov/
PaperworkReductionActof1995.
2. Email your request, including your
address, phone number, OMB number,
SUMMARY:
E:\FR\FM\08NON1.SGM
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]]>Agencies
[Federal Register Volume 78, Number 217 (Friday, November 8, 2013)]
[Notices]
[Pages 67149-67150]
From the Federal Register Online via the Government Printing Office [www.gpo.gov]
[FR Doc No: 2013-26829]
-----------------------------------------------------------------------
DEPARTMENT OF HEALTH AND HUMAN SERVICES
Centers for Medicare & Medicaid Services
[Document Identifier: CMS-R-216]
Agency Information Collection Activities: Proposed Collection;
Comment Request
AGENCY: Centers for Medicare & Medicaid Services, HHS.
ACTION: Notice.
-----------------------------------------------------------------------
SUMMARY: The Centers for Medicare & Medicaid Services (CMS) is
announcing an opportunity for the public to comment on CMS' intention
to collect information from the public. Under the Paperwork Reduction
Act of 1995 (the PRA), federal agencies are required to publish notice
in the Federal Register concerning each proposed collection of
information (including each proposed extension or reinstatement of an
existing collection of information) and to allow 60 days for public
comment on the proposed action. Interested persons are invited to send
comments regarding our
[[Page 67150]]
burden estimates 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.
DATES: Comments must be received by January 7, 2014:
ADDRESSES: When commenting, please reference the document identifier or
OMB control number (OCN). To be assured consideration, comments and
recommendations must be submitted in any one of the following ways:
1. Electronically. You may send 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) that are 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 --------, Room C4-26-05, 7500 Security Boulevard,
Baltimore, Maryland 21244-1850.
To obtain copies of a supporting statement and any related forms
for the proposed collection(s) summarized in this notice, you may make
your request using one of following:
1. Access CMS' Web site address at https://www.cms.hhs.gov/PaperworkReductionActof1995.
2. Email your request, including your address, phone number, OMB
number, and CMS document identifier, to Paperwork@cms.hhs.gov.
3. Call the Reports Clearance Office at (410) 786-1326.
FOR FURTHER INFORMATION CONTACT: Reports Clearance Office at (410) 786-
1326
SUPPLEMENTARY INFORMATION:
Contents
This notice sets out a summary of the use and burden associated
with the following information collections. More detailed information
can be found in each collection's supporting statement and associated
materials (see ADDRESSES).
CMS-R-216 Procedures for Advisory Opinions Concerning Physicians'
Referrals and Supporting Regulations
Under the Paperwork Reduction Act (PRA) (44 U.S.C. 3501-3520),
federal agencies must obtain approval from the Office of Management and
Budget (OMB) for each collection of information they conduct or
sponsor. The term ``collection of information'' is defined in 44 U.S.C.
3502(3) and 5 CFR 1320.3(c) and includes agency requests or
requirements that members of the public submit reports, keep records,
or provide information to a third party. Section 3506(c)(2)(A) of the
PRA requires federal agencies to publish a 60-day notice in the Federal
Register concerning each proposed collection of information, including
each proposed extension or reinstatement of an existing collection of
information, before submitting the collection to OMB for approval. To
comply with this requirement, CMS is publishing this notice.
Information Collections
1. Type of Information Collection Request: Extension of a currently
approved collection; Title of Information Collection: Procedures for
Advisory Opinions Concerning Physicians' Referrals and Supporting
Regulations; Use: The information collection requirements contained in
42 CFR 411.372 and 411.373 allow us to consider requests for advisory
opinions and provide accurate and useful opinions. The information is
read and analyzed to develop and issue an advisory opinion to the
individual or entity that submitted the information. The primary office
using the information is the Center for Medicare, which is responsible
for the issuance of advisory opinions. Form Number: CMS-R-216 (OCN:
0938-0714); Frequency: Occasionally; Affected Public: Private sector--
Business or other for-profits and Not-for-profit institutions; Number
of Respondents: 25; Total Annual Responses: 25; Total Annual Hours:
500. (For policy questions regarding this collection contact Jacqueline
Proctor at 410-786-0661).
Dated: November 5, 2013.
Martique Jones
Deputy Director, Regulations Development Group, Office of Strategic
Operations and Regulatory Affairs.
[FR Doc. 2013-26829 Filed 11-7-13; 8:45 am]
BILLING CODE 4120-01-P
