Agency Forms Undergoing Paperwork Reduction Act Review, 14143-14145 [2015-06160]
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Federal Register / Vol. 80, No. 52 / Wednesday, March 18, 2015 / Notices
Name of Committee: Center for Scientific
Review Special Emphasis Panel; Program
Project: National Biomedical NMR Resource.
Date: April 13–15, 2015.
Time: 7:00 p.m. to 12:00 p.m.
Agenda: To review and evaluate grant
applications.
Place: Doubletree Hotel Bethesda,
(Formerly Holiday Inn Select), 8120
Wisconsin Avenue, Bethesda, MD 20814.
Contact Person: Michael Eissenstat, Ph.D.,
Scientific Review Officer, BCMB IRG, Center
for Scientific Review, National Institutes of
Health, 6701 Rockledge Drive, Room 4166,
Bethesda, MD 20892, 301–435–1722,
eissenstatma@csr.nih.gov.
Name of Committee: Center for Scientific
Review Special Emphasis Panel; Member
Conflict: AIDS and AIDS Related Research.
Date: April 13, 2015.
Time: 12:00 p.m. to 5:00 p.m.
Agenda: To review and evaluate grant
applications.
Place: National Institutes of Health, 6701
Rockledge Drive, Bethesda, MD 20892,
(Telephone Conference Call).
Contact Person: Eduardo A Montalvo,
Ph.D., Scientific Review Officer, Center for
Scientific Review, National Institutes of
Health, 6701 Rockledge Drive, Room 5108,
MSC 7852, Bethesda, MD 20892, (301) 435–
1168, montalve@csr.nih.gov.
(Catalogue of Federal Domestic Assistance
Program Nos. 93.306, Comparative Medicine;
93.333, Clinical Research, 93.306, 93.333,
93.337, 93.393–93.396, 93.837–93.844,
93.846–93.878, 93.892, 93.893, National
Institutes of Health, HHS)
Dated: March 12, 2015.
Carolyn A. Baum,
Program Analyst, Office of Federal Advisory
Committee Policy.
[FR Doc. 2015–06121 Filed 3–17–15; 8:45 am]
BILLING CODE 4140–01–P
DEPARTMENT OF HEALTH AND
HUMAN SERVICES
National Institutes of Health
mstockstill on DSK4VPTVN1PROD with NOTICES
Center for Scientific Review; Notice of
Closed Meeting
Pursuant to section 10(d) of the
Federal Advisory Committee Act, as
amended (5 U.S.C. App.), notice is
hereby given of the following meeting.
The meeting will be closed to the
public in accordance with the
provisions set forth in sections
552b(c)(4) and 552b(c)(6), Title 5 U.S.C.,
as amended. The grant applications and
the discussions could disclose
confidential trade secrets or commercial
property such as patentable material,
and personal information concerning
individuals associated with the grant
applications, the disclosure of which
would constitute a clearly unwarranted
invasion of personal privacy.
Name of Committee: Center for Scientific
Review Special Emphasis Panel; PAR–14–
VerDate Sep<11>2014
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14143
085: Metabolic Reprogramming in
Immunotherapy.
Date: March 17, 2015.
Time: 1:30 p.m. to 4:00 p.m.
Agenda: To review and evaluate grant
applications.
Place: National Institutes of Health, 6701
Rockledge Drive, Bethesda, MD 20892,
(Telephone Conference Call).
Contact Person: Denise R Shaw, Ph.D.,
Scientific Review Officer, Center for
Scientific Review, National Institutes of
Health, 6701 Rockledge Drive, Room 6158,
MSC 7804, Bethesda, MD 20892, 301–435–
0198, shawdeni@csr.nih.gov.
This notice is being published less than 15
days prior to the meeting due to the timing
limitations imposed by the review and
funding cycle.
(Catalogue of Federal Domestic Assistance
Program Nos. 93.306, Comparative Medicine;
93.333, Clinical Research, 93.306, 93.333,
93.337, 93.393–93.396, 93.837–93.844,
93.846–93.878, 93.892, 93.893, National
Institutes of Health, HHS)
the collection of information on those
who are to respond, including through
the use of appropriate automated,
electronic, mechanical, or other
technological collection techniques or
other forms of information technology,
e.g., permitting electronic submission of
responses; and (e) Assess information
collection costs.
To request additional information on
the proposed project or to obtain a copy
of the information collection plan and
instruments, call (404) 639–7570 or
send an email to omb@cdc.gov. Written
comments and/or suggestions regarding
the items contained in this notice
should be directed to the Attention:
CDC Desk Officer, Office of Management
and Budget, Washington, DC 20503 or
by fax to (202) 395–5806. Written
comments should be received within 30
days of this notice.
Dated: March 12, 2015.
Carolyn A. Baum,
Program Analyst, Office of Federal Advisory
Committee Policy.
Proposed Project
Coal Workers’ Health Surveillance
Program (CWHSP)—(0920–0020)—
Reinstatement with Change—National
Institute for Occupational Safety and
Health (NIOSH), Centers for Disease
Control and Prevention (CDC).
[FR Doc. 2015–06120 Filed 3–17–15; 8:45 am]
BILLING CODE 4140–01–P
DEPARTMENT OF HEALTH AND
HUMAN SERVICES
Centers for Disease Control and
Prevention
[30Day–15–0020]
Agency Forms Undergoing Paperwork
Reduction Act Review
The Centers for Disease Control and
Prevention (CDC) has submitted the
following information collection request
to the Office of Management and Budget
(OMB) for review and approval in
accordance with the Paperwork
Reduction Act of 1995. The notice for
the proposed information collection is
published to obtain comments from the
public and affected agencies.
Written comments and suggestions
from the public and affected agencies
concerning the proposed collection of
information are encouraged. Your
comments should address any of the
following: (a) Evaluate whether the
proposed collection of information is
necessary for the proper performance of
the functions of the agency, including
whether the information will have
practical utility; (b) Evaluate the
accuracy of the agencies estimate of the
burden of the proposed collection of
information, including the validity of
the methodology and assumptions used;
(c) Enhance the quality, utility, and
clarity of the information to be
collected; (d) Minimize the burden of
PO 00000
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Fmt 4703
Sfmt 4703
Background and Brief Description
NIOSH would like to submit an
Information Collection Request (ICR) to
revise the data collection instruments
being utilized within the Coal Workers’
Health Surveillance Program (CWHSP).
On May 1, 2014, the Mine Safety and
Health Administration (MSHA)
published final rule 30 CFR 70, 71, 72,
75, and 90. The new MSHA rule added
surface coal miners, a respiratory health
assessment, and spirometry testing for
chronic obstructive pulmonary disease
(COPD) to the previously mandated
chest x-ray examination program. These
additions are being referred to as the
Expanded CWHSP (an additional
component under the current CWHSP).
This request incorporates all
components that now fall under the
CWHSP. Those components include:
Coal Workers’ X-ray Surveillance
Program (CWXSP), B Reader Program,
Enhanced Coal Workers’ Health
Surveillance Program (ECWHSP),
Expanded Coal Workers’ Health
Surveillance Program, and National
Coal Workers’ Autopsy Study (NCWAS).
The CWHSP is a congressionallymandated medical examination program
for monitoring the health of coal miners.
The Program was originally authorized
under the 1969 Federal Coal Mine
Health and Safety Act and is currently
authorized under the 1977 Federal Mine
Safety and Health Act and its
subsequent amendments (the Act). The
Act provides the regulatory authority for
E:\FR\FM\18MRN1.SGM
18MRN1
14144
Federal Register / Vol. 80, No. 52 / Wednesday, March 18, 2015 / Notices
the administration of the CWHSP. This
Program, which operates in accordance
with 42 CFR part 37, is useful in
providing information for protecting the
health of miners (whose participation is
entirely voluntary), and also in
documenting trends and patterns in the
prevalence of coal workers’
pneumoconiosis (‘black lung’ disease)
among miners employed in U.S. coal
mines.
The total estimated annualized
burden hours of 20,282 is based on the
following collection instruments:
• Coal Mine Operator Plan (2.10) and
Coal Contractor Plan (2.18)—Under 42
CFR part 37, every coal operator and
coal contractor in the U.S. must submit
a plan approximately every 4 years,
providing information on how they plan
to notify their miners of the opportunity
to obtain the medical examination.
Completion of this form with all
requested information (including a
roster of current employees) takes
approximately 30 minutes.
• Radiographic Facility Certification
Document (2.11)—X-ray facilities
seeking NIOSH approval to provide
miner radiographs under the CWHSP
must complete an approval packet
including this form which requires
approximately 30 minutes for
completion.
• Miner Identification Document
(2.9)—Miners who elect to participate in
the CWHSP must fill out this document
which requires approximately 20
minutes. This document records
demographic and occupational history,
as well as information required under
the regulations in relation to the
examinations. In addition to completing
this form, acquiring the chest image
from the miner takes approximately 15
minutes.
• Chest Radiograph Classification
Form (2.8)—NIOSH utilizes a
radiographic classification system
developed by the International Labour
Office (ILO) in the determination of
pneumoconiosis among coal miners.
Physicians (B Readers) fill out this form
regarding their interpretations of the
radiographs (each image has two
separate interpretations, and
approximately 7% of the images require
additional interpretations). Based on
prior practice it takes the physician
approximately 3 minutes per form.
• Physician Application for
Certification (2.12)—Physicians taking
the B Reader examination are asked to
complete this registration form which
provides demographic information as
well as information regarding their
medical practices. It typically takes the
physician about 10 minutes to complete
this form.
• Spirometry Facility Certification
Document (2.14)—This new form is
analogous to the Radiographic Facility
Certification Document (2.11) and
records the spirometry facility
equipment/staffing information.
Spirometry facilities seeking NIOSH
approval to provide miner spirometry
testing under the CWHSP must
complete an approval packet which
includes this form. It is estimated that
it will take approximately 30 minutes
for this form to be completed at the
facility.
• Respiratory Assessment Form
(2.13)—This new form is designed to
assess respiratory symptoms and certain
medical conditions and risk factors. It is
estimated that it will take approximately
five minutes for administration of this
form to the miner by an employee at the
facility.
• Spirometry Results Notification
Form (2.15)—This new form replaces
previous forms 2.15, 2.16 and 2.17. It is
used to: collect information that will
allow NIOSH to identify the miner in
order to provide notification of the
spirometry test results; assure that the
test can be done safely; record certain
factors that can affect test results;
provide documentation that the
required components of the spirometry
examination have been transmitted to
NIOSH for processing; and conduct
quality assurance audits and
interpretation of results. It is estimated
that it will take the facility
approximately 20 minutes to complete
this form. In addition to completing this
form, acquiring an acceptable
spirometry test from the miner takes
approximately 15 minutes.
• Pathologist Invoice—Under the
NCWAS, the invoice submitted by the
pathologist must contain a statement
that the pathologist is not receiving any
other compensation for the autopsy.
Each participating pathologist may use
their individual invoice as long as this
statement is added. It is estimated that
only five minutes is required for the
pathologist to add this statement to the
standard invoice that they routinely use.
• Pathologist Report—Under the
NCWAS the pathologist must submit
information found at autopsy, slides,
blocks of tissue, and a final diagnosis
indicating presence or absence of
pneumoconiosis. The format of the
autopsy reports is variable depending
on the pathologist conducting the
autopsy. Since an autopsy report is
routinely completed by a pathologist,
the only additional burden is the
specific request for a clinical abstract of
terminal illness and final diagnosis
relating to pneumoconiosis. Therefore,
only 5 minutes of additional burden is
estimated for the pathologist’s report.
• Consent, Release and History Form
(2.6)—This form documents written
authorization from the next-of-kin to
perform an autopsy on the deceased
miner. A minimum of essential
information is collected regarding the
deceased miner including an
occupational history and a smoking
history. From past experience, it is
estimated that 15 minutes is required for
the next-of-kin to complete this form.
There are no costs to respondents
other than their time.
ESTIMATED ANNUALIZED BURDEN HOURS
Number of
respondents
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Type of respondent
Form name
Coal Mine Operator ........................................
Coal Mine Contractor ......................................
Radiograph Facility Supervisor .......................
Coal Miner .......................................................
Coal Miner—Radiograph ................................
B Reader Physician ........................................
Physicians taking the B Reader Examination
Spirometry Facility Supervisor ........................
Spirometry Facility Employee .........................
Spirometry Technician ....................................
Coal Mine—Spirometry ...................................
Pathologist ......................................................
2.10 ................................................................
2.18 ................................................................
2.11 ................................................................
2.9 ..................................................................
No form required ............................................
2.8 ..................................................................
2.12 ................................................................
2.14 ................................................................
2.13 ................................................................
2.15 ................................................................
No form required ............................................
Invoice—No standard form ............................
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Number of
responses per
respondent
388
575
40
14,560
14,560
10
100
100
14,560
14,560
14,560
5
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18MRN1
1
1
1
1
1
3014
1
1
1
1
1
1
Average
burden per
response
(in hours)
30/60
30/60
30/60
20/60
15/60
3/60
10/60
30/60
5/60
20/60
15/60
5/60
14145
Federal Register / Vol. 80, No. 52 / Wednesday, March 18, 2015 / Notices
ESTIMATED ANNUALIZED BURDEN HOURS—Continued
Form name
Pathologist ......................................................
Next-of-kin for deceased miner ......................
Pathology Report—No standard form ............
2.6 ..................................................................
Leroy A. Richardson,
Chief, Information Collection Review Office,
Office of Scientific Integrity, Office of the
Associate Director for Science, Office of the
Director, Centers for Disease Control and
Prevention.
[FR Doc. 2015–06160 Filed 3–17–15; 8:45 am]
BILLING CODE 4163–18–P
DEPARTMENT OF HEALTH AND
HUMAN SERVICES
Centers for Medicare & Medicaid
Services
Notice of Hearing: Reconsideration of
Disapproval Louisiana Medicaid State
Plan Amendment (SPA) 12–66–B
Centers for Medicare &
Medicaid Services (CMS), HHS.
ACTION: Notice of hearing:
Reconsideration of disapproval.
AGENCY:
This notice announces an
administrative hearing to be held on
April 30, 2015, at the Department of
Health and Human Services, Centers for
Medicare and Medicaid Services,
Division of Medicaid & Children’s
Health, Dallas Regional Office, 1301
Young Street, Room 730, Dallas, TX
75202, to reconsider CMS’ decision to
disapprove Louisiana’s Medicaid SPA
12–66–B.
Closing Date: Requests to participate
in the hearing as a party must be
received by the presiding officer by
April 2, 2015.
FOR FURTHER INFORMATION CONTACT:
Benjamin R. Cohen, Presiding Officer,
CMS, 2520 Lord Baltimore Drive, Suite
L, Baltimore, Maryland 21244,
Telephone: (410) 786–3169.
SUPPLEMENTARY INFORMATION: This
notice announces an administrative
hearing to reconsider CMS’ decision to
disapprove Louisiana’s Medicaid SPA
12–66B which was submitted to the
Centers for Medicare and Medicaid
Services (CMS) on December 20, 2012
and disapproved on December 11, 2014.
In part, this SPA requested CMS
approval to revise the current pharmacy
reimbursement methodology for
estimated acquisition cost (EAC) which
is currently calculated as average
acquisition cost (AAC) of the drug
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SUMMARY:
VerDate Sep<11>2014
20:26 Mar 17, 2015
Jkt 235001
dispensed to a new calculation of AAC
adjusted by a multiplier of 1.1 for
multiple source drugs and 1.01 for
single source drugs. In addition,
propose a reimbursement methodology
of wholesale acquisition cost (WAC)
adjusted by a multiplier of 1.05 for statedefined specialty therapeutic classes of
drugs.
The issues to be considered at the
hearing are:
• Whether the state’s proposed
increased payment methodology under
Louisiana Medicaid SPA 12–66–B
complies with the requirements of
section 1902(a)(30)(A) of the Act which
requires, in part, that states have
methods and procedures to assure that
payment rates are consistent with
efficiency, economy, and quality of care.
• Whether the state demonstrated that
the proposed payment increases are
consistent with the aggregate upper
payment limits set in implementing
regulations at 42 CFR 447.512 which
provide that payments for drugs are to
be based on the lower of: (1) The
ingredient EAC of the drug and a
reasonable dispensing fee; or (2) the
provider’s usual and customary charges
to the general public.
• Whether the proposed calculation
of EAC used in calculating upper
payment limits (based on a multiple of
the AAC) is consistent with the
definition of EAC in 42 CFR 447.502,
which defines EAC as ‘‘the agency’s best
estimate of the price generally and
currently paid by providers for a drug
marketed or sold by a particular
manufacturer or labeler in the package
size of drug most frequently purchased
by providers.’’
Section 1116 of the Act and federal
regulations at 42 CFR part 430, establish
Department procedures that provide an
administrative hearing for
reconsideration of a disapproval of a
state plan or plan amendment. CMS is
required to publish a copy of the notice
to a state Medicaid agency that informs
the agency of the time and place of the
hearing, and the issues to be considered.
If we subsequently notify the agency of
additional issues that will be considered
at the hearing, we will also publish that
notice.
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Fmt 4703
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Number of
responses per
respondent
Number of
respondents
Type of respondent
5
5
1
1
Average
burden per
response
(in hours)
5/60
15/60
Any individual or group that wants to
participate in the hearing as a party
must petition the presiding officer
within 15 days after publication of this
notice, in accordance with the
requirements contained at 42 CFR
430.76(b)(2). Any interested person or
organization that wants to participate as
amicus curiae must petition the
presiding officer before the hearing
begins in accordance with the
requirements contained at 42 CFR
430.76(c). If the hearing is later
rescheduled, the presiding officer will
notify all participants.
The notice to Louisiana announcing
an administrative hearing to reconsider
the disapproval of its SPA reads as
follows:
J. Ruth Kennedy
State Medicaid Director
Louisiana Department of Health and
Hospitals
628 N. 4th Street
P.O. Box 91030
Baton Rouge, LA 70821
Dear Ms. Kennedy:
I am responding to your request for
reconsideration of the decision to disapprove
Louisiana’s Medicaid state plan amendment
(SPA) 12–66B, which was submitted to the
Centers for Medicare and Medicaid Services
(CMS) on December 20, 2012, and
disapproved on December 11, 2014. I am
scheduling a hearing on your request for
reconsideration to be held on April 30, 2015,
at the Department of Health and Human
Services, Centers for Medicare and Medicaid
Services, Division of Medicaid & Children’s
Health, Dallas Regional Office, 1301 Young
Street, Room 730, Dallas, TX 75202.
I am designating Mr. Benjamin R. Cohen as
the presiding officer. If these arrangements
present any problems, please contact Mr.
Cohen at (410) 786–3169. In order to
facilitate any communication that may be
necessary between the parties prior to the
hearing, please notify the presiding officer to
indicate acceptability of the hearing date that
has been scheduled and provide names of the
individuals who will represent the state at
the hearing. If the hearing date is not
acceptable, Mr. Cohen can set another date
mutually agreeable to the parties. The
hearing will be governed by the procedures
prescribed by federal regulations at 42 CFR
part 430.
In part, this SPA would revise the current
pharmacy reimbursement methodology for
estimated acquisition cost (EAC) which is
currently calculated as average acquisition
cost (AAC) of the drug dispensed to a new
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]]>Agencies
[Federal Register Volume 80, Number 52 (Wednesday, March 18, 2015)]
[Notices]
[Pages 14143-14145]
From the Federal Register Online via the Government Printing Office [www.gpo.gov]
[FR Doc No: 2015-06160]
-----------------------------------------------------------------------
DEPARTMENT OF HEALTH AND HUMAN SERVICES
Centers for Disease Control and Prevention
[30Day-15-0020]
Agency Forms Undergoing Paperwork Reduction Act Review
The Centers for Disease Control and Prevention (CDC) has submitted
the following information collection request to the Office of
Management and Budget (OMB) for review and approval in accordance with
the Paperwork Reduction Act of 1995. The notice for the proposed
information collection is published to obtain comments from the public
and affected agencies.
Written comments and suggestions from the public and affected
agencies concerning the proposed collection of information are
encouraged. Your comments should address any of the following: (a)
Evaluate whether the proposed collection of information is necessary
for the proper performance of the functions of the agency, including
whether the information will have practical utility; (b) Evaluate the
accuracy of the agencies estimate of the burden of the proposed
collection of information, including the validity of the methodology
and assumptions used; (c) Enhance the quality, utility, and clarity of
the information to be collected; (d) Minimize the burden of the
collection of information on those who are to respond, including
through the use of appropriate automated, electronic, mechanical, or
other technological collection techniques or other forms of information
technology, e.g., permitting electronic submission of responses; and
(e) Assess information collection costs.
To request additional information on the proposed project or to
obtain a copy of the information collection plan and instruments, call
(404) 639-7570 or send an email to omb@cdc.gov. Written comments and/or
suggestions regarding the items contained in this notice should be
directed to the Attention: CDC Desk Officer, Office of Management and
Budget, Washington, DC 20503 or by fax to (202) 395-5806. Written
comments should be received within 30 days of this notice.
Proposed Project
Coal Workers' Health Surveillance Program (CWHSP)--(0920-0020)--
Reinstatement with Change--National Institute for Occupational Safety
and Health (NIOSH), Centers for Disease Control and Prevention (CDC).
Background and Brief Description
NIOSH would like to submit an Information Collection Request (ICR)
to revise the data collection instruments being utilized within the
Coal Workers' Health Surveillance Program (CWHSP).
On May 1, 2014, the Mine Safety and Health Administration (MSHA)
published final rule 30 CFR 70, 71, 72, 75, and 90. The new MSHA rule
added surface coal miners, a respiratory health assessment, and
spirometry testing for chronic obstructive pulmonary disease (COPD) to
the previously mandated chest x-ray examination program. These
additions are being referred to as the Expanded CWHSP (an additional
component under the current CWHSP).
This request incorporates all components that now fall under the
CWHSP. Those components include: Coal Workers' X-ray Surveillance
Program (CWXSP), B Reader Program, Enhanced Coal Workers' Health
Surveillance Program (ECWHSP), Expanded Coal Workers' Health
Surveillance Program, and National Coal Workers' Autopsy Study (NCWAS).
The CWHSP is a congressionally-mandated medical examination program
for monitoring the health of coal miners. The Program was originally
authorized under the 1969 Federal Coal Mine Health and Safety Act and
is currently authorized under the 1977 Federal Mine Safety and Health
Act and its subsequent amendments (the Act). The Act provides the
regulatory authority for
[[Page 14144]]
the administration of the CWHSP. This Program, which operates in
accordance with 42 CFR part 37, is useful in providing information for
protecting the health of miners (whose participation is entirely
voluntary), and also in documenting trends and patterns in the
prevalence of coal workers' pneumoconiosis (`black lung' disease) among
miners employed in U.S. coal mines.
The total estimated annualized burden hours of 20,282 is based on
the following collection instruments:
Coal Mine Operator Plan (2.10) and Coal Contractor Plan
(2.18)--Under 42 CFR part 37, every coal operator and coal contractor
in the U.S. must submit a plan approximately every 4 years, providing
information on how they plan to notify their miners of the opportunity
to obtain the medical examination. Completion of this form with all
requested information (including a roster of current employees) takes
approximately 30 minutes.
Radiographic Facility Certification Document (2.11)--X-ray
facilities seeking NIOSH approval to provide miner radiographs under
the CWHSP must complete an approval packet including this form which
requires approximately 30 minutes for completion.
Miner Identification Document (2.9)--Miners who elect to
participate in the CWHSP must fill out this document which requires
approximately 20 minutes. This document records demographic and
occupational history, as well as information required under the
regulations in relation to the examinations. In addition to completing
this form, acquiring the chest image from the miner takes approximately
15 minutes.
Chest Radiograph Classification Form (2.8)--NIOSH utilizes
a radiographic classification system developed by the International
Labour Office (ILO) in the determination of pneumoconiosis among coal
miners. Physicians (B Readers) fill out this form regarding their
interpretations of the radiographs (each image has two separate
interpretations, and approximately 7% of the images require additional
interpretations). Based on prior practice it takes the physician
approximately 3 minutes per form.
Physician Application for Certification (2.12)--Physicians
taking the B Reader examination are asked to complete this registration
form which provides demographic information as well as information
regarding their medical practices. It typically takes the physician
about 10 minutes to complete this form.
Spirometry Facility Certification Document (2.14)--This
new form is analogous to the Radiographic Facility Certification
Document (2.11) and records the spirometry facility equipment/staffing
information. Spirometry facilities seeking NIOSH approval to provide
miner spirometry testing under the CWHSP must complete an approval
packet which includes this form. It is estimated that it will take
approximately 30 minutes for this form to be completed at the facility.
Respiratory Assessment Form (2.13)--This new form is
designed to assess respiratory symptoms and certain medical conditions
and risk factors. It is estimated that it will take approximately five
minutes for administration of this form to the miner by an employee at
the facility.
Spirometry Results Notification Form (2.15)--This new form
replaces previous forms 2.15, 2.16 and 2.17. It is used to: collect
information that will allow NIOSH to identify the miner in order to
provide notification of the spirometry test results; assure that the
test can be done safely; record certain factors that can affect test
results; provide documentation that the required components of the
spirometry examination have been transmitted to NIOSH for processing;
and conduct quality assurance audits and interpretation of results. It
is estimated that it will take the facility approximately 20 minutes to
complete this form. In addition to completing this form, acquiring an
acceptable spirometry test from the miner takes approximately 15
minutes.
Pathologist Invoice--Under the NCWAS, the invoice
submitted by the pathologist must contain a statement that the
pathologist is not receiving any other compensation for the autopsy.
Each participating pathologist may use their individual invoice as long
as this statement is added. It is estimated that only five minutes is
required for the pathologist to add this statement to the standard
invoice that they routinely use.
Pathologist Report--Under the NCWAS the pathologist must
submit information found at autopsy, slides, blocks of tissue, and a
final diagnosis indicating presence or absence of pneumoconiosis. The
format of the autopsy reports is variable depending on the pathologist
conducting the autopsy. Since an autopsy report is routinely completed
by a pathologist, the only additional burden is the specific request
for a clinical abstract of terminal illness and final diagnosis
relating to pneumoconiosis. Therefore, only 5 minutes of additional
burden is estimated for the pathologist's report.
Consent, Release and History Form (2.6)--This form
documents written authorization from the next-of-kin to perform an
autopsy on the deceased miner. A minimum of essential information is
collected regarding the deceased miner including an occupational
history and a smoking history. From past experience, it is estimated
that 15 minutes is required for the next-of-kin to complete this form.
There are no costs to respondents other than their time.
Estimated Annualized Burden Hours
----------------------------------------------------------------------------------------------------------------
Average
Number of Number of burden per
Type of respondent Form name respondents responses per response (in
respondent hours)
----------------------------------------------------------------------------------------------------------------
Coal Mine Operator.................... 2.10.................... 388 1 30/60
Coal Mine Contractor.................. 2.18.................... 575 1 30/60
Radiograph Facility Supervisor........ 2.11.................... 40 1 30/60
Coal Miner............................ 2.9..................... 14,560 1 20/60
Coal Miner--Radiograph................ No form required........ 14,560 1 15/60
B Reader Physician.................... 2.8..................... 10 3014 3/60
Physicians taking the B Reader 2.12.................... 100 1 10/60
Examination.
Spirometry Facility Supervisor........ 2.14.................... 100 1 30/60
Spirometry Facility Employee.......... 2.13.................... 14,560 1 5/60
Spirometry Technician................. 2.15.................... 14,560 1 20/60
Coal Mine--Spirometry................. No form required........ 14,560 1 15/60
Pathologist........................... Invoice--No standard 5 1 5/60
form.
[[Page 14145]]
Pathologist........................... Pathology Report--No 5 1 5/60
standard form.
Next-of-kin for deceased miner........ 2.6..................... 5 1 15/60
----------------------------------------------------------------------------------------------------------------
Leroy A. Richardson,
Chief, Information Collection Review Office, Office of Scientific
Integrity, Office of the Associate Director for Science, Office of the
Director, Centers for Disease Control and Prevention.
[FR Doc. 2015-06160 Filed 3-17-15; 8:45 am]
BILLING CODE 4163-18-P
