Proposed Data Collection Submitted for Public Comment and Recommendations, 73108-73110 [2016-25579]
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73108
Federal Register / Vol. 81, No. 205 / Monday, October 24, 2016 / Notices
4. Quarterly Reports
(d) Budget Review
(e) Audit Status
5. Internal Audit
(f) Internal Audit Charter
(g) Lockbox Operations Audit Report
6. Mid-Year Financial Audit
7. Office of Resource Management
Annual Report
Closed Session
Information covered under 5 U.S.C.
552b(c)(4) and (c)(9)(B).
Adjourn
CONTACT PERSON FOR MORE INFORMATION:
Kimberly Weaver, Director, Office of
External Affairs, (202) 942–1640.
Dated: October 20, 2016.
Megan Grumbine,
General Counsel, Federal Retirement Thrift
Investment Board.
[FR Doc. 2016–25761 Filed 10–20–16; 4:15 pm]
BILLING CODE 6760–01–P
DEPARTMENT OF HEALTH AND
HUMAN SERVICES
Centers for Disease Control and
Prevention
[60Day–17–0891; Docket No. CDC–2016–
0099]
Proposed Data Collection Submitted
for Public Comment and
Recommendations
Centers for Disease Control and
Prevention (CDC), Department of Health
and Human Services (HHS).
ACTION: Notice with comment period.
AGENCY:
The Centers for Disease
Control and Prevention (CDC), as part of
its continuing effort to reduce public
burden and maximize the utility of
government information, invites the
general public and other Federal
agencies to take this opportunity to
comment on proposed and/or
continuing information collections, as
required by the Paperwork Reduction
Act of 1995. This notice invites
comment on a proposed revision to the
‘‘World Trade Center Health Program
Enrollment, Treatment, Appeals &
Reimbursement’’ information collection
approved under OMB Control Number
0920–0891, which allows the collection
of information from Program members
and affiliated medical providers for the
purpose of determining eligibility and
providing treatment services in
accordance with the James Zadroga 9/
11 Health and Compensation Act of
2010.
sradovich on DSK3GMQ082PROD with NOTICES
SUMMARY:
VerDate Sep<11>2014
17:42 Oct 21, 2016
Jkt 241001
Written comments must be
received on or before December 23,
2016.
ADDRESSES: You may submit comments,
identified by Docket No. CDC–2016–
0099 by any of the following methods:
• Federal eRulemaking Portal:
Regulations.gov. Follow the instructions
for submitting comments.
• Mail: Leroy A. Richardson,
Information Collection Review Office,
Centers for Disease Control and
Prevention, 1600 Clifton Road NE., MS–
D74, Atlanta, Georgia 30329.
Instructions: All submissions received
must include the agency name and
Docket Number. All relevant comments
received will be posted without change
to Regulations.gov, including any
personal information provided. For
access to the docket to read background
documents or comments received, go to
Regulations.gov.
Please note: All public comment
should be submitted through the
Federal eRulemaking portal
(regulations.gov) or by U.S. mail to the
address listed above.
FOR FURTHER INFORMATION CONTACT: To
request more information on the
proposed project or to obtain a copy of
the information collection plan and
instruments, contact the Information
Collection Review Office, Centers for
Disease Control and Prevention, 1600
Clifton Road NE., MS–D74, Atlanta,
Georgia 30329; phone: 404–639–7570;
Email: omb@cdc.gov.
SUPPLEMENTARY INFORMATION:
Under the Paperwork Reduction Act
of 1995 (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. In
addition, the PRA also requires Federal
agencies to provide a 60-day notice in
the Federal Register concerning each
proposed collection of information,
including each new proposed
collection, each proposed extension of
existing collection of information, and
each reinstatement of previously
approved information collection before
submitting the collection to OMB for
approval. To comply with this
requirement, we are publishing this
notice of proposed revisions to an
existing data collection as described
below.
Comments are invited on: (a) Whether
the proposed revisions to an existing
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
DATES:
PO 00000
Frm 00053
Fmt 4703
Sfmt 4703
proposed revised collection of
information; (c) ways to enhance the
quality, utility, and clarity of the
information to be collected; (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; and (e) estimates of capital
or start-up costs and costs of operation,
maintenance, and purchase of services
to provide information. Burden means
the total time, effort, or financial
resources expended by persons to
generate, maintain, retain, disclose or
provide information to or for a Federal
agency. 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.
Proposed Project
World Trade Center Health Program
Enrollment, Treatment, Appeals &
Reimbursement (OMB Control No.
0920–0891, Expires 09/30/2018)—
Revision—National Institute for
Occupational Safety and Health, Centers
for Disease Control and Prevention
(CDC).
Background and Brief Description
NIOSH seeks to request OMB
approval to revise the currently
approved information collection
activities that support the World Trade
Center (WTC) Health Program. The
James Zadroga 9/11 Health and
Compensation Act of 2010 (Pub. L. 111–
347, as amended by Pub. L. 114–113)
created the WTC Health Program to
provide medical monitoring and
treatment benefits to eligible firefighters
and related personnel, law enforcement
officers, and rescue, recovery, and
cleanup workers who responded to the
September 11, 2001, terrorist attacks in
New York City, at the Pentagon, and in
Shanksville, Pennsylvania (responders),
and to eligible persons who were
present in the dust or dust cloud on
September 11, 2001, or who worked,
resided, or attended school, childcare,
or adult daycare in the New York City
disaster area (survivors).
This request also seeks to incorporate
the World Trade Center Health Program
Petition for the addition of a New WTCRelated Health Condition for Coverage
E:\FR\FM\24OCN1.SGM
24OCN1
73109
Federal Register / Vol. 81, No. 205 / Monday, October 24, 2016 / Notices
under the WTC Health Program package
(0920–0929) into the existing approval,
World Trade Center Health Program
Enrollment, Appeals, Reimbursement, &
Petitions (OMB Control No. 0920–0891).
Upon approval, OMB Control number
0920–0929 will be discontinued.
Since its inception in 2011, the WTC
Health Program has been approved to
collect information from applicants and
Program members (enrolled WTC
responders and survivors) concerning
eligibility and enrollment, appointment
of a designated representative, medical
care, travel reimbursement, and appeal
of adverse Program decisions. The WTC
Health Program is also currently
approved to collect information from
Program medical providers, including
health condition certification requests
and pharmaceutical claims. Currentlyapproved total estimated burden is
13,594 hours annually. See OMB
Control No. 0920–0891, exp. September
30, 2018.
The WTC Health Program has
determined that some existing forms
need to be updated, and new
information collections related to a
recent rulemaking should be added.
Changes to WTC Health Program
regulations in 42 CFR part 88 will
require the extension of existing
information collections. Specifically, 42
CFR 88.13 establishes procedures for the
appeal of Program decisions to disenroll
Program members and deny enrollment
to applicants. Appeals of enrollment
denial decisions, which include the
submission of appeal request letters, are
currently approved; the Program
proposes to extend this information
collection to account for the burden of
requests for appeal of disenrollment
decisions. Of the over 70,000 Program
members, we expect that 0.014 percent
(10) will be subsequently disenrolled
from the Program. Of those, we expect
that 30 percent (3) will appeal the
disenrollment decisions. We estimate
that the disenrollment appeal requests
will take no more than 0.5 hours per
respondent. The annual burden estimate
is 1.5 hours.
Section 42 CFR 88.21 establishes
procedures for the appeal of WTC
Health Program decisions to decertify a
WTC-related health condition, deny
certification, and deny treatment
authorization. Appeals of health
condition certification denials and
treatment authorization denials, which
include the submission of appeal
request letters, are currently approved;
the Program proposes to extend this
information collection to account for the
burden of requests for appeal of
decertification decisions. The
information collection would also be
expanded to allow Program members to
provide additional information and/or
an oral statement. Of the estimated
51,472 Program members who have at
least one health condition certification,
we estimate that 0.02 percent (10) will
be decertified, and 50 percent (5) of
those will appeal a decertification. We
estimate that the appeal request letter
will take no more than 0.5 hours per
respondent. Providing additional
information and/or an oral statement
will take no more than 1 hour per
respondent. The annual burden estimate
for decertification appeals is 7.5 hours.
We estimate that Program members
request certification for 20,000 health
conditions each year. Of those 20,000,
we estimate that 1 percent (200) of
certification requests are denied by the
WTC Health Program. We further expect
that 30 percent of denied certifications,
or 60 individuals, will be appealed. We
estimate that the appeals letter takes no
more than 30 minutes and providing
additional information and/or an oral
statement will take no more than 1 hour.
The burden estimate for certification
denial appeals is 90 hours. Finally, of
the projected 51,472 Program members
who receive medical care, we estimate
that 0.05 percent (26) 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 and providing
additional information and/or an oral
statement will take no more than 1 hour.
The burden estimate for treatment
authorization denial appeals is 39
hours.
Finally, 42 CFR 88.23 establishes
procedures for the appeal of a WTC
Health Program decision to deny
reimbursement to a Program medical
provider for treatment determined not to
be medically necessary. Accordingly,
the Program proposes the addition of
information collected in the appeal
request. We estimate that of the nearly
52,000 Program providers, we estimate
that 1.15 percent (600) annually will be
denied reimbursement for treatment
found to be not medically necessary or
in accordance with treatment protocols,
and will appeal the decision. We
estimate that the appeal letter will take
no more than 0.5 hours to compile. The
burden estimate for treatment
reimbursement denial appeals is 300
hours.
The Program also finds it necessary to
add a new form to allow applicants and
Program members to grant permission to
share information with a third person
about an individual’s application or
case. We estimate that 30 applicants and
members will submit a Health Insurance
Portability and Accountability Act
(HIPAA) Release Form annually. The
form is expected to take no longer than
0.25 hours to complete. The burden
estimate for the HIPAA Release form is
7.5 hours.
In addition to describing those burden
estimates revised by this action, the
estimated annualized burden hours for
those collection instruments not subject
to revision in this action are included in
the table below.
ESTIMATED ANNUALIZED BURDEN HOURS
Form name
FDNY Responder ..............................
sradovich on DSK3GMQ082PROD with NOTICES
Type of
respondent
World Trade Center Health Program
FDNY Responder Eligibility Application.
World Trade Center Health Program
Responder Eligibility Application
(Other than FDNY).
World Trade Center Health Program
Pentagon/Shanksville Responder.
World Trade Center Health Program
Survivor Eligibility Application (all
languages).
General Responder ...........................
Pentagon/Shanksville Responder .....
WTC Survivor ....................................
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17:42 Oct 21, 2016
Jkt 241001
PO 00000
Frm 00054
Number of
respondents
Fmt 4703
Sfmt 4703
Number of
responses
per
respondent
Average
burden per
response
(in hours)
Total burden
hours
45
1
30/60
23
2,475
1
30/60
1,238
630
1
30/60
315
1,350
1
30/60
675
E:\FR\FM\24OCN1.SGM
24OCN1
73110
Federal Register / Vol. 81, No. 205 / Monday, October 24, 2016 / Notices
ESTIMATED ANNUALIZED BURDEN HOURS—Continued
Type of
respondent
Form name
General responder ............................
Responder/Survivor/Advocate (physician).
Postcard for new general responders in NY/NJ to select a clinic.
Physician Request for Certification ..
Denial Letter and Appeal Notification—Enrollment.
Disenrollment Letter and Appeal Notification.
Denial Letter and Appeal Notification—Health Condition Certification.
Decertification Letter and Appeal
Notification.
Denial Letter and Appeal Notification—Treatment Authorization.
WTC Health Program Medical Travel Refund Request.
Form to designate a representative
Form to share member information
Outpatient prescription pharmaceuticals.
Reimbursement Denial Letter and
Appeal Notification.
Petition for the addition of health
conditions.
Total ...........................................
...........................................................
Program Medical Provider ................
Responder (FDNY and General Responder)/Survivor.
Responder (FDNY and General Responder)/Survivor.
Responder (FDNY and General Responder)/Survivor.
Responder (FDNY and General Responder)/Survivor.
Responder (FDNY and General Responder)/Survivor.
Responder (FDNY and General Responder)/Survivor.
Designated Rep Form .......................
HIPAA Release .................................
Pharmacy ..........................................
Program Medical Provider ................
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. 2016–25579 Filed 10–21–16; 8:45 am]
BILLING CODE P
DEPARTMENT OF HEALTH AND
HUMAN SERVICES
Centers for Disease Control and
Prevention
[60Day–17–17AW; Docket No. CDC–2016–
0101]
Proposed Data Collection Submitted
for Public Comment and
Recommendations
Centers for Disease Control and
Prevention (CDC), Department of Health
and Human Services (HHS).
ACTION: Notice with comment period.
AGENCY:
The Centers for Disease
Control and Prevention (CDC), as part of
its continuing efforts to reduce public
burden and maximize the utility of
government information, invites the
general public and other Federal
agencies to take this opportunity to
comment on proposed and/or
continuing information collections, as
required by the Paperwork Reduction
sradovich on DSK3GMQ082PROD with NOTICES
SUMMARY:
VerDate Sep<11>2014
17:42 Oct 21, 2016
Jkt 241001
Number of
responses
per
respondent
Number of
respondents
1
15/60
619
20,000
45
1
1
30/60
30/60
10,000
23
3
1
30/60
1.5
60
1
90/60
90
5
1
90/60
7.5
26
1
90/60
39
10
1
10/60
2
10
10
150
1
1
261
15/60
15/60
1/60
3
3
653
600
1
30/60
300
60
1
60/60
60
........................
........................
........................
14,052
You may submit comments,
identified by Docket No. CDC–2016–
0101 by any of the following methods:
• Federal eRulemaking Portal:
Regulations.gov. Follow the instructions
for submitting comments.
• Mail: Leroy A. Richardson,
Information Collection Review Office,
Centers for Disease Control and
Prevention, 1600 Clifton Road, NE.,
MS–D74, Atlanta, Georgia 30329.
Instructions: All submissions received
must include the agency name and
Docket Number. All relevant comments
received will be posted without change
ADDRESSES:
Frm 00055
Fmt 4703
Total burden
hours
2,475
Act of 1995. This notice invites
comment on the proposed information
collection project entitled ‘‘Assessment
of Targeted Training and Technical
Assistance (TTA) Efforts on the
Implementation of Comprehensive
Cancer Control’’. CDC is requesting to
collect information about TTA offered
under two different cooperative
agreements using case studies, a webbased survey, and in-depth interviews
in order to document how TTA was
provided and identify elements of TTA
administered across both cooperative
agreements that could inform the
development of a viable TTA model for
enhancing future tobacco and cancer
prevention and control efforts.
DATES: Written comments must be
received on or before December 23,
2016.
PO 00000
Average
burden per
response
(in hours)
Sfmt 4703
to Regulations.gov, including any
personal information provided. For
access to the docket to read background
documents or comments received, go to
Regulations.gov.
Please note: All public comment
should be submitted through the
Federal eRulemaking portal
(Regulations.gov) or by U.S. mail to the
address listed above.
FOR FURTHER INFORMATION CONTACT: To
request more information on the
proposed project or to obtain a copy of
the information collection plan and
instruments, contact the Information
Collection Review Office, Centers for
Disease Control and Prevention, 1600
Clifton Road NE., MS–D74, Atlanta,
Georgia 30329; phone: 404–639–7570;
Email: omb@cdc.gov.
SUPPLEMENTARY INFORMATION: Under the
Paperwork Reduction Act of 1995 (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. In addition, the PRA also
requires Federal agencies to provide a
60-day notice in the Federal Register
concerning each proposed collection of
information, including each new
proposed collection, each proposed
extension of existing collection of
information, and each reinstatement of
previously approved information
collection before submitting the
E:\FR\FM\24OCN1.SGM
24OCN1
Agencies
[Federal Register Volume 81, Number 205 (Monday, October 24, 2016)]
[Notices]
[Pages 73108-73110]
From the Federal Register Online via the Government Publishing Office [www.gpo.gov]
[FR Doc No: 2016-25579]
=======================================================================
-----------------------------------------------------------------------
DEPARTMENT OF HEALTH AND HUMAN SERVICES
Centers for Disease Control and Prevention
[60Day-17-0891; Docket No. CDC-2016-0099]
Proposed Data Collection Submitted for Public Comment and
Recommendations
AGENCY: Centers for Disease Control and Prevention (CDC), Department of
Health and Human Services (HHS).
ACTION: Notice with comment period.
-----------------------------------------------------------------------
SUMMARY: The Centers for Disease Control and Prevention (CDC), as part
of its continuing effort to reduce public burden and maximize the
utility of government information, invites the general public and other
Federal agencies to take this opportunity to comment on proposed and/or
continuing information collections, as required by the Paperwork
Reduction Act of 1995. This notice invites comment on a proposed
revision to the ``World Trade Center Health Program Enrollment,
Treatment, Appeals & Reimbursement'' information collection approved
under OMB Control Number 0920-0891, which allows the collection of
information from Program members and affiliated medical providers for
the purpose of determining eligibility and providing treatment services
in accordance with the James Zadroga 9/11 Health and Compensation Act
of 2010.
DATES: Written comments must be received on or before December 23,
2016.
ADDRESSES: You may submit comments, identified by Docket No. CDC-2016-
0099 by any of the following methods:
Federal eRulemaking Portal: Regulations.gov. Follow the
instructions for submitting comments.
Mail: Leroy A. Richardson, Information Collection Review
Office, Centers for Disease Control and Prevention, 1600 Clifton Road
NE., MS-D74, Atlanta, Georgia 30329.
Instructions: All submissions received must include the agency name
and Docket Number. All relevant comments received will be posted
without change to Regulations.gov, including any personal information
provided. For access to the docket to read background documents or
comments received, go to Regulations.gov.
Please note: All public comment should be submitted through the
Federal eRulemaking portal (regulations.gov) or by U.S. mail to the
address listed above.
FOR FURTHER INFORMATION CONTACT: To request more information on the
proposed project or to obtain a copy of the information collection plan
and instruments, contact the Information Collection Review Office,
Centers for Disease Control and Prevention, 1600 Clifton Road NE., MS-
D74, Atlanta, Georgia 30329; phone: 404-639-7570; Email: omb@cdc.gov.
SUPPLEMENTARY INFORMATION:
Under the Paperwork Reduction Act of 1995 (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. In addition, the PRA also requires Federal agencies
to provide a 60-day notice in the Federal Register concerning each
proposed collection of information, including each new proposed
collection, each proposed extension of existing collection of
information, and each reinstatement of previously approved information
collection before submitting the collection to OMB for approval. To
comply with this requirement, we are publishing this notice of proposed
revisions to an existing data collection as described below.
Comments are invited on: (a) Whether the proposed revisions to an
existing 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 revised collection of
information; (c) ways to enhance the quality, utility, and clarity of
the information to be collected; (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; and (e) estimates of capital or start-up costs and costs of
operation, maintenance, and purchase of services to provide
information. Burden means the total time, effort, or financial
resources expended by persons to generate, maintain, retain, disclose
or provide information to or for a Federal agency. 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.
Proposed Project
World Trade Center Health Program Enrollment, Treatment, Appeals &
Reimbursement (OMB Control No. 0920-0891, Expires 09/30/2018)--
Revision--National Institute for Occupational Safety and Health,
Centers for Disease Control and Prevention (CDC).
Background and Brief Description
NIOSH seeks to request OMB approval to revise the currently
approved information collection activities that support the World Trade
Center (WTC) Health Program. The James Zadroga 9/11 Health and
Compensation Act of 2010 (Pub. L. 111-347, as amended by Pub. L. 114-
113) created the WTC Health Program to provide medical monitoring and
treatment benefits to eligible firefighters and related personnel, law
enforcement officers, and rescue, recovery, and cleanup workers who
responded to the September 11, 2001, terrorist attacks in New York
City, at the Pentagon, and in Shanksville, Pennsylvania (responders),
and to eligible persons who were present in the dust or dust cloud on
September 11, 2001, or who worked, resided, or attended school,
childcare, or adult daycare in the New York City disaster area
(survivors).
This request also seeks to incorporate the World Trade Center
Health Program Petition for the addition of a New WTC-Related Health
Condition for Coverage
[[Page 73109]]
under the WTC Health Program package (0920-0929) into the existing
approval, World Trade Center Health Program Enrollment, Appeals,
Reimbursement, & Petitions (OMB Control No. 0920-0891). Upon approval,
OMB Control number 0920-0929 will be discontinued.
Since its inception in 2011, the WTC Health Program has been
approved to collect information from applicants and Program members
(enrolled WTC responders and survivors) concerning eligibility and
enrollment, appointment of a designated representative, medical care,
travel reimbursement, and appeal of adverse Program decisions. The WTC
Health Program is also currently approved to collect information from
Program medical providers, including health condition certification
requests and pharmaceutical claims. Currently-approved total estimated
burden is 13,594 hours annually. See OMB Control No. 0920-0891, exp.
September 30, 2018.
The WTC Health Program has determined that some existing forms need
to be updated, and new information collections related to a recent
rulemaking should be added.
Changes to WTC Health Program regulations in 42 CFR part 88 will
require the extension of existing information collections.
Specifically, 42 CFR 88.13 establishes procedures for the appeal of
Program decisions to disenroll Program members and deny enrollment to
applicants. Appeals of enrollment denial decisions, which include the
submission of appeal request letters, are currently approved; the
Program proposes to extend this information collection to account for
the burden of requests for appeal of disenrollment decisions. Of the
over 70,000 Program members, we expect that 0.014 percent (10) will be
subsequently disenrolled from the Program. Of those, we expect that 30
percent (3) will appeal the disenrollment decisions. We estimate that
the disenrollment appeal requests will take no more than 0.5 hours per
respondent. The annual burden estimate is 1.5 hours.
Section 42 CFR 88.21 establishes procedures for the appeal of WTC
Health Program decisions to decertify a WTC-related health condition,
deny certification, and deny treatment authorization. Appeals of health
condition certification denials and treatment authorization denials,
which include the submission of appeal request letters, are currently
approved; the Program proposes to extend this information collection to
account for the burden of requests for appeal of decertification
decisions. The information collection would also be expanded to allow
Program members to provide additional information and/or an oral
statement. Of the estimated 51,472 Program members who have at least
one health condition certification, we estimate that 0.02 percent (10)
will be decertified, and 50 percent (5) of those will appeal a
decertification. We estimate that the appeal request letter will take
no more than 0.5 hours per respondent. Providing additional information
and/or an oral statement will take no more than 1 hour per respondent.
The annual burden estimate for decertification appeals is 7.5 hours. We
estimate that Program members request certification for 20,000 health
conditions each year. Of those 20,000, we estimate that 1 percent (200)
of certification requests are denied by the WTC Health Program. We
further expect that 30 percent of denied certifications, or 60
individuals, will be appealed. We estimate that the appeals letter
takes no more than 30 minutes and providing additional information and/
or an oral statement will take no more than 1 hour. The burden estimate
for certification denial appeals is 90 hours. Finally, of the projected
51,472 Program members who receive medical care, we estimate that 0.05
percent (26) 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 and providing
additional information and/or an oral statement will take no more than
1 hour. The burden estimate for treatment authorization denial appeals
is 39 hours.
Finally, 42 CFR 88.23 establishes procedures for the appeal of a
WTC Health Program decision to deny reimbursement to a Program medical
provider for treatment determined not to be medically necessary.
Accordingly, the Program proposes the addition of information collected
in the appeal request. We estimate that of the nearly 52,000 Program
providers, we estimate that 1.15 percent (600) annually will be denied
reimbursement for treatment found to be not medically necessary or in
accordance with treatment protocols, and will appeal the decision. We
estimate that the appeal letter will take no more than 0.5 hours to
compile. The burden estimate for treatment reimbursement denial appeals
is 300 hours.
The Program also finds it necessary to add a new form to allow
applicants and Program members to grant permission to share information
with a third person about an individual's application or case. We
estimate that 30 applicants and members will submit a Health Insurance
Portability and Accountability Act (HIPAA) Release Form annually. The
form is expected to take no longer than 0.25 hours to complete. The
burden estimate for the HIPAA Release form is 7.5 hours.
In addition to describing those burden estimates revised by this
action, the estimated annualized burden hours for those collection
instruments not subject to revision in this action are included in the
table below.
Estimated Annualized Burden Hours
----------------------------------------------------------------------------------------------------------------
Number of Average burden
Type of respondent Form name Number of responses per per response Total burden
respondents respondent (in hours) hours
----------------------------------------------------------------------------------------------------------------
FDNY Responder................ World Trade 45 1 30/60 23
Center Health
Program FDNY
Responder
Eligibility
Application.
General Responder............. World Trade 2,475 1 30/60 1,238
Center Health
Program
Responder
Eligibility
Application
(Other than
FDNY).
Pentagon/Shanksville Responder World Trade 630 1 30/60 315
Center Health
Program
Pentagon/
Shanksville
Responder.
WTC Survivor.................. World Trade 1,350 1 30/60 675
Center Health
Program
Survivor
Eligibility
Application
(all languages).
[[Page 73110]]
General responder............. Postcard for new 2,475 1 15/60 619
general
responders in
NY/NJ to select
a clinic.
Program Medical Provider...... Physician 20,000 1 30/60 10,000
Request for
Certification.
Responder (FDNY and General Denial Letter 45 1 30/60 23
Responder)/Survivor. and Appeal
Notification--E
nrollment.
Responder (FDNY and General Disenrollment 3 1 30/60 1.5
Responder)/Survivor. Letter and
Appeal
Notification.
Responder (FDNY and General Denial Letter 60 1 90/60 90
Responder)/Survivor. and Appeal
Notification--H
ealth Condition
Certification.
Responder (FDNY and General Decertification 5 1 90/60 7.5
Responder)/Survivor. Letter and
Appeal
Notification.
Responder (FDNY and General Denial Letter 26 1 90/60 39
Responder)/Survivor. and Appeal
Notification--T
reatment
Authorization.
Responder (FDNY and General WTC Health 10 1 10/60 2
Responder)/Survivor. Program Medical
Travel Refund
Request.
Designated Rep Form........... Form to 10 1 15/60 3
designate a
representative.
HIPAA Release................. Form to share 10 1 15/60 3
member
information.
Pharmacy...................... Outpatient 150 261 1/60 653
prescription
pharmaceuticals.
Program Medical Provider...... Reimbursement 600 1 30/60 300
Denial Letter
and Appeal
Notification.
Responder/Survivor/Advocate Petition for the 60 1 60/60 60
(physician). addition of
health
conditions.
---------------------------------------------------------------
Total..................... ................ .............. .............. .............. 14,052
----------------------------------------------------------------------------------------------------------------
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. 2016-25579 Filed 10-21-16; 8:45 am]
BILLING CODE P