Agency Information Collection Activities: Submission for OMB Review; Comment Request, 48932-48933 [2019-19898]
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48932
Federal Register / Vol. 84, No. 180 / Tuesday, September 17, 2019 / Notices
3/31/2020)—Extension—National
Center for Environmental Health
(NCEH), Centers for Disease Control and
Prevention (CDC).
Background and Brief Description
The Safe Drinking Water Act of 1974
(SDWA) ensures that most Americans
are provided access to water that meets
established public health standards.
However, for over 38 million Americans
who rely on private wells or other
drinking water not protected by the
SDWA (herein referred to as private
wells), that is not the case. There is no
comprehensive knowledge about the
locations of private wells, the
populations served by these sources,
potential contaminants that might be
present in private well water in specific
public health protection activities
conducted by the requesting agencies.
The respondents are defined as adults
at least 18 years old, who use private
wells for drinking water, who are
willing to receive and return a tap water
sampling kit and urine specimen kit or
to provide a blood specimen, and who
are willing to answer survey questions.
They will be recruited from geographic
areas of interest as defined by the
requesting agency. Based on our
historical activities, we estimate that
CDC will conduct up to 10
investigations per year. Each
investigation will involve on average
200 respondents. The total time burden
is 2,084 hours. There will be no cost to
the respondents other than their time.
areas of the country, or the potential
health risks associated with drinking
water from these sources.
The purpose of this Generic
Information Collection Request (Generic
ICR) is to assess the health risks
associated with exposure to
contaminants in drinking water from
private wells across varied geographic
areas of the United States in partnership
with the requesting agency (state,
territorial, local, or tribal health
department). The information obtained
from these investigations will be used to
describe health risks from exposure to
contaminants in drinking water from
private wells within a defined time
period and geographic distribution. This
information will be used to inform
ESTIMATED ANNUALIZED BURDEN HOURS
Average
burden per
response
(in hours)
Total
burden
(in hours)
Form name
Adults at least 18 years old using a
private well for tap water.
Screening Form ...............................
Questionnaire ...................................
Urine Specimen and Tap Water
Sample Collection.
2,500
2,000
2,000
1
1
1
6/60
35/60
20/60
250
1,167
667
Total ...........................................
..........................................................
........................
........................
........................
2,084
Jeffrey M. Zirger,
Lead, Information Collection Review Office,
Office of Scientific Integrity, Office of Science,
Centers for Disease Control and Prevention.
[FR Doc. 2019–20086 Filed 9–16–19; 8:45 am]
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DEPARTMENT OF HEALTH AND
HUMAN SERVICES
Centers for Medicare & Medicaid
Services
[Document Identifiers: CMS–460]
Agency Information Collection
Activities: Submission for OMB
Review; Comment Request
Centers for Medicare &
Medicaid Services, HHS.
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
SUMMARY:
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17:05 Sep 16, 2019
Jkt 247001
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 the necessity and
utility of the proposed information
collection for the proper performance of
the agency’s functions, the accuracy of
the estimated burden, ways to enhance
the quality, utility, and clarity of the
information to be collected, and the use
of automated collection techniques or
other forms of information technology to
minimize the information collection
burden.
Comments on the collection(s) of
information must be received by the
OMB desk officer by October 17, 2019.
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) 395–5806 OR, Email:
OIRA_submission@omb.eop.gov.
To obtain copies of a supporting
statement and any related forms for the
DATES:
AGENCY:
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Number of
responses per
respondent
Number of
respondents
Type of respondents
PO 00000
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proposed collection(s) summarized in
this notice, you may make your request
using one of following:
1. Access CMS’ website address at
website address at https://www.cms.gov/
Regulations-and-Guidance/Legislation/
PaperworkReductionActof1995/PRAListing.html.
1. Email your request, including your
address, phone number, OMB number,
and CMS document identifier, to
Paperwork@cms.hhs.gov.
2. Call the Reports Clearance Office at
(410) 786–1326.
FOR FURTHER INFORMATION CONTACT:
William Parham at (410) 786–4669.
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. 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 (44 U.S.C.
3506(c)(2)(A)) requires federal agencies
to publish a 30-day notice in the
Federal Register concerning each
proposed collection of information,
E:\FR\FM\17SEN1.SGM
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Federal Register / Vol. 84, No. 180 / Tuesday, September 17, 2019 / Notices
jbell on DSK3GLQ082PROD with NOTICES
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 that summarizes
the following proposed collection(s) of
information for public comment:
1. Type of Information Collection
Request: Reinstatement of a previously
approved collection; Title of
Information Collection: Medicare
Participation Agreement for Physicians
and Suppliers; Use: Section 1842(h) of
the Social Security Act permits
physicians and suppliers to voluntarily
participate in Medicare Part B by
agreeing to take assignment on all
claims for services to Medicare
beneficiaries. The law also requires that
the Secretary provide specific benefits
to the physicians, suppliers and other
persons who choose to participate. The
CMS–460 is the agreement by which the
physician or supplier elects to
participate in Medicare. By signing the
agreement to participate in Medicare,
the physician, supplier, or their
authorized official agrees to accept the
Medicare-determined payment for
Medicare covered services as payment
in full and to charge the Medicare Part
B beneficiary no more than the
applicable deductible or coinsurance for
the covered services. For purposes of
this explanation, the term ‘‘supplier’’
means certain other persons or entities,
other than physicians, that may bill
Medicare for Part B services (e.g.,
suppliers of diagnostic tests, suppliers
of radiology services, durable medical
suppliers (DME) suppliers, nurse
practitioners, clinical social workers,
physician assistants). Institutions that
render Part B services in their outpatient
department are not considered
‘‘suppliers’’ for purposes of this
agreement. Form Number: CMS–
460(OMB control number: 0938–0373);
Frequency: Yearly; Affected Public:
Private Sector (business or other forprofits); Number of Respondents:
29,000; Total Annual Responses:
29,000; Total Annual Hours: 7,250. (For
policy questions regarding this
collection contact Mark Baldwin at 410–
786–8139.)
Dated: September 10, 2019.
William N. Parham, III,
Director, Paperwork Reduction Staff, Office
of Strategic Operations and Regulatory
Affairs.
[FR Doc. 2019–19898 Filed 9–16–19; 8:45 am]
BILLING CODE 4120–01–P
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17:05 Sep 16, 2019
Jkt 247001
DEPARTMENT OF HEALTH AND
HUMAN SERVICES
Centers for Medicare & Medicaid
Services
[Document Identifier: CMS–10088]
Agency Information Collection
Activities: Proposed Collection;
Comment Request
Centers for Medicare &
Medicaid Services, HHS.
ACTION: Notice.
AGENCY:
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
burden estimates or any other aspect of
this collection of information, including
the necessity and utility of the proposed
information collection for the proper
performance of the agency’s functions,
the accuracy of the estimated burden,
ways to enhance the quality, utility, and
clarity of the information to be
collected, and the use of automated
collection techniques or other forms of
information technology to minimize the
information collection burden.
DATES: Comments must be received by
November 18, 2019.
ADDRESSES: When commenting, please
reference the document identifier or
OMB control number. 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
SUMMARY:
PO 00000
Frm 00029
Fmt 4703
Sfmt 4703
48933
proposed collection(s) summarized in
this notice, you may make your request
using one of following:
1. Access CMS’ website address at
website address at https://www.cms.gov/
Regulations-and-Guidance/Legislation/
PaperworkReductionActof1995/PRAListing.html.
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:
William N. Parham at (410) 786–4669.
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–10088 Notification of FLS and
CMS of Co-Located Medicare Providers
Under the 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 Collection
1. Type of Information Collection
Request: Extension of a currently
approved collection; Title of
Information Collection: Notification of
FLS and CMS of Co-Located Medicare
Providers; Use: Many long-term care
hospitals (LTCHs) are co-located with
other Medicare providers (acute care
hospitals, inpatient rehabilitation
facilities (IRFs), skilled nursing facilities
(SNFs), inpatient psychiatric facilities
(IPFs)), which could lead to potential
gaming of the Medicare system based on
inappropriate patient shifting. In
regulations at 42 CFR 412.22(e)(3) and
(h)(6) CMS requires LTCHs to notify
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Agencies
[Federal Register Volume 84, Number 180 (Tuesday, September 17, 2019)]
[Notices]
[Pages 48932-48933]
From the Federal Register Online via the Government Publishing Office [www.gpo.gov]
[FR Doc No: 2019-19898]
-----------------------------------------------------------------------
DEPARTMENT OF HEALTH AND HUMAN SERVICES
Centers for Medicare & Medicaid Services
[Document Identifiers: CMS-460]
Agency Information Collection Activities: Submission for OMB
Review; 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 (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 the necessity and utility of the
proposed information collection for the proper performance of the
agency's functions, the accuracy of the estimated burden, ways to
enhance the quality, utility, and clarity of the information to be
collected, and 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 October 17, 2019.
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) 395-5806 OR, Email:
[email protected].
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' website address at website address at https://www.cms.gov/Regulations-and-Guidance/Legislation/PaperworkReductionActof1995/PRA-Listing.html.
1. Email your request, including your address, phone number, OMB
number, and CMS document identifier, to [email protected].
2. Call the Reports Clearance Office at (410) 786-1326.
FOR FURTHER INFORMATION CONTACT: William Parham at (410) 786-4669.
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. 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 (44 U.S.C. 3506(c)(2)(A)) requires
federal agencies to publish a 30-day notice in the Federal Register
concerning each proposed collection of information,
[[Page 48933]]
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 that summarizes the following proposed collection(s) of
information for public comment:
1. Type of Information Collection Request: Reinstatement of a
previously approved collection; Title of Information Collection:
Medicare Participation Agreement for Physicians and Suppliers; Use:
Section 1842(h) of the Social Security Act permits physicians and
suppliers to voluntarily participate in Medicare Part B by agreeing to
take assignment on all claims for services to Medicare beneficiaries.
The law also requires that the Secretary provide specific benefits to
the physicians, suppliers and other persons who choose to participate.
The CMS-460 is the agreement by which the physician or supplier elects
to participate in Medicare. By signing the agreement to participate in
Medicare, the physician, supplier, or their authorized official agrees
to accept the Medicare-determined payment for Medicare covered services
as payment in full and to charge the Medicare Part B beneficiary no
more than the applicable deductible or coinsurance for the covered
services. For purposes of this explanation, the term ``supplier'' means
certain other persons or entities, other than physicians, that may bill
Medicare for Part B services (e.g., suppliers of diagnostic tests,
suppliers of radiology services, durable medical suppliers (DME)
suppliers, nurse practitioners, clinical social workers, physician
assistants). Institutions that render Part B services in their
outpatient department are not considered ``suppliers'' for purposes of
this agreement. Form Number: CMS-460(OMB control number: 0938-0373);
Frequency: Yearly; Affected Public: Private Sector (business or other
for-profits); Number of Respondents: 29,000; Total Annual Responses:
29,000; Total Annual Hours: 7,250. (For policy questions regarding this
collection contact Mark Baldwin at 410-786-8139.)
Dated: September 10, 2019.
William N. Parham, III,
Director, Paperwork Reduction Staff, Office of Strategic Operations and
Regulatory Affairs.
[FR Doc. 2019-19898 Filed 9-16-19; 8:45 am]
BILLING CODE 4120-01-P