20320 Federal Register / Vol. 78, No. 65 / Thursday, April 4, 2013 / Notices 

provisions set forth in Section 

552b(c)(4) and (6), Title 5 U.S.C., and 

the Determination of the Director, 

Management Analysis and Services 

Office, CDC, pursuant to Public Law 92– 

463. 

Matters To Be Discussed: The meeting 

will include the initial review, 

discussion, and evaluation of 

applications received in response to 

‘‘Conducting Public Health Research in 

Kenya, FOA GH10–003; Conducting 

Public Health Research in Thailand by 

the Ministry of Public Health (MOPH), 

FOA GH11–002; Conducting Public 

Health Research in China, FOA GH12– 

005; Strengthening Disease Prevention 

Research Capacity for Public Health 

Action in Guatemala and the Central 

American Region, FOA GH13–001; 

Strengthening the Monitoring and 

Evaluation of Programs for the 

Elimination and Control of Neglected 

Tropical Diseases in Africa, FOA GH13– 

002; Detecting Etiologies of Emerging 

Infectious Diseases at the Regional 

Level—Western Ghat Region of 

Karnataka and Kerala, India, FOA 

GH13–003; Strengthening Surveillance 

for Japanese Encephalitis in India, FOA 

GH13–004; Monitoring and Evaluation 

of Malaria Control and Elimination 

Activities, FOA GH13–005; and 

Research and Technical Assistance for 

Public Health Interventions in Haiti to 

Support Post-earthquake 

Reconstruction, Cholera and HIV/AIDS, 

FOA GH13–006, initial review.’’ 

Contact Person for More Information: 

Lata Kumar, Scientific Review Officer, 

CGH Science Office, Center for Global 

Health, CDC, 1600 Clifton Road, NE., 

Mailstop D–69, Atlanta, Georgia 30033, 

Telephone (404) 639–7618. 

The Director, Management Analysis 

and Services Office, has been delegated 

the authority to sign Federal Register 

notices pertaining to announcements of 

meetings and other committee 

management activities, for both the 

Centers for Disease Control and 

Prevention and the Agency for Toxic 

Substances and Disease Registry. 

Dana Redford, 

Acting Director, Management Analysis and 

Services Office, Centers for Disease Control 

and Prevention. 

[FR Doc. 2013–07828 Filed 4–3–13; 8:45 am] 

BILLING CODE 4163–18–P 

DEPARTMENT OF HEALTH AND 

HUMAN SERVICES 

Centers for Medicare & Medicaid 

Services 

[Document Identifier: CMS–10457, CMS– 

10428 and CMS–10458] 

Agency Information Collection 

Activities: Submission for OMB 

Review; Comment Request 

AGENCY: Centers for Medicare & 

Medicaid Services, HHS. 

In compliance with the requirement 

of section 3506(c)(2)(A) of the 

Paperwork Reduction Act of 1995, the 

Centers for Medicare & Medicaid 

Services (CMS), Department of Health 

and Human Services, is publishing the 

following summary of proposed 

collections for public comment. 

Interested persons are invited to send 

comments regarding this 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 function; 

(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. 

1. Type of Information Collection 

Request: New collection; Title of 

Information Collection: MAC 

Satisfaction Indicator (MSI) Participant 

Information Registration Form; Use: 

Section 1874(A)(b)(3)(B) of the Social 

Security Act requires that provider 

satisfaction be a performance standard 

for the work of Medicare Administrative 

Contractors (MACs). In order to gain 

provider feedback regarding their 

satisfaction with their MACs, we need 

to be able to contact the providers. 

Therefore, we need accurate contact 

information to: select from for a random 

sample, get the survey to the 

appropriate respondent, and increase 

response rates. The survey will not be 

added to this package; instead, it will be 

processed under a different control 

number via an Interagency Agreement. 

Form Number: CMS–10457 (OCN: 0938- 

New). Frequency: Yearly; Affected 

Public: Private sector (business or other 

for-profit and not-for-profit institutions). 

Number of Respondents: 150,000. Total 

Annual Responses: 150,000. Total 

Annual Hours: 2,500. (For policy 

questions regarding this collection 

contact Teresa Mundell at 410–786– 

9176. For all other issues call 410–786– 

1326.) 

2. Type of Information Collection 

Request: Extension of a currently 

approved collection; Title: PCIP 

Authorization to Share Personal Health 

Information; Use: On March 23, 2010, 

the President signed into law H.R. 3590, 

the Patient Protection and Affordable 

Care Act (Affordable Care Act), Public 

Law 111–148. Section 1101 of the law 

establishes a ‘‘temporary high risk 

health insurance pool program’’ (which 

has been named the Pre-Existing 

Condition Insurance Plan, or PCIP) to 

provide health insurance coverage to 

currently uninsured individuals with 

pre-existing conditions. The law 

authorizes HHS to carry out the program 

directly or through contracts with states 

or private, non-profit entities. 

Reapproval of this package is being 

requested as a result of CMS, in its 

administration of the PCIP program, 

serving as a covered entity under the 

Health Insurance Portability and 

Accountability Act (HIPAA). Without a 

valid authorization, the PCIP program is 

unable to disclose information, with 

respect to an applicant or enrollee, 

about the status of an application, 

enrollment, premium billing or claim, to 

individuals of the applicant’s or 

enrollee’s choosing. The HIPAA 

Authorization Form has been modeled 

after CMS’ Medicare HIPAA 

Authorization Form (OMB control 

number 0938–0930) and is used by 

applicants or enrollees to designate 

someone else to communicate with PCIP 

about their protected health information 

(PHI). 

Unless permitted or required by law, 

the Health Insurance Portability and 

Accountability Act (HIPAA) Privacy 

Rule (§ 164.508) prohibits CMS’ PCIP 

program (a HIPAA covered entity) from 

disclosing an individual’s protected 

health information without a valid 

authorization. In order to be valid, an 

authorization must include specified 

core elements and statements. 

CMS will make available to PCIP 

applicants and enrollees a standard, 

valid authorization to enable 

beneficiaries to communicate with PCIP 

about their personal health information. 

This is a critical tool because the 

population the PCIP program serves is 

comprised of individuals with preexisting conditions who may be 

incapacitated and need an advocate to 

help them apply for or receive benefits 

from the program. This standard 

authorization will simplify the process 

of requesting information disclosure for 

beneficiaries and minimize the response 

time for the PCIP program. 


wreier-aviles on DSK5TPTVN1PROD with NOTICES
Federal Register / Vol. 78, No. 65 / Thursday, April 4, 2013 / Notices 20321 

Each individual will be asked to 

complete the form which will include 

providing the individual’s name, PCIP 

account number (if known), date of 

birth, what personal health information 

they agree to share, the length of time 

the individual agrees their personal 

health information can be shared, the 

names and addresses of the third party 

the individual wants PCIP to share their 

personal health information with, and 

an attestation that the individual is 

giving PCIP permission to share their 

personal health information with the 

third party listed in the form. This 

completed form will be submitted to the 

PCIP benefits administrator, GEHA, 

which contracts with CMS. 

We estimate that it will take 

approximately 15 minutes per applicant 

to complete and submit a HIPAA 

Authorization Form to the PCIP 

program. 

The federally-run PCIP program 

operates in 23 states plus the District of 

Columbia and receives an average of 

35,000 enrollment applications per year. 

To estimate the number of PCIP 

applicants and enrollees who may 

complete an authorization, we looked at 

the percentage of individuals who 

request an authorization in Medicare as 

a baseline. Medicare estimates 3% of its 

population will submit an authorization 

per year. However, since the PCIP 

program caters to an exclusive 

population comprised of individuals 

who have one or more pre-existing 

conditions, we believe it is likely we 

could receive double the percentage 

estimated by Medicare. Accordingly, 

PCIP estimates 6% (or 2,100) of its 

applicants and enrollees may submit an 

authorization per year. 

Based on the above, it is estimated 

that up to 2,100 applicants and 

enrollees may submit an authorization 

annually. There is no cost to PCIP 

beneficiaries to request, complete, 

submit, or have the authorization form 

processed by PCIP. It should take 

approximately 15 minutes for a 

beneficiary to complete the 

authorization form. 15 minutes 

multiplied by 2,100 beneficiaries equals 

525 hours. Form Number: CMS–10428 

(OCN#: 0938–1161); Frequency: Once; 

Affected Public: Individuals or 

households; Number of Respondents: 

2,100; Total Annual Responses: 2,100; 

Total Annual Hours: 525. (For policy 

questions regarding this collection 

contact Geoffrey Cabin at 410–786– 

1744. For all other issues call 410–786– 

1326.) 

1. Type of Information Collection 

Request: New collection (request for a 

new OMB control number). Title of 

Information Collection: Consumer 

Research Supporting Outreach for 

Health Insurance Marketplace. Use: The 

Centers for Medicare and Medicaid 

Services is requesting clearance for two 

surveys to aid in understanding levels of 

awareness and customer service needs 

associated with the Health Insurance 

Marketplace established by the 

Affordable Care Act. Because the 

Marketplace will provide coverage to 

the almost 50 million uninsured in the 

United States through individual and 

small employer programs, we have 

developed one survey to be 

administered to individual consumers 

most likely to use the Marketplace and 

another to be administered to small 

employers most likely to use the Small 

Business Health Options portion of the 

Marketplace. These brief surveys, 

designed to be conducted quarterly, will 

give CMS the ability to obtain a rough 

indication of the types of outreach and 

marketing that will be needed to 

enhance awareness of and knowledge 

about the Marketplace for individual 

and business customers. CMS’ biggest 

customer service need is likely to be 

providing sufficient education so 

consumers: (a) Can take advantage of the 

Marketplace and (b) know how to access 

CMS’ customer service channels. The 

surveys will provide information on 

media use, concept awareness, and 

conceptual or content areas where 

education for customer service delivery 

can be improved. Awareness and 

knowledge gaps are likely to change 

over time based not only on 

effectiveness of CMS’ marketing efforts, 

but also of those of state, local, private 

sector, and nongovernmental 

organizations. Form Number: CMS– 

10458 (OCN: 0938–New). Frequency: 

Quarterly. Affected Public: Individuals 

or households, private sector (business 

or other for-profits). Number of 

Respondents: 40,200. Total Annual 

Responses: 40,200. Total Annual Hours: 

2,480. (For policy questions regarding 

this collection contact Julie Franklin at 

410–786–8126. For all other issues call 

410–786–1326.) 

To obtain copies of the supporting 

statement and any related forms for the 

proposed paperwork collections 

referenced above, access CMS Web site 

address at http://www.cms.hhs.gov/ 

PaperworkReductionActof1995, or 

Email your request, including your 

address, phone number, OMB number, 

and CMS document identifier, to 

Paperwork@cms.hhs.gov, or call the 

Reports Clearance Office on (410) 786– 

1326. 

To be assured consideration, 

comments and recommendations for the 

proposed information collections must 

be received by the OMB desk officer at 

the address below, no later than 5 p.m. 

on May 6, 2013. 

OMB, Office of Information and 

Regulatory Affairs, Attention: CMS Desk 

Officer, Fax Number: (202) 395–6974, 

Email: OIRA_submission@omb.eop.gov. 

Dated: March 29, 2013. 

Martique Jones, 

Deputy Director, Regulations Development 

Group, Office of Strategic Operations and 

Regulatory Affairs. 

[FR Doc. 2013–07799 Filed 4–3–13; 8:45 am] 

BILLING CODE 4120–01–P 

DEPARTMENT OF HEALTH AND 

HUMAN SERVICES 

Centers for Medicare & Medicaid 

Services 

[Document Identifier: CMS–10467, CMS– 

10330, and CMS–10325] 

Agency Information Collection 

Activities: Proposed Collection; 

Comment Request 

AGENCY: Centers for Medicare & 

Medicaid Services, HHS. 

In compliance with the requirement 

of section 3506(c)(2)(A) of the 

Paperwork Reduction Act of 1995, the 

Centers for Medicare & Medicaid 

Services (CMS) is publishing the 

following summary of proposed 

collections for public comment. 

Interested persons are invited to send 

comments regarding this 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. 

1. Type of Information Collection 

Request: New Collection; Title of 

Information Collection: Evaluation of 

the Graduate Nurse Education 

Demonstration Program; Use: The 

Graduate Nurse Education (GNE) 

Demonstration is mandated under 

Section 5509 of the Affordable Care Act 

(ACA) under title XVIII of the Social 

Security Act (42 U.S.C. 1395 et seq.). 

According to Section 5509 of the ACA, 

the five selected demonstration sites 

receive ‘‘payment for the hospital’s 

reasonable costs for the provision of 

qualified clinical training to advance 

practice registered nurses.’’ Section 

5509 of the ACA also states that an 


wreier-aviles on DSK5TPTVN1PROD with NOTICES