65350 Federal Register / Vol. 75, No. 204 / Friday, October 22, 2010 / Notices 

Facility: BWX Technologies, Inc. 

Location: Lynchburg, Virginia. 

Job Titles and/or Job Duties: All 

Atomic Weapons Employer employees. 

Period of Employment: January 1, 

1985 through November 30, 1994. 

FOR FURTHER INFORMATION CONTACT: 

Stuart L. Hinnefeld, Interim Director, 

Division of Compensation Analysis and 

Support, National Institute for 

Occupational Safety and Health 

(NIOSH), 4676 Columbia Parkway, MS 

C–46, Cincinnati, OH 45226, Telephone 

877–222–7570. Information requests can 

also be submitted by e-mail to 

DCAS@CDC.GOV. 

John Howard, 

Director, National Institute for Occupational 

Safety and Health. 

[FR Doc. 2010–26558 Filed 10–21–10; 8:45 am] 

BILLING CODE 4163–19–P 

DEPARTMENT OF HEALTH AND 

HUMAN SERVICES 

Centers for Medicare & Medicaid 

Services 

[Document Identifier: CMS–2088–92, CMS– 

10054, CMS–10102 and CMS–10358] 

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: Extension of a currently 

approved collection; Title of 

Information Collection: Outpatient 

Rehabilitation Provider Cost Report 

utilized by Community Mental Health 

Centers; Use: In accordance with 

sections 1815, 1833 and 1861 of the 

Social Security Act, providers of service 

in the Medicare program are required to 

submit annual information to achieve 

reimbursement for health care services 

rendered to Medicare beneficiaries. In 

addition, 42 CFR 413.20(b) requires that 

cost reports will be required from 

providers on an annual basis. Such cost 

reports are required to be filed with the 

provider’s Fiscal Intermediary (FI)/ 

Medicare Administrative Contractor 

(MAC). 

The FI/MAC uses the cost report not 

only to make settlement with the 

provider for the fiscal period covered by 

the cost report, but also in deciding 

whether to audit the records of the 

provider. Form Number: CMS–2088–92 

(OMB#: 0938–0037); Frequency: Yearly; 

Affected Public: Private Sector: Business 

or other for-profits and not-for-profit 

institutions; Number of Respondents: 

596; Total Annual Responses: 596; Total 

Annual Hours: 59,600. (For policy 

questions regarding this collection 

contact Jill Keplinger at 410–786–4550. 

For all other issues call 410–786–1326.) 

2. Type of Information Collection 

Request: Extension without change of a 

currently approved collection; Title of 

Information Collection: Recognition of 

Payment for New Technology 

Ambulatory Payment Classification 

(APC) Groups under the Outpatient 

Prospective Payment System and 

Supporting Regulations in 42 CFR, Part 

419; Use: In the April 7, 2000 final rule 

first implementing the hospital 

outpatient prospective payment system 

(OPPS), we created a set of New 

Technology ambulatory payment 

classifications (APCs) to pay for certain 

new technology services under the 

OPPS. These APCs are intended to pay 

for new technology services that were 

not covered by the transitional passthrough payments provisions authorized 

by the Balanced Budget Refinement Act 

(BBRA) of 1999. Both the New 

Technology APC provision and the 

transitional pass-through provisions 

provide ways for ensuring appropriate 

payment for new technologies for which 

the use and costs are not adequately 

represented in the base year claims data 

on which the outpatient PPS is 

constructed. 

CMS needs to keep pace with 

emerging new technologies and make 

them accessible to Medicare 

beneficiaries in a timely manner. It is 

necessary that we continue to collect 

appropriate information from interested 

parties such as hospitals, medical 

device manufacturers, pharmaceutical 

companies and others that bring to our 

attention specific services that they 

wish us to evaluate for New Technology 

APC payment. We are making no 

changes to the information that we 

collect. The information that we seek to 

continue to collect is necessary to 

determine whether certain new services 

are eligible for payment in New 

Technology APCs, to determine 

appropriate coding and to set an 

appropriate payment rate for the new 

technology service. The intent of these 

provisions is to ensure timely 

beneficiary access to new and 

appropriate technologies. Form Number: 

CMS–10054 (OMB#: 0938–0860); 

Frequency: Annually; Affected Public: 

Private sector business or other forprofits; Number of Respondents: 15; 

Total Annual Responses: 15; Total 

Annual Hours: 180. (For policy 

questions regarding this collection 

contact Christina Smith Ritter at 410– 

786–4636. For all other issues call 410– 

786–1326.) 

3. Type of Information Collection 

Request: Extension of a currently 

approved collection; Title of 

Information Collection: National 

Implementation of Hospital Consumer 

Assessment of Healthcare Providers and 

Systems (HCAHPS); Use: The HCAHPS 

(Hospital Consumer Assessment of 

Healthcare Providers and Systems) 

survey is the first national, 

standardized, publicly reported survey 

of patients’ perspectives of hospital 

care, also known as the CAHPS® 

Hospital Survey. The HCAHPS is a 

survey instrument and data collection 

methodology for measuring patients’ 

perceptions of their hospital experience. 

While many hospitals have collected 

information on patient satisfaction for 

their own internal use, until HCAHPS 

there was no national standard for 

collecting and publicly reporting 

information about patient experience of 

care that allowed valid comparisons to 

be made across hospitals locally, 

regionally and nationally. 

Publicly reported HCAHPS results are 

based on four consecutive quarters of 

patient surveys. CMS publishes 

participating hospitals’ HCAHPS results 

on the Hospital Compare Web site four 

times a year, with the oldest quarter of 

patient surveys rolling off as the most 

recent quarter rolls on. Three broad 

goals have shaped HCAHPS. First, the 

survey is designed to produce 

comparable data on the patient’s 

perspective on care that allows objective 

and meaningful comparisons between 

hospitals on domains that are important 

to consumers. Second, public reporting 

of the survey results is designed to 

create incentives for hospitals to 

improve their quality of care. Third, 

public reporting serves to enhance 

public accountability in health care by 

increasing the transparency of the 


emcdonald on DSK2BSOYB1PROD with NOTICES
Federal Register / Vol. 75, No. 204 / Friday, October 22, 2010 / Notices 65351 

quality of hospital care provided in 

return for the public investment. With 

these goals in mind, the HCAHPS 

project has taken substantial steps to 

assure that the survey is credible, 

useful, and practical. This methodology 

and the information it generates are 

made available to the public. Form 

Number: CMS–10102 (OMB#: 0938– 

0981); Frequency: Occasionally; 

Affected Public: Private Sector: Business 

or other for-profits and not-for-profit 

institutions; and individuals or 

households; Number of Respondents: 

2,483,775; Total Annual Responses: 

2,480,000; Total Annual Hours: 289,342. 

(For policy questions regarding this 

collection contact William Lehman at 

410–786–1037. For all other issues call 

410–786–1326.) 

4. Type of Information Collection 

Request: New Collection; Title of 

Information Collection: Medicaid 

Management Information System 

Advanced Planning Document Template 

for Use by States When Implementing 

the Mandatory National Correct Coding 

Initiative in Medicaid, SMD Letter #10– 

017 dated September 1, 2010. Use; The 

Patient Protection and Affordable Care 

Act (Affordable Care Act) requires 

implementation of Section 6507, 

Mandatory State Use of National Correct 

Coding Initiative (NCCI). A State 

Medicaid Director letter, #10–017 dated 

September 1, 2010 was published with 

implementation requirements for 

provision 6507. The letter stated that a 

Medicaid Management Information 

System (MMIS) Advanced Planning 

Document (APD) template is required 

for States to request Federal financial 

participation (FFP) funding for 

implementing the provision and is also 

the tool for requesting deactivation of 

edits, due to direct conflicts with State 

laws, regulations, administrative rules, 

or payment policies. CMS has 

developed an MMIS–APD template 

specific to NCCI for State convenience. 

The MMIS APD template supporting 

implementation of the NCCI in the 

Medicaid program will be submitted by 

States to the Regional Offices for review 

and to CMS Central Office for review 

and approval. The information 

requested on the MMIS APD template 

for NCCI will be used to determine and 

approve FFP to States. Form Number: 

CMS–10358 (OMB#: 0938–0New); 

Frequency: Occasionally; Affected 

Public: State, Local, or Tribal 

Governments; Number of Respondents: 

55; Total Annual Responses: 56; Total 

Annual Hours: 56. (For policy questions 

regarding this collection contact Richard 

Friedman at 410–786–4451. 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 

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. 

In commenting on the proposed 

information collections please reference 

the document identifier or OMB control 

number. To be assured consideration, 

comments and recommendations must 

be submitted in one of the following 

ways by December 21, 2010: 

1. Electronically. You may submit 

your comments electronically to http:// 

www.regulations.gov. Follow the 

instructions for ‘‘Comment or 

Submission’’ or ‘‘More Search Options’’ 

to find the information collection 

document(s) 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. 

Dated: October 18, 2010. 

Martique Jones, 

Director, Regulations Development Group, 

Division B, Office of Strategic Operations and 

Regulatory Affairs. 

[FR Doc. 2010–26519 Filed 10–21–10; 8:45 am] 

BILLING CODE 4120–01–P 

DEPARTMENT OF HEALTH AND 

HUMAN SERVICES 

Administration for Children and 

Families 

Proposed Information Collection 

Activity; Comment Request 

Proposed Projects 

Title: Affordable Care Act Tribal 

Maternal, Infant, and Early Childhood 

Home Visiting Program Needs 

Assessment and Plan for Responding to 

Identified Needs. 

OMB No.: New Collection. 

Description: Section 511(h)(2)(A) of 

Title V of the Social Security Act, as 

added by Section 2951 of the Patient 

Protection and Affordable Care Act of 

2010 (Pub. L. 111–148, Affordable Care 

Act or ACA), authorizes the Secretary of 

HHS to award grants to Indian Tribes (or 

a consortium of Indian Tribes), Tribal 

Organizations, or Urban Indian 

Organizations to conduct an early 

childhood home visiting program. The 

legislation sets aside 3 percent of the 

total ACA Maternal, Infant, and Early 

Childhood Home Visiting Program 

appropriation (authorized in Section 

511(j)) for grants to Tribal entities and 

requires that the Tribal grants, to the 

greatest extent practicable, be consistent 

with the requirements of the Maternal, 

Infant, and Early Childhood Home 

Visiting Program grants to States and 

territories (authorized in Section 

511(c)), and include conducting a needs 

assessment and establishing 

benchmarks. 

The Administration for Children and 

Families, Office of Child Care, in 

collaboration with the Health Resources 

and Services Administration, Maternal 

and Child Health Bureau, recently 

awarded grants for the Tribal Maternal, 

Infant, and Early Childhood Home 

Visiting Program (Tribal Home Visiting). 

The Tribal Home Visiting grant awards 

will support 5-year cooperative 

agreements to conduct community 

needs assessments, plan for and 

implement high-quality, culturallyrelevant, evidence-based home visiting 

programs in at-risk Tribal communities, 

and participate in research and 

evaluation activities to build the 

knowledge base on home visiting among 

Native populations. 

In Phase 1 (Year 1) of the cooperative 

agreement, grantees must (1) conduct a 

comprehensive community needs 

assessment and (2) develop a plan and 

begin to build capacity to respond to 

identified needs. Grantees will be 

expected to submit the needs 

assessment and plan for responding to 

identified needs through an evidencebased home visiting program within 10 

months of the Year 1 award date. 

Grantees may engage in needs 

assessment, planning, and capacitybuilding activities during Phase 1, but 

will not fully implement their plan and/ 

or begin serving children and families 

through high-quality, evidence-based 

home visiting programs. Pending 

successful Phase 1 activities and 

submission (within 10 months of Year 1 

award date) of a non-competing 

continuation application that includes a 

needs assessment and approvable plan 

for responding to identified needs, 

funds will be provided for Phase 2 

(Implementation Phase, Years 2–5). 

Respondents: Affordable Care Act 

Tribal Maternal, Infant, and Early 

Childhood Home Visiting Program Year 

1 Grantees. 


emcdonald on DSK2BSOYB1PROD with NOTICES