Federal Register / Vol. 78, No. 221 / Friday, November 15, 2013 / Notices 68851 

DATES: The duplicate FRN published on 

[11/5/13] at [Vol. 78, No. 214 Page 

66363] is withdrawn as of [11/12/13]. 

FOR FURTHER INFORMATION CONTACT: 

(404) 639–7570 or send comments to 

CDC LeRoy Richardson, 1600 Clifton 

Road, MS D–74, Atlanta, GA 30333 or 

send an email to omb@cdc.gov. 

SUPPLEMENTARY INFORMATION: N/A. 

Leroy A. Richardson, 

Chief, Information Collection Review Office, 

Office of Science Integrity, Office of the 

Associate Director for Science, Office of the 

Director, Centers for Disease Control and 

Prevention. 

[FR Doc. 2013–27403 Filed 11–14–13; 8:45 am] 

BILLING CODE 4163–18–P 

DEPARTMENT OF HEALTH AND 

HUMAN SERVICES 

Centers for Medicare & Medicaid 

Services 

[Document Identifier CMS–10508, CMS– 

10507 and CMS–855A] 

Agency Information Collection 

Activities: Proposed Collection; 

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 (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 

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. 

DATES: Comments must be received by 

January 14, 2014. 

ADDRESSES: When commenting, please 

reference the document identifier or 

OMB control number (OCN). 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 http:// 

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 

proposed collection(s) summarized in 

this notice, you may make your request 

using one of following: 

1. Access CMS’ Web site address at 

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

PaperworkReductionActof1995. 

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: 

Reports Clearance Office at (410) 786– 

1326 

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–10508 Evaluation of the Rural 

Community Hospital Demonstration 

(RCHD) 

CMS–10507 State-based Marketplace 

Annual Report (SMAR) 

CMS–855A Medicare Enrollment 

Application: Medicare Part A 

Institutional Providers 

Under the Paperwork Reduction Act 

(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 Collections 

1. Type of Information Collection 

Request: New collection (Request for a 

new OMB control number); Title of 

Information Collection: Evaluation of 

the Rural Community Hospital 

Demonstration (RCHD); Use: Section 

10313 of the Affordable Care Act of 

2010 (ACA) extended and expanded the 

Rural Community Hospital 

Demonstration (RCHD). Originally 

authorized under the Medicare 

Prescription Drug, Improvement, and 

Modernization Act of 2003 (MMA), the 

RCHD provides enhanced 

reimbursement for inpatient services to 

small rural hospitals that do not qualify 

as critical access hospitals (CAHs). The 

RCHD is intended to increase the 

capability of these hospitals to meet the 

health care needs of rural beneficiaries 

in their service areas. As a 

demonstration, the RCHD aims to 

provide information that can be used to 

assess the feasibility and advisability of 

establishing a new category of rural 

community hospitals for reimbursement 

policy. As of January 2013, 23 hospitals 

from 11 states are participating in the 

RCHD. This number includes seven 

hospitals continuing from the original 

demonstration as authorized under the 

MMA and 15 new hospitals that joined 

under the expansion authorized under 

the ACA. 

For the original demonstration, the 

MMA required a Report to Congress six 

months after the end of the 

demonstration, a requirement 

unchanged by the ACA. An initial 

evaluation was conducted between 2007 

and 2011 toward preparing for a Report 

to Congress and focused on the 17 

hospitals that had participated at some 

point between October 2004 and March 

2011. Findings from this evaluation 

were reported to the Centers for 

Medicare and Medicaid Services (CMS) 

in the Interim Evaluation Report of the 

Rural Community Hospital 

Demonstration (an unpublished report). 

The current five-year evaluation of the 

RCHD will extend and build on the 

prior evaluation and produce the Report 

to Congress required by the MMA. It 

will assess the impact of the RCHD in 

meeting its goals: To enable hospitals to 


emcdonald on DSK67QTVN1PROD with NOTICES
68852 Federal Register / Vol. 78, No. 221 / Friday, November 15, 2013 / Notices 

achieve community benefits such as 

improved services for their communities 

(especially Medicare beneficiaries), 

meet their individual strategic goals, 

and improve the financial solvency and 

viability of the participating hospitals. 

In addition, the evaluation will 

determine if it is feasible and advisable 

to create a new payment category of 

rural hospitals. To achieve this 

objective, the evaluation will examine 

how RCHD hospitals responded to 

payment options and assess how the 

costs to Medicare under RCHD compare 

to existing alternative payment options. 

The evaluation will also summarize 

the characteristics of the markets served 

by RCHD hospitals, including 

beneficiaries’ proximity to inpatient 

providers and competition among 

providers in the area. The information 

will be used to assess the implications 

of expanding the RCHD payment system 

to hospitals in various market 

environments. In addition, the 

evaluation will examine the potential 

costs of expanding the RCHD payment 

methodology, accounting for alternative 

approaches to targeting rural hospitals. 

Form Number: CMS–10508 (OCN: 

0938–NEW); Frequency: Annually; 

Affected Public: State, Local or Tribal 

Governments, Private sector—Business 

or other for-profit and Not-for-profit 

organizations; Number of Respondents: 

57; Total Annual Responses: 101; Total 

Annual Hours: 245. (For policy 

questions regarding this collection 

contact Woolton Lee at 410–786–4942.) 

2. Title of Information Collection: 

State-based Marketplace Annual Report 

(SMAR); Type of Information Collection 

Request: New collection (Request for a 

new OMB control number); Use: The 

annual report is the primary vehicle to 

insure comprehensive compliance with 

all reporting requirements contained in 

the Affordable Care Act. It is specifically 

called for in section 1313(a)(1) of the 

Act which requires an State-based 

Marketplace (SBM) to keep an accurate 

accounting of all activities, receipts, and 

expenditures, and to submit a report 

annually to the Secretary concerning 

such accounting. We will use the 

information collected from states to 

assist in determining if a state is 

maintaining a compliant operational 

Exchange. It will also provide a 

mechanism to collect innovative 

approaches to meeting challenges 

encountered by the SBMs during the 

preceding year. Additionally, it will 

provide information to us regarding 

potential changes in priorities and 

approaches for the upcoming year. Form 

Number: CMS–10507 (OCN: 0938– 

NEW); Frequency: Annually; Affected 

Public: State, Local, or Tribal 

governments; Number of Respondents: 

19; Number of Responses: 19; Total 

Annual Hours: 1,482. (For policy 

questions regarding this collection, 

contact Shelley Bain at 301–492–4453.) 

3. Title of Information Collection: 

Medicare Enrollment Application: 

Medicare Part A Institutional Providers; 

Type of Information Collection Request: 

Revision of a currently approved 

collection ; Use: We are revising the 

CMS–855 Medicare Enrollment 

Applications information collection 

request to remove the CMS–855I, CMS– 

855B and CMS–855R applications from 

its collection. We have found that the 

regulations governing the enrollment 

requirements for health care facilities 

occur at intervals separate from the 

other provider and supplier types 

reimbursed by Medicare. Consequently, 

we may need to revise and submit the 

CMS–855A enrollment application for 

OMB approval at intervals separate from 

the other enrollment applications which 

include the CMS–855B, CMS–855I and 

CMS–855R enrollment applications. 

The ability to revise the CMS–855A 

separately from the other CMS–855 

enrollment applications will lessen the 

burden on us and OMB as well as the 

public during the Federal Register 

notice period, as only one subset of 

provider or suppliers will be effected by 

CMS–855A revisions. We intend to 

maintain the continuity of the CMS–855 

enrollment applications by using the 

same formats and lay-out of the current 

CMS–855 enrollment applications, 

regardless of the separation of the CMS 

855A from the collective enrollment 

application package. 

At this time we are also using this 

opportunity to make editorial and 

clerical corrections to the CMS–855A to 

simplify and clarify the current data 

collection and to remove obsolete 

requirements and data collection. The 

sections and sub-sections within the 

form are also being re-numbered and resequenced to create a more logical flow 

of the data collection. In addition, we 

are adding a data collection for an 

address to mail the periodic request for 

the revalidation of enrollment 

information (only if it differs from other 

addresses currently collected). More 

specific information regarding types of 

Home Health Agency sub-units will also 

be collected. Other than the information 

above, new data being collected in this 

revision package is information on, if 

applicable, where the supplier stores its 

patient records electronically. 

Form Number: CMS–855A (OCN: 

0938–0685); Frequency: Annually; 

Affected Public: State, Local, or Tribal 

governments; Number of Respondents: 

18,000; Number of Responses: 18,000; 

Total Annual Hours: 78,000. (For policy 

questions regarding this collection, 

contact Kim McPhillips at 410–786– 

5374.) 

Dated: November 8, 2013. 

Martique Jones, 

Deputy Director, Regulations Development 

Group, Office of Strategic Operations and 

Regulatory Affairs. 

[FR Doc. 2013–27305 Filed 11–14–13; 8:45 am] 

BILLING CODE 4120–01–P 

DEPARTMENT OF HEALTH AND 

HUMAN SERVICES 

Food and Drug Administration 

[Docket No. FDA–2013–D–0715] 

Draft Guidance for Industry on 

Acrylamide in Foods; Availability 

AGENCY: Food and Drug Administration, 

HHS. 

ACTION: Notice. 

SUMMARY: The Food and Drug 

Administration (FDA or we) is 

announcing the availability of a draft 

guidance entitled ‘‘Guidance for 

Industry: Acrylamide in Foods.’’ The 

draft guidance is intended to provide 

information that may help growers, 

manufacturers, and food service 

operators reduce acrylamide in certain 

foods. Acrylamide is a chemical that can 

form in some foods during certain types 

of high-temperature cooking. The draft 

guidance is intended to suggest a range 

of possible approaches to acrylamide 

reduction and not to identify specific 

recommended approaches. 

DATES: Although you can comment on 

any guidance at any time (see 21 CFR 

10.115(g)(5)), to ensure that we consider 

your comment on the draft guidance 

before we begin work on the final 

version of the guidance, submit either 

electronic or written comments on the 

draft guidance by January 14, 2014. 

ADDRESSES: Submit written requests for 

single copies of the draft guidance to the 

Office of Food Safety, Center for Food 

Safety and Applied Nutrition (HFS– 

300), Food and Drug Administration, 

5100 Paint Branch Pkwy., College Park, 

MD 20740. Send two self-addressed 

adhesive labels to assist that office in 

processing your request. See the 

SUPPLEMENTARY INFORMATION section for 

electronic access to the draft guidance. 

Submit electronic comments on the 

draft guidance to http://

www.regulations.gov. Submit written 

comments on the draft guidance to the 

Division of Dockets Management (HFA– 

305), Food and Drug Administration, 

5630 Fishers Lane, Rm. 1061, Rockville, 

MD 20852. 


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