Federal Register / Vol. 76, No. 104 / Tuesday, May 31, 2011 / Notices 31337 

Dated: May 20, 2011. 

Daniel Holcomb, 

Reports Clearance Officer, Centers for Disease 

Control and Prevention. 

[FR Doc. 2011–13333 Filed 5–27–11; 8:45 am] 

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DEPARTMENT OF HEALTH AND 

HUMAN SERVICES 

Centers for Disease Control and 

Prevention 

Public Health Service Act (PHS); 

Delegation of Authority 

Notice is hereby given that pursuant 

to Section 3306(14) of the Public Health 

Service Act (PHS), I have delegated to 

the Director, Centers for Disease Control 

and Prevention (CDC), and the Director, 

National Institute for Occupational 

Safety and Health (NIOSH), with 

authority to redelegate, all authority 

specified in Section 3306(14)(A)(i) of 

the PHS Act, as amended by the James 

Zadroga 9/11 Health and Compensation 

Act of 2010 (Pub. L. 111–347), except 

those specific authorities described in 

section 3306(14)(B) of the PHS Act. This 

delegation is in addition to those duties 

specifically assigned to the Director, 

NIOSH, by Section 3306(14)(A)(ii) of the 

PHS Act. 

Additionally, notice is hereby given 

that pursuant to Section 3306(14) of the 

PHS Act, I hereby delegate to the 

Administrator, Centers for Medicare & 

Medicaid Services (CMS), with 

authority to redelegate, responsibility 

for disbursing payment for the program 

described in Title XXXIII of the PHS 

Act, as amended by the James Zadroga 

9/11 Health and Compensation Act of 

2010 (Pub. L. 111–347). Responsibility 

for determining eligibility and enrolling 

individuals in the program described in 

Title XXXIII of the PHS Act and 

responsibility for determining the 

payment amounts to be disbursed shall 

remain with the Director, NIOSH, CDC, 

pursuant to the delegation in the 

previous paragraph. 

These authorities shall be exercised 

under the Department’s existing 

delegation of authority and policy on 

regulations. This authority must also be 

exercised in accordance with the 

Department’s established policies, 

procedures, guidelines and regulations 

and with all other pertinent issuances. 

This delegation became effective upon 

date of signature. In addition, I have 

affirmed and ratified any actions taken 

by the Administrator, CMS, the Director, 

CDC, the Director, NIOSH, or other CMS 

and CDC officials which involve the 

exercise of the authorities delegated 

herein prior to the effective date of this 

delegation. 

Dated: May 18, 2011. 

Kathleen Sebelius, 

Secretary. 

[FR Doc. 2011–13371 Filed 5–27–11; 8:45 am] 

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DEPARTMENT OF HEALTH AND 

HUMAN SERVICES 

Centers for Medicare & Medicaid 

Services 

[Document Identifier: CMS–10361] 

Agency Information Collection 

Activities: Submission for OMB 

Review; Comment Request 

AGENCY: Centers for Medicare & 

Medicaid Services. 

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: Extension without change of a 

currently approved collection; Title of 

Information Collection: Request for 

Adjustment to the Medical Loss Ratio 

Standard for a State’s Individual Market; 

Use: Under section 2718 of the Public 

Health Service Act (PHS Act), a health 

insurance issuer (issuer) offering group 

or individual health insurance coverage 

must submit a report to the Secretary 

beginning in June of 2012 for calendar 

year 2011. The reported data allows for 

the calculation of an issuer’s medical 

loss ratio (MLR) by market (individual, 

small group, and large group) within 

each State in which the issuer conducts 

business. The PHS Act establishes a 

MLR standard for each market segment 

that issuers must meet. A health 

insurance issuer who fails to meet the 

MLR standard for a plan year must 

rebate to enrollees, on a pro rata basis, 

the difference between its MLR and the 

MLR standard. 

Section 2718(b)(1)(A)(ii) allows the 

Secretary to lower the 80% MLR 

standard in the individual market in a 

State if the application of the 80% MLR 

may destabilize the individual market in 

such State. An interim final rule (IFR) 

implementing the MLR was published 

on December 1, 2010 (75 FR 74865) and 

was modified by technical corrections 

on December 30, 2010 (75 FR 82277), 

which added Part 158 to Title 45 of the 

Code of Federal Regulations. The IFR is 

effective January 1, 2011. Under 45 CFR 

158.301 (75 FR 74864, 74930), States 

requesting that HHS lower the MLR 

standard must submit information that 

supports their assertion that the 

individual market in their State may 

destabilize absent an adjustment to the 

MLR. Much of the information 

requested is currently only available at 

the State level. HHS must have such 

information in order to ascertain 

whether market destabilization has a 

high likelihood of occurring. Form 

Number: CMS–10361 (OMB Control No. 

0938–1114); Frequency: Once; Affected 

Public: State, local or tribal 

governments; Number of Respondents: 

20; Number of Responses: 20; Average 

Hours per Response: 185; Total Annual 

Hours: 3,700. (For policy questions 

regarding this collection, contact Carol 

Jimenez at (301) 492–4109. For all other 

issues regarding this collection, call 

(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 June 30, 2011. 

OMB, Office of Information and 

Regulatory Affairs, Attention: CMS 

Desk Officer, Fax Number: (202) 395– 

6974, E-mail: 

OIRA_submission@omb.eop.gov. 

Dated: May 25, 2011. 

Martique Jones, 

Director, Regulations Development Group, 

Division B, Office of Strategic Operations and 

Regulatory Affairs. 

[FR Doc. 2011–13421 Filed 5–27–11; 8:45 am] 

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