19364 Federal Register / Vol. 76, No. 67 / Thursday, April 7, 2011 / Notices 

ESTIMATED ANNUALIZED BURDEN HOURS

Type of respondents Form name No. of 

respondents 

No. of responses per 

respondent 

Avg. burden 

per response 

(in hrs) 

Local Education Agency Officials ......... Indicators for School Health Programs: HIV Prevention (LEA).16 1 7 

Indicators for School Health Programs: Asthma 

Management (LEA).

10 1 7 

State and Territorial Education Agency 

and Tribal Government Officials.

Indicators for School Health Programs: HIV Prevention (SEA).57 1 7 

Indicators for School Health Programs: Coordinated 

School Health Programs.

23 1 10 

Daniel Holcomb, 

Acting Reports Clearance Officer, Centers for 

Disease Control and Prevention. 

[FR Doc. 2011–8273 Filed 4–6–11; 8:45 am] 

BILLING CODE 4163–18–P 

DEPARTMENT OF HEALTH AND 

HUMAN SERVICES 

Centers for Disease Control and 

Prevention 

[30Day–11–0026] 

Agency Forms Undergoing Paperwork 

Reduction Act Review 

The Centers for Disease Control and 

Prevention (CDC) publishes a list of 

information collection requests under 

review by the Office of Management and 

Budget (OMB) in compliance with the 

Paperwork Reduction Act (44 U.S.C. 

chapter 35). To request a copy of these 

requests, call the CDC Reports Clearance 

Officer at (404) 639–5960 or send an email to omb@cdc.gov. Send written 

comments to CDC Desk Officer, Office of 

Management and Budget, Washington, 

DC 20503 or by fax to (202) 395–5806. 

Written comments should be received 

within 30 days of this notice. 

Proposed Project 

Report of Verified Case of 

Tuberculosis (RVCT), (OMB No. 0920– 

0026) exp. 05/31/2011—Extension— 

National Center for HIV/AIDS, Viral 

Hepatitis, STD, and TB Prevention 

(NCHHSTP), Centers for Disease Control 

and Prevention (CDC). 

Background and Brief Description 

In the United States, an estimated 10 

to 15 million people are infected with 

Mycobacterium tuberculosis and about 

10% of these persons will develop 

tuberculosis (TB) disease at some point 

in their lives. The purpose of this 

project is to continue ongoing national 

tuberculosis surveillance using the 

standardized Report of Verified Case of 

Tuberculosis (RVCT). Data collected 

using the RVCT help State and Federal 

infectious disease officials to assess 

changes in the diagnosis and treatment 

of TB, monitor trends in TB 

epidemiology and outbreaks, and 

develop strategies to meet the national 

goal of TB elimination. 

CDC conducts and maintains the 

national surveillance system pursuant to 

the provisions of Section 301(a) of the 

Public Service Act [42 U.S.C. 241] and 

Section 306 of the Public Service Act 

[42 U.S.C. 241(a)]. National TB 

surveillance has been maintained by the 

U.S. Public Health Service and CDC 

through the cooperation of the States 

since 1953. Data are collected by 60 

reporting areas (the 50 States, the 

District of Columbia, New York City, 

Puerto Rico, and 7 jurisdictions in the 

Pacific and Caribbean). 

CDC publishes an annual report using 

RVCT data to summarize national TB 

statistics and also periodically conducts 

special analyses for publication to 

further describe and interpret national 

TB data. These data assist in public 

health planning, evaluation, and 

resource allocation. Reporting areas also 

review and analyze their RVCT data to 

monitor local TB trends, evaluate 

program success, and focus resources to 

eliminate TB. No other Federal agency 

collects this type of national TB data. 

The total estimated burden hours are 

approximately 6720 burden hours, an 

estimated decrease of 1330 hours. This 

decrease is due to having fewer TB cases 

in the United States as we continue 

progress towards TB elimination. There 

is no cost to respondents except for their 

time. 

ESTIMATE OF ANNUALIZED BURDEN HOURS

Types of respondents No. of 

respondents 

No. of 

responses per 

respondent 

Average 

burden per 

response 

(in hours) 

Local, State, and territorial health departments .......................................................................... 60 192 35/60 

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Federal Register / Vol. 76, No. 67 / Thursday, April 7, 2011 / Notices 19365 

Daniel Holcomb, 

Reports Clearance Officer, Centers for Disease 

Control and Prevention. 

[FR Doc. 2011–8272 Filed 4–6–11; 8:45 am] 

BILLING CODE 4163–18–P 

DEPARTMENT OF HEALTH AND 

HUMAN SERVICES 

Centers for Medicare & Medicaid 

Services 

[CMS–1357–N] 

RIN 0938–AQ97 

Medicare Program; Hospital Inpatient 

Prospective Payment Systems for 

Acute Care Hospitals and Fiscal Year 

2011 Final Wage Indices Implementing 

the Medicare and Medicaid Extenders 

Act 

AGENCY: Centers for Medicare & 

Medicaid Services (CMS), HHS. 

ACTION: Notice. 

SUMMARY: This notice contains the final 

fiscal year (FY) 2011 wage indices and 

hospital reclassifications and other 

related tables which reflect changes 

required by or resulting from the 

implementation of section 102 of the 

Medicare and Medicaid Extenders Act 

of 2010. MMEA requires the extension 

of the expiration date for certain 

geographic reclassifications and special 

exception wage indices through 

September 30, 2011. 

DATES: Applicability Date: The revised 

wage indices for section 508 and special 

exception providers published in this 

notice are applicable for discharges on 

or after October 1, 2010 and on or before 

September 30, 2011. Certain hospitals 

that are not section 508/special 

exception providers, but that are located 

in areas affected by section 102 of the 

MMEA, are also identified in this 

notice, and will be paid based on the 

revised wage index published in this 

notice for discharges on or after April 1, 

2011 and on or before September 30, 

2011. 

FOR FURTHER INFORMATION CONTACT: 

Brian Slater, (410) 786–5229. 

SUPPLEMENTARY INFORMATION: 

I. Background 

The final rule setting forth the 

Medicare fiscal year (FY) 2011 hospital 

inpatient prospective payment systems 

(IPPS) for acute care hospitals and the 

long-term care hospital prospective 

payment system (LTCH PPS) 

(hereinafter referred to as the FY 2011 

IPPS/LTCHPPS final rule) appeared in 

the August 16, 2010 Federal Register 

(75 FR 50042) and we subsequently 

corrected this final rule in an October 1, 

2010 Federal Register notice (75 FR 

60640). 

On December 15, 2010, the Medicare 

and Medicaid Extenders Act (MMEA) of 

2010 (Pub. L. 111–309) was enacted. 

Section 102 of the MMEA extends 

section 508 of the Medicare Prescription 

Drug, Improvement, and Modernization 

Act of 2003 (MMA) (Pub. L. 108–173) 

reclassifications and certain additional 

special exceptions through September 

30, 2011. This notice addresses the 

provisions of the MMEA that impact the 

FY 2011 IPPS final wage index tables. 

II. Provisions of this Notice 

A. Section 508 Extension 

Section 102 of the MMEA of 2010, 

extends through the end of FY 2011 

wage index reclassifications under 

section 508 of the MMA and certain 

special exceptions (for example, those 

special exceptions contained in the final 

rule that appeared in the Federal 

Register (69 FR 49105 and 49107) 

extended under section 117 of the 

Medicare, Medicaid and SCHIP 

Extension Act (MMSEA) of 2007 (Pub. 

L. 110–173) and further extended under 

section 124 of the Medicare 

Improvements for Patients and 

Providers Act of 2008 (MIPPA)(Pub. L. 

110–275) and section 3137(a) of the 

Patient Protection and Affordable Care 

Act (PPACA) (Pub. L. 111–148) as 

amended by section 10317 of the Health 

Care and Education Reconciliation Act 

of 2010 (HCERA), (Pub. L. 111–152 

enacted on March 30, 2010). (These 

public laws are collectively known as 

the Affordable Care Act (ACA).) 

Under section 508 of MMA, a 

qualifying hospital could appeal the 

wage index classification otherwise 

applicable to the hospital and apply for 

reclassification to another area of the 

State in which the hospital is located or, 

at the discretion of the Secretary, to an 

area within a contiguous State. We 

implemented this process through 

notices published in the Federal 

Register on January 6, 2004 (69 FR 661), 

and February 13, 2004 (69 FR 7340). 

Such reclassifications were applicable 

to discharges occurring during the 3- 

year period beginning April 1, 2004, and 

ending March 31, 2007. Section 106(a) 

of the Medicare Improvements and 

Extension Act, Division B of the Tax 

Relief and Health Care Act of 2006 

(MIEA–TRHCA) extended the 

geographic reclassifications of hospitals 

that were made under section 508 of the 

MMA. In the March 23, 2007 Federal 

Register (72 FR 3799), we published a 

notice that indicated how we were 

implementing section 106(a) of the 

MIEA–TRHCA through September 30, 

2007. Section 117 of the MMSEA further 

extended section 508 reclassifications 

and certain special exceptions through 

September 30, 2008. On February 22, 

2008 in the Federal Register (73 FR 

9807), we published a notice regarding 

our implementation of section 117 of 

the MMSEA. In the October 3, 2008 

Federal Register (73 FR 57888), we 

published a notice regarding our 

implementation of section 124 of 

MIPPA, which extended section 508 

reclassifications and certain special 

exceptions through September 30, 2009. 

In the June 2, 2010 Federal Register (75 

FR 31118), we explained our 

implementation of section 3137(a) of the 

ACA, as amended by section 10317 of 

ACA, which further extended section 

508 reclassifications and certain special 

exceptions through the end of FY 2010. 

Section 102 of the MMEA has 

extended the hospital reclassifications 

originally received under section 508 

and certain special exceptions through 

September 30, 2011 (FY 2011). 

Furthermore, effective April 1, 2011, 

section 102 of the MMEA also requires 

that in determining the wage index 

applicable to hospitals that qualify for 

wage index reclassification, the 

Secretary shall remove the section 508 

and special exception hospitals’ wage 

data from the calculation of the 

reclassified wage index if doing so 

increases the reclassified wage index. If 

the section 508 or special exception 

hospital’s wage index applicable for the 

period beginning on October 1, 2010, 

and ending on March 30, 2011, is lower 

than for the period beginning on April 

1, 2011, and ending on September 30, 

2011, the Secretary shall pay the 

hospital an additional amount that 

reflects the difference between the wage 

indices for the two periods. As a result 

of these changes, we have recalculated 

certain wage index values to account for 

the new legislation. 

Hospitals receiving an extension of 

their section 508 reclassifications or 

special exceptions wage indices are 

shown in Table 9B of the Addendum to 

this notice. Please note we are not 

making reclassification decisions on 

behalf of hospitals in this extension as 

we did with the MIPPA provision. 

(Because MIPPA was enacted prior to 

the finalization of the FY 2009 rates, we 

were able to modify reclassifications 

that had not yet taken effect. In contrast, 

MMEA was enacted in the middle of the 

fiscal year, and reclassifications are 

already in effect). Also, as explained in 

this notice, in cases where we have 

removed section 508/special exception 

hospital data from the reclassification 

wage index (effective April 1), we have 

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