68450 Federal Register / Vol. 79, No. 221 / Monday, November 17, 2014 / Notices 

available to Medicare beneficiaries, as 

well as to the general public, to provide 

information to assist them in making 

decisions about their health care. Form 

Number: CMS–10530 (OMB control 

number: 0938–NEW); Frequency: 

Annually; Affected Public: Business or 

other for-profits and not-for-profit 

institutions; Number of Respondents: 

5,250; Total Annual Responses: 

744,816; Total Annual Hours: 444,790. 

(For policy questions regarding this 

collection contact Anita Bhatia at 410– 

786–7236.) 

2. Type of Information Collection 

Request: Extension without change of a 

currently approved collection. Title of 

Information Collection: Certification as 

a Supplier of Portable X-Ray and 

Portable X-Ray Survey Report Form and 

Supporting Regulations. Use: CMS–1880 

is initially completed by suppliers of 

portable X-ray services, expressing an 

interest in and requesting participation 

in the Medicare program. This form 

initiates the process of obtaining a 

decision as to whether the conditions of 

coverage are met as a portable X-ray 

supplier. It also promotes data reduction 

or introduction to, and retrieval from, 

the Certification and Survey Provider 

Enhanced Reporting (CASPER) by the 

CMS Regional Offices (ROs). 

The CMS–1882 is used by the State 

survey agency to provide data collected 

during an on-site survey of a supplier of 

portable X-ray services to determine 

compliance with the applicable 

conditions of participation and to report 

this information to the Federal 

Government. The form is primarily a 

coding worksheet designed to facilitate 

data reduction and retrieval into the 

ASPEN system at the CMS Regional 

Offices. The form includes basic 

information on compliance (i.e., met, 

not met, explanatory statements) and 

does not require any descriptive 

information regarding the survey 

activity itself. We have the 

responsibility and authority for 

certification decisions which are based 

on supplier compliance with the 

applicable conditions of participation. 

The information needed to make these 

decisions is available to us only through 

the use of information abstracted from 

the survey report form. Form Numbers: 

CMS–1880 and CMS–1882 (OMB 

control number: 0938–0027); Frequency: 

Occasionally; Affected Public: State, 

Local, or Tribal Governments; Number 

of Respondents: 579; Total Annual 

Responses: 86; Total Annual Hours: 

151. (For policy questions regarding this 

collection contact James Cowher at 410– 

786–1948.) 

Dated: November 12, 2014. 

Martique Jones, 

Director, Regulations Development Group, 

Office of Strategic Operations and Regulatory 

Affairs. 

[FR Doc. 2014–27137 Filed 11–14–14; 8:45 am] 

BILLING CODE 4120–01–P 

DEPARTMENT OF HEALTH AND 

HUMAN SERVICES 

Centers for Medicare & Medicaid 

Services 

[Document Identifier CMS–10422] 

Agency Information Collection 

Activities: Submission for OMB 

Review; Comment Request 

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 

(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 

a second opportunity for public 

comment on the notice. Interested 

persons are invited to send comments 

regarding the 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. 

DATES: Comments on the collection(s) of 

information must be received by the 

OMB desk officer by December 17, 2014. 

ADDRESSES: When commenting on the 

proposed information collections, 

please reference the document identifier 

or OMB control number. To be assured 

consideration, comments and 

recommendations must be received by 

the OMB desk officer via one of the 

following transmissions: OMB, Office of 

Information and Regulatory Affairs, 

Attention: CMS Desk Officer, Fax 

Number: (202) 395–5806 or Email: 

OIRA_submission@omb.eop.gov. 

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: Under the 

Paperwork Reduction Act of 1995 (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 (44 U.S.C. 

3506(c)(2)(A)) requires federal agencies 

to publish a 30-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 that summarizes 

the following proposed collection(s) of 

information for public comment: 

1. Type of Information Collection 

Request: Revision of a currently 

approved collection; Title of 

Information Collection: Payments for 

Services Furnished by Certain Primary 

Care Providers and Supporting 

Regulations in 42 CFR 438.804, 447.400, 

and 447.410; Use: The information will 

be used to document expenditures for 

the specified primary care services in 

the baseline period for the purpose of 

then calculating the expenditure eligible 

for 100 federal matching funds in 

calendar years 2015 and 2016, should 

Congress extend the availability of such 

funding and make no additional 

changes in statutory language 

necessitating programmatic alterations. 

Form Number: CMS–10422 (OMB 

control number: 0938–1170); Frequency: 

Yearly, once, and occasionally; Affected 

Public: State, Local, or Tribal 

Governments; Number of Respondents: 

51; Total Annual Responses: 126,021; 

Total Annual Hours: 63,240. (For policy 

questions regarding this collection 


asabaliauskas on DSK5VPTVN1PROD with NOTICES
Federal Register / Vol. 79, No. 221 / Monday, November 17, 2014 / Notices 68451 

contact Linda Tavener at 410–786– 

3838). 

Dated: November 12, 2014. 

Martique Jones, 

Director, Regulations Development Group, 

Office of Strategic Operations and Regulatory 

Affairs. 

[FR Doc. 2014–27135 Filed 11–14–14; 8:45 am] 

BILLING CODE 4120–01–P 

DEPARTMENT OF HEALTH AND 

HUMAN SERVICES 

Administration for Children and 

Families 

Announcing the Award of a SingleSource Program Expansion 

Supplement Grant to the Futures 

Without Violence in San Francisco, CA 

AGENCY: Family and Youth Services 

Bureau, ACYF, ACF, HHS. 

ACTION: Notice of the award of a singlesource program expansion supplement 

grant under the Family Violence 

Prevention and Services Act (FVPSA) 

Technical Assistance (TA) Project to the 

Futures Without Violence to support 

training and technical assistance 

activities. 

CFDA Number: 93.592. 

SUMMARY: The Administration for 

Children and Families (ACF), 

Administration on Children, Youth and 

Families (ACYF), Family and Youth 

Services Bureau (FYSB), Division of 

Family Violence Prevention and 

Services (DFVPS) announces the award 

of $270,000 as a single-source program 

expansion supplement to Futures 

Without Violence in San Francisco, CA. 

The grantee, funded under the Family 

Violence Protection and Services Act 

(FVPSA) program, is a technical 

assistance (TA) provider that serves as 

the FVPSA-funded National Health 

Resource Center on Domestic Violence. 

DATES: The period of support is 

September 30, 2014 through September 

29, 2015. 

FOR FURTHER INFORMATION CONTACT: 

Shawndell Dawson, Senior Program 

Specialist, Family Violence Prevention 

and Services Program, 1250 Maryland 

Avenue SW., Suite 8219, Washington, 

DC 20024. Telephone: 202–205–1476; 

Email: Shawndell.Dawson@acf.hhs.gov. 

SUPPLEMENTARY INFORMATION: 

Supplemental award funds will support 

the grantee in providing training and 

technical assistance to domestic 

violence service and health care 

providers. A portion of the 

supplemental award is contributed by 

the Health Resources and Services 

Administration (HRSA) and the Office 

on Women’s Health (OWH) at the 

Department of Health and Human 

Services (HHS). 

This award will expand the scope of 

Futures Without Violence’s technical 

assistance activities to include 

additional activities on the following 

issues: Assessing and responding to 

domestic violence in health clinics; 

addressing dating violence and sexual 

assault on college campuses; and 

supporting children/youth experiencing 

domestic violence. This additional 

technical assistance and training may 

involve such activities as: 

• Planning, coordinating, and 

evaluating a pre-conference institute on 

Sexual Assault and Dating Violence on 

College Campuses, as part of the 2015 

National Conference on Health and 

Domestic Violence; 

• providing technical assistance for 

three health centers to create health 

system changes that support providers 

and create sustainable responses to 

victims of intimate partner violence; 

• providing training on 

comprehensive, culturally competent 

responses to domestic violence within a 

Patient Centered Medical Home model. 

• creating new technical assistance 

resources that promote protective 

factors and resilience when working 

with children, youth, and teens 

impacted by domestic violence which 

includes fostering stronger relationships 

with their non-abusive parents or 

caregivers; 

• providing training to domestic 

violence programs that improves 

consistent implementation of evidenceinformed, trauma-informed, and 

culturally relevant programming for 

children, youth, and abused parents; 

and, 

• developing new resources for the 

Web site, www.PromisingFutures

WithoutViolence.org. 

Statutory Authority: The statutory 

authority for the FVSPA Program is under 

section 310 of the FVPSA, as amended by 

Section 201 of the CAPTA Reauthorization 

Act of 2010, Pub. L. 111–320. The Office on 

Women’s Health authority for its additional 

funds is through Sections 1701(a)(3)(A), 

1701(a)(5), and 1701(a)(8) of the Public 

Health Service Act; and the Economy Act (31 

U.S.C. 1535/FAR 17.5). HRSA’s authority for 

its funds is through Section 330 of the Public 

Health Service Act (42 U.S.C. § 254b). 

Christopher Beach, 

Senior Grants Policy Specialist, Office of 

Administration, Office of Financial Services, 

Division of Grants Policy. 

[FR Doc. 2014–27131 Filed 11–14–14; 8:45 am] 

BILLING CODE 4184–32–P 

DEPARTMENT OF HEALTH AND 

HUMAN SERVICES 

Food and Drug Administration 

[Docket No. FDA–2014–D–1461] 

Rare Pediatric Disease Priority Review 

Vouchers, Draft Guidance for Industry; 

Availability 

AGENCY: Food and Drug Administration, 

HHS. 

ACTION: Notice. 

SUMMARY: The Food and Drug 

Administration (FDA) is announcing the 

availability of a draft guidance for 

industry entitled ‘‘Rare Pediatric 

Disease Priority Review Vouchers.’’ 

Under the Federal Food, Drug, and 

Cosmetic Act (the FD&C Act), FDA will 

award priority review vouchers to 

sponsors of certain rare pediatric 

disease product applications that meet 

the criteria specified in that section. 

These vouchers can be used when 

submitting future human drug 

marketing applications that would not 

otherwise qualify for priority review. 

These vouchers can be sold or 

transferred for use to another sponsor 

any number of times before the voucher 

is used, as long as the sponsor making 

the transfer has not yet submitted the 

application. Because there exists a need 

for products for rare pediatric diseases, 

this program is intended to encourage 

development of new drug and biological 

products for prevention and treatment 

of certain rare pediatric diseases. 

DATES: Although you can comment on 

any guidance at any time (see 21 CFR 

10.115(g)(5)), to ensure that the Agency 

considers your comment on this draft 

guidance before it begins work on the 

final version of the guidance, submit 

either electronic or written comments 

on the draft guidance by January 16, 

2015. Submit either electronic or 

written comments concerning the 

collection of information proposed in 

the draft guidance by January 16, 2015. 

ADDRESSES: Submit written requests for 

single copies of the draft guidance to the 

Office of Communications, Division of 

Drug Information, Center for Drug 

Evaluation and Research, Food and 

Drug Administration, 10903 New 

Hampshire Ave., Bldg. 51, Rm. 2201, 

Silver Spring, MD 20993–0002, or Office 

of Communication, Outreach, and 

Development, Center for Biologics 

Evaluation and Research, Food and 

Drug Administration, Bldg. 71, Rm. 

3128, 10903 New Hampshire Ave., 

Silver Spring, MD 20993–0002; or Office 

of Orphan Products Development, 

Office of Special Medical Programs, 


asabaliauskas on DSK5VPTVN1PROD with NOTICES