67722 Federal Register / Vol. 83, No. 249 / Monday, December 31, 2018 / Notices 

clicking on the links or querying the 

docket number. 

Any person desiring to intervene or 

protest in any of the above proceedings 

must file in accordance with Rules 211 

and 214 of the Commission’s 

Regulations (18 CFR 385.211 and 

385.214) on or before 5:00 p.m. Eastern 

time on the specified comment date. 

Protests may be considered, but 

intervention is necessary to become a 

party to the proceeding. 

eFiling is encouraged. More detailed 

information relating to filing 

requirements, interventions, protests, 

service, and qualifying facilities filings 

can be found at: http://www.ferc.gov/ 

docs-filing/efiling/filing-req.pdf. For 

other information, call (866) 208–3676 

(toll free). For TTY, call (202) 502–8659. 

Dated: December 21, 2018. 

Nathaniel J. Davis, Sr., 

Deputy Secretary. 

[FR Doc. 2018–28412 Filed 12–28–18; 8:45 am] 

BILLING CODE 6717–01–P 

FEDERAL MARITIME COMMISSION 

Notice of Agreement Filed 

The Commission hereby gives notice 

of the filing of the following agreement 

under the Shipping Act of 1984. 

Interested parties may submit comments 

on the agreement to the Secretary by 

email at Secretary@fmc.gov, or by mail, 

Federal Maritime Commission, 

Washington, DC 20573, within twelve 

days of the date this notice appears in 

the Federal Register. Copies of 

agreements are available through the 

Commission’s website (www.fmc.gov) or 

by contacting the Office of Agreements 

at (202) 523–5793 or tradeanalysis@

fmc.gov. 

Agreement No.: 011962–015. 

Agreement Name: Consolidated 

Chassis Management Pool Agreement. 

Parties: American President Lines, 

Ltd.; APL Co. Pte. Ltd.; CMA CGM S.A.; 

COSCO Shipping Lines Co., Ltd.; 

Evergreen Line Joint Service Agreement; 

Hamburg Sud; Hapag-Lloyd AG; HapagLloyd USA, LLC; Hyundai Merchant 

Marine Co., Ltd.; Maersk Line A/S; 

Matson Navigation Company, Inc.; 

Mediterranean Shipping Company S.A.; 

Orient Overseas Container Line Limited; 

Westwood Shipping Lines, Inc.; Yang 

Ming Marine Transport Corporation; 

Zim Integrated Shipping Services Ltd.; 

and Ocean Network Express Pte. Ltd. 

Filing Party: Donald Kassilke; Cozen 

O’Connor. 

Synopsis: The amendment deletes 

Mitsui O.S.K. Lines, Ltd.; Nippon Yusen 

Kaisha Line; and Kawasaki Kisen 

Kaisha, Ltd. as parties due to the 

creation of Ocean Network Express Pte. 

Ltd., and redesignates Yang Ming 

Marine Transport Corp. as a nonOCEMA ocean common carrier party to 

the agreement due to its earlier 

withdrawal from OCEMA. 

Proposed Effective Date: 12/17/2018. 

Location: https://www2.fmc.gov/ 

FMC.Agreements.Web/Public/ 

AgreementHistory/454. 

Dated: December 21, 2018. 

Rachel Dickon, 

Secretary. 

[FR Doc. 2018–28407 Filed 12–28–18; 8:45 am] 

BILLING CODE 6731–AA–P 

DEPARTMENT OF HEALTH AND 

HUMAN SERVICES 

Centers for Medicare & Medicaid 

Services 

[Document Identifier CMS–R–74] 

Agency Information Collection 

Activities: Submission for OMB 

Review; Comment Request 

AGENCY: Centers for Medicare & 

Medicaid Services, Department of 

Health and Human Services. 

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 the necessity and 

utility of the proposed information 

collection for the proper performance of 

the agency’s functions, the accuracy of 

the estimated burden, ways to enhance 

the quality, utility, and clarity of the 

information to be collected, and 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 January 30, 2019. 

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_s 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’ website address at 

https://www.cms.gov/Regulations-andGuidance/Legislation/ 

PaperworkReductionActof1995/PRAListing.html. 

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: 

William Parham at (410) 786–4669. 

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: 

Information Collection 

Type of Information Collection 

Request: Extension of a currently 

approved collection; Title of 

Information Collection: Income and 

Eligibility Verification System Reporting 

and Supporting Regulations; Use: 

Section 1137 of the Social Security Act 

requires that States verify the income 

and eligibility information contained on 

the applicant’s application and in the 

applicant’s case file through data 

matches with the agencies and entities 


khammond on DSK30JT082PROD with NOTICES
Federal Register / Vol. 83, No. 249 / Monday, December 31, 2018 / Notices 67723 

identified in this section. The State 

Medicaid/CHIP agency will report the 

existence of a system to collect all 

information needed to determine and 

redetermine eligibility for Medicaid and 

CHIP. The State Medicaid/CHIP agency 

will attest to using the PARIS system in 

determining beneficiary eligibility in 

Medicaid or CHIP benefit programs. 

Form Number: CMS–R–74 (OMB control 

number: 0938–0467); Frequency: 

Occasionally; Affected Public: State, 

Local, or Tribal Governments; Number 

of Respondents: 55; Total Annual 

Responses: 3,241; Total Annual Hours: 

1,071. (For policy questions regarding 

this collection contact Stephanie Bell at 

410–786–0617.) 

Dated: December 13, 2018. 

William N. Parham, III, 

Director, Paperwork Reduction Staff, Office 

of Strategic Operations and Regulatory 

Affairs. 

[FR Doc. 2018–27337 Filed 12–28–18; 8:45 am] 

BILLING CODE 4120–01–P 

DEPARTMENT OF HEALTH AND 

HUMAN SERVICES 

Centers for Medicare & Medicaid 

Services 

[CMS–3356–NC] 

RIN 0938–AT56 

Medicare Program; Clinical Laboratory 

Improvement Amendments of 1988 

(CLIA) Fees 

AGENCY: Centers for Medicare & 

Medicaid Services (CMS), HHS. 

ACTION: Notice with comment period. 

SUMMARY: This notice with comment 

period announces the increase of certain 

fees established under the Clinical 

Laboratory Improvement Amendments 

of 1988 (CLIA). The Public Health 

Service Act (PHSA) requires the 

Secretary to impose certificate fees to 

cover the general costs of administering 

the CLIA program, as well as additional 

fees, including Inspection fees for nonaccredited laboratories. We are 

increasing these fees to cover the cost of 

administering the CLIA program as 

required by statute. We seek public 

comment regarding this increase, which 

we believe is necessary to meet the 

statutory requirements. 

DATES: Comments: To be assured 

consideration, comments must be 

received at one of the addresses 

provided below, no later than 5 p.m. on 

March 1, 2019. 

ADDRESSES: In commenting, refer to file 

code CMS–3356–NC. Because of staff 

and resource limitations, we cannot 

accept comments by facsimile (FAX) 

transmission. 

Comments, including mass comment 

submissions, must be submitted in one 

of the following three ways (please 

choose only one of the ways listed): 

1. Electronically. You may submit 

electronic comments on this regulation 

to http://www.regulations.gov. Follow 

the ‘‘Submit a comment’’ instructions. 

2. By regular mail. You may mail 

written comments to the following 

address ONLY: Centers for Medicare & 

Medicaid Services, Department of 

Health and Human Services, Attention: 

CMS–3356–NC, P.O. Box 8016, 

Baltimore, MD 21244–8016. Please 

allow sufficient time for mailed 

comments to be received before the 

close of the comment period. 

3. By express or overnight mail. You 

may send written comments to the 

following address ONLY: Centers for 

Medicare & Medicaid Services, 

Department of Health and Human 

Services, Attention: CMS–3356–NC, 

Mail Stop C4–26–05, 7500 Security 

Boulevard, Baltimore, MD 21244–1850. 

For information on viewing public 

comments, see the beginning of the 

SUPPLEMENTARY INFORMATION section. 

FOR FURTHER INFORMATION CONTACT: For 

policy related questions, please contact 

Cindy Flacks, 410–786–6520, and 

Caecilia Blondiaux, 410–786–2190. 

For the Budget and Financial Impact, 

please contact Jeffrey Pleines, 410–786– 

0684. 

SUPPLEMENTARY INFORMATION: 

Inspection of Public Comments: All 

comments received before the close of 

the comment period are available for 

viewing by the public, including any 

personally identifiable or confidential 

business information that is included in 

a comment. We post all comments 

received before the close of the 

comment period on the following 

website as soon as possible after they 

have been received: http://

www.regulations.gov. Follow the search 

instructions on that website to view 

public comments. 

I. Background 

A. CLIA Fees 

On October 31, 1988, Congress 

enacted the Clinical Laboratory 

Improvement Amendments of 1988 

(CLIA) (Pub. L. 100–578), which 

replaced in its entirety section 353 of 

the Public Health Service Act (PHSA). 

Section 353(m) of the PHSA requires the 

Secretary to impose two separate types 

of fees: ‘‘certificate fees’’ and 

‘‘additional fees.’’ Certificate fees are 

imposed for the issuance and renewal of 

certificates and must be sufficient to 

cover the general costs of administering 

the CLIA program, including evaluating 

and monitoring approved proficiency 

testing (PT) programs and accrediting 

bodies and implementing and 

monitoring compliance with program 

requirements. Additional fees are 

imposed for inspections of nonaccredited laboratories and for the cost 

of performing PT on laboratories that do 

not participate in approved PT programs 

intended to cover the cost of evaluating 

a laboratory to determine overall if an 

accreditation organization’s standards 

and inspection process is equivalent to 

the CLIA program. These evaluations 

are referred to as validation inspections. 

The additional fees must be sufficient to 

cover, among other things, the cost of 

carrying out such inspections and PT. 

Certificate and additional fees vary by 

group or classification of laboratory, 

based on such considerations as the 

Secretary determines are relevant, 

which may include the dollar volume 

and scope of the testing being performed 

by the laboratories, and only a nominal 

fee may be required for the issuance and 

renewal of Certificates of Waiver 

(CoWs). 

The regulations provide for a 

methodology for determining fee 

amounts (§ 493.649) and periodic 

updating of the certificate fee amounts 

(§ 493.638(b)) and compliance fee 

amounts (§ 493.643(b)). Under 

§ 493.645(b)(1), laboratories that are 

issued a certificate of accreditation 

(CoA) are assessed a fee to cover the cost 

of validation inspections. All accredited 

laboratories share in the cost of these 

inspections. These costs are the same as 

those that are incurred when inspecting 

non-accredited laboratories. 

B. CLIA Budget Process 

With the exception of the ‘‘CLIA 

Program; Fee Schedule Revision’’ notice 

published in the August 29, 1997 

Federal Register (62 FR 45815 through 

45821), the fees imposed to cover the 

costs of administering the CLIA program 

have not been updated since 1992. The 

fee amounts currently collected under 

the CLIA regulations are based on 

preliminary assumptions made in 1992 

about future program operations and 

workload requirements. After decades of 

actual program experience, we have 

determined that it is necessary to 

increase certain CLIA fees to fund 

current and future program operations 

as required by section 353(m) of the 

PHSA. Specifically, as discussed in 

section II. of this notice with comment 

period, we are increasing those CLIA 

fees collected under § 493.638(b) 

(hereinafter referred to as ‘‘Certificate 

Fees’’), with the exception of fees for 


khammond on DSK30JT082PROD with NOTICES