64344 Federal Register / Vol. 83, No. 240 / Friday, December 14, 2018 / Notices 

Act of 1956 (12 U.S.C. 1841 et seq.) 

(BHC Act), Regulation Y (12 CFR part 

225), and all other applicable statutes 

and regulations to become a bank 

holding company and/or to acquire the 

assets or the ownership of, control of, or 

the power to vote shares of a bank or 

bank holding company and all of the 

banks and nonbanking companies 

owned by the bank holding company, 

including the companies listed below. 

The applications listed below, as well 

as other related filings required by the 

Board, are available for immediate 

inspection at the Federal Reserve Bank 

indicated. The applications will also be 

available for inspection at the offices of 

the Board of Governors. Interested 

persons may express their views in 

writing on the standards enumerated in 

the BHC Act (12 U.S.C. 1842(c)). If the 

proposal also involves the acquisition of 

a nonbanking company, the review also 

includes whether the acquisition of the 

nonbanking company complies with the 

standards in section 4 of the BHC Act 

(12 U.S.C. 1843). Unless otherwise 

noted, nonbanking activities will be 

conducted throughout the United States. 

Unless otherwise noted, comments 

regarding each of these applications 

must be received at the Reserve Bank 

indicated or the offices of the Board of 

Governors not later than January 10, 

2019. 

A. Federal Reserve Bank of Dallas 

(Robert L. Triplett III, Senior Vice 

President) 2200 North Pearl Street, 

Dallas, Texas 75201–2272: 

1. Bright Force Holding, LLC, 

Lewisville, Texas; to become a bank 

holding company by acquiring voting 

shares of ABNA Holdings, Inc., and 

thereby indirectly acquire American 

Bank, National Association, both of 

Dallas, Texas. 

Board of Governors of the Federal Reserve 

System, December 11, 2018. 

Yao-Chin Chao, 

Assistant Secretary of the Board. 

[FR Doc. 2018–27113 Filed 12–13–18; 8:45 am] 

BILLING CODE P 

DEPARTMENT OF HEALTH AND 

HUMAN SERVICES 

Centers for Disease Control and 

Prevention 

Final Effect of Designation of a Class 

of Employees for Addition to the 

Special Exposure Cohort 

AGENCY: National Institute for 

Occupational Safety and Health 

(NIOSH), Centers for Disease Control 

and Prevention, Department of Health 

and Human Services (HHS). 

ACTION: Notice. 

SUMMARY: HHS gives notice concerning 

the final effect of the HHS decision to 

designate a class of employees from the 

Sandia National Laboratories in 

Albuquerque, New Mexico, as an 

addition to the Special Exposure Cohort 

(SEC) under the Energy Employees 

Occupational Illness Compensation 

Program Act of 2000. 

FOR FURTHER INFORMATION CONTACT: 

Stuart L. Hinnefeld, Director, Division 

of Compensation Analysis and Support, 

NIOSH, 1090 Tusculum Avenue, MS 

C–46, Cincinnati, OH 45226–1938, 

Telephone 877–222–7570. Information 

requests can also be submitted by email 

to DCAS@CDC.GOV. 

SUPPLEMENTARY INFORMATION: 

Authority: 42 U.S.C. 7384q(b). 42 U.S.C. 

7384l(14)(C). 

On October 18, 2018, as provided for 

under 42 U.S.C. 7384l(14)(C), the 

Secretary of HHS designated the 

following class of employees as an 

addition to the SEC: 

All employees of the Department of 

Energy, its predecessor agencies, and its 

contractors or subcontractors who worked in 

any area at the Sandia National Laboratories 

in Albuquerque, New Mexico, during the 

period from January 1, 1995, through 

December 31, 1996, for a number of work 

days aggregating at least 250 work days, 

occurring either solely under this 

employment or in combination with work 

days within the parameters established for 

one or more other classes of employees 

included in the Special Exposure Cohort. 

This designation became effective on 

October 18, 2018. Therefore, beginning 

on November 17, 2018, members of this 

class of employees, defined as reported 

in this notice, became members of the 

SEC. 

Frank J. Hearl, 

Chief of Staff, National Institute for 

Occupational Safety and Health. 

[FR Doc. 2018–27135 Filed 12–13–18; 8:45 am] 

BILLING CODE 4163–19–P 

DEPARTMENT OF HEALTH AND 

HUMAN SERVICES 

Centers for Disease Control and 

Prevention 

Decision To Evaluate a Petition To 

Designate a Class of Employees From 

the Y–12 Plant in Oak Ridge, 

Tennessee, To Be Included in the 

Special Exposure Cohort 

AGENCY: National Institute for 

Occupational Safety and Health 

(NIOSH), Centers for Disease Control 

and Prevention, Department of Health 

and Human Services. 

ACTION: Notice. 

SUMMARY: NIOSH gives notice of a 

decision to evaluate a petition to 

designate a class of employees from the 

Y–12 Plant in Oak Ridge, Tennessee, to 

be included in the Special Exposure 

Cohort under the Energy Employees 

Occupational Illness Compensation 

Program Act of 2000. 

FOR FURTHER INFORMATION CONTACT: 

Stuart L. Hinnefeld, Director, Division 

of Compensation Analysis and Support, 

National Institute for Occupational 

Safety and Health, 1090 Tusculum 

Avenue, MS C–46, Cincinnati, OH 

45226–1938, Telephone 877–222–7570. 

Information requests can also be 

submitted by email to DCAS@CDC.GOV. 

SUPPLEMENTARY INFORMATION: Authority: 

42 CFR 83.9–83.12. Pursuant to 42 CFR 

83.12, the initial proposed definition for 

the class being evaluated, subject to 

revision as warranted by the evaluation, 

is as follows: 

Facility: Y–12 Plant. 

Location: Oak Ridge, Tennessee. 

Job Titles and/or Job Duties: ‘‘All 

employees of the Department of Energy, its 

predecessor agencies, and its contractors and 

subcontractors who worked at the Y–12 Plant 

in Oak Ridge, Tennessee, during the period 

from January 1, 1958 through December 31, 

1976, for a number of work days aggregating 

at least 250 work days, occurring either 

solely under this employment or in 

combination with work days within the 

parameters established for one or more other 

classes of employees in the SEC.’’ 

Period of Employment: January 1, 1958 

through December 31, 1976. 

Frank J. Hearl, 

Chief of Staff, National Institute for 

Occupational Safety and Health. 

[FR Doc. 2018–27136 Filed 12–13–18; 8:45 am] 

BILLING CODE 4163–19–P 

DEPARTMENT OF HEALTH AND 

HUMAN SERVICES 

Centers for Medicare & Medicaid 

Services 

[Document Identifiers CMS–10391, CMS– 

10410 and CMS–10142] 

Agency Information Collection 

Activities: Submission for OMB 

Review; 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 


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Federal Register / Vol. 83, No. 240 / Friday, December 14, 2018 / Notices 64345 

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 14, 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_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 

website address at https://www.cms.gov/ 

Regulations-and-Guidance/Legislation/ 

PaperworkReductionActof1995/PRAListing.html. 

1. Email your request, including your 

address, phone number, OMB number, 

and CMS document identifier, to 

Paperwork@cms.hhs.gov. 

2. 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: 

1. Type of Information Collection 

Request: Extension of a currently 

approved collection; Title of 

Information Collection: Methods for 

Assuring Access to Covered Medicaid 

Services Under 42 CFR 447.203 and 

447.204; Use: Current regulations at 42 

CFR 447.203(b) require states to develop 

an access monitoring review plan 

(AMRP) that is updated at least every 

three years for: Primary care services, 

physician specialist services, behavioral 

health services, pre and post-natal 

obstetric services (including labor and 

delivery), and home health services. 

When states reduce rates for other 

Medicaid services, they must add those 

services to the AMRP and monitor the 

effects of the rate reductions for 3 years. 

If access issues are detected, a state 

must submit a corrective action plan to 

CMS within 90 days and work to 

address the issues within 12 months. 

Section 447.203(b)(7) requires that states 

have mechanisms to obtain ongoing 

beneficiary and provider feedback. A 

state is also required to maintain a 

record of data on public input and how 

the state responded to the input. Prior 

to submitting proposals to reduce or 

restructure Medicaid service payment 

rates, states must receive input from 

beneficiaries, providers, and other 

affected stakeholders on the extent of 

beneficiary access to the affected 

services. 

The information is used by states to 

document that access to care is in 

compliance with section 1902(a)(30)(A) 

of the Social Security Act, to identify 

issues with access within a state’s 

Medicaid program, and to inform any 

necessary programmatic changes to 

address issues with access to care. CMS 

uses the information to make informed 

approval decisions on State plan 

amendments that propose to make 

Medicaid rate reductions or restructure 

payment rates and to provide the 

necessary information for CMS to 

monitor ongoing compliance with 

section 1902(a)(30)(A). Beneficiaries, 

providers and other affected 

stakeholders may use the information to 

raise access issues to state Medicaid 

agencies and work with agencies to 

address those issues. Form Number: 

CMS–10391 (OMB control number: 

0938–1134); Frequency: Annually; 

Affected Public: State, Local, or Tribal 

Governments); Number of Respondents: 

51; Number of Responses: 212; Total 

Annual Hours: 12,262. (For questions 

regarding this collection contact Jeremy 

Silanskis at 410–786–1592.) 

2. Type of Information Collection 

Request: Extension of a currently 

approved collection; Title of 

Information Collection: Medicaid 

Program; Eligibility Changes under the 

Affordable Care Act of 2010; Use: The 

eligibility systems are essential to the 

goal of increasing coverage in insurance 

affordability programs while reducing 

administrative burden on states and 

consumers. The electronic transmission 

and automation of data transfers are key 

elements in managing the expected 

insurance affordability program 

caseload that started in 2014. 

Accomplishing the same work without 

these information collection 

requirements would not be feasible. 

Form Number: CMS–10410 (OMB 

control number: 0938–1147); Frequency: 

Occasionally; Affected Public: 

Individuals or Households, and State, 

Local, and Tribal Governments; Number 

of Respondents: 25,500,096; Total 

Annual Responses: 25,500,333; Total 

Annual Hours: 21,276,302. (For policy 

questions regarding this collection 

contact Stephanie Bell at 410–786– 

0617.) 

3. Type of Information Collection 

Request: Revision of a currently 

approved collection; Title of 

Information Collection: Bid Pricing Tool 

(BPT) for Medicare Advantage (MA) 

Plans and Prescription Drug Plans 

(PDP); Use: The competitive bidding 

process defined by the ‘‘The Medicare 

Prescription Drug, Improvement, and 

Modernization Act’’ (MMA) applies to 

both the MA and Part D programs. It 

was first used for Contract Year 2006. It 

is an annual process that encompasses 

the release of the MA rate book in April, 

the bid’s that plans submit to CMS in 

June, and the release of the Part D and 

RPPO benchmarks, which typically 

occurs in August. 

CMS requires that Medicare 

Advantage Organizations (MAOs) and 

Prescription Drug Plans (PDPs) 

complete the BPT as part of the annual 

bidding process. During this process, 

organizations prepare their proposed 

actuarial bid pricing for the upcoming 

contract year and submit them to CMS 

for review and approval. The purpose of 

the BPT is to collect the actuarial 


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pricing information for each plan. It is 

an Excel workbook with multiple 

worksheets and special functions 

through which bidders present to CMS 

their plan pricing information. Bidders 

enter information, such as plan 

experience, projected enrollment, and 

risk profile, and the BPT calculates the 

plan premiums and other values that 

drive the bidding process. CMS 

maintains and updates each BPT file 

and releases new versions every April. 

The BPT files may be downloaded 

from the Health Plan Management 

System website (or HPMS), which is a 

restricted-access website, so users must 

obtain approval from CMS before using 

it. From HPMS, the BPT files may be 

downloaded as part of the Plan Benefit 

Package (or PBP) software, or they may 

be downloaded as stand-alone blank 

files. These files are made available to 

users on the first Monday of April every 

year and an HPMS memo is released 

announcing the software availability. 

Plan sponsors are required to upload the 

completed BPTs to HPMS by the first 

Monday in June each year. 

MAOs and PDPs use the Bid Pricing 

Tool (BPT) software to develop their 

actuarial pricing bid. The information 

provided in the BPT is the basis for the 

plan’s enrollee premiums and CMS 

payments for each contract year. The 

tool collects data such as medical 

expense development (from claims data 

and/or manual rating), administrative 

expenses, profit levels, and projected 

plan enrollment information. By statute, 

completed BPTs are due to CMS by the 

first Monday of June each year. Form 

Number: CMS–10142 (OMB control 

number: 0938–0944); Frequency: Yearly; 

Affected Public: Private Sector, Business 

or other for-profits and Not- for-profit 

institution; Number of Respondents: 

555; Total Annual Responses: 4,995; 

Total Annual Hours: 149,850. (For 

policy questions regarding this 

collection contact Rachel Shevland at 

410–786–3026.) 

Dated: December 11, 2018. 

William N. Parham, III, 

Director, Paperwork Reduction Staff, Office 

of Strategic Operations and Regulatory 

Affairs. 

[FR Doc. 2018–27104 Filed 12–13–18; 8:45 am] 

BILLING CODE 4120–01–P 

DEPARTMENT OF HEALTH AND 

HUMAN SERVICES 

Centers for Medicare & Medicaid 

Services 

[Document Identifier: CMS–3070G–I and 

CMS–10692] 

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 

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 must be received by 

February 12, 2019. 

ADDRESSES: When commenting, please 

reference the document identifier or 

OMB control number. 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’ website address at 

website address at https://www.cms.gov/ 

Regulations-and-Guidance/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: 

Reports Clearance Officer, William 

Parham, at (410) 786–4669. 

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–3070G–I ICF/IID Survey Report 

Form and Supporting Regulations 

CMS–10692 Home and Community 

Based Services (HCBS) Incident 

Management Survey 

Under 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 Collection 

1. Type of Information Collection 

Request: Extension of a currently 

approved collection; Title of 

Information Collection: ICF/IID Survey 

Report Form and Supporting 

Regulations; Use: The information 

collected with forms 3070G–I is used to 

determine the level of compliance with 

Intermediate Care Facilities for 

Individuals with Intellectual Disabilities 


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