63208 Federal Register / Vol. 78, No. 205 / Wednesday, October 23, 2013 / Notices 

remediation of environmental issues 

when occupant health concerns are 

raised. 

NIOSH anticipates that the internetbased questionnaire will begin in the 

spring of 2014. All participants will be 

asked to complete the same 

questionnaire, which will take 

approximately 20 minutes to complete. 

The total estimated burden for this onetime collection of data is 1,567 hours. 

There are no costs to respondents other 

than their time. 

ESTIMATED ANNUALIZED BURDEN HOURS

Type of respondents Form name Number of 

respondents 

Number of 

responses per 

respondent 

Avg. burden 

per response 

(in hrs.) 

Total burden 

(in hrs.) 

Elementary School Employees ......... Elementary School Staff Questionnaire.4,700 1 20/60 1,567 

Total ........................................... ........................................................... ........................ ........................ ........................ 1,567 

LeRoy Richardson, 

Chief, Information Collection Review Office, 

Office of Scientific Integrity, Office of the 

Associate Director for Science, Office of the 

Director, Centers for Disease Control and 

Prevention. 

[FR Doc. 2013–24824 Filed 10–22–13; 8:45 am] 

BILLING CODE 4163–18–P 

DEPARTMENT OF HEALTH AND 

HUMAN SERVICES 

Centers for Disease Control and 

Prevention 

UPDATE—Meeting of the Community 

Preventive Services Task Force (Task 

Force) 

AGENCY: Centers for Disease Control and 

Prevention (CDC), Department of Health 

and Human Services (HHS). 

ACTION: Update to notice of meeting. 

SUMMARY: The Centers for Disease 

Control and Prevention (CDC) 

announces an update to the meeting of 

the Community Preventive Services 

Task Force (Task Force). The in-person 

Task Force meeting is being replaced by 

an abbreviated conference call as a 

result of the lapse in the FY 2014 

appropriation, which limited CDC’s 

ability to complete the necessary 

scientific and logistical support for the 

meeting. The Task Force is an 

independent, nonfederal, and 

uncompensated panel. Its members 

represent a broad range of research, 

practice, and policy expertise in 

prevention, wellness, health promotion, 

and public health, and are appointed by 

the CDC Director. The Task Force was 

convened in 1996 by the Department of 

Health and Human Services (HHS) to 

identify community preventive 

programs, services, and policies that 

increase healthy longevity, save lives 

and dollars and improve Americans’ 

quality of life. CDC is mandated to 

provide ongoing administrative, 

research, and technical support for the 

operations of the Task Force. During its 

meetings, the Task Force considers the 

findings of systematic reviews on 

existing research, and issues 

recommendations. These 

recommendations provide evidencebased options from which decision 

makers in communities, companies, 

health departments, health plans and 

healthcare systems, non-governmental 

organizations, and at all levels of 

government can choose what best meets 

the needs, preferences, available 

resources, and constraints of their 

constituents. The Task Force’s 

recommendations, along with the 

systematic reviews of the scientific 

evidence on which they are based, are 

compiled in the Guide to Community 

Preventive Services (Community Guide). 

DATES: The meeting will be held by 

conference call on Wednesday, October 

23, 2013, from 12 p.m. to 5:30 p.m. EDT. 

Meeting Accessibility: This meeting is 

open to the public. If you RSVPed to the 

original notice by the requested date, 

October 9, 2013, additional information 

will be provided on how to access the 

meeting. 

FOR FURTHER INFORMATION CONTACT: 

Andrea Baeder, The Community Guide 

Branch; Division of Epidemiology, 

Analysis, and Library Services; Center 

for Surveillance, Epidemiology and 

Laboratory Services; Office of Public 

Health Scientific Services, Centers for 

Disease Control and Prevention, 1600 

Clifton Road, MS–E–69, Atlanta, GA 

30333, phone: (404) 498–6876, email: 

CPSTF@cdc.gov. 

SUPPLEMENTARY INFORMATION: 

Purpose: The purpose of the meeting 

is for the Task Force to consider the 

findings of systematic reviews and issue 

findings and recommendations to help 

inform decision making about policy, 

practice, and research in a wide range 

of U.S. settings. 

Matters to be discussed: motor 

vehicle-related injury prevention and 

health equity. 

Dated: October 18, 2013. 

Tanja Popovic, 

Deputy Associate Director for Science, 

Centers for Disease Control and Prevention. 

[FR Doc. 2013–24928 Filed 10–21–13; 11:15 am] 

BILLING CODE 4163–18–P 

DEPARTMENT OF HEALTH AND 

HUMAN SERVICES 

Centers for Medicare & Medicaid 

Services 

[Document Identifiers: CMS–40B, CMS– 

2088–92, CMS–10260, and CMS–L564 and 

CMS–10501] 

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 

any of the following subjects: 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 


emcdonald on DSK67QTVN1PROD with NOTICES
Federal Register / Vol. 78, No. 205 / Wednesday, October 23, 2013 / Notices 63209 

information technology to minimize the 

information collection burden. 

DATES: Comments must be received by 

December 23, 2013. 

ADDRESSES: When commenting, please 

reference the document identifier or 

OMB control number (OCN). 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 llll, 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’ 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: 

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–40B Application for Enrollment 

in Medicare the Medical Insurance 

Program 

CMS–2088–92 Outpatient 

Rehabilitation Facility, Community 

Mental Health Center Cost Report and 

Supporting Regulations 

CMS–10260 Medicare Advantage and 

Prescription Drug Program: Final 

Marketing Provisions 

CMS–L564 Request for Employment 

Information 

CMS–10501 Healthcare Fraud 

Prevention Partnership (HFPP): Data 

Sharing and Information Exchange 

Under the Paperwork Reduction Act 

(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 Collections 

1. Type of Information Collection 

Request: New collection (Request for a 

new OMB control number); Title of 

Information Collection: Application for 

Enrollment in Medicare the Medical 

Insurance Program; Use: Form CMS– 

40B is used to establish entitlement to 

and enrollment in supplementary 

medical insurance for beneficiaries who 

already have Part A, but not Part B. The 

form solicits information that is used to 

determine enrollment for individuals 

who meet the requirements in section 

1836 of the Social Security Act as well 

as the entitlement of the applicant or a 

spouse regarding a benefit or annuity 

paid by the Social Security 

Administration or the Office of 

Personnel Management for premium 

deduction purposes. The Social Security 

Administration will use the collected 

information to establish Part B 

enrollment. Form Number: CMS–40B 

(OCN: 0938-New); Frequency: Once; 

Affected Public: Individuals or 

households; Number of Respondents: 

200,000; Total Annual Responses: 

200,000; Total Annual Hours: 50,000. 

(For policy questions regarding this 

collection contact Lindsay Smith at 

410–786–6843.) 

2. Type of Information Collection 

Request: Extension of a currently 

approved collection; Title of 

Information Collection: Outpatient 

Rehabilitation Facility, Community 

Mental Health Center Cost Report and 

Supporting Regulations; Use: The cost 

reports are required to be filed with the 

provider’s Medicare Administrative 

Contractor (MAC). The MAC uses the 

cost report to calculate the provider’s 

cost to charge ratios which are used to 

compute outlier payments and to 

determine a provider’s final cost 

settlement by comparing the provider’s 

interim payments received to the 

reasonable cost for the fiscal period 

covered by the cost report. 

The collection of data is a secondary 

function of the cost report. We use the 

data to support program operations, 

payment refinement activities, and to 

make Medicare Trust Fund projections. 

The data is also used by CMS and other 

stakeholders to analyze a myriad of 

health care measures on a national level. 

Stakeholders include the Office of 

Management and Budget, the 

Congressional Budget Office, Medicare 

Payment Advisory Commission, 

Congress, researchers, universities, and 

other interested parties. Form Number: 

CMS–2088–92 (OCN: 0938–0037); 

Frequency: Yearly; Affected Public: 

Private sector (Business or other forprofits and Not-for-profit institutions); 

Number of Respondents: 540; Total 

Annual Responses: 540; Total Annual 

Hours: 54,000. (For policy questions 

regarding this collection contact Jill 

Keplinger at 410–786–4550.) 

3. Type of Information Collection 

Request: Reinstatement with change of a 

previously approved collection; Title of 

Information Collection: Medicare 

Advantage and Prescription Drug 

Program: Final Marketing Provisions; 

Use: We require that Medicare 

Advantage (MA) organizations and Part 

D sponsors use standardized documents 

to satisfy disclosure requirements 

mandated by section 1851(d)(3)(A) of 

the Social Security Act (Act) and 42 

CFR 422.111(b) for MA organizations, 

and section 1860D–1(c) of the Act and 

42 CFR 423.128(a)(3) for Part D 

sponsors. The regulatory provisions 

require that MA organizations and Part 

D sponsors disclose plan information, 

including: service area, benefits, access, 

grievance and appeals procedures, and 

quality improvement and quality 

assurance requirements by September 

30th of each year. The MA organizations 

and Part D sponsors use the information 

to comply with the disclosure 

requirements. We will use the approved 

standardized documents to ensure that 

correct information is disclosed to 

current and potential enrollees. Form 

Number: CMS–10260 (OCN: 0938– 

1051); Frequency: Yearly; Affected 

Public: Private sector (Business or other 

for-profits); Number of Respondents: 

770; Total Annual Responses: 770; Total 

Annual Hours: 9,240. (For policy 

questions regarding this collection 

contact Timothy Roe at 410–786–2006.) 


emcdonald on DSK67QTVN1PROD with NOTICES
63210 Federal Register / Vol. 78, No. 205 / Wednesday, October 23, 2013 / Notices 

4. Type of Information Collection 

Request: Revision of a currently 

approved collection; Title of 

Information Collection: Request for 

Employment Information; Use: Section 

1837(i) of the Social Security Act 

provides for a special enrollment period 

for individuals who delay enrolling in 

Medicare Part B because they are 

covered by a group health plan based on 

their own or a spouse’s current 

employment status. Disabled 

individuals with Medicare may also 

delay enrollment because they have 

large group health plan coverage based 

on their own or a family member’s 

current employment status. When these 

individuals apply for Medicare Part B, 

they must provide proof that the group 

health plan coverage is (or was) based 

on current employment status. Form 

Number: CMS–L564 (OCN: 0938–0787); 

Frequency: Once; Affected Public: 

Private sector (Business or other forprofits and Not-for-profit institutions); 

Number of Respondents: 15,000; Total 

Annual Responses: 15,000; Total 

Annual Hours: 5,000. (For policy 

questions regarding this collection 

contact Lindsay Smith at 410–786– 

6843) 

5. Type of Information Collection 

Request: New collection (Request for a 

new OMB control number); Title of 

Information Collection: Healthcare 

Fraud Prevention Partnership (HFPP): 

Data Sharing and Information Exchange; 

Use: Section 1128C(a)(2) of the Social 

Security Act (42 U.S.C. § 1320a–7c(a)(2)) 

authorizes the Secretary and the 

Attorney General to consult with, and 

arrange for the sharing of data with 

representatives of health plans to 

establish a Fraud and Abuse Control 

Program as specified in Section 

1128(C)(a)(1) of the Social Security Act. 

This is known as the Healthcare Fraud 

Prevention Partnership (HFPP). It was 

officially established by a Charter in fall 

2012 and signed by HHS Secretary 

Sibelius and U.S. Attorney General 

Holder. The HFPP is a joint initiative 

established by the Department of Health 

and Human Services (HHS) and 

Department of Justice (DOJ) to detect 

and prevent the prevalence of 

healthcare fraud through data and 

information-sharing and applying 

analytic capabilities by the public and 

private sectors. The HFPP collaboration 

provides a unique opportunity to 

transition from traditional ‘‘pay and 

chase’’ approaches for fraud detection 

and recovery towards a data-driven 

model for identifying and predicting 

aberrant activity. A central goal of the 

HFPP is to identify the optimal way to 

coordinate nationwide sharing of health 

care claims information, including 

aggregating claims and payment 

information from large public healthcare 

programs and private insurance payers. 

In addition to sharing data and 

information, the HFPP is focused on 

advancing analytics, training, outreach, 

education to support anti-fraud efforts 

and achieving its objectives, primarily 

through goal-oriented, well-designed 

fraud studies. Form Number: CMS– 

10501 (OCN: 0938-New); Frequency: 

Occasionally; Affected Public: Private 

sector (Business or other for-profits); 

Number of Respondents: 75; Total 

Annual Responses: 75; Total Annual 

Hours: 180,000. (For policy questions 

regarding this collection contact 

Johnalyn Lyles at 410–786–8410.) 

Dated: October 18, 2013. 

Martique Jones, 

Deputy Director, Regulations Development 

Group, Office of Strategic Operations and 

Regulatory Affairs. 

[FR Doc. 2013–24854 Filed 10–22–13; 8:45 am] 

BILLING CODE 4120–01–P 

DEPARTMENT OF HEALTH AND 

HUMAN SERVICES 

Centers for Medicare & Medicaid 

Services 

[Document Identifier: CMS–R–240] 

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: 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 November 22, 

2013. 

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) 395–6974 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: Extension of a currently 

approved collection; Title of 

Information Collection: Prospective 

Payments for Hospital Outpatient 

Services and Supporting Regulations; 


emcdonald on DSK67QTVN1PROD with NOTICES