64802 Federal Register / Vol. 79, No. 211 / Friday, October 31, 2014 / Notices 

capacity, the expansion may occur only 

in facilities on the hospital’s main 

campus and may not result in the 

number of operating rooms, procedure 

rooms, and beds for which the hospital 

is licensed exceeding 200 percent of the 

hospital’s baseline number of operating 

rooms, procedure rooms, and beds 

(§ 411.362(c)(6)). Our decision to grant 

or deny a hospital’s request for an 

exception to the prohibition on 

expansion of facility capacity will be 

published in the Federal Register in 

accordance with our regulations at 

§ 411.362(c)(7). 

III. Public Response to Notice With 

Comment Period 

On May 12, 2014, we published a 

notice in the Federal Register (79 FR 

26969) entitled, Request for an 

Exception to the Prohibition on 

Expansion of Facility Capacity under 

the Hospital Ownership and Rural 

Provider Exceptions to the Physician 

Self-Referral Prohibition. In the May 12, 

2014 notice we stated that as permitted 

by section 1877(i)(3) of the Act and our 

regulations at § 411.362(c), the following 

physician-owned hospital requested an 

exception to the prohibition on 

expansion of facility capacity: 

Name of Facility: Lake Pointe Medical 

Center. 

Location: 6800 Scenic Drive, Rowlett, 

Texas 75088–4552 (Rockwall County). 

Basis for Exception Request: High 

Medicaid Facility. 

In the May 12, 2014 notice we also 

solicited comments from individuals 

and entities in the community in which 

Lake Pointe Medical Center is located. 

Eighty-four comments were submitted 

under docket number for the notice 

(CMS–2014–0061). Eighty-three of those 

comments advocated that a different 

physician-owned hospital in another 

county be allowed to expand under the 

expansion exception process. Those 

comments were not relevant to the Lake 

Pointe Medical Center request, and we 

have not considered them in deciding 

the request. The only remaining 

comment urged CMS to evaluate 

whether Lake Pointe Medical Center is 

a ‘‘high Medicaid facility’’ using data 

that our regulations do not permit us to 

consider. 

On August 4, 2014, as required by 

§ 411.362(c)(5)(ii), we notified Lake 

Pointe Medical Center that we received 

comments in response to the May 12, 

2014 notice and that these comments 

were available for public viewing at 

http://www.regulations.gov. Lake Pointe 

Medical Center submitted a rebuttal 

statement on August 13, 2014. The 

statement indicated that the comments 

raised no issues of law or fact that in 

any way contradict Lake Pointe Medical 

Center’s assertion that it meets all of the 

statutory and regulatory requirements to 

qualify as a high Medicaid facility. On 

September 3, 2014, at the close of the 

30-day rebuttal period, CMS deemed the 

request complete pursuant to 

§ 411.362(c)(5)(ii). 

IV. Decision 

This final notice announces our 

decision to approve the request from 

Lake Pointe Medical Center for an 

exception to the prohibition against 

expansion of facility capacity. As set 

forth in our current regulations and 

public guidance documents, Lake Pointe 

Medical Center submitted the data and 

certifications necessary to demonstrate 

that it satisfies the criteria to qualify as 

a high Medicaid facility. Further, our 

regulations do not permit us to consider 

the data recommended by the one 

relevant comment. Therefore, in 

accordance with section 1877(i)(3) of 

the Act, we have granted the request 

from Lake Pointe Medical Center for an 

exception to the expansion of facility 

capacity prohibition based on the 

following criteria: 

• The hospital is not the sole hospital 

in Rockwall, Texas, the county in which 

it is located; 

• The hospital certified that it does 

not discriminate against beneficiaries of 

Federal health care programs and does 

not permit physicians practicing at the 

hospital to discriminate against such 

beneficiaries; and 

• With respect to each of the 3 most 

recent fiscal years for which data were 

available as of the date the hospital 

submitted its request, the hospital has 

an annual percent of total inpatient 

admissions under Medicaid that is 

estimated to be greater than such 

percent with respect to such admissions 

for any other hospital located in 

Rockwall County, Texas, the county in 

which the hospital is located. 

Our approval grants the request of 

Lake Pointe Medical Center to add a 

total of 36 beds. Pursuant to 

§ 411.362(c)(6), the expansion may 

occur only in facilities on the hospital’s 

main campus and may not result in the 

number of operating rooms, procedure 

rooms, and beds for which the hospital 

is licensed exceeding 200 percent of the 

hospital’s baseline number of operating 

rooms, procedure rooms, and beds. Lake 

Pointe Medical Center certified that its 

baseline number of operating rooms, 

procedure rooms, and beds for which it 

was licensed as of March 23, 2010, was 

129. Accordingly, we find that granting 

the additional 36 beds will not result in 

an aggregate number of operating rooms, 

procedure rooms, and beds for which 

the hospital is licensed that exceeds 200 

percent of the hospital’s baseline. 

IV. Collection of Information 

Requirements 

This document does not impose 

information collection and 

recordkeeping requirements. 

Consequently, it need not be reviewed 

by the Office of Management and 

Budget under the authority of the 

Paperwork Reduction Act of 1995 (44 

U.S.C. 35). 

Dated: October 22, 2014. 

Marilyn Tavenner, 

Administrator, Centers for Medicare & 

Medicaid Services. 

[FR Doc. 2014–25940 Filed 10–30–14; 8:45 am] 

BILLING CODE P 

DEPARTMENT OF HEALTH AND 

HUMAN SERVICES 

Centers for Medicare & Medicaid 

Services 

Privacy Act of 1974; Report of Modified 

System of Records 

AGENCY: Centers for Medicare & 

Medicaid Services (CMS), Department 

of Health and Human Services (HHS). 

ACTION: Notice of a Modified System of 

Records (SOR). 

SUMMARY: In accordance with the 

requirements of the Privacy Act of 1974, 

we are proposing to modify an existing 

SOR titled, ‘‘Chronic Condition Data 

Repository (CCDR), System No. 09–70– 

0573’’ last published at 71 FR 54495, 

September 15, 2006. The current name 

of the SOR, Chronic Condition Data 

Repository, was developed during the 

planning and development stages of the 

system. Upon the implementation and 

throughout the operations and 

maintenance stages of the system, the 

system has been referred to as the 

Chronic Condition Warehouse (CCW) in 

common usage and written references. 

In keeping with this current usage, we 

will modify the name of this SOR to 

read, and from this point forward will 

refer to the system as: ‘‘Chronic 

Condition Warehouse (CCW).’’ 

We propose to broaden the scope of 

the system to include data that can be 

easily linked, at the individual patient 

level, to all Medicare and Medicaid 

claims, enrollment and/or eligibility 

data, nursing home and home health 

assessments, and CMS beneficiary 

survey data. Accordingly, we are 

updating the Authority Section to 

include Title XVIII of the Social 

Security Act as amended (the Act); 

Section 1902(a)(6) of the Act; Section 


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Federal Register / Vol. 79, No. 211 / Friday, October 31, 2014 / Notices 64803 

1142(c)(6) of the Act; and Title IV of the 

Balanced Budget Act (Pub. L. 105–33). 

The Record Source Categories section 

will be modified to include data from 

two new systems of records: the CMS 

Encounter Data System, System No. 09– 

70–0506, and the National Death Index, 

System No. 09–20–0166. These 

modifications will make the CCW a 

more useful tool by which to support 

research, policy analysis, quality 

improvement activities, and 

demonstrations that attempt to foster a 

better understanding of how to improve 

the quality of life and contain the health 

care costs of the chronically ill. 

We propose to modify existing 

Routine Use Number 1, to limit 

disclosures only to contractors of CMS. 

We also propose to add two new routine 

uses. Specifically, we propose adding a 

routine use to permit disclosures to 

healthcare providers who seek patient 

information for use in care coordination 

and quality improvement activities as 

described at 45 CFR 164.506(c)(4). This 

routine use will be added as Routine 

Use Number 4. We also propose adding 

a routine use to support public or 

private Qualified Entities (QEs) that use 

Medicare claims data to evaluate the 

performance of providers of services 

and suppliers on measures of quality, 

efficiency, effectiveness, and resource 

use. This routine use will be added as 

routine use number 6. 

Finally, we are modifying the 

language in Routine Use Number 3 to 

include grantees of CMS administered 

grant programs and have made minor 

grammatical changes to Routine Use 

Number 10. These modifications will 

provide a better explanation as to the 

need for the routine use, and to clearly 

state CMS’s intention when making 

disclosures of individually identifiable 

information contained in this system. 

We have provided background 

information about the modified system 

in the SUPPLEMENTARY INFORMATION

section below. Although the Privacy Act 

requires only that the ‘‘Routine Use’’ 

section of the system of records notice 

be published for comment, CMS invites 

comments on all portions of this notice. 

See the Effective Dates section for 

information on the comment period. 

DATES: Effective Dates: CMS filed a 

modified SOR report with the Chair of 

the House Committee on Government 

Reform and Oversight, the Chair of the 

Senate Committee on Homeland 

Security and Government Affairs, and 

the Administrator, Office of Information 

and Regulatory Affairs, Office of 

Management and Budget (OMB) on 

September 16, 2014. To ensure that all 

parties have adequate time in which to 

comment, the modified notice will 

become effective 30 days from the 

publication of the notice, or 40 days 

from the date it was submitted to OMB 

and the Congress, whichever is later. We 

may defer implementation of this 

modified system or one or more of the 

new routine uses listed below if we 

receive comments that persuade us to 

defer implementation. 

ADDRESSES: The public should address 

comments to: CMS Privacy Officer, 

Privacy Policy Compliance Group, 

Office of E-Health Standards & Services, 

Office of Enterprise Management, CMS, 

7500 Security Boulevard, Baltimore, MD 

21244–1870, Mailstop: S2–24–25, 

Office: (410) 786–5357, E-Mail: 

walter.stone@cms.hhs.gov. Comments 

received will be available for review at 

this location, by appointment, during 

regular business hours, Monday through 

Friday from 9:00 a.m.–3:00 p.m., Eastern 

Time zone. 

FOR FURTHER INFORMATION CONTACT: 

Michelle Seal, Health Insurance 

Specialist, Division of Research Data 

Development (DRDD), Data 

Development and Services Group, 

Office of Information Products and Data 

Analytics (OIPDA), OEM, CMS, Mail 

Stop B2–29–04, 7500 Security 

Boulevard, Baltimore, MD 21244–1850. 

Office Phone: 410–786–3679, Email 

address: michelle.seal@cms.hhs.gov. 

SUPPLEMENTARY INFORMATION: The CCW 

will house data that will be easily 

linked, at the individual patient level, 

for all Medicare and Medicaid claims, 

enrollment and/or eligibility data, 

nursing home and home health 

assessments, and CMS beneficiary 

survey data. This data repository will 

transform and summarize this 

administrative health and health 

insurance information into data which 

will support research, policy analysis, 

quality improvement activities, 

demonstrations, and studies. These are 

aimed at improving the quality of care 

and reducing the cost of care for 

chronically ill Medicare beneficiaries 

and Medicaid recipients. 

The repository is designed to 

encourage research and innovation that 

will reduce program spending, inform 

policy analyses, make current Medicare 

and Medicaid program data more 

readily available to researchers to study 

chronic illness in the Medicare and 

Medicaid populations, and improve 

process time for research data requests 

by refocusing on analytic, as opposed to 

operational considerations. The 

repository will also use utilize data 

analytic tools to organize and transform 

diagnostic information on a 

beneficiary’s Medicare or Medicaid 

claims into information about their 

chronic medical conditions. 

The Virtual Research Data Center 

(VRDC), an analytic tool, provides a 

secure mechanism for accessing and 

analyzing data within the environment 

instead of sending physical data files to 

researchers for analysis at their site. The 

workbench analytic tool provides users 

with the ability to create a custom 

sample of individuals and view 

associated claims within the VRDC 

environment. Analysis of data using 

these tools increases the privacy and 

security of the data. 

The Privacy Act 

The Privacy Act governs the 

collection, maintenance, use, and 

dissemination of certain information 

about individuals by agencies of the 

Federal Government. 

A ‘‘SOR’’ is a group of any records 

under the control of a Federal agency 

from which information about 

individuals is retrieved by name or 

other personal identifier. The Privacy 

Act requires each agency to publish in 

the Federal Register a description of the 

type and character of each system of 

records that the agency maintains, and 

the routine uses that are contained in 

each system to make agency 

recordkeeping practices transparent, to 

notify individuals regarding the uses to 

which their records are put, and to 

assist individuals to more easily find 

such files within the agency. 

SYSTEM NUMBER: 09–70–0573 

SYSTEM NAME: 

‘‘Chronic Condition Warehouse’’ 

(CCW) HHS/CMS/OEM. 

SECURITY CLASSIFICATION: 

Unclassified 

SYSTEM LOCATION: 

CMS Data Center, 7500 Security 

Boulevard, North Building, First Floor, 

Baltimore, Maryland 21244–1850, and 

at various contractor sites. 

CATEGORIES OF INDIVIDUALS IN THE SYSTEM: 

CCW will collect and maintain 

individually identifiable and other data 

collected on Medicare beneficiaries, 

Medicaid recipients, and individually 

identifiable data on certain health care 

professionals. 

CATEGORIES OF RECORDS IN THE SYSTEM: 

The collected information will 

include, but is not limited to, 

individually identifiable Medicare and 

Medicaid claims, enrollment, and 

eligibility data, including names, 

addresses, health insurance claims 

numbers, social security numbers, race/ 


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ethnicity data, gender, date of birth, 

Medicare Part A, B and C enrollment 

information, prescription drug coverage 

information, surgical procedures, 

diagnoses, provider name(s), unique 

provider identification numbers, 

National Provider Identification 

Numbers (NPI) as well as clinical 

assessment and outcome measures, and 

demographic, health/well-being, and 

background information relating to 

Medicare and Medicaid issues. 

AUTHORITY FOR MAINTENANCE OF THE SYSTEM: 

The CCW is authorized by Sections 

723 of the Medicare Prescription Drug 

Improvement and Modernization Act of 

2003 (MMA) (Pub. L. 108–173), which 

was enacted into law on December 8, 

2003, and amended Title XVIII of the 

Social Security Act (the Act); Section 

1902(a)(6) of the Act; Section 1142(c)(6) 

of the Act; and Title IV of the Balanced 

Budget Act (Pub. L. 105–33). 

PURPOSE(S) OF THE SYSTEM: 

The purpose of this system is to 

support research, policy analysis, 

quality improvement activities, and 

demonstrations that attempt to foster a 

better understanding of how to improve 

the quality of life and contain the health 

care costs of the chronically ill. This 

system will utilize data analytic tools to 

support accessing data by chronic 

conditions and process complex 

customized data requests related to 

chronic illnesses. 

ROUTINE USES OF RECORDS MAINTAINED IN THE

SYSTEM, INCLUDING CATEGORIES OR USERS AND

THE PURPOSES OF SUCH USES: 

A. ENTITIES WHO MAY RECEIVE DISCLOSURES

UNDER ROUTINE USE

The Privacy Act allows CMS to 

disclose information without an 

individual’s consent if the information 

is to be used for a purpose that is 

compatible with the purpose(s) for 

which the information was collected. 

Any such compatible use of data is 

known as a ‘‘routine use’’. The proposed 

routine uses in this system meet the 

compatibility requirement of the Privacy 

Act. We are proposing to establish the 

following routine use disclosures of 

information maintained in the system: 

1. To CMS contractors who have been 

engaged by the agency to assist in the 

performance of a service related to this 

collection and who need to have access 

to the records in order to perform the 

activity. 

2. To another Federal or state agency 

to: 

a. Contribute to the accuracy of CMS’s 

proper payment of Medicare benefits; 

b. Enable such agency to administer a 

Federal health benefits program, or, as 

necessary, to enable such agency to 

fulfill a requirement of a Federal statute 

or regulation that implements a health 

benefits program funded in whole or in 

part with Federal funds; and/or 

c. Assist Federal and/or state officials 

carrying out the Medicaid program. 

3. To an individual or organization 

including grantees of a CMS 

administered grant program that require 

individually identifiable health 

information for use in research projects 

including any evaluation project related 

to the prevention of disease or 

disability, the restoration or 

maintenance of health, or payment 

reform related projects that produces 

generalizable knowledge. 

4. To a healthcare provider who seeks 

patient information for use in care 

coordination and quality improvement 

activities as described at 45 CFR 

164.506(c)(4); 

5. To Quality Improvement 

Organizations (QIO) in connection with 

review of claims, or in connection with 

studies or other review activities 

conducted pursuant to Part B of Title XI 

of the Act, and in performing affirmative 

outreach activities to individuals for the 

purpose of establishing and maintaining 

their entitlement to Medicare benefits or 

health insurance plans. 

6. To a public or private Qualified 

Entity (QE) that uses Medicare claims 

data to evaluate the performance of 

providers of services and suppliers on 

measures of quality, efficiency, 

effectiveness, and resource use; and 

who agrees to meet the requirements 

regarding the transparency of their 

methods and their use and protection of 

Medicare data. 

7. To the Department of Justice (DOJ), 

court or adjudicatory body when: a. The 

agency or any component thereof, or b. 

Any employee of the agency in his or 

her official capacity, or c. Any employee 

of the agency in his or her individual 

capacity where the DOJ has agreed to 

represent the employee, or d. The 

United States Government, is a party to 

litigation or has an interest in such 

litigation, and, by careful review, CMS 

determines that the records are both 

relevant and necessary to the litigation 

and that the use of such records by the 

DOJ, court or adjudicatory body is 

compatible with the purpose for which 

the agency collected the records. 

8. To a CMS contractor (including, but 

not necessarily limited to, Medicare 

Administrative Contractors (MACs)) that 

assists in the administration of a CMSadministered health benefits program, 

when disclosure is deemed reasonably 

necessary by CMS to prevent, deter, 

discover, detect, investigate, examine, 

prosecute, sue with respect to, defend 

against, correct, remedy, or otherwise 

combat fraud or abuse in such program. 

9. To another Federal agency or to an 

instrumentality of any governmental 

jurisdiction within or under the control 

of the United States (including any State 

or local governmental agency), that 

administers, or that has the authority to 

investigate potential fraud or abuse in, 

a health benefits program funded in 

whole or in part by Federal funds, when 

disclosure is deemed reasonably 

necessary by CMS to prevent, deter, 

discover, detect, investigate, examine, 

prosecute, sue with respect to, defend 

against, correct, remedy, or otherwise 

combat fraud or abuse in such programs. 

10. To Federal Departments, agencies 

and their contractors that have a need to 

know the information for the purpose of 

assisting the Department’s efforts to 

respond to a suspected or confirmed 

breach of the security or confidentiality 

of information maintained in this 

system of records, where the 

information disclosed is relevant to and 

necessary for that assistance. 

11. To the U.S. Department of 

Homeland Security (DHS) cyber security 

personnel, if captured in an intrusion 

detection system used by HHS and DHS 

pursuant to the Einstein 2 program. 

12. To public health authorities, and 

those entities acting under a delegation 

of authority from a public health 

authority, when requesting beneficiaryidentifiable information to carry out 

statutorily-authorized public health 

activities pertaining to emergency 

preparedness and response. 

B. ADDITIONAL CIRCUMSTANCES AFFECTING

DISCLOSURE OF PII DATA: 

To the extent that the individual 

claims records in this system contain 

Protected Health Information (PHI) as 

defined by HHS regulation ‘‘Standards 

for Privacy of Individually Identifiable 

Health Information’’ (45 CFR parts 160 

and 164, Subparts A and E), disclosures 

of such PHI that are otherwise 

authorized by these routine uses may 

only be made if, and as, permitted or 

required by the ‘‘Standards for Privacy 

of Individually Identifiable Health 

Information’’ (see 45 CFR 164–512 (a) 

(1)). 

In addition, HHS policy will be to 

prohibit release even of data not directly 

identifiable with a particular individual, 

except pursuant to one of the routine 

uses or if required by law, if CMS 

determines there is a possibility that a 

particular individual can be identified 

through implicit deduction based on 

small cell sizes (instances where the 

patient population is so small that 

individuals could, because of the small 


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size, use this information to deduce the 

identity of a particular individual). 

RETENTION AND DISPOSAL: 

CMS will retain information for a total 

period not to exceed 30 years. All 

claims-related records are encompassed 

by the document preservation order and 

will be retained until notification is 

received from DOJ. 

RETRIEVING, ACCESSING, RETAINING, AND

DISPOSING OF RECORDS IN THE SYSTEM: 

STORAGE: 

All records are stored on electronic 

media. 

RETRIEVABILITY: 

The collected data are retrieved by an 

individual identifier; e.g., beneficiary, 

recipient or provider name, HICN, or 

unique provider identification number 

(NPI). 

SAFEGUARDS: 

CMS has safeguards in place for 

authorized users and monitors such 

users to ensure against excessive or 

unauthorized use. Personnel having 

access to the system have been trained 

in the Privacy Act and information 

security requirements. Employees who 

maintain records in this system are 

instructed not to release data until the 

intended recipient agrees to implement 

appropriate management, operational 

and technical safeguards sufficient to 

protect the confidentiality, integrity and 

availability of the information and 

information systems and to prevent 

unauthorized access. 

This system will conform to all 

applicable Federal laws and regulations 

and Federal, HHS, and CMS policies 

and standards as they relate to 

information security and data privacy. 

These laws and regulations may apply 

but are not limited to: The Privacy Act 

of 1974; and the Federal Information 

Department regulation 45 CFR 5b.7. 

SYSTEM MANAGER AND ADDRESS: 

Director, Data Development and 

Services Group, Office of Information 

Products and Data Analytics (OIPDA), 

OEM, Mail Stop B2–29–04, CMS, 7500 

Security Boulevard, Baltimore, MD 

21244–1849. 

NOTIFICATION PROCEDURE: 

An individual record subject who 

wishes to know if this system contains 

records about him or her should write 

to the system manager who will require 

the system name, HICN, and for 

verification purposes, the subject 

individual’s name (woman’s maiden 

name, if applicable), and SSN 

(furnishing the SSN is voluntary, but it 

may make searching for a record easier 

and prevent delay). 

RECORD ACCESS PROCEDURE: 

An individual seeking access to 

records about him or her in this system 

should use the same procedures 

outlined in Notification Procedures 

above. The requestor should also 

reasonably specify the record contents 

being sought. (These procedures are in 

accordance with Department regulation 

45 CFR 5b.5(a)(2).) 

CONTESTING RECORD PROCEDURES: 

To contest a record, the subject 

individual should contact the system 

manager named above, and reasonably 

identify the record and specify the 

information to be contested. The 

individual should state the corrective 

action sought and the reasons for the 

correction with supporting justification. 

(These procedures are in accordance 

with Department regulation 45 CFR 

5b.7.) 

RECORDS SOURCE CATEGORIES: 

The data collected and maintained in 

this system are retrieved from the 

following databases: Medicare Drug 

Data Processing System, System No. 09– 

70–0553 (73 FR 30943 (May 29, 2008)); 

Medicare Beneficiary Database, System 

No. 09–70–0536 (71 FR 70396 

(December 4, 2006)); Medicare 

Advantage Prescription Drug System, 

System No. 09–70–0588 (76 FR 47190 

(August 4, 2011)); Medicaid Statistical 

Information System, System No. 09–70– 

0541 (71 FR 65527 (November 8, 2006)); 

Retiree Drug Subsidy Program, System 

No. 09–70–0550 (70 FR 41035 (July 15, 

2005)); Common Working File, System 

No. 09–70–0526 (71 FR 64955 

(November 6, 2006)); National Claims 

History, System No. 09–70–0558 (71 FR 

67137 11/20/2006 (November 20, 

2006)); Enrollment Database, System 

No. 09–70–0502 (73 FR 10249 2/26/ 

2008 (February 26, 2008)); Carrier 

Medicare Claims Record, System No. 

09–70–0501 (71 FR 64968 11/6/2006 

(November 6, 2006)); Intermediary 

Medicare Claims Record, System No. 

09–70–0503 (71 FR 648961 (November 

6, 2006)); Unique Physician/Provider 

Identification Number, System No. 09– 

70–0525 (71 FR 66535 (November 15, 

2006)); Medicare Supplier Identification 

File, System No. 09–70–0530 (71 FR 

70404 (December 4, 2006)), A Current 

Beneficiary Survey, System No. 09–70– 

0519 (71 FR 60722 (October 16, 2006)); 

National Plan & Provider Enumerator 

System, System No. 09–70–0555, (75 FR 

30411 (June 1, 2010)); Long Term Care 

MDS, System No. 09–70–0528 (72 FR 

12801 (March 19, 2007)); HHA Outcome 

and Assessment Information Set, 

System No. 09–70–0522 (72 FR 63906 

(November 13, 2007)); and Integrated 

Data Repository, System No. 09–70– 

0571 (71 FR 74915 (December 13, 

2006)); Provider Enrollment Chain and 

Ownership System, System No. 09–70– 

0532 (71 FR 60536 (October 13, 2006); 

Medicare and Medicaid Electronic 

Health Record (EHR) Incentive Program 

National Level Repository, System No. 

09–70–0587 (75 FR 73095 (November 

29, 2010)); Performance Measurement 

and Reporting System, System No. 09– 

70–0584 (74 FR 17672 (April 16, 2009)); 

Encounter Data System, 09–70–0506 (79 

FR 34539 (June 17, 2014)); and National 

Death Index, 09–20–0166 (49 FR 37692 

(September 25, 1984)). 

SYSTEMS EXEMPTED FROM CERTAIN PROVISIONS

OF THE ACT: 

None. 

Celeste Dade-Vinson, 

Health Insurance Specialist, Centers for 

Medicare & Medicaid Services. 

[FR Doc. 2014–25937 Filed 10–30–14; 8:45 am] 

BILLING CODE 4120–03–P 

DEPARTMENT OF HEALTH AND 

HUMAN SERVICES 

Food and Drug Administration 

[Docket No. FDA–2014–N–1072] 

Agency Information Collection 

Activities; Submission for Office of 

Management and Budget Review; 

Comment Request; Application for 

Participation in the Food and Drug 

Administration Commissioner’s 

Fellowship Program 

AGENCY: Food and Drug Administration, 

HHS. 

ACTION: Notice. 

SUMMARY: The Food and Drug 

Administration (FDA) is announcing 

that a proposed collection of 

information has been submitted to the 

Office of Management and Budget 

(OMB) for review and clearance under 

the Paperwork Reduction Act of 1995. 

DATES: Fax written comments on the 

collection of information by December 

1, 2014. 

ADDRESSES: To ensure that comments on 

the information collection are received, 

OMB recommends that written 

comments be faxed to the Office of 

Information and Regulatory Affairs, 

OMB, Attn: FDA Desk Officer, FAX: 

202–395–7285, or emailed to oira_

submission@omb.eop.gov. All 

comments should be identified with the 

OMB control number 0910—New and 


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