Federal Register / Vol. 78, No. 40 / Thursday, February 28, 2013 / Notices 13679 

1. Type of Information Collection 

Request: Extension of a currently 

approved collection; Title of 

Information Collection: Indirect Medical 

Education (IME) and Supporting 

Regulations at 42 CFR 412.105; Direct 

Graduate Medical Education (GME) and 

Supporting Regulations at 412 CFR 

413.75 through 83; Use: Section 

1886(d)(5)(B) of the Social Security Act 

(the Act) requires additional payments 

to be made under the Medicare 

Prospective Payment System (PPS) for 

the indirect medical educational costs a 

hospital incurs in connection with 

interns and residents (IRs) in approved 

teaching programs. In addition, Title 42, 

Part 413, sections 75 through 83 

implement section 1886(d) of the Act by 

establishing the methodology for 

Medicare payment of the cost of direct 

graduate medical educational activities. 

These payments, which are adjustments 

(add-ons) to other payments made to a 

hospital under the PPS, are largely 

determined by the number of full-time 

equivalent (FTE) IRs that work at a 

hospital during its cost reporting period. 

In Federal fiscal year (FY) 2011, the 

estimated Medicare program payments 

for indirect medical education (IME) 

costs amounted to $6.59 billion. 

Medicare program payments for direct 

graduate medical education (GME) are 

also based upon the number of FTE–IRs 

that work at a hospital. In FY 2011, the 

estimated Medicare program payments 

for GME costs amounted to $2.57 

billion. Form Number: CMS–R–64 

(OCN: 0938–0456); Frequency: 

Reporting—Annually; Affected Public: 

Private Sector—Business or other forprofits and Not-for-profit institutions; 

Number of Respondents: 1,075; Total 

Annual Responses: 1075; Total Annual 

Hours: 2,150. (For policy questions 

regarding this collection contact Milton 

Jacobson at 410–786–7553. For all other 

issues call 410–786–1326.) 

2. Type of Information Collection 

Request: Reinstatement of a previously 

approved collection; Title of 

Information Collection: Social Security 

Office (SSO) Report of State Buy-in 

Problem; Use: Under Section 1843 of the 

Social Security Act, States may enter 

into an agreement with the Department 

of Health and Human Services to enroll 

eligible individuals in Medicare and pay 

their premiums. The purpose of the 

State Buy-in’ program is to assure that 

Medicaid is the payer of last resort by 

permitting a State to provide Medicare 

protection to certain groups of needy 

individuals, as part of the State’s total 

assistance plan. State Buy-in also has 

the effect of transferring some medical 

costs for this population from the 

Medicaid program, which is partially 

State funded to the Medicare program, 

which is funded by the federal 

government and individual premiums. 

Generally, the States Buy-in for 

individuals who meet the eligibility 

requirements for Medicare and are cash 

recipients or deemed cash recipients or 

categorically needy under Medicaid. In 

some cases, States may also include 

individuals who are not cash assistance 

recipients under the Medical Assistance 

Only group. The day-to-day operations 

of the State Buy-in program is 

accomplished through an automated 

data exchange process. The automated 

data exchange process is used to 

exchange Medicare and Buy-in 

entitlement information between the 

Social Security District Offices, 

Medicaid State Agencies and the 

Centers for Medicare & Medicaid 

Services. When problems arise however 

that cannot be resolved though the 

normal data exchange process, clerical 

actions are required. The CMS–1957, 

‘‘SSO Report of State Buy-In Problem’’ 

is used to report Buy-in problems cases. 

The CMS–1957 is the only standardized 

form available for communications 

between the aforementioned agencies 

for the resolution of beneficiary 

complaints and inquiries regarding State 

Buy-in eligibility. Form Number: CMS– 

1957 (OCN: 0938–0035); Frequency: 

Reporting—Annually; Affected Public: 

Individuals and Households; Number of 

Respondents: 3,802; Total Annual 

Responses: 3,802; Total Annual Hours: 

1,266. (For policy questions regarding 

this collection contact Lucia DiazRobinson at 410–247–6843. For all other 

issues call 410–786–1326.) 

To obtain copies of the supporting 

statement and any related forms for the 

proposed paperwork collections 

referenced above, access CMS’ Web site 

address at http://www.cms.hhs.gov/ 

PaperworkReductionActof1995, or 

Email your request, including your 

address, phone number, OMB number, 

and CMS document identifier, to 

Paperwork@cms.hhs.gov, or call the 

Reports Clearance Office on (410) 786– 

1326. 

In commenting on the proposed 

information collections please reference 

the document identifier or OMB control 

number. To be assured consideration, 

comments and recommendations must 

be submitted in one of the following 

ways by April 29, 2013: 

1. Electronically. You may submit 

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) 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 lll, Room C4–26– 

05, 7500 Security Boulevard, Baltimore, 

Maryland 21244–1850. 

Dated: February 22, 2013. 

Martique Jones, 

Deputy Director, Regulations Development 

Group, Office of Strategic Operations and 

Regulatory Affairs. 

[FR Doc. 2013–04551 Filed 2–27–13; 8:45 am] 

BILLING CODE 4120–01–P 

DEPARTMENT OF HEALTH AND 

HUMAN SERVICES 

Centers for Medicare & Medicaid 

Services 

[Document Identifier: CMS–10079 and CMS– 

10149] 

Agency Information Collection 

Activities: Submission for OMB 

Review; Comment Request 

AGENCY: Centers for Medicare & 

Medicaid Services, HHS. 

In compliance with the requirement 

of section 3506(c)(2)(A) of the 

Paperwork Reduction Act of 1995, the 

Centers for Medicare & Medicaid 

Services (CMS), Department of Health 

and Human Services, is publishing the 

following summary of proposed 

collections for public comment. 

Interested persons are invited to send 

comments regarding this 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 function; 

(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. 

1. Type of Information Collection 

Request: Revision of a currently 

approved collection; Title of 

Information Collection: Hospital Wage 

Index Occupational Mix Survey and 

Supporting Regulations in 42 CFR, 

Section 412.64; Use: Section 304(c) of 

Public Law 106–554 amended section 

1886(d)(3)(E) of the Social Security Act 

to require CMS to collect data every 3 

years on the occupational mix of 

employees for each short-term, acute 

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13680 Federal Register / Vol. 78, No. 40 / Thursday, February 28, 2013 / Notices 

care hospital participating in the 

Medicare program, in order to construct 

an occupational mix adjustment to the 

wage index, for application beginning 

October 1, 2004 (the FY 2005 wage 

index). The purpose of the occupational 

mix adjustment is to control for the 

effect of hospitals’ employment choices 

on the wage index. Form Number: 

CMS–10079 (OMB#: 0938–0907); 

Frequency: Reporting—Yearly, 

Biennially and Occasionally ; Affected 

Public: Private Sector—Business or 

other for-profits and Not-for-profit 

institutions; Number of Respondents: 

3,500; Total Annual Responses: 3,500; 

Total Annual Hours: 1,680,000. (For 

policy questions regarding this 

collection contact Geri Mondowney at 

410–786–1172. For all other issues call 

410–786–1326.) 

2. Type of Information Collection 

Request: Reinstatement without change 

of a previously approved collection; 

Title of Information Collection: Health 

Insurance Reform: Electronic Security 

Standards; Use: This information 

collection corresponds to existing 

regulations establishing standards for 

the security of electronic protected 

health information to be implemented 

by health plans, health care 

clearinghouses and certain health care 

providers, as required under Title II, 

subtitle F, sections 261 through 264 of 

the Health Insurance Portability and 

Accountability Act of 1996 (HIPAA), 

Public Law 104–191. The use of the 

security standards improves Federal 

health programs, private health 

programs, and the effectiveness and 

efficiency of the health care industry in 

general by establishing a level of 

protection for certain electronic health 

information. This information collection 

request does not propose any changes to 

this information collection related to 

future modifications of the underlying 

HIPAA security standards. Form 

Number: CMS–10149 (OCN: 0938– 

0949); Frequency: Occasionally; 

Affected Public: Business or other forprofit, Not-for-profit institutions, 

Federal Government, and State, Local or 

Tribal Government; Number of 

Respondents: 135,560; Total Annual 

Responses: 285,560; Total Annual 

Hours: 536,743. (For policy questions 

regarding this collection contact 

William Parham at 410–786–4669. For 

all other issues call 410–786–1326.) 

To obtain copies of the supporting 

statement and any related forms for the 

proposed paperwork collections 

referenced above, access CMS Web site 

address at http://www.cms.hhs.gov/ 

PaperworkReductionActof1995, or 

Email your request, including your 

address, phone number, OMB number, 

and CMS document identifier, to 

Paperwork@cms.hhs.gov, or call the 

Reports Clearance Office on (410) 786– 

1326. 

To be assured consideration, 

comments and recommendations for the 

proposed information collections must 

be received by the OMB desk officer at 

the address below, no later than 5 p.m. 

on April 1, 2013. OMB, Office of 

Information and Regulatory Affairs, 

Attention: CMS Desk Officer, Fax 

Number: (202) 395–6974, Email: 

OIRA_submission@omb.eop.gov. 

Dated: February 22, 2013. 

Martique Jones, 

Deputy Director, Regulations Development 

Group, Office of Strategic Operations and 

Regulatory Affairs. 

[FR Doc. 2013–04548 Filed 2–27–13; 8:45 am] 

BILLING CODE 4120–01–P 

DEPARTMENT OF HEALTH AND 

HUMAN SERVICES 

Administration for Children and 

Families 

Submission for OMB Review; 

Comment Request 

Title: Parents and Children 

Together—Discussion Guide. 

OMB No.: 0970–0403. 

Description: The Office of Planning, 

Research, and Evaluation (OPRE), 

Administration for Children and 

Families (ACF), U.S. Department of 

Health and Human Services (HHS), is 

proposing data collection activity as 

part of the Parents and Children 

Together (PACT) Evaluation. 

The PACT project is a formative 

evaluation whose overall objective is to 

document and provide initial 

assessment of selected Responsible 

Fatherhood and Healthy Marriage grant 

programs that were authorized under 

the 2010 Claims Resolution Act. This 

information will be critical to informing 

decisions related to future investments 

in this kind of programming as well as 

the design and operation of such 

services. 

To meet the objective of the study, 

PACT is utilizing three major, 

interrelated evaluation strategies: 

(a) Impact evaluation; 

(b) Implementation evaluation; and 

(c) Qualitative evaluation. 

To collect data for these strategies, 

four instruments have been approved todate, and 14 new instruments are 

proposed through this ICR: 

(1) Selecting Study Grantees 

(discussions with program and 

partner organization staff)— 

APPROVED April 20, 2012 

(2) Introductory Script (for RE program 

staff to discuss with program 

applicants)—APPROVED October 

31, 2012 

(3) Baseline Survey (for RF study 

participants)—APPROVED October 

31, 2012 

(4) Introductory Script (for HM program 

staff to discuss with program 

applicants) 

(5) Baseline Survey (for HM study 

participants) 

(6) RF study Management Information 

System (MIS)—APPROVED October 

31, 2012 

(7) HM study Management Information 

System (MIS) 

(8) Semi-structured interview topic 

guide (for program staff) 

(9) On-line survey (for program staff) 

(10) Telephone interview guide (for 

program staff at referral 

organizations) 

(11) On-line Working Alliance Inventory 

(for program staff and participants) 

(12) Focus group discussion guide (for 

program participants) 

(13) Telephone interview guide (for 

program dropouts) 

(14) In-person, in-depth interview guide 

(for program participants) 

(15) Telephone check-in guide (for 

program participants) 

(16) Semi-structured interview topic 

guide (for program staff) 

(17) Focus group discussion guide (for 

program participants) 

(18) Questionnaire (for program 

participants in focus groups) 

Respondents: Program applicants, 

program participants, program staff, and 

staff at referral agencies. Specific 

respondents per instrument are noted in 

the burden tables below. 

Annual Burden Estimates 

New instruments submitted for 

approval are included in the table 

below. 

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