Federal Register / Vol. 75, No. 195 / Friday, October 8, 2010 / Notices 62401 

II. Registration, Security, Building, and 

Parking Guidelines 

For security purposes, members of the 

public who wish to attend the meeting 

must pre-register on-line at http:// 

www.findyouthinfo.gov no later than 

October 12, 2010. Should problems arise 

with Web registration, call the help desk 

at 1–877–231–7843 or send a request to 

register for the meeting to 

FindYouthInfo@air.org. To register, 

complete the online registration form, 

which will ask for your name, title, 

organization or other affiliation, full 

address and phone, fax, and e-mail 

information or e-mail this information 

to FindYouthInfo@air.org. Additional 

identification documents may be 

required. The meetings are held in a 

Federal government building; therefore, 

Federal security measures are 

applicable. In planning your arrival 

time, we recommend allowing 

additional time to clear security. Space 

is limited. In order to gain access to the 

building and grounds, participants must 

bring government-issued photo 

identification as well as their preregistration confirmation. 

Authority: Division F, Pub. L. 111–8; E.O. 

13459, 73 FR 8003, February 12, 2008. 

Dated: September 30, 2010. 

Sherry Glied, 

Assistant Secretary for Planning and 

Evaluation. 

[FR Doc. 2010–25342 Filed 10–7–10; 8:45 am] 

BILLING CODE 4154–05–P 

DEPARTMENT OF HEALTH AND 

HUMAN SERVICES 

Centers for Medicare & Medicaid 

Services 

[Document Identifier: CMS–R–244 and 

CMS–R–249] 

Agency Information Collection 

Activities: Submission for OMB 

Review; Comment Request 

AGENCY: Centers for Medicare & 

Medicaid Services. 

In compliance with the requirement 

of section 3506I(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: Extension of a currently 

approved collection; Title of 

Information Collection: Medicare and 

Medicaid Programs: Programs of AllInclusive Care for the Elderly (PACE); 

Use: PACE organizations must 

demonstrate their ability to provide 

quality community-based care for the 

frail elderly who meet their State’s 

nursing home eligibility standards using 

capitated payments from Medicare and 

the state. The model of care includes as 

core services the provision of adult day 

health care and multidisciplinary team 

case management, through which access 

to and allocation of all health services 

is controlled. Physician, therapeutic, 

ancillary, and social support services 

are provided in the participant’s 

residence or on-site at the adult day 

health center. PACE programs must 

provide all Medicare and Medicaid 

covered services including hospital, 

nursing home, home health, and other 

specialized services. Financing of this 

model is accomplished through 

prospective capitation of both Medicare 

and Medicaid payments. The 

information collection requirements are 

necessary to ensure that only 

appropriate organizations are selected to 

become PACE organizations and that 

CMS has the information necessary to 

monitor the care provided to the frail, 

vulnerable population served. Form 

Number: CMS–R–244 (OMB#: 0938– 

0790); Frequency: Once and 

Occasionally; Affected Public: State, 

Local, or Tribal Governments and Notfor-profit institutions; Number of 

Respondents: 99; Total Annual 

Responses: 99; Total Annual Hours: 

81,911.5. (For policy questions 

regarding this collection contact 

Daniella Stanley at 410–786–3723. For 

all other issues call 410–786–1326.) 

2. Type of Information Collection 

Request: Extension of a currently 

approved collection; Title of 

Information Collection: Hospice Cost 

and Data Report and supporting 

regulations 42 CFR 413.20 and 42 CFR 

413.24; Use: In accordance with sections 

1815(a), 1833(e), and 1861(v)(A)(ii) of 

the Social Security Act, providers of 

service in the Medicare program are 

required to submit annual information 

to achieve reimbursement for health 

care services rendered to Medicare 

beneficiaries. In addition, 42 CFR 

413.20(b) sets forth that cost reports will 

be required from providers on an annual 

basis. Such cost reports are required to 

be filed with the provider’s fiscal 

intermediary (FI) or Medicare 

Administrative Contractor (MAC) no 

later than the last day of the fifth month 

following the close of the period 

covered by the report. Form Number: 

CMS–R–249 (OMB#: 0938–0758); 

Frequency: Yearly; Affected Public: 

Business or other for-profits and Notfor-profit institutions; Number of 

Respondents: 2,303; Total Annual 

Responses: 2,303; Total Annual Hours: 

405,328. (For policy questions regarding 

this collection contact Gail Duncan at 

410–786–7278. 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 November 8, 2010. 

OMB, Office of Information and 

Regulatory Affairs, Attention: CMS Desk 

Officer, Fax Number: (202) 395–6974, Email: OIRA_submission@omb.eop.gov. 

Dated: September 30, 2010. 

Michelle Shortt, 

Director, Regulations Development Group, 

Office of Strategic Operations and Regulatory 

Affairs. 

[FR Doc. 2010–25052 Filed 10–7–10; 8:45 am] 

BILLING CODE 4120–01–P 

DEPARTMENT OF HEALTH AND 

HUMAN SERVICES 

Centers for Medicare & Medicaid 

Services 

[Document Identifier: CMS–18F5, CMS–R– 

262, CMS–10142 and CMS–R–26] 

Agency Information Collection 

Activities: Proposed Collection; 

Comment Request 

AGENCY: Centers for Medicare & 

Medicaid Services. 

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) is publishing the 


erowe on DSK5CLS3C1PROD with NOTICES
62402 Federal Register / Vol. 75, No. 195 / Friday, October 8, 2010 / Notices 

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 functions; 

(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: Extension of a currently 

approved collection; Title of 

Information Collection: Application for 

Hospital Insurance; Use: Individuals 

who are not entitled to or eligible for 

railroad retirement board (RRB) or 

Social Security Administration benefits 

must file an application for Part A. This 

group includes individuals who defer 

filing an application for monthly 

benefits, individuals who are 

transitionally insured, government 

employees who pay only the Hospital 

Insurance portion of the Federal 

Insurance Contributions Act tax and 

individuals eligible for Premium Part A 

for the Working Disabled. The 

Application for Hospital Insurance 

CMS–18F5 was designed to capture all 

the information needed to make a 

determination of an individual’s 

entitlement to Part A and 

Supplementary Medical Insurance (Part 

B). Form Number: CMS–18F5 (OMB#: 

0938–0251); Frequency: Once; Affected 

Public: Individuals or households; 

Number of Respondents: 50,000; Total 

Annual Responses: 50,000; Total 

Annual Hours: 12,495. (For policy 

questions regarding this collection 

contact Naomi Rappaport at 410–786– 

2175. For all other issues call 410–786– 

1326.) 

2. Type of Information Collection 

Request: Revision of a currently 

approved collection; Title of 

Information Collection: CY 2012 Plan 

Benefit Package (PBP) Software and 

Formulary Submission; Use: Under the 

Medicare Modernization Act (MMA), 

Medicare Advantage (MA) and 

Prescription Drug Plan (PDP) 

organizations are required to submit 

plan benefit packages for all Medicare 

beneficiaries residing in their service 

area. The plan benefit package 

submission consists of the Plan Benefit 

Package (PBP) software, formulary file, 

and supporting documentation, as 

necessary. MA and PDP organizations 

use the PBP software to describe their 

organization’s plan benefit packages, 

including information on premiums, 

cost sharing, authorization rules, and 

supplemental benefits. They also 

generate a formulary to describe their 

list of drugs, including information on 

prior authorization, step therapy, 

tiering, and quantity limits. 

Additionally, CMS uses the PBP and 

formulary data to review and approve 

the plan benefit packages proposed by 

each MA and PDP organization. 

CMS requires that MA and PDP 

organizations submit a completed PBP 

and formulary as part of the annual 

bidding process. During this process, 

organizations prepare their proposed 

plan benefit packages for the upcoming 

contract year and submit them to CMS 

for review and approval. Refer to the 

supporting document ‘‘Appendix B’’ for 

a list of changes. Form Number: CMS– 

R–262 (OMB#: 0938–0763); Frequency: 

Yearly; Affected Public: Business or 

other for-profits and not-for-profit 

institutions; Number of Respondents: 

655; Total Annual Responses: 6,878; 

Total Annual Hours: 18,020. (For policy 

questions regarding this collection 

contact Kristy Holtje at 410–786–2209. 

For all other issues call 410–786–1326.) 

3. Type of Information Collection 

Request: Revision of a currently 

approved collection; Title of 

Information Collection: CY 2012 Bid 

Pricing Tool (BPT) for Medicare 

Advantage (MA) Plans and Prescription 

Drug Plans (PDP); Use: Under the 

Medicare Prescription Drug, 

Improvement, and Modernization Act of 

2003 (MMA), and implementing 

regulations at 42 CFR, Medicare 

Advantage organizations (MAO) and 

Prescription Drug Plans are required to 

submit an actuarial pricing ‘‘bid’’ for 

each plan offered to Medicare 

beneficiaries for approval by CMS. 

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. CMS 

reviews and analyzes the information 

provided on the Bid Pricing Tool. 

Ultimately, CMS decides whether to 

approve the plan pricing (i.e., payment 

and premium) proposed by each 

organization. Form Number: CMS– 

10142 (OMB#: 0938–0944); Frequency: 

Yearly; Affected Public: Business or 

other for-profits and not-for-profit 

institutions; Number of Respondents: 

550; Total Annual Responses: 4,950; 

Total Annual Hours: 34,650. (For policy 

questions regarding this collection 

contact Diane Spitalnic at 410–786– 

5745. For all other issues call 410–786– 

1326.) 

4. Type of Information Collection 

Request: Extension of a currently 

approved collection; Title of 

Information Collection: Clinical 

Laboratory Improvement Amendment 

(CLIA) of 1988 and Supporting 

Regulations in 42 CFR 493.1–.2001; Use: 

The information collection requirements 

in 42 CFR 493 outline the requirements 

necessary to determine an entity’s 

compliance with CLIA. CLIA requires 

laboratories that perform testing on 

human beings to meet performance 

requirements (quality standards) in 

order to be certified by the Department 

of Health and Human Services (DHHS). 

DHHS conducts inspections to 

determine a laboratory’s compliance 

with CLIA requirements. CLIA 

implements the certificate, laboratory 

standards and inspection requirements. 

Form Number: CMS–R–26 (OMB#: 

0938–0612); Frequency: Occasionally; 

Affected Public: Federal Government; 

State, Local, or Tribal Governments; 

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

Number of Respondents: 168,688; Total 

Annual Responses: 756,240; Total 

Annual Hours: 11,363,280. (For policy 

questions regarding this collection 

contact Raelene Perfetto at 410–786– 

6876. 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 

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 December 7, 2010: 

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. 


erowe on DSK5CLS3C1PROD with NOTICES
Federal Register / Vol. 75, No. 195 / Friday, October 8, 2010 / Notices 62403 

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. 

Dated: September 30, 2010. 

Michelle Shortt, 

Director, Regulations Development Group, 

Office of Strategic Operations and Regulatory 

Affairs. 

[FR Doc. 2010–25053 Filed 10–7–10; 8:45 am] 

BILLING CODE 4120–01–P 

DEPARTMENT OF HEALTH AND 

HUMAN SERVICES 

Substance Abuse and Mental Health 

Services Administration 

Agency Information Collection 

Activities: Proposed Collection; 

Comment Request 

In compliance with Section 

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

Reduction Act of 1995 concerning 

opportunity for public comment on 

proposed collections of information, the 

Substance Abuse and Mental Health 

Services Administration (SAMHSA) 

will publish periodic summaries of 

proposed projects. To request more 

information on the proposed projects or 

to obtain a copy of the information 

collection plans, call the SAMHSA 

Reports Clearance Officer on (240) 276– 

1243. 

Comments are invited on: (a) Whether 

the proposed collections of information 

are necessary for the proper 

performance of the functions of the 

agency, including whether the 

information shall have practical utility; 

(b) the accuracy of the agency’s estimate 

of the burden of the proposed collection 

of information; (c) ways to enhance the 

quality, utility, and clarity of the 

information to be collected; and 

(d) ways to minimize the burden of the 

collection of information on 

respondents, including through the use 

of automated collection techniques or 

other forms of information technology. 

Proposed Project: 2011–2014 National 

Survey on Drug Use and Health: 

Methodological Field Tests (OMB No. 

0930–0290–Revision) 

The National Survey on Drug Use and 

Health (NSDUH) is a survey of the 

civilian, non-institutionalized 

population of the United States 12 years 

old and older. The data are used to 

determine the prevalence of use of 

tobacco products, alcohol, illicit 

substances, and illicit use of 

prescription drugs. The results are used 

by SAMHSA, ONDCP, Federal 

government agencies, and other 

organizations and researchers to 

establish policy, direct program 

activities, and better allocate resources. 

In March 2008, SAMHSA received a 

three-year renewal of its generic 

clearance for methodological field tests. 

This will be a request for another 

renewal of the generic approval to 

continue methodological tests over the 

next three years, with conditions similar 

to the previous clearance. These 

methodological tests will continue to be 

designed to examine the feasibility, 

quality, and efficiency of new 

procedures or revisions to existing 

survey protocol. Specifically, the tests 

will measure the reliability and validity 

of certain questionnaire sections and 

items through multiple measurements 

on a set of respondents; assess new 

methods for gaining cooperation and 

participation of respondents with the 

goal of increasing response and 

decreasing potential bias in the survey 

estimates; and assess the impact of new 

sampling techniques and technologies 

on respondent behavior and reporting. 

Research will involve focus groups, 

cognitive laboratory testing, field tests, 

and customer surveys. 

The next wave of methodological tests 

will continue to examine ways to 

increase data quality, lower operating 

costs, and gain a better understanding of 

sources and effects of nonsampling error 

on the NSDUH estimates. Particular 

attention will be given to minimizing 

the impact of design changes so that 

survey data continue to remain 

comparable over time. If these tests 

provide successful results, current 

procedures or data collection 

instruments may be revised. 

The number of respondents to be 

included in each field test will vary, 

depending on the nature of the subject 

being tested and the target population. 

However, the total estimated response 

burden is 8,251 hours. The exact 

number of subjects and burden hours for 

each test are unknown at this time, but 

will be clearly outlined in each 

individual submission. The table below, 

however, describes the anticipated 

burden for each of the major testing 

activities for which generic approval is 

being tested. 

ESTIMATED BURDEN FOR NSDUH METHODOLOGICAL FIELD TESTS

Activity Number of 

respondents 

Responses 

per 

respondent 

Total number 

of responses 

Average 

burden per 

response 

(hrs.) 

Total burden 

(hrs.) 

a. Focus Groups .............................................................. 270 1 270 2 .0 540 

b. Cognitive laboratory testing ......................................... 200 1 200 1 .0 200 

c. Field Tests ................................................................... 6,600 1 6,600 1 .0 6,600 

d. Customer Satisfaction Surveys ................................... 300 1 300 0 .25 75 

Household screening for c ............................................... 8,910 1 8,910 0 .083 740 

Screening Verification for c .............................................. 445 1 445 0 .067 30 

Interview Verification for c ............................................... 990 1 990 0 .067 66 

Total .......................................................................... 17,715 ........................ 17,715 .......................... 8,251 

Annual Average (Total divided by 3 years) ....... 5,905 ........................ 5,905 .......................... 2,750 


erowe on DSK5CLS3C1PROD with NOTICES