Federal Register / Vol. 86, No. 9 / Thursday, January 14, 2021 / Notices 3157 

training. Post-test measures will be 

collected the week of the training (week 

three of the study), one week after the 

training (week four) and at eight and 

nine weeks after the training (weeks 11 

and 12 of the study). Additional posttest measures will include feedback 

about the training and if specific 

behaviors changed. 

Before starting the pretest, the 

respondent will sign an informed 

consent form. The pilot pre-test will 

start with the respondent filling out a 10 

minute online survey that includes four 

short surveys: (1) Demographic 

information and work experience; (2) 

the Epworth Sleepiness Scale; (3) the 

Pittsburgh Sleep Quality Index; and (4) 

a knowledge test. The respondent will 

be fitted with a wrist actigraph, which 

will record activity and estimate the 

times of sleep. The respondents will 

keep an online sleep activity diary and 

wear the actigraph continuously during 

weeks one to four of the study. The 

online sleep activity diary takes 

approximately two minutes a day to 

complete. The sleep diary and actigraph 

are being used together to obtain a more 

accurate timing of respondent’s sleep 

and activity. 

During the third week of the study, 

the respondent will take the 2.5 hour 

online training program. Immediately 

after completing the training, the 

respondent will take the post-test 

knowledge test and will provide 

feedback about the training including 

barriers to using the training 

information and what influential people 

in their life would want them to do with 

the training information. At the end of 

week four, the respondent will return 

the actigraph. No data collection will 

occur during weeks five to 10 of the 

study. 

The second post-test period will be 

weeks 11 and 12 of the study to gather 

longer-term outcomes. At the beginning 

of week 11, the respondents will be 

fitted with an actigraph. The respondent 

will wear the actigraph and complete 

the sleep activity diary for the next 14 

days. At the end of week 12 of the 

study, the respondent will complete the 

Epworth Sleepiness Scale, Pittsburgh 

Sleep Quality Index, and Changes in 

Behaviors After Training. The combined 

response time is five minutes. 

The burden table lists three 10-minute 

meetings during the post-test period 

when they will return the actigraph at 

the end of week four, be fitted with an 

actigraph at the beginning of week 11 

and return it at the end of week 12. The 

respondents will complete the sleep 

activity diary for 42 days total (two 

minutes each day). The total burden 

hours for the diary is 84. 

Study staff will use the findings from 

the pilot test to make improvements to 

the training program. The research team 

will reinforce or expand training 

content that showed less than desired 

results on the pilot test. Potential 

impacts of this project include 

improvements in management practices 

such as the design of work schedules 

and improvements in officers’ personal 

behaviors for coping with the demands 

of shift work and long work hours. The 

total estimated annualized burden hours 

is 334. 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 

Average 

burden per 

response 

(in hours) 

Law enforcement officers ................................ phone call for recruitment & informed consent.60 1 30/60 

Law enforcement officers ................................ Initial meeting ................................................. 60 1 15/60 

Law enforcement officers ................................ Knowledge survey .......................................... 60 2 5/60 

Law enforcement officers ................................ Epworth Sleepiness Scale ............................. 60 2 1/60 

Law enforcement officers ................................ Pittsburgh Sleep Quality Index ...................... 60 2 2/60 

Law enforcement officers ................................ Demographics and work experience ............. 60 1 2/60 

Law enforcement officers ................................ Sleep diary ..................................................... 60 42 2/60 

Law enforcement officers ................................ Online training ................................................ 60 1 150/60 

Law enforcement officers ................................ Feedback about Training, Barriers, and Influential People.60 1 5/60 

Law enforcement officers ................................ Changes in Behaviors after Training ............. 60 1 2/60 

Law enforcement officers ................................ Actigraph fitting and return ............................. 60 3 10/60 

Jeffrey M. Zirger, 

Lead, Information Collection Review Office, 

Office of Scientific Integrity, Office of Science, 

Centers for Disease Control and Prevention. 

[FR Doc. 2021–00690 Filed 1–13–21; 8:45 am] 

BILLING CODE 4163–18–P 

DEPARTMENT OF HEALTH AND 

HUMAN SERVICES 

Centers for Disease Control and 

Prevention 

Notice of Closed Meeting 

Pursuant to section 10(d) of the 

Federal Advisory Committee Act, as 

amended, notice is hereby given of the 

following meeting. 

The meeting will be closed to the 

public in accordance with the 

provisions set forth in sections 

552b(c)(4) and 552b(c)(6), Title 5 U.S.C., 

as amended, and the Determination of 

the Director, Strategic Business 

Initiatives Unit, Office of the Chief 

Operating Officer, CDC, pursuant to 

Public Law 92–463. The grant 

applications and the discussions could 

disclose confidential trade secrets or 

commercial property such as patentable 

material, and personal information 

concerning individuals associated with 

the grant applications, the disclosure of 

which would constitute a clearly 

unwarranted invasion of personal 

privacy. 

Name of Committee: Disease, 

Disability, and Injury Prevention and 

Control Special Emphasis Panel (SEP)— 

Notice of Funding Opportunity (NOFO) 

DP21–003, Reducing Inequities in 

Cancer Outcomes through CommunityBased Interventions on Social 

Determinants of Health. 

Date: April 6, 2021–April 8, 2021. 

Time: 10:00 a.m.–6:00 p.m., EDT. 

Place: Teleconference. 

Agenda: To review and evaluate grant 

applications. 

FOR FURTHER INFORMATION CONTACT: Jaya 

Raman Ph.D., Scientific Review Officer, 

CDC, 4770 Buford Highway, Mailstop 

F80, Atlanta, Georgia 30341, Telephone: 

(770) 488–6511, JRaman@cdc.gov. 


khammond on DSKJM1Z7X2PROD with NOTICES
3158 Federal Register / Vol. 86, No. 9 / Thursday, January 14, 2021 / Notices 

The Director, Strategic Business 

Initiatives Unit, Office of the Chief 

Operating Officer, Centers for Disease 

Control and Prevention, has been 

delegated the authority to sign Federal 

Register notices pertaining to 

announcements of meetings and other 

committee management activities, for 

both the Centers for Disease Control and 

Prevention and the Agency for Toxic 

Substances and Disease Registry. 

Kalwant Smagh, 

Director, Strategic Business Initiatives Unit, 

Office of the Chief Operating Officer, Centers 

for Disease Control and Prevention. 

[FR Doc. 2021–00572 Filed 1–13–21; 8:45 am] 

BILLING CODE 4163–18–P 

DEPARTMENT OF HEALTH AND 

HUMAN SERVICES 

Centers for Medicare & Medicaid 

Services 

[Document Identifier: CMS–43 and CMS– 

381] 

Agency Information Collection 

Activities: Submission for OMB 

Review; Comment Request 

AGENCY: Centers for Medicare & 

Medicaid Services, Health and Human 

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 

(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 February 16, 2021. 

ADDRESSES: Written comments and 

recommendations for the proposed 

information collection should be sent 

within 30 days of publication of this 

notice to www.reginfo.gov/public/do/ 

PRAMain. Find this particular 

information collection by selecting 

‘‘Currently under 30-day Review—Open 

for Public Comments’’ or by using the 

search function. 

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. 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 without change of a 

currently approved collection; Title of 

Information Collection: Application for 

Health Insurance Benefits Under 

Medicare for Individual with Chronic 

Renal Disease and Supporting 

Regulations in 42 CFR; Use: Individuals 

with End-Stage Renal Disease (ESRD) 

have the opportunity to apply for 

Medicare benefits and obtain premiumfree Part A if they meet certain criteria 

outlined in statute. Sections 226A of the 

Act authorizes entitlement for Medicare 

Hospital Insurance (Part A) if the 

individual with ESRD files an 

application for benefits and meets the 

requisite contributions through one’s 

own employment or the employment of 

a related individual to meet the 

statutory definition of a ‘‘currently 

insured’’ individual outlined in section 

214 of the Act. Further, for individuals 

who meet the requirements for 

premium-free Part A entitlement, 

Medicare coverage starts based on the 

dates in which the individual started 

dialysis treatment or had a kidney 

transplant. These statutory provisions 

are codified at 42 CFR 406.7(c)(3) and 

407.13. 

The CMS–43 form is used (in 

conjunction with the CMS–2728, OMB 

control number 0938–0046) to establish 

entitlement to Medicare Part A and 

enrollment in Medicare Part B for 

individuals with ESRD. Form CMS–43 

is only used for initial applications for 

Medicare by individuals diagnosed with 

ESRD. Form CMS–2728 provides the 

medical documentation that the 

individual has ESRD, and it 

accompanies Form CMS–43. 

Form CMS–43 is completed by the 

person applying for Medicare or by an 

SSA representative using information 

provided by the Medicare enrollee 

during an in-person interview. The 

majority of the forms are completed by 

an SSA representative on behalf of the 

individual applying for Medicare 

benefits. Form Number: CMS–43 (OMB 

control number: 0938–0080); Frequency: 

Yearly; Affected Public: State, Local, or 

Tribal Governments; Number of 

Respondents: 20,382; Total Annual 

Responses: 20,382; Total Annual Hours: 

8,560. (For policy questions regarding 

this collection contact Carla Patterson at 

410–786–1000.) 

2. Type of Information Collection 

Request: Revision of a currently 

approved collection; Title of 

Information Collection: Identification of 

Extension Units of Medicare Approved 

Outpatient Physical Therapy/Outpatient 

Speech Pathology (OPT/OSP) Providers 

and Supporting Regulations; Use: Form 

CMS–381 was developed to ensure that 

each OPT/OSP extension location at 

which OPT/OSP providers furnish 

services, must be reported by the 

providers to the State Survey Agencies 

(SAs). Form CMS–381 is completed 

when: (1) New OPT/OSP providers 

enter the Medicare program; (2) when 

existing OPT/OPS providers delete or 

add a service, or close or add an 

extension location; or, (3) when existing 

OPT/OSP providers are recertified by 

the State Survey Agency every 6 years. 

Form Number: CMS–381 (OMB control 

number: 0938–0273); Frequency: 

Occasionally; Affected Public: Private 

Sector; Business or other for-profit and 

not-for-profit institutions; Number of 

Respondents: 2,083; Total Annual 


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