Federal Register / Vol. 78, No. 217 / Friday, November 8, 2013 / Notices 67149 

2010, established a Federal program to 

support health monitoring and 

treatment for emergency responders; 

recovery and cleanup workers; and 

residents, building occupants, and area 

workers in New York City who were 

directly impacted and adversely affected 

by the terrorist attacks of September 11, 

2001. Section 3311(a)(2)(C) of the PHS 

Act authorizes the WTC Program 

Administrator (Administrator) to 

develop eligibility criteria for 

enrollment of Shanksville, Pennsylvania 

and Pentagon responders. Pentagon and 

Shanksville responders who believe 

they may be eligible for enrollment in 

the Program must complete an 

enrollment form. The following 

information includes the definition of 

each population: 

• A Pentagon responder is someone 

who was a member of a fire or police 

department (whether fire or emergency 

personnel, active or retired), worked for 

a recovery or cleanup contractor, or was 

a volunteer; and performed rescue, 

recovery, demolition, debris cleanup, or 

other related services at the Pentagon 

site of the terrorist-related aircraft crash 

of September 11, 2001, during the 

period beginning on September 11, 

2001, and ending on November 19, 

2001. 

• A Shanksville responder is 

someone who was a member of a fire or 

police department (whether fire or 

emergency personnel, active or retired), 

worked for a recovery or cleanup 

contractor, or was a volunteer; and 

performed rescue, recovery, demolition, 

debris cleanup, or other related services 

at the Shanksville, Pennsylvania site of 

the terrorist-related aircraft crash of 

September 11, 2001, during the period 

beginning on September 11, 2001, and 

ending on October 3, 2001. 

This information is being collected in 

order to determine the eligibility of 

Pentagon and Shanksville, Pennsylvania 

responders as well as to provide 

program participants with the 

opportunity to appeal. This includes 

individuals’ names, mailing address, 

telephone number, date of birth, and 

gender. 

The World Trade Center Health 

Program (WTCHP) expects to receive 

approximately 1,605 applications in the 

first year. The application is expected to 

take 30 minutes to complete. Of the 

1,605 applications it is expected that 

that 10 percent of those individuals 

found ineligible (4 respondents) will 

appeal the decision. We also expect that 

program participants will request 

certification for 874 health conditions 

each year. Of those 874, it is expected 

that 1 percent (<1) will be denied 

certification by the WTC Program 

Administrator. We further expect that 

such a denial will be appealed 95 

percent of the time. 

Of the projected 454 enrollees who 

will receive medical care, it is estimated 

that 3 percent (14) will appeal a 

determination by the WTC Health 

Program that the treatment being sought 

is not medically necessary. We estimate 

that the appeals letter will take no more 

than 30 minutes to complete. 

Pharmacies will electronically 

transmit reimbursement claims to the 

WTCHP. HHS estimates that 4 

pharmacies will submit reimbursement 

claims for 1,058 prescriptions per year, 

or 265 per pharmacy; we estimate that 

each submission will take 1 minute. 

WTC responders who travel more 

than 250 miles to a nationwide network 

provider for medically necessary 

treatment may be provided necessary 

and reasonable transportation and other 

expenses. These individuals may submit 

a travel refund request form, which 

should take respondents 10 minutes to 

complete. 

There is no cost to respondents other 

than their time. The total estimated 

burden is 831 hours. 

ESTIMATED ANNUALIZED BURDEN HOURS

Type of respondent Form name Number of 

respondents 

Number of 

responses per 

respondent 

Average 

burden per 

response 

(in hours) 

Pentagon or Shanksville, Pennsylvania Responder.World Trade Center Health Program Pentagon & Shanksville, Pennsylvania Responder Eligibility Application.1,605 1 30/60 

Pentagon or Shanksville, Pennsylvania Responder.Appeals to Eligibility Denial ............................ 4 1 30/60 

Pentagon or Shanksville, Pennsylvania Responder.Appeals regarding certification of health conditions.1 1 30/60 

Pentagon or Shanksville, Pennsylvania Responder.Appeals regarding treatment .......................... 14 1 30/60 

Pharmacies ..................................................... Outpatient prescription pharmaceuticals ........ 4 265 1/60 

Pentagon or Shanksville, Pennsylvania Responder.WTC Health Program Medical Travel Refund 

Request.

1 1 10/60 

Kimberly S. Lane, 

Deputy Director, Office of Scientific Integrity, 

Office of the Associate Director for Science, 

Office of the Director, Centers for Disease 

Control and Prevention. 

[FR Doc. 2013–26786 Filed 11–7–13; 8:45 am] 

BILLING CODE 4163–18–P 

DEPARTMENT OF HEALTH AND 

HUMAN SERVICES 

Centers for Medicare & Medicaid 

Services 

[Document Identifier: CMS–R–216] 

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 


TKELLEY on DSK3SPTVN1PROD with NOTICES
67150 Federal Register / Vol. 78, No. 217 / Friday, November 8, 2013 / Notices 

burden estimates 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. 

DATES: Comments must be received by 

January 7, 2014: 

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 ____, 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–R–216 Procedures for Advisory 

Opinions Concerning Physicians’ 

Referrals and Supporting Regulations 

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: Extension of a currently 

approved collection; Title of 

Information Collection: Procedures for 

Advisory Opinions Concerning 

Physicians’ Referrals and Supporting 

Regulations; Use: The information 

collection requirements contained in 42 

CFR 411.372 and 411.373 allow us to 

consider requests for advisory opinions 

and provide accurate and useful 

opinions. The information is read and 

analyzed to develop and issue an 

advisory opinion to the individual or 

entity that submitted the information. 

The primary office using the 

information is the Center for Medicare, 

which is responsible for the issuance of 

advisory opinions. Form Number: CMS– 

R–216 (OCN: 0938–0714); Frequency: 

Occasionally; Affected Public: Private 

sector—Business or other for-profits and 

Not-for-profit institutions; Number of 

Respondents: 25; Total Annual 

Responses: 25; Total Annual Hours: 

500. (For policy questions regarding this 

collection contact Jacqueline Proctor at 

410–786–0661). 

Dated: November 5, 2013. 

Martique Jones 

Deputy Director, Regulations Development 

Group, Office of Strategic Operations and 

Regulatory Affairs. 

[FR Doc. 2013–26829 Filed 11–7–13; 8:45 am] 

BILLING CODE 4120–01–P 

DEPARTMENT OF HEALTH AND 

HUMAN SERVICES 

Centers for Medicare & Medicaid 

Services 

[Document Identifiers: CMS–10171, CMS– 

10207, CMS–10476, CMS–10497, CMS– 

10482, CMS–R–245 and CMS–10495] 

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: (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. 

DATES: Comments on the collection(s) of 

information must be received by the 

OMB desk officer by December 9, 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, 


TKELLEY on DSK3SPTVN1PROD with NOTICES