82396 Federal Register / Vol. 75, No. 250 / Thursday, December 30, 2010 / Notices 

box below the ‘‘Currently Under 

Review’’ heading, (4) select ‘‘Federal 

Communications Commission’’ from the 

list of agencies presented in the ‘‘Select 

Agency’’ box, (5) click the ‘‘Submit’’ 

button to the right of the ‘‘Select 

Agency’’ box, (6) when the list of FCC 

ICRs currently under review appears, 

look for the OMB control number of this 

ICR and then click on the ICR Reference 

Number. A copy of the FCC submission 

to OMB will be displayed. 

SUPPLEMENTARY INFORMATION: 

OMB Control Number: 3060–0686. 

Title: International Section 214 

Process and Tariff Requirements, 47 

CFR Sections 63.10, 63.11, 63.13, 63.18, 

63.19, 63.21, 63.24, 63.25 and 1.1311. 

Form No.: FCC Form 214. 

Type of Review: Revision of a 

currently approved collection. 

Respondents: Business or other forprofit. 

Number of Respondents: 1,670 

respondents; 10,264 responses. 

Estimated Time per Response: 0.50– 

16 hours (average). 

Frequency of Response: On occasion 

reporting requirement, recordkeeping 

requirement and third party disclosure 

requirement. 

Obligation to Respond: Required to 

obtain or retain benefits. The statutory 

authority for this collection is contained 

in Sections 1, 4(i), 4(j) 11, 201–205, 211, 

214, 219, 220, 303(r), 309, 310 and 403 

of the Communications Act of 1934, as 

amended, 47 U.S.C. 151, 154(i), 154(j), 

161, 201–205, 21, 214, 219, 220, 303(r), 

309 and 403, and sections 34–39. 

Total Annual Burden: 34,376 hours. 

Total Annual Cost: $3,625,390. 

Privacy Act Impact Assessment: N/A. 

Nature and Extent of Confidentiality: 

There is no need for confidentiality with 

this collection of information. 

Needs and Uses: The Federal 

Communications Commission 

(‘‘Commission’’) is requesting that the 

Office of Management and Budget 

(OMB) approve the revision of OMB 

Control No. 3060–0686 titled, 

‘‘International Section 214 

Authorization Process and Tariff 

Requirements—47 CFR Sections 63.10, 

63.11, 63.13, 63.18, 63.19, 63.21, 63.24, 

63.25 and 1.1311.’’ This information 

collection is being revised to receive 

OMB approval for information 

collection requirements that were 

adopted in the Matter of Amendment of 

Parts 1 and 63 of the Commission’s 

Rules, IB Docket No. 04–47; FCC 07–118 

on June 20, 2007 (released June 22, 

2007). The following information 

collection requirements need OMB 

review and approval: 

Section 63.19(a)(1) states that the 

carrier shall notify all affected 

customers of the planned 

discontinuance, reduction or 

impairment at least 30 days prior to its 

planned action. Notice shall be in 

writing to each affected customer unless 

the Commission authorizes in advance, 

for good cause shown, another form of 

notice. 

Section 63.19(a)(2) states that the 

carrier shall file with this Commission 

a copy of the notification on the date on 

which notice has been given to all 

affected customers. The filing may be 

made by letter (sending an original and 

five copies to the Office of the Secretary, 

and a copy to the Chief, International 

Bureau) and shall identify the 

geographic areas of the planned 

discontinuance, reduction or 

impairment and the authorization(s) 

pursuant to which the carrier provides 

service. 

Section 63.24(c) requires that a 

transfer of control is a transaction in 

which the authorization remains held 

by the same entity, but there is a change 

in the entity or entities that control the 

authorization holder. A change from 

less than 50 percent ownership to 50 

percent or more ownership shall always 

be considered a transfer of control. A 

change from 50 percent or more 

ownership to less than 50 percent 

ownership shall always be considered a 

transfer of control. In all other 

situations, whether the interest being 

transferred is controlling must be 

determined on a case-by-case basis. 

Once a carrier determines that there has 

been a transfer of control, it must file an 

application with the Commission. 

OMB Control Number: 3060–0944. 

Title: Cable Landing License Act, 47 

CFR 1.767 and 1.768; Executive Order 

10530. 

Form No.: N/A. 

Type of Review: Revision of a 

currently approved collection. 

Respondents: Business or other forprofit. 

Number of Respondents: 255 

respondents; 255 responses. 

Estimated Time per Response: 1–16 

hours (average). 

Frequency of Response: On occasion 

reporting requirement; third party 

disclosure requirement and quarterly 

reporting requirement. 

Obligation to Respond: Required to 

obtain or retain benefits. The statutory 

authority for this information collection 

is contained in the Submarine Cable 

Landing License Act of 1921, Executive 

Order 10530, 47 U.S.C. 34–39, 151, 

154(i), 154(j), 155, 225, 303(r), 309 and 

325(e). 

Total Annual Burden: 534 hours. 

Total Annual Cost: $268,545. 

Privacy Act Impact Assessment: N/A. 

Nature and Extent of Confidentiality: 

There is no need for confidentiality with 

this collection of information. 

Needs and Uses: On November 2, 

2010, the Commission released a Recon 

Order titled, ‘‘In the Matter of 

Amendment of Parts 1 and 63 of the 

Commission’s Rules,’’ IB Docket No. 04– 

47, FCC 10–187. In this Recon Order, 

the Commission amended its cable 

landing license application rules and 

application procedures to require 

applicants to certify their compliance 

with the Coastal Zone Management Act 

of 1972 (CZMA), as amended, 16 U.S.C. 

Section 1456. The goal of the CZMA is 

to preserve, protect, develop and, where 

possible, restore and enhance the 

national’s coastal resources. Therefore, 

47 CFR Section 1.767(k)(4) states that 

cable landing license applicants must 

furnish a certification to the 

Commission that the applicant is not 

required to submit a consistency 

certification with any state pursuant to 

the Coastal Zone Management Act. 

Federal Communications Commission. 

Marlene H. Dortch, 

Secretary. 

[FR Doc. 2010–32958 Filed 12–29–10; 8:45 am] 

BILLING CODE 6712–01–P 

FEDERAL MINE SAFETY AND HEALTH 

REVIEW COMMISSION 

Sunshine Act Notice 

TIME AND DATE: 10 a.m., Thursday, 

January 13, 2011. 

PLACE: The Richard V. Backley Hearing 

Room, 9th Floor, 601 New Jersey 

Avenue, NW., Washington, DC. 

STATUS: Open. 

MATTERS TO BE CONSIDERED: The 

Commission will hear oral argument in 

the matter Secretary of Labor v. Ames 

Construction, Inc., Docket No. WEST 

2009–693–M. (Issues include whether a 

non-production operator may be strictly 

liable for a violation occurring in an 

area which the operator allegedly 

controls or supervises.) 

Any person attending this oral 

argument who requires special 

accessibility features and/or auxiliary 

aids, such as sign language interpreters, 

must inform the Commission in advance 

of those needs. Subject to 29 CFR 

2706.150(a)(3) and 2706.160(d). 

CONTACT PERSON FOR MORE INFORMATION: 

Jean Ellen, (202) 434–9950/(202) 708– 


jlentini on DSKJ8SOYB1PROD with NOTICES
Federal Register / Vol. 75, No. 250 / Thursday, December 30, 2010 / Notices 82397 

9300 for TDD Relay/1–800–877–8339 

for toll free. 

Jean H. Ellen, 

Chief Docket Clerk. 

[FR Doc. 2010–33038 Filed 12–28–10; 11:15 am] 

BILLING CODE 6735–01–P 

DEPARTMENT OF HEALTH AND 

HUMAN SERVICES 

Office of the Secretary 

[CMS–2420–NC] 

Medicaid Program: Initial Core Set of 

Health Quality Measures for MedicaidEligible Adults 

AGENCY: Office of the Secretary, HHS. 

ACTION: Notice with comment period. 

SUMMARY: This notice identifies an 

initial core set of health quality 

measures recommended for Medicaideligible adults, as required by section 

2701 of the Affordable Care Act, for 

voluntary use by State programs 

administered under title XIX of the 

Social Security Act (the Act), health 

insurance issuers and managed care 

entities that enter into contracts with 

Medicaid, and providers of items and 

services under these programs. This 

notice also solicits comments on these 

initial measures, on facilitating the use 

of these measures by States and on 

identifying priority areas for measure 

enhancement and development. 

DATES: To be assured consideration, 

comments must be received at one of 

the addresses provided below, no later 

than 5 p.m. on March 1, 2011. 

ADDRESSES: Because of staff and 

resource limitations, we cannot accept 

comments by facsimile (FAX) 

transmission. 

You may submit comments in one of 

two ways (please choose only one of the 

ways listed): 

1. Electronic Mail. 

medicaidadultmeasures@ahrq.hhs.gov. 

2. Regular Mail. Agency for 

Healthcare Research and Quality, 

Attention: Nancy Wilson, Immediate 

Office of the Director, Room 3028, 540 

Gaither Road, Rockville, MD 20850. 

FOR FURTHER INFORMATION CONTACT: 

Nancy Wilson, M.D., M.P.H., 

Coordinator of the Advisory Council 

Subcommittee, at the Agency for 

Healthcare Research and Quality, 540 

Gaither Road, Rockville, MD 20850, 

(301) 427–1310. For press-related 

information, please contact Karen 

Migdail at (301) 427–1855. 

SUPPLEMENTARY INFORMATION: 

I. Background 

On March 23, 2010, President Obama 

signed into law the Patient Protection 

and Affordable Care Act (Affordable 

Care Act) (Pub. L. 111–148). Section 

2701 of the Affordable Care Act added 

new section 1139B to the Social 

Security Act (the Act); section 1139B(a) 

of the Act now mandates that the 

Secretary of Health and Human Services 

(HHS) identify and publish for public 

comment a recommended initial core 

set of health quality measures for 

Medicaid eligible adults. Section 

1139B(b) of the Act, as added by section 

2701 of the Affordable Care Act, 

requires that a recommended initial core 

set be published for public comment by 

January 1, 2011, and that an initial core 

set be published by January 1, 2012. 

In addition, the Affordable Care Act 

mandates that HHS should complete the 

following actions 

—By January 1, 2012: 

• Establish a Medicaid Quality 

Measurement Program to fund 

development, testing, and validation of 

emerging and innovative evidencebased measures. 

—By January 1, 2013: 

• Develop a standardized reporting 

format on the core set and procedures to 

encourage voluntary reporting by the 

States. 

—By January 1, 2014: 

• Annually publish recommended 

changes to the initial core set that shall 

reflect the results of the testing, 

validation, and consensus process for 

the development of adult health quality 

measures. 

—By September 30, 2014: 

• Collect, analyze, and make publicly 

available the information reported by 

the States as required in section 

1139B(d)(1) of the Act. 

Additionally, the statute requires the 

initial core set recommendation to 

consist of existing adult health quality 

measures that are in use under public 

and privately sponsored health care 

coverage arrangements or are part of 

reporting systems that measure both the 

presence and duration of health 

insurance coverage over time and that 

may be applicable to Medicaid-eligible 

adults. 

II. Method for Determining Proposed 

Initial Core Set of Adult Health Quality 

Measures 

The Affordable Care Act parallels the 

requirement under title IV of the 

Children’s Health Insurance Program 

Reauthorization Act (Pub. L. 111–3) to 

identify and publish a recommended 

initial core set of quality measures for 

children in Medicaid and the Children’s 

Health Insurance Program. A similar 

process was used to identify the 

proposed initial core set of adult health 

quality measures. To facilitate an 

evidence-based and transparent process 

for making recommendations, the 

National Advisory Council of the 

Agency for Healthcare Research and 

Quality (AHRQ) created a subcommittee 

(the Subcommittee) for identifying 

quality measures for Medicaid-eligible 

adults. The Subcommittee consisted of 

State Medicaid representatives, health 

care quality experts, and representatives 

of health professional organizations and 

associations. The Subcommittee held a 

public meeting October 18th and 19th 

and considered public comments. The 

Subcommittee’s advice was reported to 

the Chair of AHRQ’s National Advisory 

Council and considered further by the 

Centers for Medicare & Medicaid 

Services (CMS) and staff in the Office of 

the Secretary of HHS prior to this public 

posting. 

The initial core set was developed by 

reviewing measures from nationally 

recognized sources, including measures 

currently endorsed by the National 

Quality Forum (NQF), measures 

submitted by Medicaid medical 

directors, measures currently in use by 

CMS, and measures suggested by the 

Co-Chairs and members of the 

Subcommittee of AHRQ’s National 

Advisory Council. 

In prioritizing measures, the 

Subcommittee considered the needs of 

adults (ages 18 and older) enrolled in 

Medicaid. To help guide the discussion 

of priority health needs within the adult 

populations covered by Medicaid, the 

Subcommittee was divided into four 

workgroups—Maternal/Reproductive 

Health, Overall Adult Health, Complex 

Health Care Needs, and Mental Health 

and Substance Use. The workgroups 

considered potential measurement 

opportunities across the Institute of 

Medicine’s (IOM) eight domains of 

quality: Safe, timely, effective, efficient, 

access, patient and family centeredness, 

care coordination, and infrastructure 

capabilities for health care. The 

Subcommittee also considered how 

health care equity and value (also from 

the IOM) could be reflected in the initial 

measurement set. Ultimately, the 

Subcommittee used the following three 

criteria in voting on the recommended 

measures for the core set: 

• The scientific acceptability of 

measure properties. 

• Feasibility of use by Medicaid. 

• Importance to Medicaid programs. 

The Subcommittee also considered 

whether the measures were currently 

used in other Medicaid quality 


jlentini on DSKJ8SOYB1PROD with NOTICES