Federal Register / Vol. 79, No. 133 / Friday, July 11, 2014 / Notices 40105 

Director of applications to be considered 

for funding support; (4) review of 

research portfolios, and (5) review of 

program proposals. 

Matters for Discussion: The Board of 

Scientific Counselors, National Center 

for Injury Prevention and Control (BSC, 

NCIPC) will meet to conduct a 

Secondary Peer Review of extramural 

research grant applications received in 

response to five (5) Funding 

Opportunity Announcements (FOAs) 

‘‘Research to Prevent Prescription Drug 

Overdoses’’, FOA CE14–002; ‘‘Motor 

Vehicle Injury Prevention: Evaluation of 

Increased Nighttime Enforcement of 

Seatbelts Uses’’, FOA CE14–003; 

‘‘Research on Integration of Injury 

Prevention in Health Systems’’, FOA 

CE14–004; ‘‘Evaluating Promising 

Strategies to Build the Evidence Base for 

Sexual Violence Prevention’’, FOA 

CE14–005; and ‘‘Research Grants for 

Preventing Violence and ViolenceRelated Injury’’, FOA CE14–006. 

Applications will be assessed for 

applicability to the Center’s mission and 

programmatic balance. 

Recommendations from the secondary 

review will be voted upon and the 

applications will be forwarded to the 

Acting Center Director for consideration 

for funding support. 

Contact Person for More Information: 

Gwendolyn H. Cattledge, Ph.D., 

M.S.E.H., Deputy Associate Director for 

Science, NCIPC, CDC, 4770 Buford 

Highway NE., Mailstop F–63, Atlanta, 

GA 30341, Telephone (770) 488–1430. 

The Director, Management Analysis 

and Services Office, 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. 

Elaine L. Baker, 

Director, Management Analysis and Services 

Office, Centers for Disease Control and 

Prevention. 

[FR Doc. 2014–16206 Filed 7–10–14; 8:45 am] 

BILLING CODE 4163–18–P 

DEPARTMENT OF HEALTH AND 

HUMAN SERVICES 

Centers for Medicare & Medicaid 

Services 

[Document Identifiers: CMS–10137, CMS– 

10237, CMS–10398 and CMS–10522] 

Agency Information Collection 

Activities: Proposed Collection; 

Comment Request 

AGENCY: Centers for Medicare & 

Medicaid Services, Department of 

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 (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 

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 

September 9, 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–10137 Solicitation for 

Applications for Medicare Prescription 

Drug Plan 2015 Contracts 

CMS–10237 Part C—Medicare 

Advantage and 1876 Cost Plan 

Expansion Application 

CMS–10398 Generic Clearance for 

Medicaid and CHIP State Plan, Waiver, 

and Program Submissions 

CMS–10522 Executive Summary Form 

for Research Identifiable Data 

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. 


tkelley on DSK3SPTVN1PROD with NOTICES
40106 Federal Register / Vol. 79, No. 133 / Friday, July 11, 2014 / Notices 

Information Collection 

1. Type of Information Collection 

Request: Revision of a currently 

approved collection; Title of 

Information Collection: Solicitation for 

Applications for Medicare Prescription 

Drug Plan 2015 Contracts; Use: The 

information will be collected under the 

solicitation of proposals from PDP, MA– 

PD, Cost Plan, PACE, and EGWP 

applicants. We will use the information 

to ensure that applicants meet our 

requirements and support the 

determination of contract awards. 

Participation in the Part D program is 

voluntary in nature. Only organizations 

that are interested in participating in the 

program will respond to the solicitation. 

The MA–PDs that voluntarily 

participate in the Part C program must 

submit a Part D application and 

successful bid. Form Number: CMS– 

10137 (OMB control number: 0938— 

0936); Frequency: Yearly; Affected 

Public: Private sector—Business or other 

for-profits and Not-for-profit 

institutions; Number of Respondents: 

254; Total Annual Responses: 254; Total 

Annual Hours: 2,193. (For policy 

questions regarding this collection 

contact Arianne Spaccarelli at 410–786– 

5715). 

2. Type of Information Collection 

Request: Revision of a currently 

approved collection; Title of 

Information Collection: Part C— 

Medicare Advantage and 1876 Cost Plan 

Expansion Application; Use: The 

information will be collected under the 

solicitation of Part C applications from 

MA, EGWP Plan, and Cost Plan 

applicants and will be used to ensure 

that applicants meet our requirements 

and support the determination of 

contract awards. Participation in all 

programs is voluntary in nature; only 

organizations that are interested in 

participating in the program will 

respond to the solicitation. The MA– 

PDs that voluntarily participate in the 

Part C program must submit a Part D 

application and successful bid. Form 

Number: CMS–10237 (OMB control 

number: 0938–0935); Frequency: Yearly; 

Affected Public: Private sector— 

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

Respondents: 566; Total Annual 

Responses: 566; Total Annual Hours: 

22,625. (For policy questions regarding 

this collection contact Melissa Staud at 

410–786–3669). 

3. Type of Information Collection 

Request: Revision of a currently 

approved collection; Title of 

Information Collection: Generic 

Clearance for Medicaid and CHIP State 

Plan, Waiver, and Program Submissions; 

Use: State Medicaid and CHIP agencies 

are responsible for developing 

submissions to CMS, including State 

plan amendments and requests for 

waivers and program demonstrations. 

States use templates when they are 

available and submit the forms to 

review for consistency with statutory 

and regulatory requirements (or in the 

case of waivers and demonstrations 

whether the proposal is likely to 

promote the objectives of the Medicaid 

program). If the requirements are met, 

we approve the States’ submissions 

giving the States the authority to 

implement the flexibilities. For a State 

to receive Medicaid Title XIX funding, 

there must be an approved Title XIX 

State plan. 

The development of streamlined 

submissions forms enhances the 

collaboration and partnership between 

States and CMS by documenting our 

policy for States to use as they are 

developing program changes. 

Streamlined forms improve efficiency of 

administration by creating a common 

and user-friendly understanding of the 

information we need to quickly process 

requests for State plan amendments, 

waivers, and demonstration, as well as 

ongoing reporting. Form Number: CMS– 

10398 (OMB control number: 0938– 

1148); Frequency: Collection specific, 

but generally the frequency is yearly, 

once, and occasionally; Affected Public: 

State, Local, or Tribal Governments; 

Number of Respondents: 56; Total 

Annual Responses: 1,120; Total Annual 

Hours: 28,747. (For policy questions 

regarding this collection contact 

Annette Pearson at 410–786–6858). 

4. Type of Information Collection 

Request: New collection (Request for a 

new OMB control number); Title of 

Information Collection: Executive 

Summary Form for Research Identifiable 

Data; Use: The Centers for Medicare & 

Medicaid Services (CMS) is responsible 

for administering the Medicare, 

Medicaid and State Children’s Health 

Insurance Programs. We collect data to 

support the Agency’s mission and 

operations. These data include 

information about Medicare 

beneficiaries, Medicare claims, 

Medicare providers, and Medicaid 

eligibility and claims. We disclose the 

identifiable data consistent with the 

routine uses identified in the Privacy 

Act Systems of Records notices that are 

published in the Federal Register and 

the limitations on uses and disclosures 

that are set out in the HIPAA Privacy 

Rule. 

All requests for identifiable data are 

received and reviewed by the Division 

of Privacy Operations & Compliance 

(DPOC) in the Office of E-Health 

Standards and Services. The DPOC staff 

and the CMS Privacy Officer review the 

requests to determine if there is legal 

authorization for disclosure of the data. 

If legal authorization exists, the request 

is reviewed to ensure that the minimal 

data necessary is requested and 

approved for the project. Requests for 

identifiable data for research purposes 

must be submitted to and approved by 

the CMS Privacy Board. To assist the 

CMS Privacy Board with its review of 

research data requests, OIPDA has 

developed the Executive Summary (ES) 

forms. The ES collects all the 

information that the CMS Privacy Board 

needs to review and make a 

determination on whether the request 

meets the requirements for release of 

identifiable data for research purposes. 

We currently have three versions of the 

ES Form and an ES Supplement for 

Requestors of the National Death Index 

(NDI) Causes of Death Variables. Each 

meets the need for a different type of 

requestor. Form Number: CMS–10522 

(OMB control number: 0938–New); 

Frequency: On occasion; Affected 

Public: State, Local, or Tribal 

Governments; Number of Respondents: 

325; Total Annual Responses: 325; Total 

Annual Hours: 650. (For policy 

questions regarding this collection 

contact Kim Elmo at 410–786–0161). 

Dated: July 3, 2014. 

Martique Jones, 

Deputy Director, Regulations Development 

Group, Office of Strategic Operations and 

Regulatory Affairs. 

[FR Doc. 2014–16076 Filed 7–10–14; 8:45 am] 

BILLING CODE 4120–01–P 

DEPARTMENT OF HEALTH AND 

HUMAN SERVICES 

Centers for Medicare & Medicaid 

Services 

[Document Identifiers: CMS–304/CMS–304a, 

CMS–368/CMS–R–144 and CMS–10517] 

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 


tkelley on DSK3SPTVN1PROD with NOTICES