Federal Register / Vol. 74, No. 171 / Friday, September 4, 2009 / Notices 45861 

Attention: Document Identifier/OMB 

Control Number, Room C4–26–05, 7500 

Security Boulevard, Baltimore, 

Maryland 21244–1850. 

Dated: August 28, 2009. 

Michelle Shortt, 

Director, Regulations Development Group, 

Office of Strategic Operations and Regulatory 

Affairs. 

[FR Doc. E9–21425 Filed 9–3–09; 8:45 am] 

BILLING CODE 4120–01–P 

DEPARTMENT OF HEALTH AND 

HUMAN SERVICES 

Centers for Medicare & Medicaid 

Services 

[Document Identifier: CMS–10285] 

Agency Information Collection 

Activities: Submission for OMB 

Review; Comment Request 

AGENCY: Centers for Medicare & 

Medicaid Services, HHS. 

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), 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: Revision of a currently 

approved collection; Title of 

Information Collection: Request for 

Expedited Review of Denial of Premium 

Assistance; Use: The American 

Recovery and Reinvestment Act of 2009 

provides for premium assistance and 

expanded eligibility for health benefits 

under both the Consolidated Omnibus 

Budget Reconciliation Act of 1986, 

commonly called COBRA, and 

comparable State continuation coverage 

programs. This premium assistance is 

not paid directly to the covered 

employee or the qualified beneficiary, 

but instead is in the form of a tax credit 

for the health plan, the employer, or the 

insurer. ‘‘Assistance eligible 

individuals’’ pay only 35% of their 

continuation coverage premiums to the 

plan and the remaining 65% is paid 

through the tax credit. 

If an individual requests treatment as 

an assistance eligible individual and the 

employee’s group health plan, 

employer, or insurer denies him or her 

the reduced premium assistance, the 

Secretary of Health and Human Services 

must provide for expedited review of 

the denial upon application to the 

Secretary in the form and manner the 

Secretary provides. The Secretary is 

required to make a determination within 

15 business days after receipt of an 

individual’s application for review. 

The Request for Review If You Have 

Been Denied Premium Assistance (the 

‘‘application’’) is the form that will be 

used by individuals to file their 

expedited review appeals. Each 

individual must complete all 

information requested on the 

application in order for CMS to begin 

reviewing his or her case. An 

application cannot be reviewed if 

sufficient information is not provided. 

Refer to the supporting document 

‘‘Crosswalk of Changes Between Request 

for Expedited Review of Denial of 

Premium Assistance (4/09) and Request 

for Review if You Have Been Denied 

Premium Assistance (6/09)’’ for a list of 

changes: Form Number: CMS–10285 

(OMB#: 0938–1062); Frequency: 

Reporting—Once; Affected Public: 

Individuals and households; Number of 

Respondents: 12,000; Total Annual 

Responses: 12,000; Total Annual Hours: 

12,000. (For policy questions regarding 

this collection contact Jim Mayhew at 

410–786–9244. 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 

e-mail 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 October 5, 2009: OMB, Office of 

Information and Regulatory Affairs, 

Attention: CMS Desk Officer, Fax 

Number: (202) 395–6974, E-mail: 

OIRA_submission@omb.eop.gov. 

Dated: August 28, 2009. 

Michelle Shortt, 

Director, Regulations Development Group, 

Office of Strategic Operations and Regulatory 

Affairs. 

[FR Doc. E9–21423 Filed 9–3–09; 8:45 am] 

BILLING CODE 4120–01–P 

DEPARTMENT OF HEALTH AND 

HUMAN SERVICES 

Centers for Disease Control and 

Prevention 

[60Day–09–0818] 

Proposed Data Collections Submitted 

for Public Comment and 

Recommendations 

In compliance with the requirement 

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

Paperwork Reduction Act of 1995 for 

opportunity for public comment on 

proposed data collection projects, the 

Centers for Disease Control and 

Prevention (CDC) will publish periodic 

summaries of proposed projects. To 

request more information on the 

proposed projects or to obtain a copy of 

the data collection plans and 

instruments, call 404–639–5960 and 

send comments to Maryam I. Daneshvar, 

CDC Acting Reports Clearance Officer, 

1600 Clifton Road, MS–D74, Atlanta, 

GA 30333 or send an e-mail to 

omb@cdc.gov. 

Comments are invited on: (a) Whether 

the proposed collection of information 

is 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. Written comments should 

be received within 60 days of this 

notice. 

Proposed Project 

Cost and Follow-up Assessment of 

Administration on Aging (AoA)- 

Funded Fall Prevention Programs for 

Older Adults—Extension—National 

Center for Injury Prevention and Control 

(NCIPC), Centers for Disease Control 

and Prevention (CDC). 

Background and Brief Description 

CDC received OMB approval for 

Control number 0920–0818 to collect 

data for the Cost and Follow-up 


srobinson on DSKHWCL6B1PROD with NOTICES
45862 Federal Register / Vol. 74, No. 171 / Friday, September 4, 2009 / Notices 

Assessment of Fall Prevention 

Programs. This approval expires on 

7/31/10. At this time we are requesting 

a two year extension to collect data. 

NCIPC seeks to examine cost of 

implementing each of the three AoAfunded fall prevention programs for 

older adults (Stepping On, Moving for 

Better Balance and Matter of Balance) 

and to assess the maintenance of fall 

prevention behaviors among 

participants six months after completing 

the Matter of Balance program. 

To assess the maintenance of fall 

prevention behaviors, CDC’s contractor, 

Booz Allen Hamilton, will conduct 

telephone interviews of 300 Matter of 

Balance program participants six 

months after they have completed the 

program. The interview will assess their 

knowledge and self-efficacy related to 

falls as taught in the course, their 

activity and exercise levels, and their 

reported falls both before and after the 

program. The results of the follow-up 

assessment will determine the extent to 

which preventive behaviors learned 

during the Matter of Balance program 

are maintained and can continue to 

reduce fall risk. 

The cost assessment will calculate the 

lifecycle cost of the Stepping On, 

Moving for Better Balance, and Matter of 

Balance programs. The cost analysis 

will include calculating the investment 

costs required to implement each 

program, as well as the ongoing 

operational costs associated with each 

program. These costs will be allocated 

over a defined period of time, 

depending on the average or standard 

amount of time these programs continue 

to operate (standard lifecycle analysis 

ranges from five to 10 years). The data 

obtained from the lifecycle cost 

calculation will allow us to compare 

program costs and to identify specific 

cost drivers, cost risks, and unique 

financial attributes of each program. 

Local program coordinators for the 

200 sites in each of the AoA-funded 

states will collect the cost data using 

lifecycle cost spreadsheets that will be 

returned to CDC’s contractor for 

analysis. Booz Allen Hamilton has been 

contracted by CDC to conduct the data 

collection and analysis. 

The results of these studies will 

support the replication and 

dissemination of these fall prevention 

programs and enable them to reach 

more older adults. States require data on 

impact and cost in order to obtain 

sustainable and supplemental funding 

to maintain programs after funding from 

AoA ends. 

There are no costs to respondents 

other than their time. 

ESTIMATE OF ANNUALIZED BURDEN HOURS

Type of respondent Form name Number of 

respondents 

Number of 

responses 

Average 

burden 

per response 

(in hours) 

Total burden 

(in hours) 

Program Coordinators ....................... Cost Assessment ............................. 200 1 2 400 

Program Participants ........................ Impact Survey .................................. 300 1 1 300 

Total ........................................... ........................................................... ........................ ........................ ........................ 700 

Dated: August 28, 2009. 

Maryam I. Daneshvar, 

Acting Reports Clearance Officer, Centers for 

Disease Control and Prevention. 

[FR Doc. E9–21377 Filed 9–3–09; 8:45 am] 

BILLING CODE 4163–18–P 

DEPARTMENT OF HEALTH AND 

HUMAN SERVICES 

National Institutes of Health 

Proposed Collection; Comment 

Request; NCCAM Customer Service 

Data Collection 

SUMMARY: Under the provisions of 

Section 3507(a)(1)(D) of the Paperwork 

Reduction Act of 1995, the National 

Center for Complementary and 

Alternative Medicine (NCCAM), the 

National Institutes of Health (NIH), will 

submit to the Office of Management and 

Budget (OMB) a request for review and 

approval of the information collection 

listed below. A notice of this proposed 

information collection was previously 

published in the Federal Register on 

June 26, 2009 (Volume 74, Number 122, 

page 30577). To date, no public 

comments have been received. The 

purpose of this notice is to announce a 

final 30 days for public comment. NIH 

may not conduct or sponsor, and the 

respondent is not required to respond 

to, an information collection that has 

been extended, revised, or implemented 

on or after October 1, 1995, unless it 

displays a currently valid OMB control 

number. 

Proposed Collection 

Title: NCCAM Customer Service Data 

Collection. 

Type of Information Collection 

Request: Revision. 

Need and Use of Information 

Collection: NCCAM provides the public, 

patients, families, health care providers, 

complementary and alternative 

medicine (CAM) practitioners, and 

others with the latest scientifically 

based information on CAM and 

information about NCCAM’s programs 

through a variety of channels, including 

its toll-free telephone information 

service. NCCAM wishes to continue to 

measure customer satisfaction with 

NCCAM telephone interactions and to 

assess which audiences are being 

reached through these channels. This 

effort involves a telephone survey 

consisting of 10 questions, which 25 

percent of all callers are asked to 

answer, for an annual total of 

approximately 983 respondents. 

NCCAM uses the data collected from the 

survey to help program staff measure 

the impact of their communication 

efforts, tailor services to the public and 

health care providers, measure service 

use among special populations, and 

assess the most effective media and 

messages to reach these audiences. 

Frequency of Response: Once. 

Affected Public: Individuals and 

households. 

Type of Respondents: Patients, 

spouses/family/friends of patients, 

health care providers, physicians, CAM 

practitioners, or other individuals 

contacting the NCCAM Clearinghouse. 

The annual reporting burden is as 

follows: 


srobinson on DSKHWCL6B1PROD with NOTICES