45860 Federal Register / Vol. 74, No. 171 / Friday, September 4, 2009 / Notices 

mine workers were asked to identify 

those postures that are least and most 

comfortable/stressful. There is no cost to 

respondents other than their time. The 

total estimated annual burden hours are 

12. 

ESTIMATED ANNUALIZED BURDEN HOURS

Respondent Form name Number of 

respondents 

Number of 

responses per 

respondent 

Average 

burden 

per response 

(in hours) 

Continuous miner operator ............................. Continuous Miner Operator Form .................. 5 1 10/60 

Foreman .......................................................... Foreman Form ............................................... 5 1 10/60 

Maintenance Shift Worker .............................. Maintenance Shift Worker Form .................... 10 1 10/60 

Mobile Bridge Operator ................................... Mobile Bridge Operator Form ........................ 10 1 10/60 

Roof Bolter Operator ....................................... Roof Bolter Operator Form ............................ 14 1 10/60 

Scoop Operator ............................................... Scoop Operator Form .................................... 6 1 10/60 

Shuttle Car Operator ....................................... Shuttle Car Operator Form ............................ 6 1 10/60 

Mechanic ......................................................... Mechanic Form .............................................. 6 1 10/60 

Beltman ........................................................... Beltman Form ................................................. 2 1 10/60 

Dated: August 27, 2009. 

Maryam I. Daneshvar, 

Acting Reports Clearance Officer, Centers for 

Disease Control and Prevention. 

[FR Doc. E9–21376 Filed 9–3–09; 8:45 am] 

BILLING CODE 4163–18–P 

DEPARTMENT OF HEALTH AND 

HUMAN SERVICES 

Centers for Medicare & Medicaid 

Services 

[Document Identifier: CMS–10079 and CMS– 

10293] 

Agency Information Collection 

Activities: Proposed Collection; 

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) 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 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. 

1. Type of Information Collection 

Request: Revision of a currently 

approved collection; Title of 

Information Collection: Hospital Wage 

Index Occupational Mix Survey and 

Supporting Regulations in 42 CFR, 

Section 412.64; Use: Section 304(c) of 

Public Law 106–554 amended section 

1886(d)(3)(E) of the Social Security Act 

to require CMS to collect data every 3 

years on the occupational mix of 

employees for each short-term, acute 

care hospital participating in the 

Medicare program, in order to construct 

an occupational mix adjustment to the 

wage index, for application beginning 

October 1, 2004 (the FY 2005 wage 

index). The purpose of the occupational 

mix adjustment is to control for the 

effect of hospitals’ employment choices 

on the wage index. Refer to the 

summary of changes document for a list 

of current changes. Form Number: 

CMS–10079 (OMB#: 0938–0907); 

Frequency: Reporting—Yearly, 

Biennially and Occasionally; Affected 

Public: Private Sector—Business or 

other for-profits and Not-for-profit 

institutions; Number of Respondents: 

3,522; Total Annual Responses: 3,522; 

Total Annual Hours: 1,690,560. (For 

policy questions regarding this 

collection contact Taimyra Jones at 410– 

786–1562. For all other issues call 410– 

786–1326.) 

2. Type of Information Collection 

Request: New Collection; Title of 

Information Collection: Tribal 

Consultation State Plan Amendment 

Template; Use: Effective July 1, 2009, 

section 5006 of the American Recovery 

and Reinvestment Act of 2009 (Recovery 

Act) amended section 1902(a)(73) of the 

Act to require that certain States utilize 

a process for the State to seek advice on 

a regular, ongoing basis from designees 

of the Indian Health Service (IHS) and 

Urban Indian Organizations concerning 

Medicaid and Children’s Health 

Insurance Program (CHIP) matters 

having a direct effect on them. The 

consultation process is required for the 

37 States in which 1 or more Indian 

Health Programs or Urban Indian 

Organizations furnish health care 

services. The State Medicaid agency for 

each of these States will complete the 

template page and submit it for approval 

as part of a State plan amendment, to 

document how it meets the 

requirements for tribal consultation. 

Form Number: CMS–10293 (OMB#: 

0938–NEW); Frequency: Reporting— 

Once and occasionally; Affected Public: 

State, Local, or Tribal Governments; 

Number of Respondents: 37; Total 

Annual Responses: 37; Total Annual 

Hours: 37. (For policy questions 

regarding this collection contact Mary 

Corddry at 410–786–6618. 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 

at http://www.cms.hhs.gov/ 

PaperworkReductionActof1995, or Email 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. 

In commenting on the proposed 

information collections please reference 

the document identifier or OMB control 

number. To be assured consideration, 

comments and recommendations must 

be submitted in one of the following 

ways by November 3, 2009: 

1. Electronically. You may submit 

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) 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, 


srobinson on DSKHWCL6B1PROD with NOTICES
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