46774 Federal Register / Vol. 74, No. 175 / Friday, September 11, 2009 / Notices 

health information technology vision 

and road to get to the ultimate goal of 

meaningful use of certified electronic 

health records technology. We will be 

sending State Medicaid Directors letters 

and templates for the State Medicaid Hit 

Plan (SMHP), the Planning Advance 

Planning Document (PAPD) and the 

Implementation Advance Planning 

Document (IAPD) to States in an effort 

to request these changes if they so 

choose to make the process as simple as 

possible. Frequency: Yearly, once and/ 

or occasionally; Affected Public: State, 

Tribal and Local governments; Number 

of Respondents: 56; Total Annual 

Responses: 56; Total Annual Hours: 

280. (For policy questions regarding this 

collection contact Donna Schmidt at 

410–786–5532. 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 10, 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, 

Attention: Document Identifier/OMB 

Control Number, Room C4–26–0,5, 7500 

Security Boulevard, Baltimore, 

Maryland 21244–1850. 

Dated: September 4, 2009. 

Michelle Shortt, 

Director, Regulations Development Group, 

Office of Strategic Operations and Regulatory 

Affairs. 

[FR Doc. E9–21956 Filed 9–10–09; 8:45 am] 

BILLING CODE 4120–01–P 

DEPARTMENT OF HEALTH AND 

HUMAN SERVICES 

Centers for Medicare & Medicaid 

Services 

[Document Identifier: CMS–10078, CMS– 

10288, CMS–10289 and CMS–10097] 

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: Extension without change of a 

currently approved collection; Title of 

Information Collection: Matching Grants 

to States for the Operation of High Risk 

Pools; Use: CMS is requiring this 

information as a condition of eligibility 

for grants that were authorized in the 

Trade Act of 2002, the Deficit Reduction 

Act of 2005 and the State High Risk Pool 

Funding Extension Act of 2006. The 

information is necessary to determine if 

a State applicant meets the necessary 

eligibility criteria for a grant as required 

by law. The respondents will be States 

that have a high risk pool as defined in 

sections 2741, 2744, or 2745 of the 

Public Health Service Act. The grants 

will provide funds to States that incur 

losses in the operation of high risk 

pools. High risk pools are set up by 

States to provide health insurance to 

individuals that cannot obtain health 

insurance in the private market because 

of a history of illness; Form Numbers: 

CMS–10078 (OMB#: 0938–0887); 

Frequency: Recordkeeping, Reporting— 

Occasionally; Affected Public: State, 

Local and Tribal Governments; Number 

of Respondents: 31; Total Annual 

Responses: 31; Total Annual Hours: 

1,240. (For policy questions regarding 

this collection contact Paul Scholz at 

410–786–6178. For all other issues call 

410–786–1326.) 

2. Type of Information Collection 

Request: New Collection; Title of 

Information Collection: State Plan PrePrint to Implement Required Dental 

Benefits Pursuant of Children’s Health 

Insurance Program Reauthorizing Act 

(CHIPRA) 2009; Use: Section 501 of 

CHIPRA 2009 amends XXI and requires 

that ‘‘child health assistance provide to 

a targeted low-income child shall 

include coverage of dental services 

necessary to prevent disease and 

promote oral health, restore oral 

structures to health and function, and 

treat emergency conditions.’’ States that 

provide coverage in a separate 

Children’s Health Insurance Program 

may choose between two methods of 

providing the dental services required 

in Section 501. The State may define the 

services in the dental benefit package 

and demonstrate that it includes all the 

required services. Alternatively, the 

State may provide a dental benefit 

package that is equivalent to one of the 

three benchmark packages described in 

the statute. In order to implement one 

of these options and comply with the 

statute, States must amend their State 

Plan using the State Plan pre-print. 

Form Number: CMS–10288 (OMB#: 

0938–NEW); Frequency: Reporting Onetime; Affected Public: State, Local, or 

Tribal Governments; Number of 

Respondents: 51; Total Annual 

Responses: 51; Total Annual Hours: 

1530. (For policy questions regarding 

this collection contact Nancy 

Goetschius at 410–786–0707. For all 

other issues call 410–786–1326.) 

3. Type of Information Collection 

Request: New Collection; Title of 

Information Collection: Optional Dentalonly Supplemental Coverage State Plan 

Amendment Template; Use: CHIPRA 

2009 provides States with an option to 

provide supplemental dental-only 

coverage to children who would be 

eligible to enroll in the State’s 

Children’s Health Insurance Program 

(CHIP), except that they already have 

health insurance coverage, either 

through a group health plan or employer 

sponsored insurance. If the health 

insurance plan the child is enrolled in 

does not provide dental benefits, the 

State may provide the child with the 

same State-defined dental package or 

benchmark benefit plan provided to 

children who are eligible for the entire 

CHIP benefit package. The child will 

only be entitled to the dental services 

provided to other CHIP children. 

In order to choose this option, States 

must comply with all other 


cprice-sewell on DSKGBLS3C1PROD with NOTICES
Federal Register / Vol. 74, No. 175 / Friday, September 11, 2009 / Notices 46775 

requirements of the statute regarding 

cost sharing, income eligibility level, 

absence of a waiting list for their entire 

CHIP program (not just for dental 

coverage), and not providing more 

favorable treatment to children eligible 

for the supplemental dental benefit 

under this option. In order to implement 

this option States must amend their 

State Plan using the Supplemental 

Dental Benefits State Plan Amendment 

Template. Form Number: CMS–10289 

(OMB#: 0938–NEW); Frequency: 

Reporting One-time; Affected Public: 

State, Local, or Tribal Governments; 

Number of Respondents: 51; Total 

Annual Responses: 51; Total Annual 

Hours: 1020. (For policy questions 

regarding this collection contact Nancy 

Goetschius at 410–786–0707. For all 

other issues call 410–786–1326.) 

2. Type of Information Collection 

Request: Revision of a currently 

approved collection; Title of 

Information Collection: The Medicare 

Contractor Provider Satisfaction Survey 

(MCPSS); Use: Section 911 of the 

Medicare Prescription Drug, 

Improvement, and Modernization Act of 

2003 (MMA) mandated that CMS 

develop contract performance 

requirements and standards for 

measuring provider satisfaction. CMS 

developed the MCPSS to meet this 

requirement. Each year CMS obtains 

information from Medicare providers 

and suppliers via a survey about 

satisfaction, attitudes, and perceptions 

regarding the services provided by 

Medicare fee-for-service (FFS) 

contractors, i.e., carriers, fiscal 

intermediaries (FIs), regional home 

health intermediaries (RHHIs), durable 

medical equipment Medicare 

administrative contractors (DME MACs) 

and Part A/Part B MACs. The survey 

focuses on basic business functions 

provided by the Medicare contractors, 

such as provider inquiries, provider 

outreach and education, claims 

processing, appeals, provider 

enrollment, medical review, and 

provider audit and reimbursement. CMS 

uses the survey to monitor its 

contractors and to provide incentives for 

improved performance. 

CMS seeks to minimally revise the 

survey instrument for the 2010 

administration. CMS would like to 

obtain more focused feedback on the 

providers’ perception of their 

interactions with their contractor. By 

narrowing the focus of the questions, 

CMS can provide more specific 

feedback to the contractors in targeted 

areas of performance. Form Number: 

CMS–10097 (OMB#: 0938–0915); 

Frequency: Reporting—Yearly; Affected 

Public: Business or other for-profits and 

Not-for-profit institutions; Number of 

Respondents: 25,000; Total Annual 

Responses: 25,000; Total Annual Hours: 

9,349. (For policy questions regarding 

this collection contact Teresa Mundell 

at 410–786–9176. 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 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. 

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 13, 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: September 4, 2009. 

Michelle Shortt, 

Director, Regulations Development Group, 

Office of Strategic Operations and Regulatory 

Affairs. 

[FR Doc. E9–21954 Filed 9–10–09; 8:45 am] 

BILLING CODE 4120–01–P 

DEPARTMENT OF HEALTH AND 

HUMAN SERVICES 

Agency for Toxic Substances and 

Disease Registry 

[30Day-09–0039] 

Agency Forms Undergoing Paperwork 

Reduction Act Review 

The Agency for Toxic Substances and 

Disease Registry (ATSDR) publishes a 

list of information collection requests 

under review by the Office of 

Management and Budget (OMB) in 

compliance with the Paperwork 

Reduction Act (44 U.S.C. Chapter 35). 

To request a copy of these requests, call 

the CDC/ATSDR Reports Clearance 

Officer at (404) 639–5960 or send an email to omb@cdc.gov. Send written 

comments to the CDC Desk Officer, 

Office of Management and Budget, 

Washington, DC or by fax to (202)395– 

5806. Written comments should be 

received within 30 days of this notice. 

Proposed Project 

Tremolite Asbestos Registry (TAR)— 

Extension—Agency for Toxic 

Substances and Disease Registry 

(ATSDR). 

Background and Brief Description 

The Agency for Toxic Substances and 

Disease Registry (ATSDR) requests an 

extension of data collection and 

procedures for the previously approved 

Tremolite Asbestos Registry (TAR) 

project for an additional three years. 

ATSDR is mandated pursuant to the 

1980 Comprehensive Environmental 

Response Compensation and Liability 

Act (CERCLA) and its 1986 

Amendments, the Superfund 

Amendments and Re-authorization Act 

(SARA), to establish and maintain 

national registries of persons who have 

been exposed to hazardous substances 

in the environment and national 

registries of persons with illnesses or 

health problems resulting from such 

exposure. In 2003, ATSDR created the 

Tremolite Asbestos Registry (TAR) as a 

result of this legislation in an effort to 

provide scientific information about 

potential adverse health effects people 

develop as a result of exposure to the 

amphibole fibers that are found in 

vermiculite mined from Libby, 

Montana. The purpose of the TAR is to 

improve communication with people at 

risk for developing asbestos-related 

diseases subsequent to exposure to 

Libby amphibole and to support 

research activities related to TAR 

registrants. The TAR is currently 

composed of information about former 

vermiculite workers, the people that 

lived with them during their tenure as 

vermiculite workers (i.e., the workers’ 

household contacts), and people who 

participated in screening programs 

funded by ATSDR conducted in Libby 

and other sites that received Libby 

vermiculite. TAR participants are 

interviewed to collect information on 

exposure pathways, tobacco use, and 

health outcomes. The standardized TAR 

survey is administered using a 

computer-assisted personal interview 

instrument. 

The number of annual respondents 

will vary little from year to year. We 

anticipate that 500 persons per year 

could be added during each of the next 

3 years in addition to the 4,500 

registrants already enrolled. These 

newly enrolled respondents will be 

interviewed using the Baseline 

interview instrument. Optimally, one 

third of the follow-up interviews will be 

conducted each year for the next three 

years using the Follow-up interview 

instrument. The maximum burden for 

the baseline survey is 30 minutes and 20 

minutes for the follow-up survey. 


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