32962 Federal Register / Vol. 79, No. 110 / Monday, June 9, 2014 / 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. 2014–13388 Filed 6–6–14; 8:45 am] 

BILLING CODE 4163–18–P 

DEPARTMENT OF HEALTH AND 

HUMAN SERVICES 

Centers for Medicare & Medicaid 

Services 

[Document Identifiers: CMS–1856 and CMS– 

1893, CMS–10068 and CMS–265–11] 

Agency Information Collection 

Activities: Proposed Collection; 

Comment Request 

AGENCY: Centers for Medicare & 

Medicaid 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 

August 8, 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–1856 and CMS–1893 Request for 

Certification in the Medicare and/or 

Medicaid Program to Provide 

Outpatient Physical Therapy and/or 

Speech Pathology Services, and 

Outpatient Physical Therapy—Speech 

Pathology Survey Report 

CMS–10068 Medicare Ombudsman 

Customer Service Feedback Survey 

CMS–265–11 Independent Renal 

Dialysis Facility Cost Report Form 

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. 

Information Collection 

1. Type of Information Collection 

Request: Revision of a currently 

approved collection; Title of 

Information Collection: (CMS–1856) 

Request for Certification in the Medicare 

and/or Medicaid Program to Provide 

Outpatient Physical Therapy and/or 

Speech Pathology Services, and (CMS– 

1893) Outpatient Physical Therapy— 

Speech Pathology Survey Report; Use: 

Form CMS–1856 is used as an 

application to be completed by 

providers of outpatient physical therapy 

and/or speech-language pathology 

services requesting participation in the 

Medicare and Medicaid programs. This 

form initiates the process for obtaining 

a decision as to whether the conditions 

of participation are met as a provider of 

outpatient physical therapy, speechlanguage pathology services, or both. It 

is used by the State agencies to enter 

new providers into the Automated 

Survey Process Environment (ASPEN). 

Form CMS–1893 is used by the State 

survey agency to record data collected 

during an on-site survey of a provider of 

outpatient physical therapy and/or 

speech-language pathology services, to 

determine compliance with the 

applicable conditions of participation, 

and to report this information to the 

Federal government. The form is 

primarily a coding worksheet designed 

to facilitate data reduction and retrieval 

into the ASPEN system. The 

information needed to make 

certification decisions is available to us 

only through the use of information 

abstracted from the form. 

Form Numbers: CMS–1856 and CMS– 

1893 (OMB control number: 0938– 

0065); Frequency: Annually, 

occasionally; Affected Public: Private 

sector—Business or other for-profit and 

Not-for-profit institutions; Number of 

Respondents: 700; Total Annual 

Responses: 700; Total Annual Hours: 

613. (For policy questions regarding this 

collection contact James Cowher at 410– 

786–1948.) 

2. Type of Information Collection 

Request: Reinstatement with change of a 

previously approved collection; Title of 

Information Collection: Medicare 

Ombudsman Customer Service 

Feedback Survey; Use: The Centers for 

Medicare and Medicaid Services 

stresses a continuing need for setting 


ehiers on DSK2VPTVN1PROD with NOTICES
Federal Register / Vol. 79, No. 110 / Monday, June 9, 2014 / Notices 32963 

customer service goals that include 

providing accurate, timely, and relevant 

information to its customers. With these 

goals in mind, we periodically survey 

our customers to ensure that the needs 

of Medicare beneficiaries are being met. 

This survey will be used to measure 

overall satisfaction of the customer 

service that the Medicare Ombudsman 

Group (MOG) within CMS provides to 

Medicare beneficiaries and their 

representatives. The information 

provided will be used by management 

and staff to measure and improve the 

quality and timeliness of responses to 

written and verbal correspondence. 

Form Numbers: CMS–10068 (OMB 

control number: 0938–0894); Frequency: 

Annually, occasionally; Affected Public: 

Private Sector; Business or other forprofit and not-for-profit institutions; 

Number of Respondents: 2,380; Total 

Annual Responses: 2,380; Total Annual 

Hours: 317. (For policy questions 

regarding this collection contact Nancy 

Conn at 410–786–8374.) 

3. Type of Information Collection 

Request: Extension of a currently 

approved collection; Title of 

Information Collection: Independent 

Renal Dialysis Facility Cost Report 

Form; Use: Providers of services 

participating in the Medicare program 

are required under sections 1815(a) and 

1861(v)(1)(A) of the Social Security Act 

(42 U.S.C. 1395g) to submit annual 

information to achieve settlement of 

costs for health care services rendered to 

Medicare beneficiaries. In addition, 

regulations at 42 CFR 413.20 and 413.24 

require adequate cost data and cost 

reports from providers on an annual 

basis. The Independent Renal Dialysis 

Facility Cost Report (Form CMS–265– 

11) cost report is needed to determine 

a provider’s reasonable costs incurred in 

furnishing medical services to Medicare 

beneficiaries. The cost reports are 

required to be filed with the provider’s 

Medicare Administrative Contractor 

(MAC). The functions of the MAC are 

described in section 1816 of the Social 

Security Act. However, the collection of 

data is a secondary function of the cost 

report. We use the data to support 

program operations, payment 

refinement activities, and to make 

Medicare Trust Fund projections. 

Form Numbers: CMS–10068 (OMB 

control number: 0938–0894); Frequency: 

Annually, occasionally; Affected Public: 

Private Sector; Business or other forprofit and not-for-profit institutions; 

Number of Respondents: 2,380; Total 

Annual Responses: 2,380; Total Annual 

Hours: 317. (For policy questions 

regarding this collection contact Gail 

Duncan at 410–786–7278.) 

Dated: June 3, 2014. 

Martique Jones, 

Deputy Director, Regulations Development 

Group, Office of Strategic Operations and 

Regulatory Affairs. 

[FR Doc. 2014–13193 Filed 6–6–14; 8:45 am] 

BILLING CODE 4120–01–P 

DEPARTMENT OF HEALTH AND 

HUMAN SERVICES 

Food and Drug Administration 

[Docket No. FDA–2013–N–1164] 

Agency Information Collection 

Activities; Submission for Office of 

Management and Budget Review; 

Comment Request; Testing 

Communications on Biological 

Products 

AGENCY: Food and Drug Administration, 

HHS. 

ACTION: Notice. 

SUMMARY: The Food and Drug 

Administration (FDA) is announcing 

that a proposed collection of 

information has been submitted to the 

Office of Management and Budget 

(OMB) for review and clearance under 

the Paperwork Reduction Act of 1995. 

DATES: Fax written comments on the 

collection of information by July 9, 

2014. 

ADDRESSES: To ensure that comments on 

the information collection are received, 

OMB recommends that written 

comments be faxed to the Office of 

Information and Regulatory Affairs, 

OMB, Attn: FDA Desk Officer, FAX: 

202–395–7285, or emailed to oira_

submission@omb.eop.gov. All 

comments should be identified with the 

OMB control number 0910–0687. Also 

include the FDA docket number found 

in brackets in the heading of this 

document. 

FOR FURTHER INFORMATION CONTACT: FDA 

PRA Staff, Office of Operations, Food 

and Drug Administration, 8455 

Colesville Rd., COLE–14526, Silver 

Spring, MD 20993–0002, PRAStaff@

fda.hhs.gov. 

SUPPLEMENTARY INFORMATION: In 

compliance with 44 U.S.C. 3507, FDA 

has submitted the following proposed 

collection of information to OMB for 

review and clearance. 

Testing Communications on Biological 

Products—(OMB Control Number 0910– 

0687)—Extension 

FDA is authorized by section 

1003(d)(2)(D) of the Federal Food, Drug, 

and Cosmetic Act (21 U.S.C. 

393(d)(2)(D)) to conduct educational 

and public information programs 

relating to the safety of regulated 

biological products. FDA conducts 

needed research to help ensure that 

such programs have the highest 

likelihood of being effective. FDA 

expects that improving communications 

about biological products will involve 

many research methods, including 

individual indepth interviews, mallintercept interviews, focus groups, selfadministered surveys, gatekeeper 

reviews, and omnibus telephone 

surveys. The information will be used to 

explore concepts of interest and assist in 

the development and modification of 

communication messages and 

campaigns to fulfill the Agency’s 

mission to protect the public health. 

The information collected will serve 

three major purposes. First, as formative 

research it will provide critical 

knowledge needed about target 

audiences to develop messages and 

campaigns about biological product use. 

Knowledge of consumer and health care 

professional decisionmaking processes 

will provide the better understanding of 

target audiences that FDA needs to 

design effective communication 

strategies, messages, and labels. These 

communications will aim to improve 

public understanding of the risks and 

benefits of using biological products by 

providing users with a better context in 

which to place risk information more 

completely. 

Second, as initial testing, it will allow 

FDA to assess the potential effectiveness 

of messages and materials in reaching 

and successfully communicating with 

their intended audiences. Testing 

messages with a sample of the target 

audience will allow FDA to refine 

messages while still in the 

developmental stage. Respondents will 

be asked to give their reaction to the 

messages in either individual or group 

settings. 

Third, as evaluative research, it will 

allow FDA to ascertain the effectiveness 

of the messages and the distribution 

method of these messages in achieving 

the objectives of the message campaign. 

Evaluation of campaigns is a vital link 

in continuous improvement of 

communications at FDA. 

In the Federal Register of October 1, 

2013 (78 FR 60287), FDA published a 

60-day notice requesting public 

comment on the proposed collection of 

information. No comments were 

received. 

FDA estimates the burden of this 

collection of information based on prior 

experience with the various types of 

data collection methods described in 

this document: 


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