Federal Register / Vol. 77, No. 170 / Friday, August 31, 2012 / Notices 53203 

only provides de-identified datasets. 

Form Number: CMS–10443 (OCN: 0938- 

New); Frequency: Annual; Affected 

Public: Individuals, Households and 

Private Sector; Number of Respondents: 

12,000; Total Annual Responses: 

24,000; Total Annual Hours: 7,000. (For 

policy questions regarding this 

collection contact JoAnna Baldwin at 

410–786–7205. For all other issues call 

410–786–1326.) 

2. Type of Information Collection 

Request: Reinstatement without change 

of a previously approved collection; 

Title of Information Collection: Health 

Insurance Reform: Electronic Security 

Standards; Use: This information 

collection corresponds to existing 

regulations establishing standards for 

the security of electronic protected 

health information to be implemented 

by health plans, health care 

clearinghouses and certain health care 

providers, as required under title II, 

subtitle F, sections 261 through 264 of 

the Health Insurance Portability and 

Accountability Act of 1996 (HIPAA), 

Public Law 104–191. The use of the 

security standards improves Federal 

health programs, private health 

programs, and the effectiveness and 

efficiency of the health care industry in 

general by establishing a level of 

protection for certain electronic health 

information. This information collection 

request does not propose any changes to 

this information collection related to 

future modifications of the underlying 

HIPAA security standards. Form 

Number: CMS–10149 (OCN: 0938– 

0949); Frequency: Occasionally; 

Affected Public: Business or other forprofit, Not-for-profit institutions, 

Federal Government, and State, Local or 

Tribal Government; Number of 

Respondents: 135,560; Total Annual 

Responses: 285,560; Total Annual 

Hours: 536,743. (For policy questions 

regarding this collection contact 

William Parham at 410–786–4669. 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. 

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 October 30, 2012: 

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: CMS–R–284 (OCN 0938– 

0345), Room C4–26–05, 7500 Security 

Boulevard, Baltimore, Maryland 21244– 

1850. 

Dated: August 28, 2012. 

Martique Jones, 

Director, Regulations Development Group, 

Division B, Office of Strategic Operations and 

Regulatory Affairs. 

[FR Doc. 2012–21594 Filed 8–30–12; 8:45 am] 

BILLING CODE 4120–01–P 

DEPARTMENT OF HEALTH AND 

HUMAN SERVICES 

Centers for Medicare & Medicaid 

Services 

[Document Identifier CMS–359 and CMS– 

360] 

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: Comprehensive 

Outpatient Rehabilitation Facility 

(CORF) Eligibility and Survey Forms. 

Use: CMS–359 serves as the application 

for facilities wishing to participate in 

the Medicare/Medicaid program as 

CORFs. The form initiates the process 

for obtaining a decision as to whether 

the conditions of participation are met. 

It also promotes data reduction (key 

punching) or introduction to and 

retrieval from the Medicare/Medicaid 

Automated Certification System, 

ASPEN, by the CMS Regional Offices. 

Should any question arise regarding the 

structure of the organization, this 

information is readily available without 

going through the process of completing 

the form again. 

CMS–360 is used by the State survey 

agency to record data collected to 

determine provider compliance with 

individual conditions of participation 

and to report it to the federal 

government. CMS has the responsibility 

and authority for certification decisions 

which are based on provider 

compliance with the conditions of 

participation. The information needed 

to make these decisions is available to 

CMS only through the information 

abstracted from the survey checklists. 

The form is primarily a worksheet 

designed to facilitate key punching into 

ASPEN by the state agency after the 

survey is completed. Form Number: 

CMS–359 (CORF Eligibility Form) and 

CMS–360 (CORF Survey Report Form); 

(OCN 0938–0267); Frequency: 

Occasionally. Affected Public: Private 

Sector (Business or other for-profits). 

Number of Respondents: 295. Total 

Annual Responses: 42. Total Annual 

Hours: 137. (For policy questions 

regarding this collection contact Georgia 

Johnson at 410–786–6859. 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 1, 2012. OMB, Office of 

Information and Regulatory Affairs, 

Attention: CMS Desk Officer, Fax 

Number: (202) 395–6974, Email: OIRA_

submission@omb.eop.gov. 


EMCDONALD on DSK67QTVN1PROD with NOTICES
53204 Federal Register / Vol. 77, No. 170 / Friday, August 31, 2012 / Notices 

Dated: August 28, 2012. 

Martique Jones, 

Director, Regulations Development Group, 

Division B, Office of Strategic Operations and 

Regulatory Affairs. 

[FR Doc. 2012–21593 Filed 8–30–12; 8:45 am] 

BILLING CODE 4120–01–P 

DEPARTMENT OF HEALTH AND 

HUMAN SERVICES 

Centers for Medicare & Medicaid 

Services 

[CMS–3274–N] 

Medicare Program; Meeting of the 

Medicare Evidence Development and 

Coverage Advisory Committee— 

November 14, 2012 

AGENCY: Centers for Medicare & 

Medicaid Services (CMS), HHS. 

ACTION: Notice of meeting. 

SUMMARY: This notice announces that a 

public meeting of the Medicare 

Evidence Development & Coverage 

Advisory Committee (MEDCAC) 

(‘‘Committee’’) will be held on 

Wednesday, November 14, 2012. The 

Committee generally provides advice 

and recommendations concerning the 

adequacy of scientific evidence needed 

to determine whether certain medical 

items and services can be covered under 

the Medicare statute. This meeting will 

focus on the use of ventricular assist 

devices (VADs), a clinical strategy for 

the management of heart failure. This 

meeting is open to the public in 

accordance with the Federal Advisory 

Committee Act (5 U.S.C. App. 2, section 

10(a)). 

DATES: Meeting Date: The public 

meeting will be held on Wednesday, 

November 14, 2012 from 7:30 a.m. until 

4:30 p.m., Eastern Standard Time (EST). 

Deadline for Submission of Written 

Comments: Written comments must be 

received at the address specified in the 

ADDRESSES section of this notice by 5 

p.m., Eastern Daylight Time (EDT), 

Monday, October 15, 2012. Once 

submitted, all comments are final. 

Deadlines for Speaker Registration 

and Presentation Materials: The 

deadline to register to be a speaker and 

to submit PowerPoint presentation 

materials and writings that will be used 

in support of an oral presentation is 5:00 

p.m., EDT on Monday, October 15, 

2012. Speakers may register by phone or 

via email by contacting the person listed 

in the FOR FURTHER INFORMATION

CONTACT section of this notice. 

Presentation materials must be received 

at the address specified in the 

ADDRESSES section of this notice. 

Deadline for All Other Attendees 

Registration: Individuals may register 

online at http://www.cms.gov/apps/

events/upcomingevents.

asp?strOrderBy=1&type=3 or by phone 

by contacting the person listed in the 

FOR FURTHER INFORMATION CONTACT

section of this notice by 5 p.m. EST, 

Wednesday, November 7, 2012. We will 

be broadcasting the meeting live via 

Webcast at http://www.cms.gov/live/. 

Deadline for Submitting a Request for 

Special Accommodations: Persons 

attending the meeting who are hearing 

or visually impaired, or have a 

condition that requires special 

assistance or accommodations, are 

asked to contact the Executive Secretary 

as specified in the FOR FURTHER

INFORMATION CONTACT section of this 

notice no later than 5:00 p.m., EDT 

Friday, November 2, 2012. 

ADDRESSES: Meeting Location: The 

meeting will be held in the main 

auditorium of the Centers for Medicare 

& Medicaid Services, 7500 Security 

Boulevard, Baltimore, MD 21244. 

Submission of Presentations and 

Comments: Presentation materials and 

written comments that will be presented 

at the meeting must be submitted via 

email to MedCACpresentations@cms.

hhs.gov or by regular mail to the contact 

listed in the FOR FURTHER INFORMATION

CONTACT section of this notice by the 

date specified in the DATES section of 

this notice. 

FOR FURTHER INFORMATION CONTACT: 

Maria Ellis, Executive Secretary for 

MEDCAC, Centers for Medicare & 

Medicaid Services, Center for Clinical 

Standards and Quality, Coverage and 

Analysis Group, S3–02–01, 7500 

Security Boulevard, Baltimore, MD 

21244 or contact Ms. Ellis by phone 

(410–786–0309) or via email at Maria.

Ellis@cms.hhs.gov. 

SUPPLEMENTARY INFORMATION: 

I. Background 

MEDCAC, formerly known as the 

Medicare Coverage Advisory Committee 

(MCAC), provides advice and 

recommendations to CMS regarding 

clinical issues. (For more information 

on MCAC, see the December 14, 1998 

Federal Register (63 FR 68780). This 

notice announces the Wednesday, 

November 14, 2012, public meeting of 

the Committee. During this meeting, the 

Committee will discuss the use of 

VADs, a clinical strategy for the 

management of heart failure. 

Background information about this 

topic, including panel materials, is 

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

medicare-coverage-database/indexes/

medcac-meetings-index.aspx?bc=

BAAAAAAAAAAA&. CMS will no 

longer be providing paper copies of the 

handouts for the meeting. Electronic 

copies of all the meeting materials will 

be on the CMS Web site no later than 

2 business days before the meeting. We 

encourage the participation of 

appropriate organizations with expertise 

in the use of VADs. 

II. Meeting Format 

This meeting is open to the public. 

The Committee will hear oral 

presentations from the public for 

approximately 45 minutes. Time 

allotted for each presentation may be 

limited. If the number of registrants 

requesting to speak is greater than can 

be reasonably accommodated during the 

scheduled open public hearing session, 

CMS may conduct a lottery to determine 

the speakers for the scheduled open 

public hearing session. The contact 

person will notify interested persons 

regarding their request to speak by 

October 22, 2012. Your comments 

should focus on issues specific to the 

list of topics that we have proposed to 

the Committee. The list of research 

topics to be discussed at the meeting 

will be available on the following web 

site prior to the meeting: http://www.

cms.gov/medicare-coverage-database/

indexes/medcac-meetings-index.

aspx?bc=BAAAAAAAAAAA&. We 

require that you declare at the meeting 

whether you have any financial 

involvement with manufacturers (or 

their competitors) of any items or 

services being discussed. 

The Committee will deliberate openly 

on the topics under consideration. 

Interested persons may observe the 

deliberations, but the Committee will 

not hear further comments during this 

time except at the request of the 

chairperson. The Committee will also 

allow a 15-minute unscheduled open 

public session for any attendee to 

address issues specific to the topics 

under consideration. At the conclusion 

of the day, the members will vote and 

the Committee will make its 

recommendation(s) to CMS. 

III. Registration Instructions 

CMS’ Coverage and Analysis Group is 

coordinating meeting registration. While 

there is no registration fee, individuals 

must register to attend. You may register 

online at http://www.cms.gov/apps/ 

events/upcomingevents.asp?strOrderBy

=1&type=3 or by phone by contacting 

the person listed in the FOR FURTHER

INFORMATION CONTACT section of this 

notice by the deadline listed in the 

DATES section of this notice. Please 

provide your full name (as it appears on 

your state-issued driver’s license), 


EMCDONALD on DSK67QTVN1PROD with NOTICES