32118 Federal Register / Vol. 77, No. 105 / Thursday, May 31, 2012 / Notices 

In December 2000, the President 

delegated responsibility for funding, 

staffing, and operating the Advisory 

Board to HHS, which subsequently 

delegated this authority to the CDC. 

NIOSH implements this responsibility 

for CDC. The charter was issued on 

August 3, 2001, renewed at appropriate 

intervals, and will expire on August 3, 

2013. 

Purpose: This Advisory Board is 

charged with (a) providing advice to the 

Secretary, HHS, on the development of 

guidelines under Executive Order 

13179; (b) providing advice to the 

Secretary, HHS, on the scientific 

validity and quality of dose 

reconstruction efforts performed for this 

program; and (c) upon request by the 

Secretary, HHS, advise the Secretary on 

whether there is a class of employees at 

any Department of Energy facility who 

were exposed to radiation but for whom 

it is not feasible to estimate their 

radiation dose, and on whether there is 

reasonable likelihood that such 

radiation doses may have endangered 

the health of members of this class. 

Matters To Be Discussed: The agenda 

for the Advisory Board meeting 

includes: NIOSH Program Update; 

Department of Labor Program Update; 

Department of Energy Program Update; 

NIOSH 10-Year Program Review 

Implementation; SEC petitions for: 

Winchester Engineering and Analytical 

Center (Winchester, MA), Weldon 

Spring Plant (Weldon Spring, MO), 

Hanford (1972–1983), Los Alamos 

National Laboratory, General Steel 

Industries (Granite City, IL), Clarksville 

Facility (Clarksville, TN), Mound Plant, 

Titanium Alloys Manufacturing 

(Niagara Falls, NY), and Medina Facility 

(San Antonio, TX); Non-qualifying SEC 

Petitions and SEC Petitions Status 

Update; Linde Ceramics Work Group 

Site Profile Review; and Board Work 

Sessions. 

The agenda is subject to change as 

priorities dictate. 

In the event an individual cannot 

attend, written comments may be 

submitted in accordance with the 

redaction policy provided below. Any 

written comments received will be 

provided at the meeting and should be 

submitted to the contact person below 

well in advance of the meeting. 

Policy on Redaction of Board Meeting 

Transcripts (Public Comment): (1) If a 

person making a comment gives his or 

her name, no attempt will be made to 

redact that name. (2) NIOSH will take 

reasonable steps to ensure that 

individuals making public comment are 

aware of the fact that their comments 

(including their name, if provided) will 

appear in a transcript of the meeting 

posted on a public Web site. Such 

reasonable steps include: (a) A 

statement read at the start of each public 

comment period stating that transcripts 

will be posted and names of speakers 

will not be redacted; (b) A printed copy 

of the statement mentioned in (a) above 

will be displayed on the table where 

individuals sign up to make public 

comments; (c) A statement such as 

outlined in (a) above will also appear 

with the agenda for a Board Meeting 

when it is posted on the NIOSH Web 

site; (d) A statement such as in (a) above 

will appear in the Federal Register 

Notice that announces Board and 

Subcommittee meetings. (3) If an 

individual in making a statement 

reveals personal information (e.g., 

medical information) about themselves 

that information will not usually be 

redacted. The NIOSH FOIA coordinator 

will, however, review such revelations 

in accordance with the Freedom of 

Information Act and the Federal 

Advisory Committee Act and if deemed 

appropriate, will redact such 

information. (4) All disclosures of 

information concerning third parties 

will be redacted. (5) If it comes to the 

attention of the DFO that an individual 

wishes to share information with the 

Board but objects to doing so in a public 

forum, the DFO will work with that 

individual, in accordance with the 

Federal Advisory Committee Act, to 

find a way that the Board can hear such 

comments. 

CONTACT PERSON FOR MORE INFORMATION: 

Theodore Katz, Executive Secretary, 

NIOSH, CDC, 1600 Clifton Road, M/S E– 

20, Atlanta, Georgia 30333, telephone: 

(513) 533–6800, toll free: 1 (800) CDC– 

INFO, email: dcas@cdc.gov. 

The Director, Management Analysis 

and Services Office, has been delegated 

the authority to sign Federal Register 

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. 

Dated: May 23, 2012. 

Elaine L. Baker, 

Director, Management Analysis and Services 

Office, Centers for Disease Control and 

Prevention. 

[FR Doc. 2012–13154 Filed 5–30–12; 8:45 am] 

BILLING CODE 4163–18–P 

DEPARTMENT OF HEALTH AND 

HUMAN SERVICES 

Centers for Medicare & Medicaid 

Services 

[Document Identifier: CMS–10436 and CMS– 

855B] 

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: New collection; Title of 

Information Collection: Evaluation of 

the Multi-Payer Advanced Primary Care 

Practice Demonstration; Use: On 

September 16, 2009, the Department of 

Health and Human Services announced 

the establishment of the Multi-Payer 

Advanced Primary Care Practice 

(MAPCP) Demonstration, under which 

Medicare joined Medicaid and private 

insurers as a payer participant in statesponsored initiatives to promote the 

principles that characterize advanced 

primary care, often referred to as the 

‘‘patient-centered medical home’’ 

(PCMH). CMS selected eight states to 

participate in this demonstration: 

Maine, Vermont, Rhode Island, New 

York, Pennsylvania, North Carolina, 

Michigan, and Minnesota. These states 

vary on a number of important 

dimensions, such as features of their 

public (Medicaid) and private insurance 

markets, delivery system, prior 

experience with medical home 

initiatives, and nature of their statesponsored multi-payer initiative. 

CMS is conducting an evaluation of 

the demonstration to assess the effects 

of advanced primary care practice when 

supported by Medicare, Medicaid, and 


srobinson on DSK4SPTVN1PROD with NOTICES
Federal Register / Vol. 77, No. 105 / Thursday, May 31, 2012 / Notices 32119 

private health plans. As part of this 

evaluation, qualitative and quantitative 

data will be collected and analyzed to 

answer research questions focused on: 

(1) State initiative features and 

implementation, including various 

payment models; (2) practice 

characteristics, particularly medical 

home transformation; and (3) outcomes, 

including access to and coordination of 

care, clinical quality of care and patient 

safety, beneficiary experience with care, 

patterns of utilization, Medicare and 

Medicaid expenditures, and budget 

neutrality. This information will help 

CMS decide whether the MAPCP 

Demonstration model should be 

expanded under Medicare, and if so, 

what modifications and supports would 

be needed to implement similar 

innovations in other states and practices 

in the future. Form Number: CMS– 

10436 (OCN: 0938–New); Frequency: 

Yearly; Affected Public: Individuals and 

households; Number of Respondents: 

472 ; Total Annual Responses: 472; 

Total Annual Hours: 478 (For policy 

questions regarding this collection 

contact Suzanne Goodwin at 410–786– 

0226. For all other issues call 410–786– 

1326.) 

2. Type of Information Collection 

Request: New collection; Title of 

Information Collection: Medicare 

Enrollment Application for Clinics/ 

Group Practice and Certain Other 

Suppliers; Use: The primary function of 

the CMS–855B enrollment application 

for Clinics, Group Practices and Certain 

Other Suppliers is to gather information 

from the organization that tells us what 

it is, whether it meets certain 

qualifications to be a health care 

supplier, where it renders services and 

information necessary to establish the 

correct claims payment. The goal of 

evaluating and revising the CMS–855B 

enrollment application is to simplify 

and clarify the information collection 

without jeopardizing our need to collect 

specific information. The majority of the 

revisions are very minor in nature such 

as spelling and formatting corrections, 

removal of duplicate fields and 

instruction clarification for the 

organization/group. The Sections and 

Sub-Sections within the form are also 

being re-numbered and re-sequenced to 

create a more logical flow of the data 

collection. In addition, CMS is adding a 

data collection for an address to mail 

the periodic request for the revalidation 

of enrollment information (only if it 

differs from other addresses currently 

collected). Other than the revalidation 

mailing address described above, new 

data being collected in this revision 

package is a checkbox indicating 

whether or not an organization is 

wholly owned or operated by a hospital, 

the inclusion of a new supplier type 

(Centralized Flu Biller) and information 

on, if applicable, where the supplier 

stores its patient records electronically. 

Form Number: CMS–855B (OCN: 0938– 

New); Frequency: Yearly; Affected 

Public: Individuals and households; 

Number of Respondents: 31,000; Total 

Annual Responses: 31,000; Total 

Annual Hours: 103,000 (For policy 

questions regarding this collection 

contact Kim McPhillips at 410–786– 

5374. 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 at (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 July 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: Document Identifier/OMB 

Control Numberllll, Room C4–26– 

05, 7500 Security Boulevard, Baltimore, 

Maryland 21244–1850. 

Dated: May 25, 2012. 

Martique Jones, 

Director, Regulations Development Group, 

Division B, Office of Strategic Operations and 

Regulatory Affairs. 

[FR Doc. 2012–13207 Filed 5–30–12; 8:45 am] 

BILLING CODE 4120–01–P 

DEPARTMENT OF HEALTH AND 

HUMAN SERVICES 

Centers for Medicare & Medicaid 

Services 

[Document Identifier: CMS–R–305] 

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: External Quality 

Review Protocols. Use: The results of 

Medicare reviews, Medicare 

accreditation services, and Medicaid 

external quality reviews will be used by 

States in assessing the quality of care 

provided to Medicaid beneficiaries by 

managed care organizations and to 

provide information on the quality of 

care provided to the general public 

upon request. Protocols 1, 2, 3, 4, 5, 7, 

and the External Quality Review 

Background have been revised since the 

publication of the 60-day Federal 

Register notice on February 17, 2012 (77 

FR 9661). All of the revised protocols 

associated with the 60-day notice and 

this 30-day notice are in draft and must 

not be used until they are approved by 

OMB through the PRA process. Form 

Number: CMS–R–305 (OCN 0938–0786). 

Frequency of Reporting: Yearly. Affected 

Public: State, Local or Tribal 

Governments. Number of Respondents: 

42. Total Annual Responses: 70. Total 

Annual Hours: 415,643. (For policy 

questions regarding this collection 

contact Gary B. Jackson at 410–786– 


srobinson on DSK4SPTVN1PROD with NOTICES