Federal Register / Vol. 78, No. 125 / Friday, June 28, 2013 / Notices 38983 

Name CAS 

1 ........................................... Hexachlorobenzene (UPDATE) ........................................................................................................ 118–74–1 

2 ........................................... Endosulfan (UPDATE) ...................................................................................................................... 115–29–7 

Endosulfan sulfate ............................................................................................................................ 1031–07–8 

Endosulfan-alpha .............................................................................................................................. 95–99–98 

Endosulfan-beta ................................................................................................................................ 33213–65–9 

3 ........................................... 1,1-Dichloroethane (UPDATE) .......................................................................................................... 75–34–3 

4 ........................................... Dinitrotoluenes (DNT) (UPDATE).

2,3-DNT ............................................................................................................................................. 602–01–7 

2,4-DNT ............................................................................................................................................. 121–14–2 

2,5-DNT ............................................................................................................................................. 619–15–8 

2,6-DNT ............................................................................................................................................. 606–20–2 

3,4-DNT ............................................................................................................................................. 610–39–9 

3,5-DNT ............................................................................................................................................. 618–85–9 

Dated: June 21, 2013. 

Sascha Chaney, 

Acting Director, Office of Policy, Planning 

and Evaluation, National Center for 

Environmental Health/Agency for Toxic 

Substances and Disease Registry. 

[FR Doc. 2013–15523 Filed 6–27–13; 8:45 am] 

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DEPARTMENT OF HEALTH AND 

HUMAN SERVICES 

Centers for Disease Control and 

Prevention 

World Trade Center Health Program 

Scientific/Technical Advisory 

Committee (WTCHP–STAC) 

Correction: This notice was published 

in the Federal Register on June 21, 

2013, Volume 78, Number 120, Page 

37543. The name of the committee was 

inadvertently stated as Board of 

Scientific Counselors, National Center 

for Injury Prevention and Control, (BSC, 

NCIPC) and the name of the Committee 

should read World Trade Center Health 

Program Scientific/Technical Advisory 

Committee (WTCHP–STAC), 

Contact Person for More Information: 

Paul Middendorf, Senior Health 

Scientist, 1600 Clifton Rd. NE., MS: E– 

20, Atlanta, GA 30329; telephone (404) 

498–2548 (this is not a toll-free 

number); email: pmiddendorf@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 Agency for Toxic 

Substances and Disease Registry. 

Elaine L. Baker, 

Director, Management Analysis and Services 

Office Centers for Disease Control and 

Prevention. 

[FR Doc. 2013–15455 Filed 6–27–13; 8:45 am] 

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DEPARTMENT OF HEALTH AND 

HUMAN SERVICES 

Centers for Medicare & Medicaid 

Services 

[Document Identifiers: CMS–10105, CMS– 

10467, CMS–10469, CMS–10325 and CMS– 

10330] 

Agency Information Collection 

Activities: Submission for OMB 

Review; Comment Request 

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 

(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 

a second opportunity for public 

comment on the notice. Interested 

persons are invited to send comments 

regarding the 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. 

DATES: Comments on the collection(s) of 

information must be received by the 

OMB desk officer by July 29, 2013. 

ADDRESSES: When commenting on the 

proposed information collections, 

please reference the document identifier 

or OMB control number. To be assured 

consideration, comments and 

recommendations must be received by 

the OMB desk officer via one of the 

following transmissions: OMB, Office of 

Information and Regulatory Affairs, 

Attention: CMS Desk Officer, Fax 

Number: (202) 395–6974 OR Email: 

OIRA_submission@omb.eop.gov. 

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: Under the 

Paperwork Reduction Act of 1995 (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 (44 U.S.C. 

3506(c)(2)(A)) requires federal agencies 

to publish a 30-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 that summarizes 

the following proposed collection(s) of 

information for public comment: 

1. Type of Information Collection 

Request: Reinstatement with change of a 

previously approved collection; Title of 


tkelley on DSK3SPTVN1PROD with NOTICES
38984 Federal Register / Vol. 78, No. 125 / Friday, June 28, 2013 / Notices 

Information Collection: National 

Implementation of In-Center 

Hemodialysis CAHPS Survey; Use: Data 

collected in the national 

implementation of the In-center 

Hemodialysis Consumer Assessment of 

Healthcare Providers and Systems 

(CAHPS) Survey will be used to: (1) 

Provide a source of information from 

which selected measures can be 

publicly reported to beneficiaries as a 

decision aid for dialysis facility 

selection; (2) aid facilities with their 

internal quality improvement efforts 

and external benchmarking with other 

facilities; (3) provide CMS with 

information for monitoring and public 

reporting purposes; and (4) support the 

end-stage renal disease value-based 

purchasing program. In the April 19, 

2013 (78 FR 23566) Federal Register, 

this information collection request was 

inadvertently published as a new 

collection under CMS–10478 (OCN: 

0938–New). We will not continue 

seeking approval for the information 

collection request under CMS–10478. 

The CMS–10105 was discontinued in 

2007, but we are now seeking to have 

it reinstated. 

Form Number: CMS–10105 (OCN: 

0938–0926). 

Frequency: Occasionally; 

Affected Public: Individuals or 

households; 

Number of Respondents: 165,000; 

Total Annual Responses: 165,000; 

Total Annual Hours: 87,750. (For 

policy questions regarding this 

collection contact Elizabeth Goldstein at 

410–786–6665.) 

2. Type of Information Collection 

Request: New collection (Request for a 

new OMB control number); 

Title of Information Collection: 

Evaluation of the Graduate Nurse 

Education Demonstration Program; 

Use: The Graduate Nurse Education 

(GNE) Demonstration is mandated 

under Section 5509 of the Affordable 

Care Act (ACA) under title XVIII of the 

Social Security Act (42 U.S.C. 1395 et 

seq.). According to Section 5509 of the 

ACA, the five selected demonstration 

sites receive ‘‘payment for the hospital’s 

reasonable costs for the provision of 

qualified clinical training to advance 

practice registered nurses’’. Section 

5509 of the ACA also states that an 

evaluation of the graduate nurse 

education demonstration must be 

completed no later than October 17, 

2017. This evaluation includes analysis 

of the following: (1) Growth in the 

number of advanced practice registered 

nurses (APRNs) with respect to a 

specific base year as a result of the 

demonstration; (2) growth for each of 

the following specialties: clinical nurse 

specialist, nurse practitioner, certified 

nurse anesthetist, certified nursemidwife; and (3) costs to the Medicare 

program as result of the demonstration. 

Quantitative and qualitative data from 

primary and secondary sources will be 

gathered and analyzed for this 

evaluation. The primary data will be 

collected through site visits, key 

stakeholder interviews, small discussion 

groups and focus groups, telephone 

interviews, electronic templates for 

quantitative data submission, and 

quarterly demonstration-site reports. 

The secondary data will come from 

mandatory hospital cost reports 

provided to both us and several other 

existing secondary data sources, such as 

the American Association of Colleges of 

Nursing (AACN). 

Form Number: CMS–10467 (OCN: 

0938–NEW); 

Frequency: Annually; 

Affected Public: State, Local, or Tribal 

Governments, Business and other forprofit and Not-for-profit institutions; 

Number of Respondents: 330; 

Total Annual Responses: 330; 

Total Annual Hours: 3,370. (For 

policy questions regarding this 

collection contact Pauline KarikariMartin at 410–786–1040.) 

3. Type of Information Collection 

Request: New collection (Request for a 

new OMB control number); 

Title of Information Collection: Issuer 

Reporting Requirements for Selecting a 

Cost-Sharing Reductions Reconciliation 

Methodology; Use: Under established 

Department of Health and Human 

Services (HHS) regulations, qualified 

health plan (QHP) issuers will receive 

advance payments of the cost-sharing 

reductions throughout the year. Each 

issuer will then be subject to one of two 

reconciliation processes after the year to 

ensure that HHS reimbursed each issuer 

the correct advance cost-sharing 

amount. This information collection 

request establishes the data collection 

requirements for a QHP issuer to report 

to HHS which reconciliation reporting 

option the issuer will be subject to for 

a given benefit year. 

On March 23, 2010, the President 

signed into law H.R. 3590, the Patient 

Protection and Affordable Care Act 

(Affordable Care Act), Public Law 111– 

148. Sections 1402 and 1412 of the 

Affordable Care Act provide for 

reductions in cost sharing on essential 

health benefits for low- and moderateincome enrollees in silver level 

qualified health plans on individual 

market Exchanges. It also provides for 

reductions in cost sharing for Indians 

enrolled in QHPs at any metal level. 

These cost-sharing reductions will help 

eligible individuals and families afford 

the out-of-pocket spending associated 

with health care services provided 

through Exchange-based QHP coverage. 

The law directs QHP issuers to notify 

the Secretary of HHS of cost-sharing 

reductions made under the statute for 

qualified individuals, and directs the 

Secretary to make periodic and timely 

payments to the QHP issuer equal to the 

value of those reductions. Further, the 

law permits advance payment of the 

cost-sharing reduction amounts to QHP 

issuers based upon amounts specified 

by the Secretary. 

On December 7, 2012, HHS published 

a proposed rule (77 FR 73118) entitled 

‘‘HHS Notice of Benefit and Payment 

Parameters for 2014.’’ This rule 

proposed a payment approach under 

which we would make monthly advance 

payments to issuers to cover projected 

cost-sharing reduction amounts, and 

then reconcile those advance payments 

after the end of the benefit year to the 

actual cost-sharing reduction amounts. 

The reconciliation process described in 

the rule would require that QHP issuers 

provide us with the amount of costsharing paid by each enrollee, as well as 

the level of cost-sharing that enrollee 

would have paid under a standard plan 

without cost-sharing reductions. To 

determine the amount of cost-sharing an 

enrollee receiving cost-sharing 

reductions would have paid under a 

standard plan, QHP issuers would need 

to re-adjudicate each claim for these 

enrollees under a standard plan 

structure. HHS finalized the proposed 

notice of benefit and payment 

parameters for 2014 and this approach 

on March 11, 2013 (78 FR 15410). 

During the comment period for the 

proposed rule, HHS received numerous 

comments suggesting that the reporting 

requirements of the reconciliation 

process for QHP issuers would be 

operationally challenging for some 

issuers. In response to these comments, 

HHS issued an interim final rule (CMS– 

9964–IFC) with comment period on 

March 11, 2013 (78 FR 15541) entitled 

‘‘Amendments to the HHS Notice of 

Benefit and Payment Parameters for 

2014,’’ which laid out an alternative 

approach that QHP issuers may elect to 

pursue with respect to the reporting 

requirements. This alternative approach 

would allow a QHP issuer to estimate 

the amount of cost-sharing an enrollee 

receiving cost-sharing reductions would 

have paid under a standard plan in the 

Exchange, rather than re-adjudicating 

each of the enrollee’s claims. This 

approach is intended to permit a 

reasonable transitional period in which 

QHP issuers will be allowed to choose 

the methodology that best aligns with 

their operational practices, which 


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Federal Register / Vol. 78, No. 125 / Friday, June 28, 2013 / Notices 38985 

should reduce the administrative 

burden on issuers in the initial years of 

the Exchanges. The interim final rule 

describes the estimation methodology in 

sufficient detail to allow QHP issuers to 

make an informed decision of which 

reporting approach to pursue. 

Prior to the start of each coverage 

year, QHP issuers must notify HHS of 

the methodology it is selecting for the 

benefit year. QHP issuers will receive a 

notification by email with instructions 

on how to inform HHS of their 

selection. All submissions will be made 

electronically and no paper submissions 

are required. The QHP issuer must 

select the same methodology for all plan 

variations it offers on the Exchange for 

a benefit year. Moreover, as the 

estimated methodology is intended as a 

transition to the actual methodology, the 

QHP issuer may not select the estimated 

methodology if it selected the actual 

methodology for the prior benefit year. 

A Federal Register notice was 

published on April 12, 2013 (78 FR 

21956), providing the public with a 60- 

day period to submit written comments 

on the information collection 

requirements, no comments were 

received. 

Form Number: CMS–10469 (OCN: 

0938–NEW); 

Frequency: Annually; 

Affected Public: Private Sector 

(business or other for-profits); 

Number of Respondents: 1,200; 

Total Annual Responses: 1,200; 

Total Annual Hours: 13,200. (For 

policy questions regarding this 

collection contact Chris Weiser at 410– 

786–0650.) 

4. Type of Information Collection 

Request: Reinstatement with change of a 

previously approved collection of 

information; 

Title of Information Collection: 

Disclosure and Recordkeeping 

Requirements for Grandfathered Health 

Plans under the Affordable Care Act; 

Use: Section 1251 of the Patient 

Protection and Affordable Care Act, 

Public Law 111–148, (the Affordable 

Care Act) provides that certain plans 

and health insurance coverage in 

existence as of March 23, 2010, known 

as grandfathered health plans, are not 

required to comply with certain 

statutory provisions in the Act. To 

maintain its status as a grandfathered 

health plan, the interim final regulations 

titled ‘‘Interim Final Rules for Group 

Health Plans and Health Insurance 

Coverage Relating to Status as a 

Grandfathered Health Plan Under the 

Patient Protection and Affordable Care 

Act’’ (75 FR 34538, June 17, 2010) 

require the plan to maintain records 

documenting the terms of the plan in 

effect on March 23, 2010, and any other 

documents that are necessary to verify, 

explain or clarify status as a 

grandfathered health plan. The plan 

must make such records available for 

examination upon request by 

participants, beneficiaries, individual 

policy subscribers, or a State or Federal 

agency official. The recordkeeping 

requirement will allow a participant, 

beneficiary, or federal or state official to 

inspect plan documents to verify that a 

plan or health insurance coverage is a 

grandfathered health plan. A 

grandfathered health plan must include 

a statement in any plan materials 

provided to participants or beneficiaries 

(in the individual market, primary 

subscriber) describing the benefits 

provided under the plan or health 

insurance coverage, and that the plan or 

coverage is intended to be grandfathered 

health plan. The disclosure requirement 

will provide participants and 

beneficiaries with important 

information about their grandfathered 

health plans, such as that grandfathered 

plans are not required to comply with 

certain consumer protection provisions 

contained in the Act. It also will provide 

important contact information for 

participants to find out which 

protections apply and which protections 

do not apply to a grandfathered health 

plan and what might cause a plan to 

change from grandfathered to nongrandfathered health plan status. An 

amendment to the interim final 

regulations (75 FR 70114, November 17, 

2010) requires a grandfathered group 

health plan that is changing health 

insurance issuers to provide the 

succeeding health insurance issuer (and 

the succeeding health insurance issuer 

must require) documentation of plan 

terms (including benefits, cost sharing, 

employer contributions, and annual 

limits) under the prior health insurance 

coverage sufficient to make a 

determination whether the standards set 

forth in paragraph (g)(1) of the interim 

final regulations are exceeded. 

Form Number: CMS–10325 (OCN: 

0938–1093); 

Frequency: Annually; 

Affected Public: State, Local, or Tribal 

governments and health insurance 

coverage issuers; 

Number of Respondents: 64,552; 

Number of Responses: 10,113,926; 

Total Annual Hours: 85. (For policy 

questions regarding this collection, 

contact Usree Bandyopadhyay at (410) 

786–6650.) 

5. Type of Information Collection 

Request: Reinstatement with change of a 

previously approved information 

collection; 

Title of Information Collection: 

Enrollment Opportunity Notice Relating 

to Lifetime Limits; Required Notice of 

Rescission of Coverage; and Disclosure 

Requirements for Patient Protection 

under the Affordable Care Act; 

Use: Under section 2711 of the Public 

Health Services Act (PHS Act) amended 

by the Affordable Care Act, the 

enrollment opportunity notice was to be 

used by health plans to notify certain 

individuals of their right to re-enroll in 

their plan. The affected individuals 

were those whose coverage ended due 

to reaching a lifetime limit on the dollar 

value of all benefits for any individual. 

This notice was a one-time requirement 

and is being discontinued. Under 

section 2712 of the PHS Act as amended 

by the Affordable Care Act, the 

rescission notice will be used by health 

plans to provide advance notice to 

certain individuals that their coverage 

may be rescinded. The affected 

individuals are those who are at risk of 

rescission on their health insurance 

coverage. Under section 2719A of the 

PHS Act as amended by the Affordable 

Care Act, the patient protection 

notification will be used by health plans 

to inform certain individuals of their 

right to choose a primary care provider 

or pediatrician and to use obstetrical/ 

gynecological services without prior 

authorization. 

Form Number: CMS–10330 (OCN: 

0938–1094); 

Frequency: Occasionally; 

Affected Public: State, Local, or Tribal 

Governments, Private Sector; 

Number of Respondents: 8,382; 

Number of Responses: 1,583,371; 

Total Annual Hours: 2,267. (For 

policy questions regarding this 

collection, contact Usree 

Bandyopadhyay at 410–786–6650.) 

Dated: June 25, 2013. 

Martique Jones 

Deputy Director, Regulations Development 

Group, Office of Strategic Operations and 

Regulatory Affairs. 

[FR Doc. 2013–15539 Filed 6–27–13; 8:45 am] 

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