29644 Federal Register / Vol. 77, No. 97 / Friday, May 18, 2012 / Notices 

noted, nonbanking activities will be 

conducted throughout the United States. 

Unless otherwise noted, comments 

regarding each of these applications 

must be received at the Reserve Bank 

indicated or the offices of the Board of 

Governors not later than June 14, 2012. 

A. Federal Reserve Bank of 

Minneapolis (Jacqueline G. King, 

Community Affairs Officer) 90 

Hennepin Avenue, Minneapolis, 

Minnesota 55480–0291: 

1. King Kalispell, LLC, to remain a 

bank holding company by continuing to 

control King Family GNB, L.P. and King 

Family VB, L.P. and thereby indirectly 

control Great Northern Bancshares, Inc., 

and its subsidiary, Three Rivers Bank of 

Montana, and Valley Bancshares, Inc., 

and its subsidiary, Valley Bank of 

Kalispell, all in Kalispell, Montana. 

In connection with this application, 

King Family GNB, L.P., will remain a 

bank holding company by continuing to 

control Great Northern Bancshares, Inc., 

both in Kalispell, Montana. 

In addition, King Family VB, L.P., 

will remain a bank holding company by 

continuing to control Valley Bancshares, 

Inc., both in Kalispell, Montana. 

B. Federal Reserve Bank of Kansas 

City (Dennis Denney, Assistant Vice 

President) 1 Memorial Drive, Kansas 

City, Missouri 64198–0001: 

1. Valliance Financial Corp., 

Oklahoma City, Oklahoma; to acquire 

100 percent of the voting shares of 

Valliance Texas Financial Holdings, 

Inc., and thereby indirectly acquire 

voting shares of Valliance Bank, both in 

McKinney, Texas. 

Board of Governors of the Federal Reserve 

System, May 15, 2012. 

Margaret McCloskey Shanks, 

Associate Secretary of the Board. 

[FR Doc. 2012–12044 Filed 5–17–12; 8:45 am] 

BILLING CODE 6210–01–P 

DEPARTMENT OF HEALTH AND 

HUMAN SERVICES 

Decision To Evaluate a Petition To 

Designate a Class of Employees From 

the Hanford Site in Richland, WA, To 

Be Included in the Special Exposure 

Cohort 

AGENCY: National Institute for 

Occupational Safety and Health 

(NIOSH), Centers for Disease Control 

and Prevention, Department of Health 

and Human Services. 

ACTION: Notice. 

SUMMARY: NIOSH gives notice as 

required by 42 CFR 83.12(e) of a 

decision to evaluate a petition to 

designate a class of employees from the 

Hanford site in Richland, Washington, 

to be included in the Special Exposure 

Cohort under the Energy Employees 

Occupational Illness Compensation 

Program Act of 2000. The initial 

proposed definition for the class being 

evaluated, subject to revision as 

warranted by the evaluation, is as 

follows: 

Facility: Hanford site. 

Location: Richland, Washington. 

Job Titles and/or Job Duties: All 

employees of the Department of Energy, 

its predecessor agencies, and its 

contractors and subcontractors. 

Period of Employment: July 1, 1972 to 

December 31, 1983. 

FOR FURTHER INFORMATION CONTACT: 

Stuart L. Hinnefeld, Director, Division 

of Compensation Analysis and Support, 

National Institute for Occupational 

Safety and Health, 4676 Columbia 

Parkway, MS C–46, Cincinnati, OH 

45226, Telephone 877–222–7570. 

Information requests can also be 

submitted by email to DCAS@CDC.GOV. 

John Howard, 

Director, National Institute for Occupational 

Safety and Health. 

[FR Doc. 2012–12094 Filed 5–17–12; 8:45 am] 

BILLING CODE 4163–19–P 

DEPARTMENT OF HEALTH AND 

HUMAN SERVICES 

Decision To Evaluate a Petition To 

Designate a Class of Employees From 

Joslyn Manufacturing and Supply Co., 

in Ft. Wayne, IN, To Be Included in the 

Special Exposure Cohort 

AGENCY: National Institute for 

Occupational Safety and Health 

(NIOSH), Centers for Disease Control 

and Prevention, Department of Health 

and Human Services. 

ACTION: Notice. 

SUMMARY: NIOSH gives notice as 

required by 42 CFR 83.12(e) of a 

decision to evaluate a petition to 

designate a class of employees from 

Joslyn Manufacturing and Supply Co., 

in Ft. Wayne, Indiana, to be included in 

the Special Exposure Cohort under the 

Energy Employees Occupational Illness 

Compensation Program Act of 2000. The 

initial proposed definition for the class 

being evaluated, subject to revision as 

warranted by the evaluation, is as 

follows: 

Facility: Joslyn Manufacturing and 

Supply Co. 

Location: Ft. Wayne, Indiana. 

Job Titles and/or Job Duties: All 

employees. 

Period of Employment: January 1, 

1944 to December 31, 1952. 

FOR FURTHER INFORMATION CONTACT: 

Stuart L. Hinnefeld, Director, Division 

of Compensation Analysis and Support, 

National Institute for Occupational 

Safety and Health, 4676 Columbia 

Parkway, MS C–46, Cincinnati, OH 

45226, Telephone 877–222–7570. 

Information requests can also be 

submitted by email to DCAS@CDC.GOV. 

John Howard, 

Director, National Institute for Occupational 

Safety and Health. 

[FR Doc. 2012–12095 Filed 5–17–12; 8:45 am] 

BILLING CODE 4163–19–P 

DEPARTMENT OF HEALTH AND 

HUMAN SERVICES 

Centers for Medicare & Medicaid 

Services 

[Document Identifier CMS–10389] 

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 (Request for a 

new OMB control number). Title of 

Information Collection: The Home and 

Community-Based Service (HCBS) 

Experience Survey. Use: This study is a 

one-time pilot field test involving 

individuals who receive HCBS from 

Medicaid programs. The field test to be 

conducted under this request will be 

done for the following purposes: (a) To 

assess survey methodology—to 

determine how well a face-to-face 

survey and telephone survey performs 

with individuals who receive HCBS 

services. (b) Psychometric Analysis—to 

mstockstill on DSK4VPTVN1PROD with NOTICES

Federal Register / Vol. 77, No. 97 / Friday, May 18, 2012 / Notices 29645 

provide information for the revision and 

shortening of the survey based on the 

assessment of the reliability and 

construct validity of survey items and 

composites. (c) Case mix adjustment 

analysis—Assess the variables that may 

be considered as case mix adjusters. 

These preliminary research activities 

are not required by regulation, and will 

not be used by CMS to regulate or 

sanction its customers. They will be 

entirely voluntary and the 

confidentiality of respondents and their 

responses will be preserved. 

The information collected will be 

used to revise and test the survey 

instrument described in the Background 

section of the Supporting Statement. 

Within the PRA package, Attachment B 

includes two versions of the survey (one 

modified for accessibility) and 

Attachment C has the introductory 

information. The end result will be an 

improvement in information collection 

instruments and in the quality of data 

collected, a reduction or minimization 

of respondent burden, increased agency 

efficiency, and improved 

responsiveness to the public. Following 

the field test, CMS will seek approval 

from the CAHPS consortium for the 

HCBS Experience Survey to be a new 

addition to the CAHPS® family of 

surveys. 

Form Number: CMS–10389 (OCN 

0938–New). Frequency: Once. Affected 

Public: 1 Individuals and households. 

Number of Respondents: 18,000. Total 

Annual Responses: 18,000. Total 

Annual Hours: 9,000. (For policy 

questions regarding this collection 

contact Anita Yuskauskas at 410–786– 

0268. 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 July 17, 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 

Numberll, Room C4–26–05, 7500 

Security Boulevard, Baltimore, 

Maryland 21244–1850. 

Dated: May 15, 2012. 

Martique Jones, 

Director, Regulations Development Group, 

Division B, Office of Strategic Operations and 

Regulatory Affairs. 

[FR Doc. 2012–12080 Filed 5–17–12; 8:45 am] 

BILLING CODE 4120–01–P 

DEPARTMENT OF HEALTH AND 

HUMAN SERVICES 

Centers for Medicare & Medicaid 

Services 

[Document Identifier CMS–10136] 

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: Reinstatement of a previously 

approved collection; Title of 

Information Collection: Physician Group 

Practice Transition Demonstration 

(PGP–TD) Performance Assessment Tool 

(‘‘PAT’’); Use: The Physician Group 

Practice (PGP) Demonstration was 

mandated by section 412 of the 

Medicare, Medicaid, and SCHIP 

Benefits Improvement and Protection 

Act of 2000 and is the precursor to the 

Medicare Shared Savings Program. 

Section 1899(k) of the Social Security 

Act, as added by section 10307(k) of the 

Affordable Care Act (as amended by 

section 10307 of the Health Care and 

Education Reconciliation Act of 2010), 

states ‘‘the Secretary may enter into an 

agreement with an ACO under the 

Demonstration under section 1866A, 

subject to rebasing and other 

modifications deemed appropriate by 

the Secretary.’’ The Demonstration 

extension is entitled the PGP Transition 

Demonstration (PGP–TD). 

We are seeking reinstatement of the 

collection of information as it was 

erroneously discontinued. Only a 

portion of the information collection 

requirements previously approved 

under 0938–0941 should have been 

discontinued. The collection of 

information is strictly voluntary in 

nature and was developed in 

conjunction with the industry and 

Demonstration participants. Only 

organizations that voluntarily respond 

and elect to participate in the 

Demonstration will be reporting the 

measures. Moreover, CMS will not be 

using this information to regulate or 

sanction but rather to provide financial 

incentives for improving the quality of 

care. The collection of information to be 

used under this extension is being used 

to test quality data collection systems 

and determine incentive payment levels 

to participating physician group 

practices participating in the PGP–TD. 

In addition, this data will be used to 

evaluate the effectiveness of these 

payment models and provide insight 

into the most appropriate way for the 

agency to collect clinical information. 

Form Number: CMS–10136 (OCN: 

0938–0941); Frequency: Yearly; Affected 

Public: Private Sector—Business or 

other for-profits and not-for-profit 

institutions. Number of Respondents: 

10. Number of Responses: 10. Total 

Annual Hours: 790. (For policy 

questions regarding this collection 

contact Heather Grimsley at 410–786– 

1048. 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. 

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