56766 Federal Register / Vol. 76, No. 178 / Wednesday, September 14, 2011 / Notices 

use of automated collection techniques 

or other forms of information 

technology. Written comments should 

be received within 60 days of this 

notice. 

Proposed Project 

Legionellosis Case Report—OMB 

0920–0009, exp. 4/31/2013-(Revision) 

National Center for Immunization and 

Respiratory Diseases (NCIRD), Centers 

for Disease Control and Prevention 

(CDC). 

Background and Brief Description 

Surveillance for legionellosis, a 

nationally notifiable disease, has been 

conducted since 1980. A voluntary 

surveillance system, maintained by the 

Centers for Disease Control and 

Prevention’s Respiratory Diseases 

Branch, collects and monitors 

Legionellosis Case Report forms 

submitted by local and state health 

departments on the approved form 

(OMB 0920–0009). 

To reflect recent enhanced 

surveillance initiatives for travel and 

healthcare-associated legionellosis and 

recent changes to the nationally 

notifiable case definition, CDC is 

requesting changes to the currently 

approved Legionellosis Case Report 

form. The changes will allow the 

Legionella Program to better detect 

potential clusters and outbreaks of 

Legionnaires’ disease and to monitor 

changing epidemiological trends by 

collecting a greater level of detail for 

each legionellosis case. The burden to 

the respondents should be minimally 

affected by these proposed changes. In 

most cases, the burden should be 

reduced as the changes requested 

should provide clearer guidance for 

form completion. 

There are no costs to respondents 

other than their time. 

ESTIMATE OF ANNUALIZED BURDEN HOURS

Respondents Number of 

respondents 

Number of 

responses 

per 

respondent 

Average 

burden per 

response 

(in hrs) 

Total 

burden 

hours 

State public health ........................................................................................... 50 70 20/60 1,167

Total .......................................................................................................... 50 70 20/60 1,167 

Dated: September 8, 2011. 

Daniel Holcomb, 

Reports Clearance Officer, Centers for Disease 

Control and Prevention. 

[FR Doc. 2011–23474 Filed 9–13–11; 8:45 am] 

BILLING CODE 4163–18–P 

DEPARTMENT OF HEALTH AND 

HUMAN SERVICES 

Centers for Medicare & Medicaid 

Services 

[Document Identifier: CMS–10114] 

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: Revision of a currently 

approved collection; Title of 

Information Collection: National 

Provider Identifier (NPI) Application 

and Update Form and Supporting 

Regulations in 45 CFR 142.408, 45 CFR 

162.406, 45 CFR 162.408; Use: The 

National Provider Identifier (NPI) 

Application and Update Form is used 

by health care providers to apply for 

NPIs and furnish updates to the 

information they supplied on their 

initial applications. The form is also 

used to deactivate their NPIs if 

necessary. The NPI Application/Update 

form has been revised to provide 

additional guidance on how to 

accurately complete the form. This 

collection includes clarification on 

information that is required on initial 

applications. Minor changes include 

adding a ‘delete’ check box for removal 

of information. This collection also 

includes revisions to the instructions. 

Form Number: CMS–10114 (OMB#: 

0938–0931); Frequency: Reporting—On 

occasion; Affected Public: Business or 

other for-profit, Not-for-profit 

institutions, and Federal government; 

Number of Respondents: 304 million; 

Total Annual Responses: 481,440; Total 

Annual Hours: 481,440. (For policy 

questions regarding this collection 

contact Leslie Jones at 410–786–6599. 

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 November 14, 2011. 

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 Number, Room C4–26–05, 7500 

Security Boulevard, Baltimore, 

Maryland 21244–1850. 

mstockstill on DSK4VPTVN1PROD with NOTICES

Federal Register / Vol. 76, No. 178 / Wednesday, September 14, 2011 / Notices 56767 

Dated: September 8, 2011. 

Martique Jones, 

Director, Regulations Development Group, 

Division B Office of Strategic Operations and 

Regulatory Affairs. 

[FR Doc. 2011–23430 Filed 9–13–11; 8:45 am] 

BILLING CODE 4120–01–P 

DEPARTMENT OF HEALTH AND 

HUMAN SERVICES 

Centers for Medicare & Medicaid 

Services 

[Document Identifier: CMS–10334] 

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: Application for 

Coverage in the Pre-Existing Condition 

Insurance Plan; Use: The Department of 

Health and Human Services (HHS) 

Centers for Medicare & Medicaid 

Services, Center for Consumer 

Information and Insurance Oversight is 

requesting clearance by the Office of 

Management and Budget for 

modifications to this previously 

approved collection package. These 

changes are being requested to (1) 

provide a mechanism for a PCIP 

enrollee who has moved from a stateadministered PCIP to quickly and 

efficiently enroll into the federallyadministered PCIP (2) provide a 

mechanism for a PCIP applicant to 

identify a third party entity will pay 

their premium to ensure appropriate 

premium billing (3) provide a 

mechanism whereby a licensed 

insurance agent or broker may identify 

their referral of an applicant (4) request 

employer information to expand ways to 

identify and prevent instances of insurer 

dumping and (5) make clarifications to 

existing application language. Form 

Number: CMS–10334 (OCN: 0938–1095) 

Frequency: Once; Affected Public: 

Individuals or households; Number of 

Respondents: 83,333; Number of 

Responses: 83,333; Total Annual Hours: 

179,499. (For policy questions regarding 

this collection, contact Laura Dash at 

410–786–8623. 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 14, 2011 

OMB, Office of Information and 

Regulatory Affairs, Attention: CMS Desk 

Officer, Fax Number: (202) 395–6974, Email: OIRA_submission@omb.eop.gov. 

Dated: September 8, 2011. 

Martique Jones, 

Director, Regulations Development Group, 

Division B, Office of Strategic Operations and 

Regulatory Affairs. 

[FR Doc. 2011–23429 Filed 9–13–11; 8:45 am] 

BILLING CODE 4120–01–P 

DEPARTMENT OF HEALTH AND 

HUMAN SERVICES 

Centers for Medicare & Medicaid 

Services 

[CMS–9980–NC] 

Request for Information Regarding 

State Flexibility To Establish a Basic 

Health Program Under the Affordable 

Care Act 

AGENCY: Centers for Medicare & 

Medicaid Services (CMS), HHS. 

ACTION: Request for information. 

SUMMARY: This notice is a request for 

information regarding section 1331 of 

the Affordable Care Act, which provides 

States with the option to establish a 

Basic Health Program. This option 

permits States to enter into contracts to 

offer one or more ‘‘standard health 

plans’’ providing at least the essential 

health benefits described in section 

1302(b) of the Affordable Care Act to 

eligible individuals in lieu of offering 

such individuals coverage through the 

Affordable Insurance Exchange 

(Exchange). 

DATES: Comment Date: To be assured 

consideration, responses must be 

received at one of the addresses 

provided below, no later than 5 p.m. on 

October 31, 2011. 

ADDRESSES: In responding, please refer 

to file code CMS–9980–NC. Because of 

staff and resource limitations, we cannot 

accept comments by facsimile (FAX) 

transmission. 

You may submit responses in one of 

four ways (please choose only one of the 

ways listed): 

1. Electronically. You may submit 

electronic comments on this regulation 

to http://www.regulations.gov. Follow 

the instructions under the ‘‘More Search 

Options’’ tab. 

2. By regular mail. You may mail 

written comments to the following 

address ONLY: Centers for Medicare & 

Medicaid Services, Department of 

Health and Human Services, Attention: 

CMS–9980–NC, P.O. Box 8016, 

Baltimore, MD 21244–8016. 

Please allow sufficient time for mailed 

comments to be received before the 

close of the comment period. 

3. By express or overnight mail. You 

may send written comments to the 

following address ONLY: Centers for 

Medicare & Medicaid Services, 

Department of Health and Human 

Services, Attention: CMS–9980–NC, 

Mail Stop C4–26–05, 7500 Security 

Boulevard, Baltimore, MD 21244–1850. 

4. By hand or courier. If you prefer, 

you may deliver (by hand or courier) 

your written comments before the close 

of the comment period to either of the 

following addresses: 

a. For delivery in Washington, DC— 

Centers for Medicare & Medicaid 

Services, Department of Health and 

Human Services, Room 445–G, Hubert 

H. Humphrey Building, 200 

Independence Avenue, SW., 

Washington, DC 20201. 

(Because access to the interior of the 

Hubert H. Humphrey Building is not 

readily available to persons without 

Federal government identification, 

commenters are encouraged to leave 

their comments in the CMS drop slots 

located in the main lobby of the 

building. A stamp-in clock is available 

for persons wishing to retain a proof of 

filing by stamping in and retaining an 

extra copy of the comments being filed.) 

mstockstill on DSK4VPTVN1PROD with NOTICES