Federal Register / Vol. 78, No. 20 / Wednesday, January 30, 2013 / Notices 6331 

Agency for Toxic Substances and 

Disease Registry. 

Elaine L. Baker, 

Director, Management Analysis and Services 

Office, Centers for Disease Control and 

Prevention. 

[FR Doc. 2013–01975 Filed 1–29–13; 8:45 am] 

BILLING CODE 4163–18–P 

DEPARTMENT OF HEALTH AND 

HUMAN SERVICES 

Centers for Medicare & Medicaid 

Services 

[Document Identifier: CMS–10455] 

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: New collection; Title of 

Information Collection: Report of a 

Hospital Death Associated with 

Restraint or Seclusion; Use: Executive 

Order 13563, Improving Regulation and 

Regulatory Review, was signed on 

January 18, 2011. The order recognized 

the importance of a streamlined, 

effective, and efficient regulatory 

framework designed to promote 

economic growth, innovation, job 

creation, and competitiveness. Each 

agency was directed to establish an 

ongoing plan to reduce or eliminate 

burdensome, obsolete, or unnecessary 

regulations to create a more efficient 

and flexible structure. 

The regulation that was published on 

May, 16, 2012 (77 FR 29034) included 

a reduction in the reporting requirement 

related to hospital deaths associated 

with the use of restraint or seclusion, 

§ 482.13(g). Hospitals are no longer 

required to report to CMS those deaths 

where there was no use of seclusion and 

the only restraint was 2-point soft wrist 

restraints. It is estimated that this will 

reduce the volume of reports that must 

be submitted by 90 percent for 

hospitals. In addition, the final rule 

replaced the previous requirement for 

reporting via telephone to CMS, which 

proved to be cumbersome for both CMS 

and hospitals, with a requirement that 

allows submission of reports via 

telephone, facsimile or electronically, as 

determined by CMS. Finally, the 

amount of information that CMS needs 

for each death report in order for CMS 

to determine whether further on-site 

investigation is needed has been 

reduced. 

The Child Health Act (CHA) of 2000 

established in Title V, Part H, Section 

591 of the Public Health Service Act 

(PHSA) minimum requirements 

concerning the use of restraints and 

seclusion in facilities that receive 

support with funds appropriated to any 

Federal department or agency. In 

addition, the CHA enacted Section 592 

of the PHSA, which establishes 

minimum mandatory reporting 

requirements for deaths in such 

facilities associated with use of restraint 

or seclusion. Provisions implementing 

this statutory reporting requirement for 

hospitals participating in Medicare are 

found at 42 CFR 482.13(g), as revised in 

the final rule that published on May 16, 

2012 (77 FR 29034). 

The 60-day Federal Register notice 

published on November 21, 2012, (77 

FR 69848). Subsequently, there was a 

minor revision to the Health Death 

Report form. Form Number: CMS–10455 

(OCN: 0938—New); Frequency: 

Occasionally; Affected Public: Private 

Sector. Number of Respondents: 4,900. 

Number of Responses: 24,500. Total 

Annual Hours: 8,085. (For policy 

questions regarding this collection 

contact Danielle Miller at 410–786– 

8818. 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 March 1, 2013. 

OMB, Office of Information and 

Regulatory Affairs, Attention: CMS Desk 

Officer, Fax Number: (202) 395–6974, 

Email: OIRA_submission@omb.eop.gov. 

Dated: January 24, 2013. 

Martique Jones, 

Deputy Director, Regulations Development 

Group, Office of Strategic Operations and 

Regulatory Affairs. 

[FR Doc. 2013–01848 Filed 1–29–13; 8:45 am] 

BILLING CODE 4120–01–P 

DEPARTMENT OF HEALTH AND 

HUMAN SERVICES 

Centers for Medicare & Medicaid 

Services 

[Document Identifier: CMS–276 and CMS– 

339] 

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: Reinstatement with change of a 

previously approved collection; Title: 

Prepaid Health Plan Cost Report; Use: 

Health Maintenance Organizations and 

Competitive Medical Plans (HMO/ 

CMPs) contracting with the Secretary 

under Section 1876 of the Social 

Security Act are required to submit a 

budget and enrollment forecast, semiannual interim report, interim final cost 

report, and a final certified cost report 

in accordance with 42 CFR 417.572– 

417.576. Health Care Prepayment Plans 

mstockstill on DSK4VPTVN1PROD with 

6332 Federal Register / Vol. 78, No. 20 / Wednesday, January 30, 2013 / Notices 

(HCPPs) contracting with the Secretary 

under Section 1833 of the Social 

Security Act are required to submit a 

budget and enrollment forecast, semiannual interim report, and final cost 

report in accordance with 42 CFR 

417.808 and 42 CFR 417.810. CMS is 

requesting approval for the 

reinstatement with change of Form 

CMS–276 (OCN: 0938–0165). This Cost 

Report outlines the provisions for 

implementing Section 1876(h) and 

Section 1833(a)(1)(A) of the Social 

Security Act. The purposes of the 

revisions were to implement some 

changes in response to the Affordable 

Care Act, clarify certain instructions, 

and update outdated issues within the 

Cost Report. Form Number: CMS–276 

(OMB# 0938–0165); Frequency: 

Annually; Affected Public: Private 

Sector—Business or other for-profits 

and not-for-profit institutions; Number 

of Respondents: 29; Total Annual 

Responses: 106; Total Annual Hours: 

1,384. (For policy questions regarding 

this collection contact Temeshia 

Johnson at 410–786–8692. For all other 

issues call 410–786–1326.) 

2. Type of Information Collection 

Request: Reinstatement with change of a 

previously approved collection; Title of 

Information Collection: Medicare 

Provider Cost Report Reimbursement 

Questionnaire; Use: The purpose of 

Form CMS–339 is to assist the provider 

in preparing an acceptable cost report 

and to minimize subsequent contact 

between the provider and its Medicare 

Administrative Contractor (MAC). Form 

CMS–339 provides the basic data 

necessary to support the information in 

the cost report. Exhibit 1of Form CMS– 

339 contains a series of reimbursementoriented questions which serve to 

update information on the operations of 

the provider. It is arranged topically 

regarding financial activities such as 

independent audits, provider 

organization and operation, etc. The 

MAC is responsible for the settlement of 

the Medicare cost report and must 

determine the reasonableness and the 

accuracy of the reimbursement claimed. 

This process includes performing both a 

desk review of the cost report and an 

analysis leading to a decision to settle 

the cost report with or without further 

audit. Form CMS–339 provides essential 

information to enable the MAC to make 

the audit or no audit decision, scope of 

the audit if one is necessary, and to 

update the provider documentation (i.e., 

documentation to support the financial 

profile of the provider). If the 

information is not collected, the MAC 

will have to go onsite to each provider 

to get this information. Consequently, it 

is far less burdensome and extremely 

cost effective to capture this information 

through the Form CMS–339. 

Exhibit 2 of Form CMS–339 is a 

listing of bad debts pertaining to 

uncollectible Medicare deductible and 

coinsurance amounts. Preparation of the 

listing is a convenient way for providers 

to supply the MAC with information 

needed to determine the allow ability of 

the bad debts for reimbursement. Some 

items required to determine allow 

ability that are included on this exhibit 

are patient’s name, dates of service, date 

first bill sent to beneficiary, and date the 

collection effort ceased. Supplying the 

MAC with this information may be all 

that is required for the MAC to 

determine whether or not the bad debt 

is allowable. This too may eliminate a 

visit to the provider to gather this 

needed data. Form Number: CMS–339 

(OCN: 0938–0301); Frequency: Yearly; 

Affected Public: Private Sector— 

Business or other for-profits and not-forprofit institutions; Number of 

Respondents: 17,939; Total Annual 

Responses: 17,939; Total Annual Hours: 

53,817. (For policy questions regarding 

this collection contact Christine 

Dobrzycki at 410–786–3389. 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 April 1, 2013: 

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. 

Dated: January 24, 2013. 

Martique Jones, 

Deputy Director, Regulations Development 

Group, Office of Strategic Operations and 

Regulatory Affairs. 

[FR Doc. 2013–01849 Filed 1–29–13; 8:45 am] 

BILLING CODE 4120–01–P 

DEPARTMENT OF HEALTH AND 

HUMAN SERVICES 

Food and Drug Administration 

[Docket No: FDA–2013–N–0001] 

Science Board to the Food and Drug 

Administration; Notice of Meeting 

AGENCY: Food and Drug Administration, 

HHS. 

ACTION: Notice. 

This notice announces a forthcoming 

meeting of a public advisory committee 

of the Food and Drug Administration 

(FDA). The meeting will be open to the 

public. 

Name of Committee: Science Board to 

the Food and Drug Administration 

(Science Board). 

General Function of the Committee: 

The Science Board provides advice 

primarily to the Commissioner of Food 

and Drugs and other appropriate 

officials on specific complex scientific 

and technical issues important to the 

FDA and its mission, including 

emerging issues within the scientific 

community. Additionally, the Science 

Board provides advice to the Agency on 

keeping pace with technical and 

scientific developments including in 

regulatory science; and input into the 

Agency’s research agenda; and on 

upgrading its scientific and research 

facilities and training opportunities. It 

will also provide, where requested, 

expert review of Agency-sponsored 

intramural and extramural scientific 

research programs. 

Date and Time: The meeting will be 

held on Wednesday, February 27, 2013, 

from approximately 8:30 a.m. to 5:15 

p.m. 

Location: FDA White Oak Campus, 

10903 New Hampshire Ave., Building 

31 Conference Center, the Great Room 

(rm. 1503), Silver Spring, MD 20993. 

For those unable to attend in person, the 

meeting will also be webcast. The link 

for the webcast is available at https:// 

collaboration.fda.gov/scienceboard/. 

Information regarding special 

accommodations due to a disability, 

visitor parking, and transportation may 

be accessed at: http://www.fda.gov/ 

AdvisoryCommittees/default.htm; under 

the heading ‘‘Resources for You,’’ click 

on ‘‘Public Meetings at the FDA White 

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