Federal Register / Vol. 77, No. 42 / Friday, March 2, 2012 / Notices 12847 

with the Internal Revenue Service 

withholding and reporting 

requirements, where applicable. 

Privacy: 

If Contestants choose to provide the 

CDC with personal information by 

registering or filling out the submission 

form through the Challenge.gov Web 

site, that information is used to respond 

to Contestants in matters regarding their 

submission, announcements of entrants, 

finalists, and winners of the Contest. 

Information is not collected for 

commercial marketing. Winners are 

permitted to cite that they won this 

contest. 

General Conditions: 

The CDC reserves the right to cancel, 

suspend, and/or modify the Contest, or 

any part of it, for any reason, at CDC’s 

sole discretion. 

Participation in This Contest 

Constitutes a Contestant’s Full and 

Unconditional Agreement To Abide by 

the Contest’s Official Rules Found at 

www.Challenge.gov. 

Authority: 15 U.S.C. 3719. 

Dated: February 23, 2012. 

Tanja Popovic, 

Deputy Associate Director for Science, 

Centers for Disease Control and Prevention. 

[FR Doc. 2012–5080 Filed 3–1–12; 8:45 am] 

BILLING CODE 4163–18–P 

DEPARTMENT OF HEALTH AND 

HUMAN SERVICES 

Centers for Medicare & Medicaid 

Services 

[Document Identifier CMS–10241] 

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: Survey of Retail 

Prices: Payment and Utilization Rates, 

and Performance Rankings; Use: CMS 

will develop a National Average Drug 

Acquisition Cost (NADAC) for States to 

consider when developing 

reimbursement methodology. The 

NADAC is a new pricing benchmark 

that will be based on the national 

average costs that pharmacies pay to 

acquire Medicaid covered outpatient 

drugs. It is intended to provide States 

with a more accurate reference price to 

base reimbursement for prescription 

drugs and will be based on drug 

acquisition costs collected directly from 

pharmacies through a nationwide 

survey process. This survey will be 

conducted on a monthly basis to ensure 

that the NADAC reference file remains 

current and up-to-date. A NADAC 

Survey Request for Information has been 

developed to send to random 

pharmacies for voluntary completion. 

CMS proposes to add the survey to an 

existing collection, ‘‘Annual State 

Report and Annual State Performance 

Rankings.’’ The requirements and 

burden associated with the annual 

report/rankings are unaffected by this 

proposed action; Form Number: CMS– 

10241 (OCN 0938–1041); Frequency: 

Biennially, Once; Affected Public: 

Private Sector; Business or other forprofits; Number of Respondents: 30,000; 

Total Annual Responses: 30,000; Total 

Annual Hours: 15,000. (For policy 

questions regarding this collection 

contact Lisa Ferrandi at 410–786–5445. 

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 April 2, 2012. OMB, Office of 

Information and Regulatory Affairs, 

Attention: CMS Desk Officer, Fax 

Number: (202) 395–6974, Email: 

OIRA_submission@omb.eop.gov. 

Dated: February 23, 2012. 

Martique Jones, 

Director, Regulations Development Group, 

Division-B, Office of Strategic Operations and 

Regulatory Affairs. 

[FR Doc. 2012–5020 Filed 3–1–12; 8:45 am] 

BILLING CODE 4120–01–P 

DEPARTMENT OF HEALTH AND 

HUMAN SERVICES 

Centers for Medicare & Medicaid 

Services 

[Document Identifier: CMS–10424] 

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: Cooperative 

Agreement to Support Establishment of 

the Affordable Care Act’s Health 

Insurance Exchanges; Use: All States 

(including the 50 States, consortia of 

States, and the District of Columbia 

herein referred to as States) that 

received a State Planning and 

Establishment Grant for Affordable Care 

Act’s Exchanges are eligible for the 

Cooperative Agreement to Support 

Establishment of the Affordable Care 

Act’s Health Insurance Exchanges. The 

State of Alaska did not apply for either 

the original Planning grant made 

available in September 2010, nor the 

second Planning grant made available in 

January 2011 exclusively to States that 

did not apply for the first. Because 

Alaska did not receive funding under 


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