74018 Federal Register / Vol. 77, No. 239 / Wednesday, December 12, 2012 / Notices 

Form Type of respondent Number of 

respondents 

Number of 

responses per 

respondent 

Avg. burden 

per response 

(in hrs) 

Total burden 

hours 

CJD ................................................... Epidemiologist .................................. 20 2 20/60 13 

Cyclosporiasis ................................... Epidemiologist .................................. 55 10 15/60 138 

Dengue .............................................. Epidemiologist .................................. 55 182 15/60 2,503 

Hantavirus ......................................... Epidemiologist .................................. 40 3 20/60 40 

Kawasaki Syndrome ......................... Epidemiologist .................................. 55 8 15/60 110 

Legionellosis ..................................... Epidemiologist .................................. 23 12 20/60 92 

Lyme Disease ................................... Epidemiologist .................................. 52 385 10/60 3,337 

Malaria .............................................. Epidemiologist .................................. 55 20 15/60 275 

Plague ............................................... Epidemiologist .................................. 11 1 20/60 4 

Q Fever ............................................. Epidemiologist .................................. 55 1 10/60 9 

Reye Syndrome ................................ Epidemiologist .................................. 50 1 20/60 17 

Tick-borne Rickettsia ........................ Epidemiologist .................................. 55 18 10/60 165 

Trichinosis ......................................... Epidemiologist .................................. 25 1 20/60 8 

Tularemia .......................................... Epidemiologist .................................. 55 2 20/60 37 

Typhoid Fever ................................... Epidemiologist .................................. 55 6 20/60 110 

Viral hepatitis .................................... Epidemiologist .................................. 55 200 25/60 4,583 

Total ........................................... ........................................................... ........................ ........................ ........................ 11,441 

Kimberly S. Lane, 

Deputy Director, Office of Scientific Integrity, 

Office of the Associate Director for Science 

Office of the Director Centers for Disease 

Control and Prevention. 

[FR Doc. 2012–30021 Filed 12–11–12; 8:45 am] 

BILLING CODE 4163–18–P 

DEPARTMENT OF HEALTH AND 

HUMAN SERVICES 

Centers for Medicare & Medicaid 

Services 

[Document Identifier: CMS–10280 and CMS– 

R–131] 

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: Home 

Health Change of Care Notice (HHCCN); 

Use: Home health agencies (HHAs) are 

required to provide written notice to 

original Medicare beneficiaries under 

various circumstances involving the 

initiation, reduction, or termination of 

services. The notice used in these 

situations has been the Home Health 

Advance Beneficiary Notice (HHABN), 

CMS–R–296. 

The HHABN, originally a liability 

notice specifically for HHA issuance, 

was first approved for use and 

implementation in 2000 with the home 

health prospective payment system 

transition. In 2006, the notice 

underwent significant modifications 

subsequent to the decision of the U.S. 

Court of Appeals (2nd Circuit) in Lutwin 

v. Thompson. HHABN content and 

formatting were revised so that it could 

be used to provide beneficiaries with 

change of care notification consistent 

with HHA Conditions of Participation 

(COPs) in addition to its liability notice 

function. Three interchangeable option 

boxes were introduced to the HHABN to 

support the added notification 

purposes. Option Box 1 addressed 

liability, Option Box 2 addressed change 

of care for agency reasons, and Option 

Box 3 addressed change of care due to 

provider orders. HHABN Collection 

0938–0781 last received PRA approval 

in 2009 following minor notice changes 

such as accessibility reformatting for 

compliance with Section 508 of the 

Rehabilitation Act of 1973, as amended 

in 1998, and removal of the 

beneficiary’s health insurance claim 

number (HICN). 

In an effort to streamline, reduce, and 

simplify notices issued to Medicare 

beneficiaries, HHABN Option Box 1, the 

liability notice portion, will be replaced 

by the existing Advanced Beneficiary 

Notice of Noncoverage (ABN) which is 

approved by OMB (0938–0566), for 

conveying information on beneficiary 

liability. Written notices to inform 

beneficiaries of their liability under 

specific conditions have been available 

since the ‘‘limitation on liability’’ 

provisions in section 1879 of the Social 

Security Act were enacted in 1972 (Pub. 

L. 92–603). The ABN (CMS–R–131) is 

presently used by providers and 

suppliers other than HHAs to inform fee 

for service (FFS) Medicare beneficiaries 

of potential liability for certain items/ 

services that might be billed to 

Medicare. The HHABN was developed 

specifically as the liability notice for 

HHA issuance. Since 2006, the HHABN 

has evolved to serve both liability and 

change of care notification purposes. 

Pursuant to a separate PRA package 

revising the use of the ABN, HHAs will 

now use the ABN for liability 

notification, and the HHCCN will be 

introduced as a separate, distinct 

document to give change of care notice 

in compliance with HHA conditions of 

participation. The HHCCN will replace 

both Option Box 2 and Option Box 3 

formats of the HHABN. The single page 

format of the HHCCN is designed to 

specify whether the change of care is 

due to agency reasons or provider 

orders. Form Number: CMS–10280 

(OCN: 0938–New); Frequency: 

Occasionally; Affected Public: Private 

Sector—Business or other for-profits 

and not-for-profit institutions; Number 

of Respondents: 10,914; Total Annual 

Responses: 14,126,428; Total Annual 

Hours: 941,385. (For policy questions 

regarding this collection contact Evelyn 

Blaemire at 410–786–1803. For all other 

issues call 410–786–1326.) 

mstockstill on DSK4VPTVN1PROD with 

Federal Register / Vol. 77, No. 239 / Wednesday, December 12, 2012 / Notices 74019 

2. Type of Information Collection 

Request: Revision of a currently 

approved collection; Title of 

Information Collection: Advance 

Beneficiary Notice of Noncoverage 

(ABN); Use: The use of written notices 

to inform beneficiaries of their liability 

under specific conditions has been 

available since Title XVIII of the Social 

Security Act (the Act), section 1879, 

Limitation on Liability, was enacted in 

1972 (Pub. L. 92–603). Similar required 

notification and liability protections are 

available under other sections of the 

Act: Section 1834(a)(18) refund 

requirements for certain items when 

unsolicited telephone contacts are 

made, section 1834(j)(4) for the same 

types of items when there is neither a 

required advance coverage 

determination nor required supplier 

number; 1834(a)(15) also for advance 

determinations for these items and 

section 1842(l) applicable to physicians 

not accepting assignment. Implementing 

regulations are found at 42 CFR 

411.404(b) and (c), and 411.408(d)(2) 

and (f), on written notice requirements. 

These statutory requirements apply only 

to Original Medicare, not Medicare 

Advantage plans. 

Under section 1879 of the Act, 

Medicare beneficiaries may be held 

financially responsible for items or 

services usually covered under 

Medicare, but denied in an individual 

case under specific statutory exclusions, 

if the beneficiary is informed prior to 

furnishing the issues or services that 

Medicare is likely to deny payment. 

When required, the ABN is delivered 

by Part B paid physicians, providers 

(including institutional providers like 

outpatient hospitals) practitioners (such 

as chiropractors), and suppliers, as well 

as hospice providers and Religious Nonmedical Health Care Institutions paid 

under Part A. Other Medicare 

institutional providers paid under Part 

A use other approved notice for this 

purpose. 

The revised ABN in this information 

collection request incorporates 

expanded use by Home Health Agencies 

(HHAs). There have been no substantive 

changes to the form. There are no 

changes that will affect existing ABN 

users. Form Number: CMS–R–131 

(OMB#: 0938–0566); Frequency: 

Reporting—Occasionally; Affected 

Public: Private Sector—Business or 

other for-profits and Not-for-profit 

institutions; Number of Respondents: 

1,288,837; Total Annual Responses: 

52,967,771; Total Annual Hours: 

6,177,101. (For policy questions 

regarding this collection contact Evelyn 

Blaemire at 410–786–1803. 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 February 11, 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 ll, Room C4–26–05, 

7500 Security Boulevard, Baltimore, 

Maryland 21244–1850. 

Dated: December 7, 2012. 

Martique Jones, 

Director, Division of Regulations 

Development-B, Office of Strategic Operations 

and Regulatory Affairs. 

[FR Doc. 2012–29951 Filed 12–11–12; 8:45 am] 

BILLING CODE 4120–01–P 

DEPARTMENT OF HEALTH AND 

HUMAN SERVICES 

Centers for Medicare & Medicaid 

Services 

[Document Identifier CMS–10451] 

Public Information Collection 

Requirements Submitted to the Office 

of Management and Budget (OMB); 

Correction 

AGENCY: Centers for Medicare & 

Medicaid Services (CMS), HHS. 

ACTION: Correction of notice. 

SUMMARY: This document corrects a 

technical error in the notice [Document 

Identifier: CMS–10451] entitled 

‘‘Evaluation and Development of 

Outcome Measures for Quality 

Assessment in Medicare Advantage and 

Special Needs Plans’’ that was 

published in the October 26, 2012 (77 

FR 65391) Federal Register. 

FOR FURTHER INFORMATION CONTACT: 

William Parham, (410) 786–4669. 

SUPPLEMENTARY INFORMATION: 

I. Background 

In the FR Doc. 2012–16514 of October 

26, 2012 (77 FR 65391), we published a 

Paperwork Reduction Act notice 

requesting a 60-day public comment 

period for the document entitled 

‘‘Evaluation and Development of 

Outcome Measures for Quality 

Assessment in Medicare Advantage and 

Special Needs Plans.’’ 

There were technical delays with 

making the information collection 

request publicly available; therefore, in 

this notice we are extending the 

comment period from the date originally 

listed in the October 26, 2012 notice. 

II. Correction of Error 

In FR Doc. 2012–26380 of October 26, 

2012 (77 FR 65391), make the following 

correction: 

On page 65391, second column, third 

full paragraph, fourth line, the sentence, 

‘‘To be assured consideration, 

comments and recommendations must 

be submitted in one of the following 

ways by December 26, 2012:’’ is 

corrected to read ‘‘To be assured 

consideration, comments and 

recommendations must be submitted in 

one of the following ways by January 2, 

2012:’’. 

Dated: December 7, 2012. 

Martique Jones, 

Director, Division of Regulations 

Development-B, Office of Strategic Operations 

and Regulatory Affairs. 

[FR Doc. 2012–29956 Filed 12–11–12; 8:45 am] 

BILLING CODE 4120–01–P 

DEPARTMENT OF HEALTH AND 

HUMAN SERVICES 

Administration for Children and 

Families 

Office of Child Support Enforcement; 

Privacy Act of 1974; Computer 

Matching Agreement 

AGENCY: Office of Child Support 

Enforcement (OCSE), ACF, HHS. 

ACTION: Notice of a Computer Matching 

Program. 

SUMMARY: In accordance with the 

Privacy Act of 1974 (5 U.S.C. 522a), as 

amended, OCSE is publishing notice of 

a computer matching program between 

OCSE and state agencies administering 

the Temporary Assistance for Needy 

Families (TANF) program. 

DATES: HHS invites interested parties to 

review, submit written data, comments, 

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