Federal Register / Vol. 77, No. 65 / Wednesday, April 4, 2012 / Notices 20401 

three years. During this period, a 

number of critical tobacco control 

activities will be implemented, such as 

the Department of Health and Human 

Service’s first National Tobacco 

Education Campaign and a variety of 

state-based activities made possible by 

the Affordable Care Act (ACA) funds, 

including further quitline 

enhancements. The NQDW will provide 

essential information for monitoring and 

evaluating these efforts; improving 

understanding of quitline promotions 

and caller usage patterns; developing 

service benchmarks; increasing the 

number of tobacco users who quit each 

year; and aiding efforts to reduce 

mortality, morbidity, and health care 

costs related to tobacco use. 

The Intake Questionnaire will be 

administered to an estimated 730,000 

callers per year across all states, the 

District of Columbia, and participating 

U.S. territories. The estimated burden 

for completing the Intake Questionnaire 

interview is ten minutes for callers who 

seek personal counseling or services, 

and one minute for callers who seek 

information on behalf of someone else. 

A seven-month Follow-up 

Questionnaire will be administered to 

an average of 28,900 callers per year. 

The estimated burden per response is 

seven minutes. 

In addition, the Tobacco Control 

Manager for each state, district, or 

territory will be asked to complete a 

quarterly, web-based Quitline Services 

Questionnaire describing the services 

provided through their quitline. The 

estimated burden per response is seven 

minutes. 

All information will be collected 

electronically. There are no costs to 

respondents other than their time. 

ESTIMATED ANNUALIZED BURDEN HOURS

Type of respondent Form name Number of 

respondents 

Number of 

responses per 

respondent 

Average 

burden per 

response 

(in hours) 

Total burden 

(in hours) 

Caller who contacts the Quitline on 

behalf of someone else.

Intake Questionnaire ........................ 230,000 1 1/60 3,833 

Caller who contacts the Quitline for 

personal use.

500,000 1 10/60 83,333 

Quitline caller who received a 

Quitline service.

Follow-up Questionnaire .................. 28,900 1 7/60 3,372 

Tobacco Control Manager ................ Quitline Services Questionnaire ....... 52 4 7/60 24 

Total ........................................... ........................................................... ........................ ........................ ........................ 90,562 

Dated: March 29, 2012. 

Ron A. Otten, 

Director, Office of Scientific Integrity, Office 

of the Associate Director for Science (OADS), 

Office of the Director, Centers for Disease 

Control and Prevention. 

[FR Doc. 2012–8089 Filed 4–3–12; 8:45 am] 

BILLING CODE 4163–18–P 

DEPARTMENT OF HEALTH AND 

HUMAN SERVICES 

Centers for Disease Control and 

Prevention 

[60-Day–12–0556] 

Proposed Data Collections Submitted 

for Public Comment and 

Recommendations 

In compliance with the requirement 

of Section 3506(c)(2)(A) of the 

Paperwork Reduction Act of 1995 for 

opportunity for public comment on 

proposed data collection projects, the 

Centers for Disease Control and 

Prevention (CDC) will publish periodic 

summaries of proposed projects. To 

request more information on the 

proposed projects or to obtain a copy of 

the data collection plans and 

instruments, call 404–639–7570 and 

send comments to Ron Otten, at 1600 

Clifton Road, MS–D74, Atlanta, GA 

30333 or send an email to omb@cdc.gov. 

Comments are invited on: (a) Whether 

the proposed collection of information 

is necessary for the proper performance 

of the functions of the agency, including 

whether the information shall have 

practical utility; (b) the accuracy of the 

agency’s estimate of the burden of the 

proposed collection of information; (c) 

ways to enhance the quality, utility, and 

clarity of the information to be 

collected; and (d) ways to minimize the 

burden of the collection of information 

on respondents, including through the 

use of automated collection techniques 

or other forms of information 

technology. Written comments should 

be received within 60 days of this 

notice. 

Proposed Project 

Assisted Reproductive Technology 

(ART) Program Reporting System exp. 

9/30/2012—Revision—National Center 

for Chronic Disease Prevention and 

Health Promotion (NCCDPHP), Centers 

for Disease Control and Prevention 

(CDC). 

Background and Brief Description 

Section 2(a) of Public Law 102–493 

(known as the Fertility Clinic Success 

Rate and Certification Act of 1992 

(FCSRCA), 42 U.S.C. 263a–1(a)) requires 

that each assisted reproductive 

technology (ART) program shall 

annually report to the Secretary through 

the Centers for Disease Control and 

Prevention: (1) Pregnancy success rates 

achieved by such ART program, and (2) 

the identity of each embryo laboratory 

used by such ART program and whether 

the laboratory is certified or has applied 

for such certification under the Act. The 

required information is currently 

reported by ART programs to CDC as 

specified in the Assisted Reproductive 

Technology (ART) Program Reporting 

System (OMB no. 0920–0556, exp. 9/30/ 

2012). CDC seeks to extend OMB 

approval for a period of three years and 

to implement a brief, one-time optional 

feedback survey to clinics for each 

reporting year. The revised total burden 

estimate includes an anticipated 

increase in the number of participating 

clinics from 430 to 440 and an increase 

in the average number of responses per 

respondent from 321 to 339. There is a 

2-minute increase to the estimated 

burden per response. 

The currently approved program 

reporting system, also known as the 

National ART Surveillance System 

(NASS), includes information about all 

ART cycles initiated by any of the ART 

programs in the United States. An ART 

cycle is considered to begin when a 

woman begins taking ovarian 

stimulatory drugs or starts ovarian 

monitoring with the intent of having 

embryos transferred. The system also 

collects information about the 

pregnancy outcome of each cycle, as 

well as a number of data items deemed 


emcdonald on DSK29S0YB1PROD with NOTICES
20402 Federal Register / Vol. 77, No. 65 / Wednesday, April 4, 2012 / Notices 

important to explain variability in 

success rates across ART programs and 

across individuals. Data elements and 

definitions currently in use reflect 

CDC’s consultations with 

representatives of the Society for 

Assisted Reproductive Technology 

(SART), the American Society for 

Reproductive Medicine, and RESOLVE: 

the National Infertility Association (a 

national, nonprofit consumer 

organization), as well as a variety of 

individuals with expertise and interest 

in this field. 

Respondents are the 484 ART 

programs in the United States. 

Approximately 440 clinics are expected 

to report an average of 339 ART cycles 

each. Ten percent of responding clinics 

will be randomly selected to participate 

in full validation of selected ART cycle 

records and an abbreviated validation of 

selected ART cycle records. All 

information is collected electronically. 

Respondents have the option of entering 

data directly into a Web-based National 

ART Surveillance System (NASS) 

interface or of transmitting systemcompatible files extracted from other 

record systems. The ART program 

reporting system allows CDC to publish 

an annual report to Congress as 

specified by the FCSRCA and to provide 

information needed by consumers. 

CDC, the data collection contractor, 

and partner organizations engage in 

ongoing dialogue to identify 

opportunities for improvement in 

NASS. During the period of this 

Revision request, minor changes to 

NASS data definitions or similar 

technical adjustments may be proposed 

through the Change Request 

mechanism. 

Starting with 2012 data reporting 

year, CDC plans to implement a brief, 

one-time optional feedback survey to 

clinics for each reporting year. The 

purpose of this survey is to obtain 

insight into NASS usability issues as 

well as respondents’ perspectives on the 

usefulness of the information collected. 

There are no costs to respondents 

other than their time. 

ESTIMATED ANNUALIZED BURDEN HOURS

Respondents Form name Number of 

respondents 

Number of 

responses per 

respondent 

Average 

burden per 

response 

(in hours) 

Total burden 

(in hours) 

ART Programs .................................. NASS ................................................ 440 339 39/60 96,954 

Feedback Survey ............................. 176 1 2/60 6 

Total ........................................... ........................................................... ........................ ........................ ........................ 96,960 

Dated: March 29, 2012. 

Ron A. Otten, 

Director, Office of Scientific Integrity, Office 

of the Associate Director for Science (OADS), 

Office of the Director, Centers for Disease 

Control and Prevention. 

[FR Doc. 2012–8067 Filed 4–3–12; 8:45 am] 

BILLING CODE 4163–18–P 

DEPARTMENT OF HEALTH AND 

HUMAN SERVICES 

Centers for Medicare & Medicaid 

Services 

[Document Identifier: CMS–855(O)] 

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: Medicare 

Registration Application; Use: The CMS 

855O allows a physician to receive a 

Medicare identification number 

(without being approved for billing 

privileges) for the sole purpose of 

ordering and referring Medicare 

beneficiaries to Medicare approved 

providers and suppliers. This new 

Medicare registration application form 

allows physicians who do not provide 

services to Medicare beneficiaries to be 

given a Medicare identification number 

without having to supply all the data 

required for the submission of Medicare 

claims. It also allows the Medicare 

program to identify ordering and 

referring physicians without having to 

validate the amount of data necessary to 

determine claims payment eligibility 

(such as banking information), while 

continuing to identify the physician’s 

credentials as valid for ordering and 

referring purposes. Since the physicians 

and non-physician practitioners 

submitting this application are not 

enrolling in Medicare to submit claims 

but are only registering with Medicare 

as eligible to order and refer, CMS 

believes changing the title from 

Medicare Enrollment Application to 

Medicare Registration Application 

better captures the actual purpose of 

this form. 

Where appropriate, CMS has changed 

all references to enrollment or enrolling 

to registration and registering and 

Medicare billing number to National 

Provider Identifier. CMS also added a 

check box to allow physicians and nonphysician practitioners to withdraw 

from the ordering and referring registry. 

A section to collect information on 

professional certifications was added for 

those practitioners who are not 

professionally licensed. Editorial and 

formatting corrections were made in 

response to prior comments received 

during the approval of the current 

version of this application. Other minor 

editorial and formatting corrections 

were made to better clarify the purpose 

of this application. Form Number: 

CMS–855(O) (OCN: 0938–1135); 

Frequency: Occasionally; Affected 

Public: Individuals; Number of 

Respondents: 48,500; Total Annual 

Responses: 48,500; Total Annual Hours: 

24,125. (For policy questions regarding 

this collection contact Kimberly 

McPhillips at 410–786–5374. For all 

other issues call 410–786–1326.) 

2. Type of Information Collection 

Request: Extension of a currently 

approved collection; Title of 


emcdonald on DSK29S0YB1PROD with NOTICES