12320 Federal Register / Vol. 78, No. 36 / Friday, February 22, 2013 / Notices 

Healthcare Research and Quality. This 

Executive Session will be closed to the 

public in accordance with 5 U.S.C. App. 

2, section 10(d) and 5 U.S.C. 

552b(c)(9)(B). This portion of the 

meeting is likely to disclose information 

the premature disclosure of which 

would be likely to significantly frustrate 

implementation of a proposed agency 

action to the public. The final agenda 

will be available on the AHRQ Web site 

at www.AHRQ.gov no later than Friday, 

March 29, 2013. 

Dated: February 13, 2012. 

Carolyn M. Clancy, 

Director. 

[FR Doc. 2013–04057 Filed 2–21–13; 8:45 am] 

BILLING CODE 4160–90–M 

DEPARTMENT OF HEALTH AND 

HUMAN SERVICES 

Centers for Disease Control and 

Prevention 

[30Day–13–0604] 

Agency Forms Undergoing Paperwork 

Reduction Act Review 

The Centers for Disease Control and 

Prevention (CDC) publishes a list of 

information collection requests under 

review by the Office of Management and 

Budget (OMB) in compliance with the 

Paperwork Reduction Act (44 U.S.C. 

Chapter 35). To request a copy of these 

requests, call (404) 639–7570 or send an 

email to omb@cdc.gov. Send written 

comments to CDC Desk Officer, Office of 

Management and Budget, Washington, 

DC 20503 or by fax to (202) 395–5806. 

Written comments should be received 

within 30 days of this notice. 

Proposed Project 

School Associated Violent Death 

Surveillance System (0920–0604, 

Expiration 1/31/2013)—Reinstatement 

with change—National Center for Injury 

Prevention and Control (NCIPC), 

Centers for Disease Control and 

Prevention (CDC). 

Background and Brief Description 

The Division of Violence Prevention 

(DVP), National Center for Injury 

Prevention and Control (NCIPC) 

proposes to maintain a system for the 

surveillance of school-associated 

homicides and suicides; the system 

relies on existing public records and 

interviews with law enforcement 

officials and school officials. The 

purpose of the system is to (1) estimate 

the rate of school-associated violent 

death in the United States and (2) 

identify common features of schoolassociated violent deaths. The system 

will contribute to the understanding of 

fatal violence associated with schools, 

guide further research in the area, and 

help direct ongoing and future 

prevention programs. 

School-associated violent deaths 

(SAVD) is an ongoing surveillance 

system that draws cases from the entire 

United States in attempting to capture 

all cases of school-associated violent 

deaths that have occurred. Investigators 

review public records and published 

press reports concerning each schoolassociated violent death. For each 

identified case, investigators also 

interview an investigating law 

enforcement official (defined as a police 

officer, police chief, or district attorney), 

and a school official (defined as a school 

principal, school superintendent, school 

counselor, school teacher, or school 

support staff) who are knowledgeable 

about the case in question. Respondents 

will only be interviewed once. 

Researchers request information on both 

the victim and alleged offender(s)— 

including demographic data, their 

academic and criminal records, and 

their relationship to one another. Data 

are also collected on the time and 

location of the death; the circumstances, 

motive, and method of the fatal injury; 

and the security and violence 

prevention activities in the school and 

community where the death occurred, 

before and after the fatal injury event. 

The revisions to this data collection 

involve changes to the data collection 

instruments that will enhance the scope 

or relevance of the information 

previously collected, and changes that 

will reflect recent advancements and 

developments in research addressing 

violence in school settings. There has 

also been an additional measure added 

which will further strengthen the data 

security processes. 

There are no costs to the respondents 

other than their time. The total 

estimated annual burden hours are 70. 

ESTIMATED ANNUALIZED BURDEN HOURS

Type of respondents Form name Number of 

respondents 

Number of 

responses per 

respondent 

Average 

burden per 

response 

(in hours) 

School Officials .............................................................. School CATI Interview ..................... 35 1 1 

Police Officials ............................................................... Law Enforcement CATI Interview .... 35 1 1 

Dated: February 14, 2013. 

Ron A. Otten, 

Director, Office of Scientific Integrity (OSI), 

Office of the Associate Director for Science 

(OADS), Office of the Director, Centers for 

Disease Control and Prevention. 

[FR Doc. 2013–04048 Filed 2–21–13; 8:45 am] 

BILLING CODE 4163–18–P 

DEPARTMENT OF HEALTH AND 

HUMAN SERVICES 

Centers for Medicare & Medicaid 

Services 

[Document Identifier: CMS–10418, CMS– 

10028] 

Agency Information Collection 

Activities: 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 


sroberts on DSK5SPTVN1PROD with NOTICES
Federal Register / Vol. 78, No. 36 / Friday, February 22, 2013 / Notices 12321 

automated collection techniques or 

other forms of information technology to 

minimize the information collection 

burden. 

1. Type of Information Collection 

Request: Revision of currently approved 

collection; Title of Information 

Collection: Annual MLR and Rebate 

Calculation Report and MLR Rebate 

Notices: Use: Under Section 2718 of the 

Affordable Care Act and implementing 

regulation at 45 CFR Part 158, a health 

insurance issuer (issuer) offering group 

or individual health insurance coverage 

must submit a report to the Secretary 

concerning the amount the issuer 

spends each year on claims, quality 

improvement expenses, non-claims 

costs, federal and state taxes and 

licensing and regulatory fees, and the 

amount of earned premium. An issuer 

must provide an annual rebate if the 

amount it spends on certain costs 

compared to its premium revenue 

(excluding federal and states taxes and 

licensing and regulatory fees) does not 

meet a certain ratio, referred to as the 

medical loss ratio (MLR). An interim 

final rule (IFR) implementing the MLR 

was published on December 1, 2010 (75 

FR 74865) and modified by technical 

corrections on December 30, 2010 (75 

FR 82277), which added Part 158 to 

Title 45 of the Code of Federal 

Regulations. The IFR was effective 

January 1, 2011. A final rule regarding 

selected provisions of the IFR was 

published on December 7, 2011 (76 FR 

76574, CMS–9998–FC) and an interim 

final rule regarding an issue not 

included in issuers’ reporting 

obligations (disbursement of rebates by 

non-federal governmental plans) was 

also published December 7, 2011 (76 FR 

76596, CMS–9998–IFC2) Both rules 

published on December 7, 2011 were 

effective January 1, 2012. Each issuer is 

required to submit annually MLR data, 

including information about any rebates 

it must provide, on a form prescribed by 

CMS, for each state in which the issuer 

conducts business. Each issuer is also 

required to provide a rebate notice to 

each policyholder that is owed a rebate 

and each subscriber of policyholders 

that are owed a rebate for any given 

MLR reporting year. Additionally, each 

issuer is required to maintain for a 

period of seven years all documents, 

records and other evidence that support 

the data included in each issuer’s 

annual report to the Secretary. 

The 60-day Federal Register notice 

published on December 4, 2012, (77 FR 

71801) pertained to the 2012 MLR 

Annual Reporting Form and 

Instructions, and the comment period 

closed on February 4, 2013. We received 

a total of 4 public comments on 25 

specific issues regarding the notice of 

the revised Medical Loss Ratio (MLR) 

PRA package. Most of the comments 

addressed clarifying the instructions or 

correcting typographical errors, the 

removal of calculated cells and the 

issuer’s ability to copy and paste data 

onto the form, and the inclusion of a 

credibility indicator for small issuers so 

that small issuers would not need to fill 

out the complete MLR reporting form. 

We have taken into consideration all of 

the proposed suggestions and have 

made changes to the 2012 MLR Annual 

Reporting Form and Instructions. 

Form Number: CMS–10418 (OCN: 

0938–1164); Frequency: Annual 

submission for each respondent; 

Affected Public: Private Sector, Business 

or other for-profits and not-for-profit 

institutions; Number of Respondents: 

502; Number of Responses: 3,085; Total 

Annual Hours: 311,302. (For policy 

questions regarding this collection, 

contact Carol Jimenez at (301) 492– 

4457. For all other issues, call (410) 

786–1326.) 

2. Type of Information Collection 

Request: Extension of a currently 

approved collection; Title of 

Information Collection: State Health 

Insurance Assistance Program (SHIP) 

Client Contact Form, Public and Media 

Activity Report Form, and Resource 

Report Form. Use: Section 4360(f) of the 

Omnibus Budget Reconciliation Act 

(OBRA) 1990 requires the Secretary to 

provide a series of reports to the U.S. 

Congress on the performance of the 

program and its impact on beneficiaries 

and to obtain important informational 

feedback from beneficiaries. Further, in 

response to requirements of the 

Balanced Budget Act of 1997, CMS 

launched a comprehensive five-year 

campaign, the National Medicare 

Education Program (NMEP), to raise 

awareness among beneficiaries about 

their Medicare health plan options and 

help them assess the advantages and 

disadvantages each choice holds for 

them. The Medicare Modernization Act 

(MMA) of 2003 required State Health 

Insurance Assistance Programs (SHIPs) 

to be actively engaged in the 

implementation of the Medicare 

Prescription Drug Program (Part D). 

MIPPA legislation and Affordable Care 

Act legislation required SHIPs to 

provide enrollment assistance for the 

Limited Income Subsidy (LIS) and 

Medicare Savings Program (MSP). The 

goal is to ensure that beneficiaries are 

making an informed choice, regardless 

of whether they stay in Original 

Medicare or choose new options. CMS 

is responsible to Congress for 

demonstrating improvement over time 

in the level of awareness and 

understanding beneficiaries have about 

health plan options. The SHIPs are an 

integral component of this initiative. 

The information collected is used to 

fulfill the reporting requirements 

described in Section 4360(f) of OBRA 

1990. CMS will utilize this data. The 

data will be accumulated and analyzed 

to measure SHIP performance in order 

to determine whether and to what 

extent the SHIPs have met the goals of 

improved CMS customer service to 

beneficiaries and better understanding 

by beneficiaries of their health 

insurance options. Further, the 

information will be used in the 

administration of the grants, to measure 

performance and appropriate use of the 

funds by the state grantees, to identify 

gaps in services and technical support 

needed by SHIPs, and to identify and 

share best practices. The overall burden 

of hours and expected number of 

respondents increase is based on 

projected future service growth and 

projected future increases in staffing to 

accommodate the increased demand to 

utilize the SHIP network to raise 

awareness about new CMS policies, 

outreach initiatives, or both. However, 

the instruments themselves have not 

changed. Form Number: CMS–10028 

(OCN: 0938–0850); Frequency: 

Occasionally; Affected Public: State, 

Local, or Tribal Governments; Number 

of Respondents: 17,838; Total Annual 

Responses: 2,346,465. Total Annual 

Hours: 195,642. (For policy questions 

regarding this collection contact Gregory 

Price at 410–786–4041. 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, and phone number as well the 

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 25, 2013. 

OMB, Office of Information and 

Regulatory Affairs, Attention: CMS 

Desk Officer, Fax Number: (202) 395– 

6974, Email: 

OIRA_submission@omb.eop.gov. 


sroberts on DSK5SPTVN1PROD with NOTICES
12322 Federal Register / Vol. 78, No. 36 / Friday, February 22, 2013 / Notices 

Dated: February 15, 2013. 

Martique Jones, 

Deputy Director, Regulations Development 

Group, Office of Strategic Operations and 

Regulatory Affairs. 

[FR Doc. 2013–04015 Filed 2–21–13; 8:45 am] 

BILLING CODE 4120–01–P 

DEPARTMENT OF HEALTH AND 

HUMAN SERVICES 

Centers for Medicare & Medicaid 

Services 

[Document Identifier: CMS–R–282] 

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: Extension. Title of Information 

Collection: Medicare Advantage 

Appeals and Grievance Data Disclosure 

Requirements (42 CFR 422.111). Use: 

Section 1852(c)(2)(C) of the Social 

Security Act and 42 CFR 422.111(c)(3) 

require that Medicare Advantage (MA) 

organizations and demonstrations 

disclose information pertaining to the 

number of disputes, and their 

disposition in the aggregate, with the 

categories of grievances and appeals to 

any individual eligible to elect an MA 

organization who requests this 

information. MA organizations and 

demonstrations remain under a 

requirement to collect and provide this 

information to individuals eligible to 

elect an MA organization, we continue 

to need the same format and form for 

reporting. Form Number: CMS–R–282 

(OCN 0938–0778). Frequency: Annually 

and semi-annually. Affected Public: 

Private Sector (business or other forprofit and not-for-profit institutions). 

Number of Respondents: 51,370. Total 

Annual Responses: 52,260. Total 

Annual Hours: 5,414. (For policy 

questions regarding this collection 

contact Stephanie Simons at 206–615– 

2420. 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 at 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 23, 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: February 19, 2013. 

Martique Jones, 

Deputy Director, Regulations Development 

Group, Office of Strategic Operations and 

Regulatory Affairs. 

[FR Doc. 2013–04120 Filed 2–21–13; 8:45 am] 

BILLING CODE 4120–01–P 

DEPARTMENT OF HEALTH AND 

HUMAN SERVICES 

Centers for Medicare & Medicaid 

Services 

[Document Identifier: CMS–10430, CMS– 

10164 and CMS–838] 

Agency Information Collection 

Activities: 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: Reinstatement of a previously 

approved collection; Title: Information 

Collection Requirements for Compliance 

with Individual and Group Market 

Reforms under Title XXVII of the Public 

Health Service Act; Use: The provisions 

of title XXVII of the Public Health 

Service Act (PHS Act) are designed to 

make it easier for people to get access 

to health care coverage and to reduce 

the limitations that can be put on the 

coverage. Sections 2723 and 2761 of the 

PHS Act direct CMS to enforce a 

provision (or provisions) of title XXVII 

of the PHS Act with respect to health 

insurance issuers when a state has 

notified CMS that it has not enacted 

legislation to enforce or that it is not 

otherwise enforcing a provision (or 

provisions) of the individual and group 

market reforms with respect to health 

insurance issuers, or when CMS has 

determined that a state is not 

substantially enforcing one or more of 

those provisions. This collection also 

pertains to notices issued by individual 

and group health insurance issuers and 

self-funded non-Federal governmental 

plans. This collection includes the 

issuance of certificates of creditable 

coverage; notification of preexisting 

condition exclusions; notification of 

special enrollment rights; and review of 

issuers’ filings of individual and group 

market products or similar Federal 

review in cases in which a state is not 

enforcing a title XXVII individual or 

group market provision. This 

information collection is a reinstatement 

of a previously approved collection 

(which expired on September 30, 2012 

(OMB#: 0938–0702 and OMB#: 0938– 

0703)) with minimal changes to reflect 


sroberts on DSK5SPTVN1PROD with NOTICES