Federal Register / Vol. 78, No. 8 / Friday, January 11, 2013 / Notices 2407 

Subsection of 7A 

Original 

threshold 

[million] 

Adjusted 

threshold 

[million] 

Section 7A note: Assessment and Collection of Filing Fees (3)(b)(2) .................................................................... 100 141.8 

Section 7A note: Assessment and Collection of Filing Fees (3)(b)(2) .................................................................... 500 709.1 

Section 7A note: Assessment and Collection of Filing Fees (3)(b)(3) .................................................................... 500 709.1 

1Public Law 106–553, Sec. 630(b) amended Sec. 18a note. 

Any reference to these thresholds and 

related thresholds and limitation values 

in the HSR rules (16 CFR parts 801–803) 

and the Antitrust Improvements Act 

Notification and Report Form and its 

Instructions will also be adjusted, where 

indicated by the term ‘‘(as adjusted)’’, as 

follows: 

Original threshold 

Adjusted 

threshold 

[million] 

$10 million ............................ $14.2 

$50 million ............................ 70.9 

$100 million .......................... 141.8 

$110 million .......................... 156.0 

$200 million .......................... 283.6 

$500 million .......................... 709.1 

$1 billion ............................... 1,418.1 

By direction of the Commission. 

Richard C. Donohue, 

Acting Secretary. 

[FR Doc. 2013–00378 Filed 1–10–13; 8:45 am] 

BILLING CODE 6750–01–P 

GOVERNMENT ACCOUNTABILITY 

OFFICE 

Medicare Payment Advisory 

Commission Nomination Letters 

AGENCY: Government Accountability 

Office (GAO). 

ACTION: Notice on letters of nomination. 

SUMMARY: The Balanced Budget Act of 

1997 established the Medicare Payment 

Advisory Commission (MedPAC) and 

gave the Comptroller General 

responsibility for appointing its 

members. For appointments to MedPAC 

that will be effective May 1, 2013, I am 

announcing the following: Letters of 

nomination should be submitted 

between January 15 and March 8, 2013, 

to ensure adequate opportunity for 

review and consideration of nominees 

prior to the appointment of new 

members. 

ADDRESSES: 

GAO: MedPACappointments@gao.gov. 

GAO: 441 G Street NW., Washington, 

DC 20548. 

MedPAC: 601 New Jersey Avenue NW., 

Suite 9000, Washington, DC 20001. 

FOR FURTHER INFORMATION CONTACT: 

GAO: Office of Public Affairs, (202) 

512–4800. 

42 U.S.C. 1395b–6. 

Gene L. Dodaro, 

Comptroller General of the United States. 

[FR Doc. 2013–00335 Filed 1–10–13; 8:45 am] 

BILLING CODE 1610–02–M 

DEPARTMENT OF HEALTH AND 

HUMAN SERVICES 

Centers for Medicare & Medicaid 

Services 

[Document Identifier: CMS–10458] 

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 (request for a 

new OMB control number). Title of 

Information Collection: Consumer 

Research Supporting Outreach for 

Health Insurance Marketplace. Use: The 

Centers for Medicare and Medicaid 

Services is requesting clearance for two 

surveys to aid in understanding levels of 

awareness and customer service needs 

associated with the Health Insurance 

Marketplace established by the 

Affordable Care Act. Because the 

Marketplace will provide coverage to 

the almost 50 million uninsured in the 

United States through individual and 

small employer programs, we have 

developed one survey to be 

administered to individual consumers 

most likely to use the Marketplace and 

another to be administered to small 

employers most likely to use the Small 

Business Health Options portion of the 

Marketplace. These brief surveys, 

designed to be conducted quarterly, will 

give CMS the ability to obtain a rough 

indication of the types of outreach and 

marketing that will be needed to 

enhance awareness of and knowledge 

about the Marketplace for individual 

and business customers. CMS’ biggest 

customer service need is likely to be 

providing sufficient education so 

consumers: (a) can take advantage of the 

Marketplace and (b) know how to access 

CMS’ customer service channels. The 

surveys will provide information on 

media use, concept awareness, and 

conceptual or content areas where 

education for customer service delivery 

can be improved. Awareness and 

knowledge gaps are likely to change 

over time based not only on 

effectiveness of CMS’ marketing efforts, 

but also of those of state, local, private 

sector, and nongovernmental 

organizations. Form Number: CMS– 

10458 (OCN: 0938-New). Frequency: 

Quarterly. Affected Public: Individuals 

or households, Private Sector (business 

or other for-profits). Number of 

Respondents: 40,200. Total Annual 

Responses: 40,200. Total Annual Hours: 

2,480. (For policy questions regarding 

this collection contact Clarese Astrin at 

410–786–5424. 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 

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2408 Federal Register / Vol. 78, No. 8 / Friday, January 11, 2013 / Notices 

the document identifier or OMB control 

number. To be assured consideration, 

comments and recommendations must 

be submitted in one of the following 

ways by March 12, 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 Numberll, Room C4–26–05, 

7500 Security Boulevard, Baltimore, 

Maryland 21244–1850. 

Dated: January 8, 2013. 

Martique Jones, 

Deputy Director, Regulations Development 

Group, Office of Strategic Operations and 

Regulatory Affairs. 

[FR Doc. 2013–00467 Filed 1–10–13; 8:45 am] 

BILLING CODE 4120–01–P 

DEPARTMENT OF HEALTH AND 

HUMAN SERVICES 

Centers for Medicare & Medicaid 

Services 

[Document Identifier: CMS–10408 and CMS– 

10338] 

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: Reinstatement with change of a 

previously approved collection; Title of 

Information Collection: Early Retiree 

Reinsurance Program Survey of Plan 

Sponsors; Use: Under the Patient 

Protection and Affordable Care Act (42 

U.S.C. 18002) and implementing 

regulations at 45 CFR Part 149, 

employment-based plans that offer 

health coverage to early retirees and 

their spouses, surviving spouses, and 

dependents are eligible to receive taxfree reimbursement for a portion of the 

costs of health benefits provided to such 

individuals. The statute limits how the 

reimbursement funds can be used, and 

requires the Secretary of HHS to 

develop a mechanism to monitor the 

appropriate use of such funds. The 

survey that is the subject of this 

information collection request, is part of 

that mechanism. CMS published a 60- 

day FR Notice on September 28, 2012 

(77 FR 59615). The comment ended on 

November 27, 2012. No comments were 

received in response to this notice. 

Form Number: CMS–10408 (OCN: 

0938–1150); Frequency: Yearly; Affected 

Public: Private Sector: Business or other 

for-profit and not-for-profit institutions; 

Public Sector; Number of Respondents: 

927; Total Annual Responses: 927; Total 

Annual Hours: 10,197. (For policy 

questions regarding this collection 

contact David Mlawsky at (410) 786– 

6851. For all other issues call (410) 786– 

1326.) 

2. Type of Information Collection 

Request: Extension of a currently 

approved collection; Title: Affordable 

Care Act Internal Claims and Appeals 

and External Review Procedures for 

Non-grandfathered Group Health Plans 

and Issuers and Individual Market 

Issuers; Use: The Patient Protection and 

Affordable Care Act, Public Law 111– 

148, (the Affordable Care Act) was 

enacted by President Obama on March 

23, 2010. As part of the Act, Congress 

added PHS Act section 2719, which 

provides rules relating to internal claims 

and appeals and external review 

processes. On July 23, 2010, interim 

final regulations (IFR) set forth rules 

implementing PHS Act section 2719 for 

internal claims and appeals and external 

review processes. With respect to 

internal claims and appeals processes 

for group health coverage, PHS Act 

section 2719 and paragraph (b)(2)(i) of 

the interim final regulations provide 

that group health plans and health 

insurance issuers offering group health 

insurance coverage must comply with 

the internal claims and appeals 

processes set forth in 29 CFR 2560.503– 

1 (the DOL claims procedure regulation) 

and update such processes in 

accordance with standards established 

by the Secretary of Labor in paragraph 

(b)(2)(ii) of the regulations. The DOL 

claims procedure regulation requires an 

employee benefit plan to provide thirdparty notices and disclosures to 

participants and beneficiaries of the 

plan. In addition, paragraphs 

(b)(3)(ii)(C) and (b)(2)(ii)(C) of the IFR 

add an additional requirement that nongrandfathered group health plans and 

issuers of non-grandfathered health 

policies provide to the claimant, free of 

charge, any new or additional evidence 

considered, or generated by the plan or 

issuer in connection with the claim. 

Paragraph (b)(3)(i) of the IFR requires 

issuers offering coverage in the 

individual health insurance market to 

also generally comply with the DOL 

claims procedure regulation as updated 

by the Secretary of HHS in paragraph 

(b)(3)(ii) of the IFR for their internal 

claims and appeals processes. 

Furthermore, PHS Act section 2719 

and the IFR provide that nongrandfathered group health plans, 

issuers offering group health insurance 

coverage, and self-insured nonfederal 

governmental plans (through the IFR 

amendment dated June 24, 2011) must 

comply either with a state external 

review process or a federal external 

review process. The IFR provides a basis 

for determining when such plans and 

issuers must comply with an applicable 

state external review process and when 

they must comply with the federal 

external review process. Plans and 

issuers that are required to participate in 

the Federal external review process 

must have electronically elected either 

the HHS-administered process or the 

private accredited IRO process as of 

January 1, 2012, or, in the future, at 

such time as the plans and issuers use 

the federal external review process. 

Plans and issuers must notify HHS as 

soon as possible if any of the above 

information changes at any time after it 

is first submitted. The election 

requirements associated with this ICR 

are articulated through guidance 

published June 22, 2011 at http:// 

cciio.cms.gov/resources/files/ 

hhs_srg_elections_06222011.pdf. The 

election requirements are necessary for 

the federal external review process to 

provide an independent external review 

as requested by claimants. Form 

Number: CMS–10338 (OCN: 0938– 

1099); Frequency: Occasionally; 

Affected Public: State, Local, Tribal 

Governments; business or other forprofit; not-for-profit institutions; 

Number of Respondents: 46,773; 

Number of Responses: 218,657,161; 

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