Federal Register / Vol. 79, No. 165 / Tuesday, August 26, 2014 / Notices 50913 

Comment Due Date: Comments 

regarding this information collection are 

best assured of having their full effect if 

received within 60 days of the date of 

this publication. 

Information Collection Request Title: 

Tissue and Organ Donor Epidemiology 

Study (TODES), OMB # 0990–New 

request, Office of the Assistant Secretary 

for Health. 

Abstract: This Study is a request for 

a new data collection OMB Number: 

0990–New TODES is being conducted 

in order to better understand the impact 

of donor screening and selection 

procedures, and to determine the extent 

of donor-donation level data that are 

collected for organ and tissue (including 

ocular) donors. The data that are 

obtained from Organ Procurement 

Organizations (OPOs) and Eye Banks 

will provide a better characterization of 

the deceased donor pool; information 

regarding data management and storage 

practices; and a measure of the degree 

of standardization of data collected by 

various organizations across the U.S. 

TODES may provide better estimates of 

the risk of HIV, HBV and HCV 

infections associated with organ and 

tissue transplantation and the potential 

for disease transmission; illustrate 

differences in laboratory screening 

methods and the impact of protocol 

variations; and serve as a pilot for future 

studies. This retrospective study will 

provide a framework for future, 

prospective studies of organ and tissue 

donors that could inform policy 

decisions regarding donor qualification 

procedures and, potentially, increase 

the donor pool. 

A workshop in June 2005 

(‘‘Preventing Organ and Tissue 

Allograft-Transmitted Infection: 

Priorities for Public Health 

Intervention’’) identified gaps in organ 

and tissue safety in the United States.1 

Participants developed a series of 

allograft safety initiatives, assessed 

progress, and identified priorities for 

future interventions. Despite progress, 

improved recognition and prevention of 

donor-derived transmission events is 

needed. It was concluded that this 

requires systems integration across the 

organ and tissue transplantation 

communities including organ 

procurement organizations, eye and 

tissue banks, and transplant infectious 

disease experts. Commitment of 

resources and improved coordination of 

efforts are required to develop essential 

tools to enhance safety for transplant 

recipients. 

ESTIMATED ANNUALIZED BURDEN HOURS

Type of respondents Number of 

respondents 

Number of 

responses per 

respondent 

Average 

burden per 

response 

(in hours) 

Total annual 

burden hours 

OPOs ............................................................................................................... 17 1 85/60 24.1 

Eye Banks ........................................................................................................ 7 1 55/60 6.4 

Total .......................................................................................................... ........................ ........................ ........................ 30.5 

OS specifically requests comments on 

(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. 

Darius Taylor, 

Information Collection Clearance Officer. 

[FR Doc. 2014–20193 Filed 8–25–14; 8:45 am] 

BILLING CODE 4150–28–P 

DEPARTMENT OF HEALTH AND 

HUMAN SERVICES 

National Committee on Vital and Health 

Statistics: Meeting Full Committee 

Pursuant to the Federal Advisory 

Committee Act, the Department of 

Health and Human Services (HHS) 

announces the following advisory 

committee meeting. 

Name: National Committee on Vital and 

Health Statistics (NCVHS), Full Committee 

Meeting. 

Time and Date: 

September 22, 2014, 9:00 a.m.–5:45 p.m. EDT 

September 23, 2014, 8:00 a.m.–12:00 p.m. 

EDT 

Place: Centers for Disease Control and 

Prevention, National Center for Health 

Statistics, 3311 Toledo Road, Auditorium A 

& B, Hyattsville, Maryland 20782, (301) 458– 

4524. 

Status: Open. 

Purpose: The purpose of this meeting is to 

receive updates from Departmental Liaisons 

and discuss potential collaborative activities 

and projects within HHS. The Committee 

will review action items pertaining to ASC 

X12N XML Schema; Virtual Cards/Credit 

Cards; UDI in Administrative Transactions; 

Health Plan ID, Attachments; and ICD–10, as 

well as a Health Data Stewardship Toolkit. 

The Committee will also discuss plans for a 

charge and expectations for tasks associated 

with a Review Committee on Data Standards. 

The Population Health Subcommittee will 

provide an update on plans for the October 

27–28 Roundtable on Supporting Community 

Data Engagement. Finally, the Working 

Group on HHS Data Access and Use will 

continue strategic discussions on usability, 

use, and usefulness of health data. 

The times shown above are for the full 

Committee meeting. Subcommittee issues 

will be included as part of the Full 

Committee schedule. 

Contact Person for More Information: 

Substantive program information may be 

obtained from Debbie M. Jackson, Acting 

Executive Secretary, NCVHS, National Center 

for Health Statistics, Centers for Disease 

Control and Prevention, 3311 Toledo Road, 

Room 2339, Hyattsville, Maryland 20782, 

telephone (301) 458–4614. Summaries of 

meetings and a roster of committee members 

are available on the NCVHS home page of the 

HHS Web site: http://www.ncvhs.hhs.gov/, 

where further information including an 

agenda will be posted when available. 

Should you require reasonable 

accommodation, please contact the CDC 

Office of Equal Employment Opportunity on 

(301) 458–4EEO (4336) as soon as possible. 

Dated: August 20, 2014. 

James Scanlon, 

Deputy Assistant Secretary for Planning and 

Evaluation (Science and Data Policy), Office 

of the Assistant Secretary for Planning and 

Evaluation. 

[FR Doc. 2014–20328 Filed 8–25–14; 8:45 am] 

BILLING CODE 4150–05–P 

DEPARTMENT OF HEALTH AND 

HUMAN SERVICES 

Centers for Medicare & Medicaid 

Services 

[Document Identifier: CMS–R–21, CMS–R– 

148, CMS–381 and CMS–10515] 

Agency Information Collection 

Activities: Submission for OMB 

Review; Comment Request 

ACTION: Notice. 


tkelley on DSK3SPTVN1PROD with NOTICES
50914 Federal Register / Vol. 79, No. 165 / Tuesday, August 26, 2014 / Notices 

SUMMARY: The Centers for Medicare & 

Medicaid Services (CMS) is announcing 

an opportunity for the public to 

comment on CMS’ intention to collect 

information from the public. Under the 

Paperwork Reduction Act of 1995 

(PRA), federal agencies are required to 

publish notice in the Federal Register 

concerning each proposed collection of 

information, including each proposed 

extension or reinstatement of an existing 

collection of information, and to allow 

a second opportunity for public 

comment on the notice. Interested 

persons are invited to send comments 

regarding the 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. 

DATES: Comments on the collection(s) of 

information must be received by the 

OMB desk officer by September 25, 

2014: 

ADDRESSES: When commenting on the 

proposed information collections, 

please reference the document identifier 

or OMB control number. To be assured 

consideration, comments and 

recommendations must be received by 

the OMB desk officer via one of the 

following transmissions: OMB, Office of 

Information and Regulatory Affairs, 

Attention: CMS Desk Officer, Fax 

Number: (202) 395–5806, or Email: 

OIRA_submission@omb.eop.gov. 

To obtain copies of a supporting 

statement and any related forms for the 

proposed collection(s) summarized in 

this notice, you may make your request 

using one of following: 

1. Access CMS’ Web site address at 

http://www.cms.hhs.gov/ 

PaperworkReductionActof1995. 

2. Email your request, including your 

address, phone number, OMB number, 

and CMS document identifier, to 

Paperwork@cms.hhs.gov. 

3. Call the Reports Clearance Office at 

(410) 786–1326. 

FOR FURTHER INFORMATION CONTACT: 

Reports Clearance Office at (410) 786– 

1326. 

SUPPLEMENTARY INFORMATION: Under the 

Paperwork Reduction Act of 1995 (PRA) 

(44 U.S.C. 3501–3520), federal agencies 

must obtain approval from the Office of 

Management and Budget (OMB) for each 

collection of information they conduct 

or sponsor. The term ‘‘collection of 

information’’ is defined in 44 U.S.C. 

3502(3) and 5 CFR 1320.3(c) and 

includes agency requests or 

requirements that members of the public 

submit reports, keep records, or provide 

information to a third party. Section 

3506(c)(2)(A) of the PRA (44 U.S.C. 

3506(c)(2)(A)) requires federal agencies 

to publish a 30-day notice in the 

Federal Register concerning each 

proposed collection of information, 

including each proposed extension or 

reinstatement of an existing collection 

of information, before submitting the 

collection to OMB for approval. To 

comply with this requirement, CMS is 

publishing this notice that summarizes 

the following proposed collection(s) of 

information for public comment: 

1. Type of Information Collection 

Request: Extension of a currently 

approved collection; Title of 

Information Collection: Withholding 

Medicare Payments to Recover 

Medicaid Overpayments and 

Supporting Regulations in 42 CFR 

447.31; Use: Certain Medicaid providers 

that are subject to offsets for the 

collection of Medicaid overpayments 

may terminate or substantially reduce 

their participation in Medicaid, leaving 

the state Medicaid agency unable to 

recover the amounts due. Recovery 

procedures allow for determining the 

amount of overpayments and offsetting 

the overpayments by withholding the 

provider’s Medicare payments. To 

effectuate the withholding, the state 

agency must provide their respective 

CMS regional office with certain 

documentation that identifies the 

provider and the Medicaid overpayment 

amount. The agency must also 

demonstrate that the provider was 

notified of the overpayment and that 

demand for the overpayment was made. 

An opportunity to appeal the 

overpayment determination must be 

afforded to the provider by the Medicaid 

state agency. Lastly, Medicaid state 

agencies must notify CMS when to 

terminate the withholding. Form 

Number: CMS–R–21 (OMB control 

number: 0938–0287); Frequency: 

Occasionally; Affected Public: State, 

Local, or Tribal Governments; Number 

of Respondents: 54; Total Annual 

Responses: 27; Total Annual Hours: 81. 

(For policy questions regarding this 

collection contact Stuart Goldstein at 

410–786–0694). 

2. Type of Information Collection 

Request: Extension of a currently 

approved collection; Title of 

Information Collection: Limitations on 

Provider Related Donations and Health 

Care Related Taxes; Limitation on 

Payment to Disproportionate Share 

Hospitals; Use: States may request a 

waiver of the broad based and 

uniformity tax program requirements. 

Each state must demonstrate that its tax 

program(s) do not violate the hold 

harmless provision. Additionally, state 

Medicaid agencies must report 

(quarterly) on health care related taxes 

collected and the source of provider 

related donations received by the state 

or unit of local government. Each state 

must maintain, in readily reviewable 

form, supporting documentation that 

provides a detailed description of each 

donation and tax program being 

reported, as well as the source and use 

of all donations received and collected. 

Without this information, the amount of 

Federal financial participation payable 

to a state cannot be determined. Form 

Number: CMS–R–148 (OMB control 

number: 0938–0618); Frequency: 

Quarterly and occasionally; Affected 

Public: State, Local, or Tribal 

Governments; Number of Respondents: 

50; Total Annual Responses: 40; Total 

Annual Hours: 3,200. (For policy 

questions regarding this collection 

contact Stuart Goldstein at 410–786– 

0694). 

3. Type of Information Collection 

Request: Revision of a currently 

approved collection; Title of 

Information Collection: Identification of 

Extension Units of Medicare Approved 

Outpatient Physical Therapy/Outpatient 

Speech Pathology (OPT/OSP) Providers 

and Supporting Regulations; Use: The 

provider uses the form to report to the 

state survey agency extension locations 

that it has added since the date of last 

report. The form is used by the state 

survey agencies and by our regional 

offices to identify and monitor 

extension locations to ensure their 

compliance with the federal 

requirements for the providers of 

outpatient physical therapy and speechlanguage pathology services. Form 

Number: CMS–381 (OMB control 

number: 0938–0273); Frequency: 

Annually; Affected Public: Private 

Sector; Business or other for-profit and 

not-for-profit institutions; Number of 

Respondents: 2,260; Total Annual 

Responses: 2,260; Total Annual Hours: 

565. (For policy questions regarding this 

collection contact James Cowher at 410– 

786–1948.) 

4. Type of Information Collection 

Request: Extension of a currently 

approved collection; Title of 

Information Collection: Payment 

Collection Operations Contingency Plan 

Under sections 1401, 1411, and 1412 of 

the Affordable Care Act and 45 CFR part 

155 subpart D; Use: An Exchange makes 

an advance determination of tax credit 


tkelley on DSK3SPTVN1PROD with NOTICES
Federal Register / Vol. 79, No. 165 / Tuesday, August 26, 2014 / Notices 50915 

eligibility for individuals who enroll in 

Qualified Health Plan (QHP) coverage 

through the Exchange and seek financial 

assistance. Using information available 

at the time of enrollment, the Exchange 

determines whether the individual 

meets the income and other 

requirements for advance payments and 

the amount of the advance payments 

that can be used to pay premiums. 

Advance payments are made 

periodically under section 1412 of the 

Affordable Care Act to the issuer of the 

QHP in which the individual enrolls. 

Section 1402 of the Affordable Care Act 

provides for the reduction of cost 

sharing for certain individuals enrolled 

in a QHP through an Exchange, and 

section 1412 of the Affordable Care Act 

provides for the advance payment of 

these reductions to issuers. The statute 

directs issuers to reduce cost sharing for 

essential health benefits for individuals 

with household incomes between 100 

and 400 percent of the Federal poverty 

level (FPL) who are enrolled in a silver 

level QHP through an individual market 

Exchange and are eligible for advance 

payments of the premium tax credit. 

Health insurance issuers will manually 

enter enrollment and payment data into 

a Microsoft Excel-based spreadsheet, 

and submit the information to HHS. 

The data collection will be used by 

HHS to make payments or collect 

charges from issuers under the 

following programs: Advance payments 

of the premium tax credit, advanced 

cost-sharing reductions, and 

Marketplace user fees. HHS will use the 

information collected to make payments 

and collect charges in January 2014 and 

for a number of months thereafter, as 

may be required based on HHS’s 

operational progress. Form Number: 

CMS–10515 (OMB control number: 

0938–1217); Frequency: Monthly; 

Affected Public: Private sector (Business 

or other for-profits and not-for-profit 

institutions); Number of Respondents: 

575; Total Annual Responses: 7,475; 

Total Annual Hours: 94,373. (For policy 

questions regarding this collection 

contact Jaya Ghildiyal at 301–492– 

5149). 

Dated: August 21, 2014. 

Martique Jones, 

Director, Regulations Development Group, 

Office of Strategic Operations and Regulatory 

Affairs. 

[FR Doc. 2014–20255 Filed 8–25–14; 8:45 am] 

BILLING CODE 4120–01–P 

DEPARTMENT OF HEALTH AND 

HUMAN SERVICES 

Administration for Children and 

Families 

Submission for OMB Review; 

Comment Request 

Title: Social Services Block Grant 

(SSBG) Post-expenditure Report. 

OMB No.: 0970–0234. 

Description 

Purpose: To request approval to: (1) 

Reinstate and extend the collection of 

post-expenditure data using the current 

OMB approved post-expenditure 

reporting form (OMB No. 0970–0234) 

past the current expiration date of July 

1, 2014; and (2) to request that States 

continue to voluntarily submit 

estimated pre-expenditure and recipient 

data using the post-expenditure 

reporting form, as part of the required 

annual intended use plan. 

The Social Services Block Grant 

program (SSBG) is authorized under 

Title XX of the Social Security Act, as 

amended, and is codified at 42 U.S.C. 

1397 through 13097e. SSBG provides 

funds to assist States in delivering 

critical services to vulnerable older 

adults, persons with disabilities, at-risk 

adolescents and young adults, and 

children and families. SSBG funds are 

allocated to each State in proportion to 

their relative population. 

Each State is responsible for designing 

and implementing its own SSBG 

program to meet the specialized needs 

of their most vulnerable populations. 

States may determine what services will 

be provided, who will be eligible, and 

how funds will be distributed among 

the various services. State or local SSBG 

agencies (i.e., county, city, regional 

offices) may provide the services or 

States may purchase services from 

qualified agencies, organizations, or 

individuals. States must administer 

their SSBG program according to their 

approved intended use plan, along with 

amendments, and in conformance with 

their own implementing rules and 

policies. The Office of Community 

Services (OCS), Administration for 

Children and Families administers the 

SSBG program. 

Annually, States are required to 

submit a pre-expenditure report or 

intended use plan as a prerequisite to 

receiving SSBG funds. The preexpenditure report must include 

information on the types of services to 

be supported and the characteristics of 

individuals to be served. This report is 

to be submitted 30 days prior to the start 

of the fiscal year (June 1 if the State 

operates on a July–June fiscal year, or 

September 1 if the State operates on a 

Federal fiscal year). No specific format 

is required for the intended use plan. 

States are required to submit a revised 

intended use plan if the planned use of 

SSBG funds changes during the year (42 

U.S.C. 1397c). 

In order to provide a more accurate 

analysis of the extent to which funds are 

spent ‘‘in a manner consistent’’ with 

each of the States plan for their use, as 

required by 42 U.S.C. 1397e(a), ACF 

continues to request that States 

voluntarily use the format of the postexpenditure reporting form to provide 

estimates of the amount of expenditures 

and the number of recipients, by service 

category, as part of the State’s intended 

use plan. Most of the States are 

currently using the format of the postexpenditure reporting form to report 

estimated expenditures and recipients, 

by service category, as part of their 

intended use plan. 

On annual basis, States also are 

required to submit a post-expenditure 

report that details their use of SSBG 

funds in each of 29 service categories. 

States are required to submit their postexpenditure report within six months of 

the end of the period covered by the 

report. The post-expenditure report 

must address: (1) The number of 

individuals (including number of 

children and number of adults) who 

receive services paid for, in whole or in 

part, with Federal funds under the 

SSBG; (2) The amount of SSBG funds 

spent in providing each service; (3) The 

total amount of Federal, State, and local 

funds spent in providing each service, 

including SSBG funds; and (4) The 

method(s) by which each service is 

provided, showing separately the 

services provided by public and private 

agencies (42 U.S.C. 1397e; 42 CFR 

96.74). 

This request seeks approval to 

reinstate and continue the use of the 

current OMB approved postexpenditure reporting form (OMB No. 

0970–0234) for estimating expenditures 

and recipients as part of States’ 

intended use plans and for annual postexpenditure reporting. Until recently, 

States reported the data on the postexpenditure reporting form in Microsoft 

ExcelTM and submitted it to ACF, via 

email. Beginning in 2013, States can 

complete the current reporting form on 

the SSBG Portal. The SSBG Portal is a 

secure web-based data portal. The SSBG 

Portal allows for more efficient data 

submission without increasing the 

overall burden on States. It provides a 

user-friendly means for States to submit 

and access their pre-expenditure and 

post-expenditure and recipient data. 


tkelley on DSK3SPTVN1PROD with NOTICES