Federal Register / Vol. 76, No. 105 / Wednesday, June 1, 2011 / Notices 31613 

Mary Forbes, 

Paperwork Reduction Act Reports Clearance 

Officer, Office of the Secretary. 

[FR Doc. 2011–13439 Filed 5–31–11; 8:45 am] 

BILLING CODE 4151–17–P 

DEPARTMENT OF HEALTH AND 

HUMAN SERVICES 

Centers for Disease Control and 

Prevention 

[Docket Number NIOSH–063B] 

NIOSH Fire Fighter Fatality 

Investigation and Prevention Program 

(FFFIPP) 

AGENCY: The National Institute for 

Occupational Safety and Health 

(NIOSH) of the Centers for Disease 

Control and Prevention (CDC), 

Department of Health and Human 

Services (HHS). 

ACTION: Notice of public comment 

period. 

SUMMARY: The National Institute for 

Occupational Safety and Health 

(NIOSH) of the Centers for Disease 

Control and Prevention (CDC) requests 

stakeholder input on the progress and 

future directions of the NIOSH Fire 

Fighter Fatality Investigation and 

Prevention Program (FFFIPP). NIOSH is 

seeking stakeholder input on the FFFIPP 

to ensure that the program is meeting 

the needs and expectations of the U.S. 

fire service, and to identify ways in 

which the program can be improved to 

increase its impact on the safety and 

health of fire fighters across the United 

States. NIOSH will compile and 

consider all comments received through 

the NIOSH docket and use them in 

making decisions on how to proceed 

with the FFFIPP. 

DATES: Public Comment Period: Written 

or electronic comments must be 

received on or before July 29, 2011. 

ADDRESSES: Written comments on the 

FFFIPP program and suggestions for 

enhancing the impact of the program 

and future directions should be 

submitted, identified by docket number 

NIOSH–063B, by any of the following 

methods: 

• Mail: NIOSH Docket Office, Robert 

A. Taft Laboratories, MS–C34, 4676 

Columbia Parkway, Cincinnati, OH 

45226. 

• Facsimile: (513) 533–8285. 

• E-mail: nioshdocket@cdc.gov, or 

submitted using the on-line form 

available through the NIOSH docket at 

the following link: http://www.cdc.gov/ 

niosh/docket/review/docket063B/ 

default.html. E-mail attachments should 

be formatted in Microsoft Word. 

Comments should be submitted to 

NIOSH no later than July 29, 2011 and 

should reference Docket Number 

NIOSH–063B. 

All information received in response 

to this notice will be available for public 

examination and copying at the NIOSH 

Docket Office, 4676 Columbia Parkway, 

Cincinnati, Ohio 45226. A complete 

electronic docket containing all 

comments submitted will be available 

on the NIOSH Web page at http:// 

www.cdc.gov/niosh/docket, and 

comments will be available in writing 

by request. NIOSH includes all 

comments received without change in 

the docket and the electronic docket, 

including any personal information 

provided. 

FOR FURTHER INFORMATION CONTACT: Paul 

Moore, NIOSH, Division of Safety 

Research (DSR), 1095 Willowdale Road, 

MS–1808, Morgantown, West Virginia 

26505, PMoore@cdc.gov or fax (304) 

285–5474, telephone (304) 285–5991. 

SUPPLEMENTARY INFORMATION: NIOSH 

convened stakeholders’ meetings in 

1998, March 2006 and November 2008 

to seek input to help guide the FFFIPP. 

The input provided by stakeholders at 

those meetings was very valuable in 

providing insight into stakeholder needs 

and expectations. NIOSH is again 

seeking stakeholder input through a 

public docket. There are several 

resources that may be useful to 

individuals and groups who would like 

to comment on the FFFIPP: 

• The NIOSH FFFIPP Progress Report 

and Proposed Future Directions—2011. 

This document includes specific topics 

for stakeholder input. http:// 

www.cdc.gov/niosh/fire/ 

future2011.html 

• The Strategic Plan for the NIOSH 

FFFIPP that was finalized in 2009 after 

public input. http://www.cdc.gov/niosh/ 

fire/strategicplan2009.html 

• The FFFIPP Web site that includes 

an overview of the FFFIPP, fatality 

investigation reports and other 

publications. http://www.cdc.gov/niosh/ 

fire/ 

Dated:May 21, 2011. 

John Howard, 

Director, National Institute for Occupational 

Safety and Health, Centers for Disease Control 

and Prevention. 

[FR Doc. 2011–13533 Filed 5–31–11; 8:45 am] 

BILLING CODE 4163–19–P 

DEPARTMENT OF HEALTH AND 

HUMAN SERVICES 

Centers for Medicare & Medicaid 

Services 

[Document Identifier: CMS–10379] 

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: New Collection; Title of 

Information Collection: Rate Increase 

Disclosure and Review Reporting 

Requirements (45 CFR Part 154). Use: 

Under the Section 1003 of the 

Affordable Care Act (Section 2794 of the 

Public Health Service Act), The 

Secretary, in conjunction with the 

States, is required to establish a process 

for the annual review, beginning with 

the 2010 plan year, of unreasonable 

increases in premiums for health 

insurance coverage. Section 2794 directs 

the Secretary to ensure the public 

disclosure of information of 

unreasonable rate increases and 

justification for those increases. 

On December 23, 2010, CMS 

published a proposed rate review 

regulation in the Federal Register for 

public comment (Rate Increase 

Disclosure and Review Rule, 75 FR 

81004). CMS revised the proposed rule 

based on the public comments and 

published the final rate review 

regulation in the Federal Register on 

May 19, 2011. The final rule defines the 

unreasonable rate review process and 

issuer reporting and disclosure 

requirements (Rate Increase Disclosure 

and Review Rule, 76 FR 29964). The 

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31614 Federal Register / Vol. 76, No. 105 / Wednesday, June 1, 2011 / Notices 

regulation establishes the following 

reporting requirements: 

• The Preliminary Justification: This 

data collection is required of all health 

insurance issuers for all rate increases 

that exceed the ‘‘subject to review’’’ 

reporting threshold as defined in the 

rule. This information will be posted on 

an HHS Web site. 

• Rate Review Final Determination: 

This data collection requires States with 

effective rate review programs and CMS 

to report their review findings and 

unreasonable rate increase 

determinations on all rate increases that 

are subject to review. This information 

will be posted on an HHS Web site. 

• The Final Justification for An 

Unreasonable Rate Increase: This data 

collection is required of health 

insurance issuers that elect to 

implement a rate increase that is 

determined to be unreasonable based on 

State or CMS review. This information 

will be posted on the Health Insurance 

Issuer’s Web site and on a CMS Web 

site. 

2. Preliminary Justification 

The Preliminary Justification consists 

of three parts, Part I: Rate Increase 

Summary, Part II: Written Explanation 

of the Rate Increase, and Part III: Rate 

Filing Documentation. Issuers must 

complete Parts I and II for all rate 

increases that exceed the reporting 

threshold as defined in the rule. As 

described in the preamble of the rule, 

this information would be collected to 

provide consumers with basic 

information on all rate increases that are 

subject to review under the rate review 

program. 

Under the rule, ‘‘subject to review’’ 

rate increases would be reviewed by 

either States or CMS, depending on 

whether a State has an effective rate 

review program. Issuers would only be 

required to submit Part III of the 

Preliminary Justification when CMS is 

conducting the review of a rate increase 

that is ‘‘subject to review.’’ Accordingly, 

Part III requires health insurance issuers 

to provide detailed rate data that would 

be used for the purposes of conducting 

thorough actuarial reviews and for 

making determinations about whether 

rate increases are unreasonable. This 

Notice contains the following 

information about the Preliminary 

Justification: 

• Preliminary Justification Issuer 

Instructions: Health insurance issuer 

instructions for completing all three 

parts of the Preliminary Justification. 

• Part I Worksheet: A standardized 

Excel worksheet that must be used to 

complete Part I of the Preliminary 

Justification. 

• Sample Internet display of the Rate 

Review Consumer Disclosure: 

Information provided in the Preliminary 

Justification would be posted on an 

HHS Web site. This sample display 

shows how the information contained in 

the Part I Worksheet would be displayed 

to consumers. 

3. Rate Review Final Determination 

Under the rule, States and CMS 

would have to provide a Rate Review 

Final Determination at the close of their 

review of all ‘‘subject to review’’ rate 

increases. The Rate Review Final 

Determination must provide the State’s 

or CMS’ determination on whether a 

rate increase is ‘unreasonable’. Section 

154.301(a)(3) of the rule provides a list 

of actuarial review elements that must 

be taken into account as part of the rate 

review process. The Final 

Determination must provide a brief 

statement explaining how the review of 

elements set forth in § 154.301(a)(3) 

caused the State or CMS to arrive at its 

determination that the rate is 

unreasonable. 

The Rate Review Final Determination 

will be entered into a data entry text box 

in the Rate Review Data Collection 

System. CMS is estimating that this 

statement would be approximately a 

paragraph in length. There is no specific 

form or set of instructions associated 

with this reporting requirement, apart 

from the reporting requirements 

provided in the rule. The information 

provided in the Rate Review Final 

Determination will be posted as part of 

the rate review consumer disclosure 

information on an HHS Web site. 

4. Final Justification for An 

Unreasonable Rate Increase 

The rule states that if a health 

insurance issuer implements a rate 

increase determined by CMS or a State 

to be unreasonable, the health insurance 

issuer must provide a Final Justification 

for an Unreasonable Rate Increase. In 

the Final Justification, issuers would 

have to provide a short statement about 

why they are electing to implement an 

unreasonable rate increase. This 

statement would be entered into a data 

entry text box in the Rate Review Data 

Collection System and would not need 

to be more than a paragraph or two in 

length. There is no form or instructions 

associated with this statement apart 

from the requirements provided in the 

regulation. 

The Final Justification Statement will 

be posted on an HHS Web site in the 

same location as the Preliminary 

Justification and Rate Review Final 

Determination. Additionally, health 

insurance issuers implementing rate 

increases that were determined to be 

unreasonable, must post all of this 

information—the Preliminary 

Justification, the Rate Review Final 

Determination, and the Final 

Justification Statement on their Web 

sites for a period of 3 years. Form 

Number: CMS–10379; (OCN: 0938– 

NEW) Frequency: Annually; Affected 

Public: Private Sector and States; 

Number of Respondents: 452; Number 

of Responses: 3,571; Total Annual 

Hours: 11,902. (For policy questions 

regarding this collection, contact Sally 

McCarty at (301) 492–4489 or 

RateReview@hhs.gov. For all other 

issues call 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 June 27, 2011. 

OMB, Office of Information and 

Regulatory Affairs, Attention: CMS Desk 

Officer, Fax Number: (202) 395–6974, Email: OIRA_submission@omb.eop.gov. 

Dated: May 26, 2011. 

Martique Jones, 

Director, Regulations Development Group, 

Division B, Office of Strategic Operations and 

Regulatory Affairs. 

[FR Doc. 2011–13458 Filed 5–27–11; 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: State Developmental Disabilities 

Council 5-Year State Plan. 

OMB No.: 0980–0162. 

Description: A Plan developed by the 

State Council on Developmental 

Disabilities is required by federal 

statute. Each State Council on 

Developmental Disabilities must 

develop the plan, provide for approval 

by the State Governor, and finally 

submit the plan on a five-year basis. On 

an annual basis, the Council must 

review the plan and make any 

amendments. The State Plan will be 

used (1) By the Council as a planning 

document; (2) by the citizenry of the 

State as a mechanism for commenting 

on the plans of the Council; and (3) by 

the Department as a stewardship tool, 

for ensuring compliance with the 

Developmental Disabilities Assistance 

and Bill of Rights Act, as one basis for 

providing technical assistance (e.g., 

mstockstill on DSK4VPTVN1PROD with NOTICES