Federal Register / Vol. 80, No. 11 / Friday, January 16, 2015 / Notices 2429 

the use of appropriate automated, 

electronic, mechanical, or other 

technological collection techniques or 

other forms of information technology, 

e.g., permitting electronic submission of 

responses; and (e) Assess information 

collection costs. 

To request additional information on 

the proposed project or to obtain a copy 

of the information collection plan and 

instruments, call (404) 639–7570 or 

send an email to omb@cdc.gov. Written 

comments and/or suggestions regarding 

the items contained in this notice 

should be directed to the Attention: 

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 

Behavioral Risk Factor Surveillance 

System (BRFSS)—Existing Collection 

Without an OMB Control Number— 

National Center for Chronic Disease 

Prevention and Health Promotion 

(NCCDPHP)—Centers for Disease 

Control and Prevention (CDC). 

Background and Brief Description 

CDC is requesting OMB approval to 

conduct information collection for the 

Behavioral Risk Factor Surveillance 

System (BRFSS) for three years 

beginning with the 2015 data collection 

cycle. The BRFSS is a nationwide 

system of customized, cross-sectional 

telephone health surveys sponsored by 

CDC. Information collection is 

conducted in a continuous, three-part 

telephone interview process: screening, 

participation in a common BRFSS core 

survey, and participation in optional 

question modules that states use to 

customize survey content. BRFSS 

coordinators in health departments in 

U.S. states, territories, and the District of 

Columbia (collectively referred to as 

states) are responsible for questionnaire 

content and survey administration. CDC 

provides the states with technical and 

methodological assistance. 

The BRFSS produces state-level 

information on adults 18 years and 

older primarily on the health risk 

behaviors, health conditions, and 

preventive health practices that are 

associated with chronic diseases, 

infectious diseases, and injury. This 

information is used by state and local 

health departments to plan and evaluate 

public health programs at the state or 

sub-state level. For most states and 

territories, the BRFSS provides the only 

source of data amenable to state and 

local level health and health risk 

indicators. 

Information collected through the 

BRFSS is also used by the federal 

government and other entities. CDC 

makes annual BRFSS data sets available 

for public use and provides guidance on 

statistically appropriate uses of the data. 

CDC’s authority to collect this 

information is provided by the Public 

Health Service Act. Participation in the 

BRFSS is voluntary and there are no 

costs to respondents other than their 

time. The total estimated annualized 

burden hours are 255,915. 

ESTIMATED ANNUALIZED BURDEN HOURS

Type of respondents Form name Number of 

respondents 

Number of 

responses per 

respondent 

Average 

burden per 

response 

(in hr) 

U.S. General Population ................................. Landline Screener ..........................................

Cell Phone Screener ......................................

440,486 

223,334 

1 

1 

1/60 

1/60 

Adults ≥ 18 Years ........................................... BRFSS Core Survey ......................................

BRFSS Optional Modules ..............................

494,650 

484,757 

1 

1 

15/60 

15/60 

Leroy A. Richardson, 

Chief, Information Collection Review Office, 

Office of Scientific Integrity, Office of the 

Associate Director for Science, Office of the 

Director, Centers for Disease Control and 

Prevention. 

[FR Doc. 2015–00562 Filed 1–15–15; 8:45 am] 

BILLING CODE 4163–18–P 

DEPARTMENT OF HEALTH AND 

HUMAN SERVICES 

Centers for Medicare & Medicaid 

Services 

[Document Identifier CMS–10114] 

Agency Information Collection 

Activities: Submission for OMB 

Review; Comment Request 

ACTION: Notice. 

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 February 17, 2015. 

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. 


asabaliauskas on DSK5VPTVN1PROD with NOTICES
2430 Federal Register / Vol. 80, No. 11 / Friday, January 16, 2015 / Notices 

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: 

3. Type of Information Collection 

Request: Extension of a currently 

approved collection; 

Title of Information Collection: 

National Provider Identifier (NPI) 

Application and Update Form and 

Supporting Regulations in 45 CFR 

142.408, 45 CFR 162.406, 45 CFR 

162.408; Use: The National Provider 

Identifier (NPI) Application and Update 

Form is used by health care providers to 

apply for NPIs and furnish updates to 

the information they supplied on their 

initial applications. The form is also 

used to deactivate their NPIs if 

necessary. The NPI Application/Update 

form has been revised to provide 

additional guidance on how to 

accurately complete the form. The NPI 

Application/Update form has been 

revised to provide additional guidance 

on how to accurately complete the form. 

This collection includes clarification on 

information that is required on 

applications/changes. Minor changes on 

the application/update form include 

adding a ‘Subpart’ check box in the 

Other Name section and a revision 

within the PRA Disclosure Statement. 

This collection also includes changes to 

the instructions. Form Number: CMS– 

10114 (OMB control number: 0938– 

0931); Frequency: Reporting—On 

occasion; Affected Public: Business or 

other for-profit, Not-for-profit 

institutions, and Federal government; 

Number of Respondents: 608,880; Total 

Annual Responses: 608,880; Total 

Annual Hours: 112,660. (For policy 

questions regarding this collection 

contact Kim McPhillips at 410–786– 

5374.) 

Dated: January 13, 2015. 

Martique Jones, 

Director, Regulations Development Group, 

Office of Strategic Operations and Regulatory 

Affairs. 

[FR Doc. 2015–00626 Filed 1–15–15; 8:45 am] 

BILLING CODE 4120–01–P 

DEPARTMENT OF HEALTH AND 

HUMAN SERVICES 

Centers for Medicare & Medicaid 

Services 

[Document Identifiers: CMS–372(S), CMS– 

10500, CMS–10221 and CMS–R–263] 

Agency Information Collection 

Activities: Proposed Collection; 

Comment Request 

AGENCY: Centers for Medicare & 

Medicaid Services, HHS. 

ACTION: Notice. 

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 (the 

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 

60 days for public comment on the 

proposed action. Interested persons are 

invited to send comments regarding our 

burden estimates 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 must be received by 

March 17, 2015. 

ADDRESSES: When commenting, please 

reference the document identifier or 

OMB control number (OCN). To be 

assured consideration, comments and 

recommendations must be submitted in 

any one of the following ways: 

1. Electronically. You may send 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) that are 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 lll, Room C4–26– 

05, 7500 Security Boulevard, Baltimore, 

Maryland 21244–1850. 

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: 

Contents 

This notice sets out a summary of the 

use and burden associated with the 

following information collections. More 

detailed information can be found in 

each collection’s supporting statement 

and associated materials (see 

ADDRESSES). 

CMS–372(S) Annual Report on Home 

and Community Based Services 

Waivers and Supporting Regulations 

CMS–10500 Outpatient/Ambulatory 

Surgery Patient Experience of Care 

Survey (O/ASPECS) 

CMS–10221 Site Investigation for 

Independent Diagnostic Testing 

Facilities (IDTFs) 

CMS–R–263 Site Investigation for 

Suppliers of Durable Medical 

Equipment, Prosthetics, Orthotics and 

Supplies (DMEPOS) 

Under the 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 


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