18554 Federal Register / Vol. 79, No. 63 / Wednesday, April 2, 2014 / Notices 

for participating in the survey. Face-toface interviews, usually taking 30 

minutes or less, with one adult (≥ 18 

years of age) from a selected household 

are recorded on paper or in electronic 

form. In general, yes/no and multiple 

choice questions are used to collect 

household level information including, 

but not limited to, the following 

categories: Housing unit type and extent 

of damage to the dwelling, household 

needs, physical and behavioral health 

status, perception and response to 

public health communications, 

household emergency preparedness, 

and greatest reported need. While a 

majority of CASPERs collect only 

household-level information, there may 

be instances where the questionnaires 

are modified to collect a small amount 

of individual level data. 

Participants give verbal consent. 

Additionally, no data is collected that 

could link specific questionnaires to 

house addresses. Separate from the 

questionnaire, a tracking form is used to 

record the number of households 

visited, calculate response rates, and 

record households that should be 

revisited because a respondent was 

unavailable for interview. A complete 

addresses, including house number, 

street name, city, state, and zip code, are 

never recorded on any form. This 

information is not retained by CDC or 

entered into any database. There is no 

way to link data from the tracking form 

to specific household questionnaires. 

Though each CASPER will be 

different, in general, personally 

identifying information is not collected. 

In a minimal number of CASPERs, 

interview teams may come across 

households with urgent needs that 

present an immediate threat to life or 

health, where calling emergency 

services immediately is not appropriate. 

In these instances, the team may refer 

the household to appropriate services 

using a referral form that is not attached 

to the questionnaire. In the scant 

instances where these forms are 

utilized, personally identifying 

information is collected. However, the 

forms go directly from the field team to 

the local CASPER coordinator for 

handling and rapid follow-up. When 

referral forms are used, the information 

is never retained by CDC or entered into 

any database. There is no way to link 

specific questionnaires to any 

information on the referral form. 

The estimated annualized burden is 

1,577 hours. The estimated burden is 

based on conducting 15 CASPERs per 

year, interviewing 210 households per 

CASPER, conducting 30 minute 

interviews per household, and 

completing 50 referral forms per year. 

There is no cost to respondents other 

than their time. 

ESTIMATED ANNUALIZED BURDEN HOURS

Type of respondents Form name Number of 

respondents 

Number of 

responses per 

respondent 

Average 

burden per 

response 

(in hrs) 

Total burden 

(in hrs) 

Residents of the selected geographic area to be 

assessed.

CASPER Questionnaire 

Referral Form ...............

3,150 

50 

1 

1 

30/60 

2/60 

1,575 

2 

Total ............................................................... ....................................... ........................ ........................ ........................ 1,577 

LeRoy 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. 2014–07320 Filed 4–1–14; 8:45 am] 

BILLING CODE 4163–18–P 

DEPARTMENT OF HEALTH AND 

HUMAN SERVICES 

Centers for Medicare & Medicaid 

Services 

[Document Identifiers: CMS–10209 and 

CMS–10379] 

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 May 2, 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 


tkelley on DSK3SPTVN1PROD with NOTICES
Federal Register / Vol. 79, No. 63 / Wednesday, April 2, 2014 / Notices 18555 

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: Medicare 

Advantage Chronic Care Improvement 

Program (CCIP) and Quality 

Improvement (QI) Project Reporting 

Tools; Use: Medicare Advantage 

Organizations (MAOs) are required to 

have an ongoing quality improvement 

(QI) program that meets our 

requirements and includes at least one 

chronic care improvement program 

(CCIP) and one QI project. Every MAO 

must have a QI program that monitors 

and identifies areas where 

implementing appropriate interventions 

would improve patient outcomes and 

patient safety. Information collected 

using the CCIP and QIP reporting tools 

is an integral resource for oversight, 

monitoring, compliance, and auditing 

activities necessary to ensure high 

quality value-based health care for 

Medicare beneficiaries. Form Number: 

CMS–10209 (OCN: 0938–1023); 

Frequency: Yearly; Affected Public: 

Private sector (business or other forprofits and not-for-profit institutions); 

Number of Respondents: 1,904; Total 

Annual Responses: 1,904; Total Annual 

Hours: 28,560. (For policy questions 

regarding this collection contact Ellen 

Dieujuste at 410–786–2191). 

2. Type of Information Collection 

Request: Reinstatement with change of a 

previously approved information 

collection; Title of Information 

Collection: Rate Increase Disclosure and 

Review Reporting Requirements; Use: 

Section 1003 of the Affordable Care Act 

adds a new section 2794 of the PHS Act 

which directs the Secretary of the 

Department of Health and Human 

Services (the Secretary), in conjunction 

with the states, to establish a process for 

the annual review of ‘‘unreasonable 

increases in premiums for health 

insurance coverage.’’ The statute 

provides that health insurance issuers 

must submit to the Secretary and the 

applicable state justifications for 

unreasonable premium increases prior 

to the implementation of the increases. 

Section 2794 also specifies that 

beginning with plan years beginning in 

2014, the Secretary, in conjunction with 

the states, shall monitor premium 

increases of health insurance coverage 

offered through an Exchange and 

outside of an Exchange. 

Section 2794 directs the Secretary to 

ensure the public disclosure of 

information and justification relating to 

unreasonable rate increases. The 

regulation therefore develops a process 

to ensure the public disclosure of all 

such information and justification. 

Section 2794 requires that health 

insurance issuers submit justification 

for an unreasonable rate increase to 

CMS and the relevant state prior to its 

implementation. Additionally, section 

2794 requires that rate increases 

effective in 2014 (submitted for review 

in 2013) be monitored by the Secretary, 

in conjunction with the states. To those 

ends the regulation establishes various 

reporting requirements for health 

insurance issuers, including a 

Preliminary Justification for a proposed 

rate increase, a Final Justification for 

any rate increase determined by a state 

or CMS to be unreasonable, and a 

notification requirement for 

unreasonable rate increases which the 

issuer will not implement. 

On November 14, 2013, CMS issued a 

letter to State Insurance Commissioners 

outlining transitional policy for nongrandfathered coverage in the small 

group and individual health insurance 

markets. If permitted by applicable State 

authorities, health insurance issuers 

may choose to continue coverage that 

would otherwise be terminated or 

cancelled, and affected individuals and 

small businesses may choose to reenroll in such coverage. Under this 

transitional policy, non-grandfathered 

health insurance coverage in the 

individual or small group market that is 

renewed for a policy year starting 

between January 1, 2014, and October 1, 

2014, will not be considered to be out 

of compliance with certain market 

reforms if certain specific conditions are 

met. These transitional plans continue 

to be subject to the requirements of 

section 2794, but are not subject to 2701 

(market rating rules), 2702 (guaranteed 

availability), 2704 (prohibition on 

health status rating), 2705 (prohibition 

on health status discrimination) and 

2707 (requirements of essential health 

benefits) and the because the single risk 

pool (1311(e)) is dependent on all of the 

aforementioned sections (2701, 2702, 

2704, 2705 and 2707), the transitional 

plans are also exempt from the single 

risk pool. The Unified Rate Review 

Template and system are exclusively 

designed for use with the single risk 

pool plan, and any attempt to include 

non-single risk pool plans in the Unified 

Rate Review template or system will 

create errors, inaccuracies and 

limitations on submissions that would 

prevent the effectiveness of reviews of 

both sets of non-grandfathered plans 

(single risk pool and transitional). For 

these many reasons, CMS is requiring 

issuers with transitional plans that 

experience rate increases subject to 

review to use the Rate Review 

Justification system and templates 

which were required and utilized prior 

to April 1, 2013. Form Number: CMS– 

10379 (OCN: 0938–1141); Frequency: 

Annual; Affected Public: Private sector, 

State Governments; Number of 

Respondents: 81; Total Annual 

Responses: 358; Total Annual Hours: 

1,879. (For policy questions regarding 

this collection, contact Doug Pennington 

at (410) 786–1553.) 

Dated: March 28, 2014. 

Martique Jones, 

Deputy Director, Regulations Development 

Group, Office of Strategic Operations and 

Regulatory Affairs. 

[FR Doc. 2014–07402 Filed 4–1–14; 8:45 am] 

BILLING CODE 4120–01–P 

DEPARTMENT OF HEALTH AND 

HUMAN SERVICES 

Centers for Medicare & Medicaid 

Services 

[Document Identifier CMS–370 and CMS– 

377] 

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 


tkelley on DSK3SPTVN1PROD with NOTICES