Federal Register / Vol. 83, No. 10 / Tuesday, January 16, 2018 / Notices 2161 

Prevention and the Agency for Toxic 

Substances and Disease Registry. 

Elaine L. Baker, 

Director, Management Analysis and Services 

Office, Centers for Disease Control and 

Prevention. 

[FR Doc. 2018–00543 Filed 1–12–18; 8:45 am] 

BILLING CODE 4163–18–P 

DEPARTMENT OF HEALTH AND 

HUMAN SERVICES 

Centers for Medicare & Medicaid 

Services 

[Document Identifier: CMS–10054] 

Agency Information Collection 

Activities: Submission for OMB 

Review; 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 

(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 the necessity and 

utility of the proposed information 

collection for the proper performance of 

the agency’s functions, the accuracy of 

the estimated burden, ways to enhance 

the quality, utility, and clarity of the 

information to be collected; and 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 15, 2018. 

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’ website address at 

https://www.cms.gov/Regulations-andGuidance/Legislation/ 

PaperworkReductionActof1995/PRAListing.html. 

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: 

William Parham at (410) 786–4669. 

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: Reinstatement without change 

of a previously approved collection; 

Title of Information Collection: New 

Technology Payments for APCs Under 

the Outpatient Prospective Payment 

System; Use: CMS needs to keep pace 

with emerging new technologies and 

make them accessible to Medicare 

beneficiaries in a timely manner. It is 

necessary that we continue to collect 

appropriate information from interested 

parties such as hospitals, medical 

device manufacturers, pharmaceutical 

companies and others that bring to our 

attention specific services that they 

wish us to evaluate for New Technology 

APC payment. We are making no 

changes to the information that we 

collect. The information that we seek to 

continue to collect is necessary to 

determine whether certain new services 

are eligible for payment in New 

Technology APCs, to determine 

appropriate coding and to set an 

appropriate 4 payment rate for the new 

technology service. The intent of these 

provisions is to ensure timely 

beneficiary access to new and 

appropriate technologies. Form Number: 

CMS–10054 (OMB control number: 

0938–0860); Frequency: Annually; 

Affected Public: Private Sector (Business 

or other For-profits); Number of 

Respondents: 10; Total Annual 

Responses: 10; Total Annual Hours: 

160. (For policy questions regarding this 

collection contact Joshua McFeeters at 

410–786–9732.) 

Dated: January 10, 2018. 

William N. Parham, III, 

Director, Paperwork Reduction Staff, Office 

of Strategic Operations and Regulatory 

Affairs. 

[FR Doc. 2018–00621 Filed 1–12–18; 8:45 am] 

BILLING CODE 4120–01–P 

DEPARTMENT OF HEALTH AND 

HUMAN SERVICES 

Centers for Medicare & Medicaid 

Services 

[Document Identifier: CMS–10106] 

Agency Information Collection 

Activities: Submission for OMB 

Review; 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 

(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 the necessity and 

utility of the proposed information 

collection for the proper performance of 

the agency’s functions, the accuracy of 

the estimated burden, ways to enhance 

the quality, utility, and clarity of the 

information to be collected; and the use 

of automated collection techniques or 

other forms of information technology to 

minimize the information collection 

burden. 


daltland on DSKBBV9HB2PROD with NOTICES
2162 Federal Register / Vol. 83, No. 10 / Tuesday, January 16, 2018 / Notices 

DATES: Comments on the collection(s) of 

information must be received by the 

OMB desk officer by February 15, 2018. 

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’ website address at 

website address at https://www.cms.gov/ 

Regulations-and-Guidance/Legislation/ 

PaperworkReductionActof1995/PRAListing.html. 

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: 

William Parham at (410) 786–4669. 

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: Reinstatement without change 

of a previously approved collection; 

Title of Information Collection: 

Medicare Authorization to Disclose 

Personal Health Information; Use: 

Unless permitted or required by law, the 

Health Insurance Portability and 

Accountability Act (HIPAA) Privacy 

Rule (§ 164.508) prohibits Medicare (a 

HIPAA covered entity) from disclosing 

an individual’s protected health 

information without a valid 

authorization. In order to be valid, an 

authorization must include specified 

core elements and statements. Medicare 

will make available to Medicare 

beneficiaries a standard, valid 

authorization to enable beneficiaries to 

request the disclosure of their protected 

health information. This standard 

authorization will simplify the process 

of requesting information disclosure for 

beneficiaries and minimize the response 

time for Medicare. Form CMS–10106, 

the Medicare Authorization to Disclose 

Personal Health Information, will be 

used by Medicare beneficiaries to 

authorize Medicare to disclose their 

protected health information to a third 

party. Form Number: CMS–10106 (OMB 

control number: 0938–0930); Frequency: 

Occasionally; Affected Public: 

Individuals or Households; Number of 

Respondents: 2,200,000; Total Annual 

Responses: 2,200,000; Total Annual 

Hours: 550,000. (For policy questions 

regarding this collection contact Sam 

Jenkins at 410–786–3261.) 

Dated: January 9, 2018. 

William N. Parham, III, 

Director, Paperwork Reduction Staff, Office 

of Strategic Operations and Regulatory 

Affairs. 

[FR Doc. 2018–00486 Filed 1–12–18; 8:45 am] 

BILLING CODE 4120–01–P 

DEPARTMENT OF HEALTH AND 

HUMAN SERVICES 

Administration for Children and 

Families 

[OMB NO.: 0970–0440] 

Proposed Information Collection 

Activity; Comment Request; Job 

Search Assistance (JSA) Strategies 

Evaluation—Extension 

Description: The Administration for 

Children and Families (ACF), is 

proposing the extension without 

changes to an existing data collection 

activity as part of the Job Search 

Assistance (JSA) Strategies Evaluation. 

The JSA evaluation will aim to 

determine which JSA strategies are most 

effective in moving TANF applicants 

and recipients into work and will 

produce impact and implementation 

findings. To date, the study has 

randomly assigned individuals to 

contrasting JSA approaches. The study 

will next compare participant 

employment and earnings to determine 

the relative effectiveness of these 

strategies. The project will also report 

on the implementation of these 

strategies, including measures of 

services participants receive under each 

approach, as well as provide operational 

lessons gathered directly from 

practitioners. 

Data collection efforts previously 

approved for JSA, include: Data 

collection activities to document 

program implementation, a staff survey, 

a baseline information form for program 

participants, and a follow-up survey for 

JSA participants approximately 6 

months after program enrollment. 

Approval for these activities expires on 

February 28, 2018. 

This Federal Register Notice provides 

the opportunity to comment on the 

extension of the 6-month follow-up 

survey to allow follow-up data to be 

collected for all study participants. 

Although the enrollment period was 

originally estimated to span 12 months, 

it took 18 months to complete 

enrollment, leaving insufficient time to 

complete the 6-month follow-up survey. 

A four-month extension is requested in 

order to allow individuals randomly 

assigned between June and August 2017 

to complete the follow-up survey in the 

same timeframe as earlier enrollees. The 

purpose of the survey is to follow-up 

with study participants and document 

their job search assistance services and 

experiences including their receipt of 

job search assistance services, their 

knowledge and skills for conducting a 

job search, the nature of their job search 

process, including tools and services 

used to locate employment, and their 

search outputs and outcomes, such as 

the number of applications submitted, 

interviews attended, offers received and 

jobs obtained. In addition, the survey 

will provide an opportunity for 

respondents to provide contact data for 

possible longer-term follow-up. There 

are no changes to the currently 

approved instruments. 

Respondents: JSA study participants. 

Annual Burden Estimates 

This extension is specific to the 6- 

month survey and covers the remaining 

766 participants that may be completing 

the six-month follow up survey during 

the four-month extension period. All 

other information collection under 

0970–0440 will be complete by the 

original OMB expiration date of 

February 28, 2018. 


daltland on DSKBBV9HB2PROD with NOTICES