32300 Federal Register / Vol. 79, No. 107 / Wednesday, June 4, 2014 / Notices 

completed, results will be made 

available through the NIOSH internet 

site and peer-reviewed publications. 

The ‘‘Self-reported low back pain’’ 

and ‘‘Self-reported upper extremity 

pain’’ forms are collected every three 

months (9 over two years, or an average 

of 4.5 per year). The ‘‘Self-reported 

general work environment and health’’ 

form is collected at baseline, at the end 

of the first year and at the end of the 

second year (3 times over two years, or 

an average of 1.5 per year). The 

informed consent form is collected once 

at the beginning of the study, an average 

of .5 per year. The early exit interview 

is collected once for a limited number 

of participants, an average of .5 per year. 

There is no cost to respondents other 

than their time. 

In summary, this study will determine 

the effectiveness of the tested MSD 

interventions for material handling 

workers and enable evidence based 

prevention practices to be shared with 

the greatest audience possible. NIOSH 

expects to complete data collection in 

2016. The total estimated annual burden 

hours are 1,364. 

ESTIMATED ANNUALIZED BURDEN HOURS

Type of respondents Form name Number of 

respondents 

Number of 

responses per 

respondent 

Avg. burden 

per response 

(in hrs.) 

Total 

burden 

(in hrs.) 

Material handling workers ..... Self-reported low back pain ......................... 960 4.5 5/60 360 

Self-reported upper extremity pain .............. 960 4.5 5/60 360 

Self-reported specific job tasks and safety 

incidents.

960 4.5 5/60 360 

Self-reported general work environment and 

health.

960 1.5 10/60 240 

Informed Consent Form (Overall Study) ...... 960 .5 5/60 40 

Early Exit Interview ...................................... 106 .5 5/60 4 

Total ............................... ....................................................................... ........................ ........................ ........................ 1,364 

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. 2014–12838 Filed 6–3–14; 8:45 am] 

BILLING CODE 4163–18–P 

DEPARTMENT OF HEALTH AND 

HUMAN SERVICES 

Centers for Medicare & Medicaid 

Services 

[CMS–1620–N] 

Medicare Program; Notification of 

Closure of Teaching Hospital and 

Opportunity To Apply for Available 

Slots 

AGENCY: Centers for Medicare & 

Medicaid Services (CMS), HHS. 

ACTION: Notice. 

SUMMARY: This notice announces the 

closure of one teaching hospital and the 

initiation of an application process for 

hospitals to apply to the Centers for 

Medicare & Medicaid Services (CMS) to 

receive Long Beach Medical Center’s 

full time equivalent (FTE) resident cap 

slots. 

DATES: We will consider applications 

received no later than 5 p.m. (e.s.t.) 

September 2, 2014. Applications must 

be received, not postmarked, by this 

date. 

FOR FURTHER INFORMATION CONTACT: 

Miechal Lefkowitz, (212) 616–2517. 

SUPPLEMENTARY INFORMATION: 

I. Background 

Section 5506 of the Patient Protection 

and Affordable Care Act (Pub. L. 111– 

148), as amended by the Health Care 

and Education Reconciliation Act of 

2010 (Pub. L. 111–152) (collectively, the 

‘‘Affordable Care Act’’), ‘‘Preservation of 

Resident Cap Positions from Closed 

Hospitals,’’ authorizes the Secretary of 

the Department of Health and Human 

Services (the Secretary) to redistribute 

residency slots after a hospital that 

trained residents in an approved 

medical residency program closes. 

Specifically, section 5506 of the 

Affordable Care Act amended the Social 

Security Act (the Act) by adding 

subsection (vi) to section 1886(h)(4)(H) 

of the Act and modifying language at 

section 1886(d)(5)(B)(v) of the Act, to 

instruct the Secretary to establish a 

process to increase the full time 

equivalent (FTE) resident caps for other 

hospitals based upon the FTE resident 

caps in teaching hospitals that closed 

‘‘on or after a date that is 2 years before 

the date of enactment’’ (that is, March 

23, 2008). In the November 24, 2010 CY 

2011 Outpatient Prospective Payment 

System (OPPS) final rule (75 FR 72212), 

we established regulations and an 

application process for qualifying 

hospitals to apply to CMS to receive 

direct graduate medical education 

(GME) and indirect medical education 

(IME) FTE resident cap slots from the 

hospital that closed. We made certain 

modifications to those regulations in the 

FY 2013 Hospital Inpatient Prospective 

Payment System/Long Term Care 

Hospital final rule (FY 2013 IPPS/LTCH 

PPS final rule (77 FR 53434 through 

53447)). The procedures we established 

apply both to teaching hospitals that 

closed on or after March 23, 2008 and 

on or before August 3, 2010, and to 

teaching hospitals that closed after 

August 3, 2010. 

II. Provisions of the Notice 

A. Notice of Closure of Teaching 

Hospital and Application Process 

CMS has learned of the closure of one 

teaching hospital, Long Beach Medical 

Center, of Long Beach, NY. The purpose 

of this notice is to notify the public of 

the closure of this teaching hospital, and 

to initiate another round of the 

application and selection process 

described in section 5506 of the 

Affordable Care Act. This round will be 

the seventh round (‘‘Round 7’’) of the 

application and selection process. The 

table below identifies the closed 

teaching hospital, which is part of the 

Round 7 application process under 

section 5506 of the Affordable Care Act: 


tkelley on DSK3SPTVN1PROD with NOTICES
Federal Register / Vol. 79, No. 107 / Wednesday, June 4, 2014 / Notices 32301 

TEACHING HOSPITAL CLOSURE

Provider No. Provider name City and state CBSA Code Terminating date 

IME cap 

(including ± 

MMA Sec. 422 2

adjustments) 

Direct GME cap 

(including ± MMA 

Sec. 422 2

adjustments) 

330225 .............. Long Beach Medical 

Center.

Long Beach, NY ..... 1 35004 February 1, 2014 .... 26.79 26.79 + 2.10 section 422 increase 

= 28.89.3

1The CBSA codes applicable to the Round 7 application process are those in effect for the FY 2014 IPPS, not the new CBSA codes proposed 

by CMS for the FY 2015 IPPS in the FY 2015 IPPS proposed rule (79 FR 28055). 2Section 422 of the Medicare Prescription Drug, Improvement, and Modernization Act of 2003 (MMA), Pub. L. 108–173, redistributed unused 

residency slots effective July 1, 2005. 3 Long Beach Medical Center’s 1996 direct GME FTE cap is 26.79. Under section 422 of the MMA, the hospital received an increase of 2.10 to 

its direct GME FTE cap: 26.79 + 2.10 = 28.89. We note that under 42 CFR 413.77(g), direct GME FTE cap slots associated with an increase received under section 422 of the MMA are to be paid using the appropriate locality-adjusted national average per resident amount (PRA). 

B. Application Process for Available 

Resident Slots 

The application period for hospitals 

to apply for slots under section 5506 is 

90 days following notification to the 

public of a hospital closure. Therefore, 

hospitals wishing to apply for and 

receive slots from the above hospitals’ 

FTE resident caps must submit 

applications directly to the CMS Central 

Office no later than September 2, 2014. 

The mailing address for the CMS 

Central Office is included on the 

application form. Applications must be 

received by the September 2, 2014 

deadline date. It is not sufficient for 

applications to be postmarked by this 

date. After an applying hospital sends a 

hard copy of a section 5506 application 

to the CMS Central Office mailing 

address, they must also send an email 

to: ACA5506application@cms.hhs.gov. 

In the email, the hospital should state: 

‘‘On behalf of [insert hospital name and 

Medicare CMS Certification Number], I 

am sending this email to notify CMS 

that I have mailed to CMS a hard copy 

of a section 5506 application under 

Round 7 due to the closure of Long 

Beach Medical Center.’’ An applying 

hospital should not attach an electronic 

copy of the application to the email. The 

email will only serve as notification that 

a hard copy application has been mailed 

to the CMS Central Office. 

In the CY 2011 Outpatient Perspective 

Payment System/Ambulatory Surgical 

Center (OPPS/ASC) final rule with 

comment period, we did not establish a 

deadline by when CMS would issue the 

final determinations to hospitals that 

receive slots under section 5506 of the 

Affordable Care Act. However, we will 

review all applications received by the 

deadline and notify applicants of our 

determinations as soon as possible. 

We refer readers to the CMS Web site 

at http://www.cms.gov/Medicare/

Medicare-Fee-for-Service-Payment/

AcuteInpatientPPS/dgme.html to 

download a copy of the application 

form (section 5506 CMS Application 

Form) that hospitals are to use to apply 

for slots under section 5506 of the 

Affordable Care Act. We also refer 

readers to this same Web site to access 

a copy of the CY 2011 OPPS/ASC final 

rule with comment period, a copy of the 

FY 2013 Inpatient Perspective Payment 

System Long Term Care Hospital (IPPS/ 

LTCH) PPS final rule (77 FR 53434 

through 53447), and a list of additional 

section 5506 guidelines for an 

explanation of the policy and 

procedures for applying for slots, and 

the redistribution of the slots under 

sections 1886(h)(4)(H)(vi) and 

1886(d)(5)(B)(v) of the Act. (We note 

that in the FY 2015 IPPS proposed rule 

(79 FR 28154 through 28161), CMS 

proposed additional changes to the 

section 5506 application process. 

However, those proposed changes do 

not apply to this Round 7 application 

process). 

III. Collection of Information 

Requirements 

This document does not impose any 

new information collection 

requirements, that is, any reporting, 

recordkeeping or third-party disclosure 

requirements, as defined under the 

Paperwork Reduction Act of 1995 (5 

CFR 1320). Furthermore, all information 

collection requirements associated with 

the preservation of resident cap 

positions from closed hospitals are not 

subject to the Paperwork Reduction Act, 

as stated in section 5506 of the 

Affordable Care Act. 

Dated: May 29, 2014. 

Marilyn Tavenner, 

Administrator, Centers for Medicare & 

Medicaid Services. 

[FR Doc. 2014–13006 Filed 6–3–14; 8:45 am] 

BILLING CODE 4120–01–P 

DEPARTMENT OF HEALTH AND 

HUMAN SERVICES 

Health Resources and Services 

Administration 

Agency Information Collection 

Activities: Submission to OMB for 

Review and Approval; Public Comment 

Request 

AGENCY: Health Resources and Services 

Administration, HHS. 

ACTION: Notice. 

SUMMARY: In compliance with Section 

3507(a)(1)(D) of the Paperwork 

Reduction Act of 1995, the Health 

Resources and Services Administration 

(HRSA) has submitted an Information 

Collection Request (ICR) to the Office of 

Management and Budget (OMB) for 

review and approval. Comments 

submitted during the first public review 

of this ICR will be provided to OMB. 

OMB will accept further comments from 

the public during the review and 

approval period. 

DATES: Comments on this ICR should be 

received no later than July 7, 2014. 

ADDRESSES: Submit your comments, 

including the Information Collection 

Request Title, to the desk officer for 

HRSA, either by email to OIRA_

submission@omb.eop.gov or by fax to 

202–395–5806. 

FOR FURTHER INFORMATION CONTACT: To 

request a copy of the clearance requests 

submitted to OMB for review, email the 

HRSA Information Collection Clearance 

Officer at paperwork@hrsa.gov or call 

(301) 443–1984. 

SUPPLEMENTARY INFORMATION: 

Information Collection Request Title: 

Data Collection Tool for Rural Health 

Community-Based Grant Programs. 

OMB No.: 0915–0319—Extension. 

Abstract: There are currently five 

rural health grant programs that operate 

under the authority of Section 330A of 

the Public Health Service (PHS) Act. 

These programs include: (1) Rural 


tkelley on DSK3SPTVN1PROD with NOTICES