10160 Federal Register / Vol. 79, No. 36 / Monday, February 24, 2014 / Notices 

TOTAL ESTIMATED ANNUALIZED BURDEN—HOURS

Form name Number of 

respondents 

Number of 

responses per 

respondent 

Average 

burden per 

response 

(in hours) 

Total burden 

hours 

SASH Participant Survey ................................................................................. 669 1 20/60 223 

Total .......................................................................................................... 669 1 20/60 223 

OS specifically requests comments on 

(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. 

Darius Taylor, 

Deputy, Information Collection Clearance 

Officer. 

[FR Doc. 2014–03828 Filed 2–21–14; 8:45 am] 

BILLING CODE 4150–05–P 

DEPARTMENT OF HEALTH AND 

HUMAN SERVICES 

Centers for Disease Control and 

Prevention 

Advisory Committee to the Director 

(ACD), Centers for Disease Control and 

Prevention—State, Tribal, Local and 

Territorial (STLT) Subcommittee 

In accordance with section 10(a)(2) of 

the Federal Advisory Committee Act 

(Pub. L. 92–463), the Centers for Disease 

Control and Prevention (CDC) 

announces the following meeting of the 

aforementioned subcommittee: 

Time and Date: 4:30 p.m.–6:00 p.m. EST, 

March 27, 2014. 

Place: This meeting will be held by 

teleconference. 

Status: This meeting is open to the public, 

limited only by the availability of telephone 

ports (100). The public is welcome to 

participate during the public comment 

period, which is tentatively scheduled from 

5:40 to 5:45 p.m. To participate on the 

teleconference, please dial (888) 233–0592 

and enter code 33288611. 

Purpose: The Subcommittee will provide 

advice to the CDC Director through the ACD 

on strategies and future needs and challenges 

faced by State, Tribal, Local and Territorial 

health agencies, and will provide guidance 

on opportunities for CDC. 

Matters To Be Discussed: The STLT 

Subcommittee members will discuss progress 

on implementation of ACD-adopted 

recommendations related to the health 

department of the future, additional 

developments that may expand these 

recommendations, and how CDC can best 

support STLT health departments. 

The agenda is subject to change as 

priorities dictate. 

Contact Person for More Information: 

Judith A. Monroe, M.D., FAAFP, Designated 

Federal Officer, State, Tribal, Local and 

Territorial Subcommittee, Advisory 

Committee to the Director, CDC, 1600 Clifton 

Road NE., M/S E–70, Atlanta, Georgia 30333, 

Telephone (404) 498–6775, Email: 

OSTLTSDirector@cdc.gov. Please submit 

comments to OSTLTSDirector@cdc.gov by 

March 20, 2014. 

The Director, Management Analysis and 

Services Office, has been delegated the 

authority to sign Federal Register notices 

pertaining to announcements of meetings and 

other committee management activities, for 

both the Centers for Disease Control and 

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. 2014–03813 Filed 2–21–14; 8:45 am] 

BILLING CODE 4163–18–P 

DEPARTMENT OF HEALTH AND 

HUMAN SERVICES 

Centers for Medicare & Medicaid 

Services 

[Document Identifiers: CMS–116] 

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 March 26, 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 

requirements that members of the public 

submit reports, keep records, or provide 

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Federal Register / Vol. 79, No. 36 / Monday, February 24, 2014 / Notices 10161 

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: Revision of a currently 

approved collection; Title of 

Information Collection: Clinical 

Laboratory Improvement Amendments 

(CLIA) Application Form and 

Supporting Regulations; Use: The 

application must be completed by 

entities performing laboratory’s testing 

specimens for diagnostic or treatment 

purposes. This information is vital to 

the certification process. Form Number: 

CMS–116 (OCN: 0938–0581); 

Frequency: Biennially and Occasionally; 

Affected Public: Private sector- Business 

or other for-profits and Not-for-profit 

institutions; Number of Respondents: 

242,000; Total Annual Responses: 

34,200; Total Annual Hours: 25,650. 

(For policy questions regarding this 

collection contact Sheila Ward at 410– 

786–3115.) 

Dated: February 19, 2014. 

Martique Jones, 

Deputy Director, Regulations Development 

Group, Office of Strategic Operations and 

Regulatory Affairs. 

[FR Doc. 2014–03877 Filed 2–21–14; 8:45 am] 

BILLING CODE 4120–01–P 

DEPARTMENT OF HEALTH AND 

HUMAN SERVICES 

Centers for Medicare & Medicaid 

Services 

[Document Identifier: CMS–10328] 

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 

April 25, 2014. 

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 llll, 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/Paperwork

ReductionActof1995. 

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–10328 Medicare Self-Referral 

Disclosure Protocol 

Under the Paperwork Reduction Act 

(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 

requires federal agencies to publish a 

60-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. 

Information Collection 

1. Type of Information Collection 

Request: Revision of currently approved 

collection; Title of Information 

Collection: The Self-Referral Disclosure 

Protocol (SRDP) is a voluntary selfdisclosure instrument that allows 

providers of services and suppliers to 

disclose actual or potential violations of 

section 1877 of the Social Security Act 

(the Act). CMS analyzes the disclosed 

conduct to determine compliance with 

section 1877 of the Act and the 

application of the exceptions to the 

physician self-referral prohibition. In 

addition, the authority granted to the 

Secretary under section 6409(b) of the 

ACA, and subsequently delegated to 

CMS, may be used to reduce the amount 

due and owing for violations. Form 

Number: CMS–10328 (OCN: 0938– 

1106); Frequency: Once; Affected 

Public: Private sector—Business and 

other for-profit and Not-for-profit 

institutions; Number of Respondents: 

100; Total Annual Responses: 100; Total 

Annual Hours: 5,000. (For policy 

questions regarding this collection 

contact Matthew Edgar at (410)–786– 

0698. For all other issues call 410–786– 

1326.) 

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