Federal Register / Vol. 73, No. 159 / Friday, August 15, 2008 / Notices 47953 

Status: Open to the public, but without a 

public comment period. To access by 

conference call dial the following 

information 1(866)659–0537, Participant Pass 

Code 9933701. 

Background: The Advisory Board was 

established under the Energy Employees 

Occupational Illness Compensation Program 

Act of 2000 to advise the President on a 

variety of policy and technical functions 

required to implement and effectively 

manage the new compensation program. Key 

functions of the Advisory Board include 

providing advice on the development 

ofprobability of causation guidelines that 

have been promulgated by the Department of 

Health and Human Services (HHS) as a final 

rule; advice on methods of dose 

reconstruction which have also been 

promulgated by HHS as a final rule; advice 

on the scientific validity and quality of dose 

estimation and reconstruction efforts being 

performed for purposes of the compensation 

program; and advice on petitions to add 

classes of workers to the Special Exposure 

Cohort (SEC). 

In December 2000, the President delegated 

responsibility for funding, staffing, and 

operating the Advisory Board to HHS, which 

subsequently delegated this authority to CDC. 

NIOSH implements this responsibility for 

CDC. The charter was issued on August 3, 

2001, renewed at appropriate intervals, and 

will expire on August 3, 2009. 

Purpose: The Advisory Board is charged 

with (a) Providing advice to the Secretary, 

HHS, on the development of guidelines 

under Executive Order 13179; (b) providing 

advice to the Secretary, HHS, on the 

scientific validity and quality of dose 

reconstruction efforts performed for this 

program; and (c) upon request by the 

Secretary, HHS, advise the Secretary on 

whether there is a class of employees at any 

Department of Energy facility who were 

exposed to radiation but for whom it is not 

feasible to estimate their radiation dose, and 

on whether there is reasonable likelihood 

that such radiation doses may have 

endangered the health of members of this 

class. The Subcommittee for Dose 

Reconstruction Reviews was established to 

aid the Advisory Board in carrying out its 

duty to advise the Secretary, HHS, on dose 

reconstruction. 

Matters to be Discussed: The agenda for the 

Subcommittee meeting includes a discussion 

of cases under review from the 6th, 7th, and 

8th sets of individual dose reconstructions; 

and selection of cases for future review. 

The agenda is subject to change as 

priorities dictate. 

ABRWH determines that agency business 

requires its consideration of this matter on 

less than 15 days notice to the public and 

that no earlier notice of this meeting was 

possible. 

In the event an individual cannot attend, 

written comments may be submitted. Any 

written comments received will be provided 

at the meeting and should be submitted to 

the contact personbelow well in advance of 

the meeting. 

Contact Person for More Information: 

Christine Branche, Ph.D., Executive 

Secretary, NIOSH, CDC, 395 E. Street, SW., 

Suite 9200, Washington, DC 20201, 

Telephone (513)533–6800, Toll Free 

1(800)CDC–INFO, E-mail ocas@cdc.gov. 

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 CDC and the Agency for Toxic 

Substances and Disease Registry. 

Dated: August 11, 2008. 

Lorenzo J. Falgiano, 

Acting Director, Management Analysis and 

Services Office, Centers for Disease Control 

and Prevention. 

[FR Doc. E8–18904 Filed 8–14–08; 8:45 am] 

BILLING CODE 4163–19–P 

DEPARTMENT OF HEALTH AND 

HUMAN SERVICES 

Centers for Medicare & Medicaid 

Services 

[Document Identifier: CMS–10260 and CMS–

10256] 

Agency Information Collection 

Activities: Submission for OMB 

Review; Comment Request 

AGENCY: Centers for Medicare & 

Medicaid Services, HHS. 

In compliance with the requirement 

of section 3506(c)(2)(A) of the 

Paperwork Reduction Act of 1995, the 

Centers for Medicare & Medicaid 

Services (CMS), Department of Health 

and Human Services, is publishing the 

following summary of proposed 

collections for public comment. 

Interested persons are invited to send 

comments regarding this 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 function; 

(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. 

1. Type of Information Collection 

Request: New collection; Title of 

Information Collection: Medicare 

Advantage (MA) Disclosure 

Requirements; Use: The information 

collection requirements are mandated 

by 42 CFR 422.111 and 422.80. MA 

organizations will be required to notify 

plan members of the coming year’s 

changes using a combined standardized 

document. MA organizations and 

potential MA organizations (applicants) 

will use the information to comply with 

the eligibility requirements and the MA 

contract requirements. CMS will use 

this information to ensure that correct 

information is disclosed to Medicare 

beneficiaries, both potential enrollees 

and enrollees. Form Number: CMS–

10260 (OMB# 0938–New); Frequency: 

Yearly; Affected Public: Business or 

other for-profit; Number of 

Respondents: 670; Total Annual 

Responses: 670; Total Annual Hours: 

8040. 

2. Type of Information Collection 

Request: New collection; Title of 

Information Collection: Medicare Care 

Management performance (MCMP) 

Demonstration; Use: Section 649 of the 

Medicare Prescription Drug, 

Improvement, and Modernization Act of 

2003 (MMA) requires the Secretary of 

the U.S. Department of Health and 

Human Services to establish a pay-forperformance (P4P) demonstration 

program with physicians to meet the 

needs of eligible beneficiaries through 

the adoption and use of health 

information technology (HIT) and 

evidence-based outcome measures. The 

Medicare Care Management 

Performance Demonstration was 

established in response to the MMA. 

Mathematica Policy Research, Inc. is 

conducting an evaluation of the MCMP 

on behalf of CMS. The goals of the 

three-year demonstration are to improve 

quality of care to eligible fee-for-service 

Medicare beneficiaries and encourage 

the implementation and use of HIT. The 

specific objectives are to promote 

continuity of care, help stabilize 

medical conditions, prevent or 

minimize acute exacerbations of chronic 

conditions, and reduce adverse health 

outcomes. The MMA authorizes a total 

of four sites in both urban and rural 

areas. The demonstration sites are in 

Arkansas, California, Massachusetts, 

and Utah. The MCMP demonstration 

will target practices serving at least 50 

traditional fee-for-service Medicare 

beneficiaries with congestive heart 

failure, coronary heart disease, and 

diabetes for whom they provide primary 

care. 

An impact analysis using a 

comparison group design will be 

conducted as part of the evaluation. 

Physician practices in selected nondemonstration States that match most 

closely those in demonstration States on 

key factors will make up the comparison 

group. The impact analysis will use data 

from four data sources: (1) A beneficiary 

survey, (2) a physician survey, (3) 

Medicare claims and eligibility data, 

and (4) practice-specific data. This 

request relates to the two surveys. Form 

Number: CMS–10256 (OMB# 0938–

New); Frequency: Once; Affected Public: 

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47954 Federal Register / Vol. 73, No. 159 / Friday, August 15, 2008 / Notices 

Business or other for-profits, and 

Individual and households; Number of 

Respondents: 6,400; Total Annual 

Responses: 6,400; Total Annual Hours: 

1,472. 

To obtain copies of the supporting 

statement and any related forms for the 

proposed paperwork collections 

referenced above, access CMS Web Site 

address at http://www.cms.hhs.gov/ 

PaperworkReductionActof1995, or Email your request, including your 

address, phone number, OMB number, 

and CMS document identifier, to 

Paperwork@cms.hhs.gov, or call the 

Reports Clearance Office on (410) 786–

1326. 

To be assured consideration, 

comments and recommendations for the 

proposed information collections must 

be received by the OMB desk officer at 

the address below, no later than 5 p.m. 

on September 15, 2008. OMB Human 

Resources and Housing Branch, 

Attention: OMB Desk Officer, New 

Executive Office Building, Room 10235, 

Washington, DC 20503, Fax Number: 

(202) 395–6974. 

Dated: August 7, 2008. 

Michelle Shortt, 

Director, Regulations Development Group, 

Office of Strategic Operations and Regulatory 

Affairs. 

[FR Doc. E8–18957 Filed 8–14–08; 8:45 am] 

BILLING CODE 4120–01–P 

DEPARTMENT OF HEALTH AND 

HUMAN SERVICES 

Centers for Medicare & Medicaid 

Services 

[Document Identifier: CMS–4040 and 

4040SP, CMS–R–10, CMS–10130A and 

10130B, and CMS–R–257] 

Agency Information Collection 

Activities: Proposed Collection; 

Comment Request 

AGENCY: Centers for Medicare & 

Medicaid Services, HHS. 

In compliance with the requirement 

of section 3506(c)(2)(A) of the 

Paperwork Reduction Act of 1995, the 

Centers for Medicare & Medicaid 

Services (CMS) is publishing the 

following summary of proposed 

collections for public comment. 

Interested persons are invited to send 

comments regarding this 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. 

1. Type of Information Collection 

Request: Extension of a currently 

approved collection; Title of 

Information Collection: Request for 

Enrollment in Supplementary Medical 

Insurance; Use: Section 1836 of the 

Social Security Act and 42 CFR 407.10 

provide the eligibility requirements for 

enrollment in Supplementary Medical 

Insurance (Part B) for individuals age 65 

and older who are not entitled to 

premium-free Hospital Insurance (Part 

A). The form CMS–4040 is used to 

establish entitlement to Part B by 

individuals ineligible for Part A under 

Title XVIII of the Social Security Act. 

Form Number: CMS–4040 and 4040SP 

(OMB# 0938–0245); Frequency: Once; 

Affected Public: Individuals and 

households; Number of Respondents: 

10,000; Total Annual Responses: 

10,000; Total Annual Hours: 2,500. 

2. Type of Information Collection 

Request: Extension of a currently 

approved collection; Title of 

Information Collection: BPD–718: 

Advance Directives (Medicare and 

Medicaid); Use: Steps have been taken 

at both the Federal and State level to 

afford greater opportunity for the 

individual to participate in decisions 

made concerning the medical treatment 

to be received by an adult patient in the 

event that the patient is unable to 

communicate to others a preference 

about medical treatment. The individual 

may make his preference known 

through the use of an advance directive, 

which is a written instruction prepared 

in advance, such as a living will or 

durable power of attorney. This 

information is documented in a 

prominent part of the individual’s 

medical record. Advance directives as 

described in the Patient SelfDetermination Act have increased the 

individual’s control over decisions 

concerning medical treatment. The 

advance directives requirement was 

enacted because Congress wanted 

individuals to know that they have a 

right to make health care decisions and 

to refuse treatment even when they are 

unable to communicate. Sections 4206 

of OBRA ’90 defined an advance 

directive as a written instruction 

recognized under State law relating to 

the provision of health care when an 

individual is incapacitated (those 

persons unable to communicate their 

wishes regarding medical treatment). 

All states have enacted legislation 

defining a patient’s right to make 

decisions regarding medical care, 

including the right to accept or refuse 

medical or surgical treatment and the 

right to formulate advance directives. 

Participating hospitals, skilled nursing 

facilities/nursing facilities, home health 

agencies, providers of home health care, 

hospices, religious nonmedical health 

care institutions, and prepaid or eligible 

organizations (including Health Care 

Prepayment Plans (HCPPs) and 

Medicare Advantage Organizations 

(MAOs) such as Coordinated Care Plans, 

Demonstration Projects, Chronic Care 

Demonstration Projects, Program of All 

Inclusive Care for the Elderly, Private 

Fee for Service, and Medical Savings 

Accounts must provide written 

information, at explicit time frames, to 

all adult individuals about: (a) The right 

to accept or refuse medical or surgical 

treatments; (b) the right to formulate an 

advance directive; (c) a description of 

applicable State law (provided by the 

State); and (d) the provider’s or 

organization’s policies and procedures 

for implementing an advance directive. 

Form Number: CMS–R–10 (OMB# 

0938–0610); Frequency: Yearly; Affected 

Public: Business or other for-profits; 

Number of Respondents: 35,484; Total 

Annual Responses: 19,870,000; Total 

Annual Hours: 927,550. 

3. Type of Information Collection 

Request: Extension of a currently 

approved collection; Title of 

Information Collection: Federal 

Reimbursement of Emergency Health 

Services Furnished to Undocumented 

Aliens, Section 1011 of the Medicare 

Prescription Drug, Improvement and 

Modernization Act of 2003 (MMA): 

‘‘Section 1011 Provider Payment 

Determination’’ and ‘‘Request for 

Section 1011 Hospital On-Call Payments 

to Physicians’’ Forms; Use: Section 1011 

of the MMA requires that the Secretary 

establish a process under which eligible 

providers (certain hospitals, physicians 

and ambulance providers) may request 

payment for (claim) their otherwise unreimbursed costs of providing eligible 

services. The Secretary must make 

quarterly payments directly to such 

providers. The Secretary must also 

implement measures to ensure that 

inappropriate, excessive, or fraudulent 

payments are not made under Section 

1011, including certification by 

providers of the accuracy of their 

requests for payment. The Section 1011 

Provider Payment Determination and 

the Request for Section 1011 Hospital 

On-Call Payments to Physicians forms 

have been established to address the 

statutory requirements. Form Number: 

CMS–10130A and 10130B (OMB# 0938–

0952); Frequency: Daily, Weekly, 

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