65402 Federal Register / Vol. 79, No. 213 / Tuesday, November 4, 2014 / Notices 

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 December 4, 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 

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: New collection (Request for a 

new OMB control number); Title of 

Information Collection: Executive 

Summary Form for Research Identifiable 

Data; Use: The Centers for Medicare & 

Medicaid Services (CMS) is responsible 

for administering the Medicare, 

Medicaid and State Children’s Health 

Insurance Programs. We collect data to 

support the Agency’s mission and 

operations. These data include 

information about Medicare 

beneficiaries, Medicare claims, 

Medicare providers, and Medicaid 

eligibility and claims. We disclose the 

identifiable data consistent with the 

routine uses identified in the Privacy 

Act Systems of Records notices that are 

published in the Federal Register and 

the limitations on uses and disclosures 

that are set out in the HIPAA Privacy 

Rule. 

All requests for identifiable data are 

received and reviewed by the Division 

of Privacy Operations & Compliance 

(DPOC) in the Office of E-Health 

Standards and Services. The DPOC staff 

and the CMS Privacy Officer review the 

requests to determine if there is legal 

authorization for disclosure of the data. 

If legal authorization exists, the request 

is reviewed to ensure that the minimal 

data necessary is requested and 

approved for the project. Requests for 

identifiable data for research purposes 

must be submitted to and approved by 

the CMS Privacy Board. To assist the 

CMS Privacy Board with its review of 

research data requests, OIPDA has 

developed the Executive Summary (ES) 

forms. The ES collects all the 

information that the CMS Privacy Board 

needs to review and make a 

determination on whether the request 

meets the requirements for release of 

identifiable data for research purposes. 

We currently have three versions of the 

ES Form and an ES Supplement for 

Requestors of the National Death Index 

(NDI) Causes of Death Variables. Each 

meets the need for a different type of 

requestor. Form Number: CMS–10522 

(OMB control number: 0938–New); 

Frequency: On occasion; Affected 

Public: State, Local, or Tribal 

Governments; Number of Respondents: 

325; Total Annual Responses: 325; Total 

Annual Hours: 650. (For policy 

questions regarding this collection 

contact Kim Elmo at 410–786–0161). 

Dated: October 29, 2014. 

Martique Jones, 

Director, Regulations Development Group, 

Office of Strategic Operations and Regulatory 

Affairs. 

[FR Doc. 2014–26040 Filed 11–3–14; 8:45 am] 

BILLING CODE 4120–01–P 

DEPARTMENT OF HEALTH AND 

HUMAN SERVICES 

Administration for Children and 

Families 

Submission for OMB Review; 

Comment Request 

Title: Family Violence Prevention and 

Services: Grants to States; Native 

American Tribes and Alaskan Native 

Villages; and State Domestic Violence 

Coalitions. 

OMB No.: 0970–0280. 

Description: The Family Violence 

Prevention and Services Act (FVPSA), 

42 U.S.C. 10401 et seq., authorizes the 

Department of Health and Human 

Services to award grants to States, 

Territories, Tribes or Tribal 

Organizations, and State Domestic 

Violence Coalitions for family violence 

prevention and intervention activities. 

The proposed information collection 

activities will be used to make grant 

award decisions and to monitor grant 

performance. 

Respondents: State Agencies and 

Territories Administering FVPSA 

Grants; Tribal Governments and Tribal 

Organizations; and State Domestic 

Violence Coalitions. 


rmajette on DSK3VPTVN1PROD with NOTICES
Federal Register / Vol. 79, No. 213 / Tuesday, November 4, 2014 / Notices 65403 

ANNUAL BURDEN ESTIMATES

Instrument Number of 

respondents 

Number of 

responses per 

respondent 

Average 

burden hours 

per response 

Total burden 

hours 

State Grant Application .................................................................................... 53 1 10 530 

Tribal Grant Application ................................................................................... 150 1 5 750 

State Domestic Violence Coalition Application ................................................ 56 1 10 560 

State FVPSA Grant Performance Progress Report ........................................ 53 1 10 530 

Tribal FVPSA Grant Performance Progress Report ........................................ 150 1 10 1,500 

State Domestic Violence Coalition Performance Progress Report ................. 56 1 10 560 

Estimated Total Annual Burden 

Hours: 4,430. 

Additional Information: 

Copies of the proposed collection may 

be obtained by writing to the 

Administration for Children and 

Families, Office of Planning, Research 

and Evaluation, 370 L’Enfant 

Promenade SW., Washington, DC 20447, 

Attn: ACF Reports Clearance Officer. All 

requests should be identified by the title 

of the information collection. Email 

address: infocollection@acf.hhs.gov. 

OMB Comment: 

OMB is required to make a decision 

concerning the collection of information 

between 30 and 60 days after 

publication of this document in the 

Federal Register. Therefore, a comment 

is best assured of having its full effect 

if OMB receives it within 30 days of 

publication. Written comments and 

recommendations for the proposed 

information collection should be sent 

directly to the following: Office of 

Management and Budget, Paperwork 

Reduction Project, Fax: 202–395–7285, 

Email: OIRA_SUBMISSION@

OMB.EOP.GOV, Attn: Desk Officer for 

the Administration for Children and 

Families. 

Robert Sargis, 

Reports Clearance Officer. 

[FR Doc. 2014–26101 Filed 11–3–14; 8:45 am] 

BILLING CODE 4184–01–P 

DEPARTMENT OF HEALTH AND 

HUMAN SERVICES 

Administration for Children and 

Families 

Submission for OMB Review; 

Comment Request 

Title: Annual Statistical Report on 

Children in Foster Homes and Children 

in Families Receiving Payment in 

Excess of the Poverty Income Level from 

a State Program Funded Under Part A of 

Title IV of the Social Security Act. 

OMB No.: 0970–0004. 

Description: The Department of 

Health and Human Services is required 

to collect these data under section 1124 

of Title I of the Elementary and 

Secondary Education Act, as amended 

by Public Law 103–382. The data are 

used by the U.S. Department of 

Education for allocation of funds for 

programs to aid disadvantaged 

elementary and secondary students. 

Respondents include various 

components of State Human Service 

agencies. 

Respondents: The 52 respondents 

include the 50 States, the District of 

Columbia, and Puerto Rico. 

ANNUAL BURDEN ESTIMATES

Instrument title Number of 

respondents 

Number of 

responses per 

respondent 

Average 

burden hours 

per response 

Total burden 

hours 

Annual Statistical Report on Children in Foster Homes and Children Receiving Payments in Excess of the Poverty Level From a State Program 

Funded Under Part A of Title IV of the Social Security Act ........................ 52 1 264.35 13,746.20 

Estimated Total Annual Burden 

Hours: 13,746.20. 

Additional Information: 

Copies of the proposed collection may 

be obtained by writing to the 

Administration for Children and 

Families, Office of Planning, Research 

and Evaluation, 370 L’Enfant 

Promenade SW., Washington, DC 20447, 

Attn: ACF Reports Clearance Officer. All 

requests should be identified by the title 

of the information collection. Email 

address: infocollection@acf.hhs.gov. 

OMB Comment: 

OMB is required to make a decision 

concerning the collection of information 

between 30 and 60 days after 

publication of this document in the 

Federal Register. Therefore, a comment 

is best assured of having its full effect 

if OMB receives it within 30 days of 

publication. Written comments and 

recommendations for the proposed 

information collection should be sent 

directly to the following: Office of 

Management and Budget, Paperwork 

Reduction Project, Fax: 202–395–7285, 

Email: OIRA_SUBMISSION@

OMB.EOP.GOV, Attn: Desk Officer for 

the Administration for Children and 

Families. 

Robert Sargis, 

Reports Clearance Officer. 

[FR Doc. 2014–26138 Filed 11–3–14; 8:45 am] 

BILLING CODE 4184–01–P 

DEPARTMENT OF HEALTH AND 

HUMAN SERVICES 

Food and Drug Administration 

[Docket No. FDA–2014–N–0341] 

Agency Information Collection 

Activities; Submission for Office of 

Management and Budget Review; 

Comment Request; Guidance for 

Industry on Updating Labeling for 

Susceptibility Test Information in 

Systemic Antibacterial Drug Products 

and Antimicrobial Susceptibility 

Testing Devices 

AGENCY: Food and Drug Administration, 

HHS. 

ACTION: Notice. 


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