Federal Register / Vol. 79, No. 221 / Monday, November 17, 2014 / Notices 68447 

Leroy A. 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. 2014–27017 Filed 11–14–14; 8:45 am] 

BILLING CODE 4163–18–P 

DEPARTMENT OF HEALTH AND 

HUMAN SERVICES 

Centers for Disease Control and 

Prevention 

[60Day–15–15EC] 

Proposed Data Collections Submitted 

for Public Comment and 

Recommendations 

The Centers for Disease Control and 

Prevention (CDC), as part of its 

continuing effort to reduce public 

burden, invites the general public and 

other Federal agencies to take this 

opportunity to comment on proposed 

and/or continuing information 

collections, as required by the 

Paperwork Reduction Act of 1995. To 

request more information on the below 

proposed project or to obtain a copy of 

the information collection plan and 

instruments, call 404–639–7570 or send 

comments to Leroy A. Richardson, 1600 

Clifton Road, MS–D74, Atlanta, GA 

30333 or send an email to omb@cdc.gov. 

Comments submitted in response to 

this notice will be summarized and/or 

included in the request for Office of 

Management and Budget (OMB) 

approval. Comments are invited on: (a) 

Whether the proposed collection of 

information is necessary for the proper 

performance of the functions of the 

agency, including whether the 

information shall have practical utility; 

(b) the accuracy of the agency’s estimate 

of the burden of the proposed collection 

of information; (c) ways to enhance the 

quality, utility, and clarity of the 

information to be collected; (d) ways to 

minimize the burden of the collection of 

information on respondents, including 

through the use of automated collection 

techniques or other forms of information 

technology; and (e) estimates of capital 

or start-up costs and costs of operation, 

maintenance, and purchase of services 

to provide information. Burden means 

the total time, effort, or financial 

resources expended by persons to 

generate, maintain, retain, disclose or 

provide information to or for a Federal 

agency. This includes the time needed 

to review instructions; to develop, 

acquire, install and utilize technology 

and systems for the purpose of 

collecting, validating and verifying 

information, processing and 

maintaining information, and disclosing 

and providing information; to train 

personnel and to be able to respond to 

a collection of information, to search 

data sources, to complete and review 

the collection of information; and to 

transmit or otherwise disclose the 

information. Written comments should 

be received within 60 days of this 

notice. 

Proposed Project 

Improving Organizational 

Management and Worker Behavior 

through Worksite Communication— 

New—National Institute for 

Occupational Safety and Health 

(NIOSH), Centers for Disease Control 

and Prevention (CDC). 

Background and Brief Description 

NIOSH, under Public Law 91–596, 

Sections 20 and 22 (Section 20–22, 

Occupational Safety and Health Act of 

1977) has the responsibility to conduct 

research relating to innovative methods, 

techniques, and approaches dealing 

with occupational safety and health 

problems. 

This research assesses best practices 

for communicating and employing a 

strategic health and safety management 

system (HSMS) to facilitate workers’ 

health and safety behaviors, including 

ways that lateral communication from 

management influences worker 

perceptions and behaviors. Currently, 

ambivalence exists about how to 

strategically communicate aspects of an 

HSMS top-down in the mining industry. 

Research indicates that, to answer 

questions about effectively using an 

HSMS to improve safety, research needs 

to follow a sample of workplaces over 

time, measuring the introduction or 

utilization of an HSMS and then 

measuring outcomes of interest at the 

workplace level and at the worker-level 

too. 

Therefore, analyzing workers’ 

perception of the organizational HSMS, 

leaders’ implementation of the 

organizational HSMS, and 

communication gaps between these two 

entities, may provide more insight into 

the best, most feasible practices and 

approaches to worker H&S performance 

within a system. This project is 

initiating such an approach by 

implementing a series of multilevel 

intervention (MLI) case studies that 

assess the utility of a safety system that 

includes aspects of both safety 

management on the organizational level 

and behavior-based safety on the worker 

level. By studying these levels 

separately and introducing an 

intervention to bridge these two groups 

together to enhance safety, the 

communication practices within an 

HSMS may be enhanced. 

NIOSH requests OMB approval for a 

3-year for a project that involves 

information collection and that seeks to 

empirically understand what HSMS 

communication practices are important 

for mine worker H&S and how those 

practices can be developed, 

implemented, and maintained over time 

via desired communication from mine 

site leadership. The following questions 

guide this study: 

What impact does the MLI 

communication model that was 

designed and implemented have on: (1) 

Workers’ health/safety behaviors, 

including those that lower exposure to 

dust; (2) workers’ perceptions of their 

organizations’ values; and (3) changes in 

managers’ strategic HSMS 

communication and implementation 

with workers to facilitate health/safety 

performance, including those that lower 

exposure to dust. 

To answer the above questions, 

NIOSH researchers developed a 

multilevel intervention (MLI) that 

focuses on both management and 

workers’ communication about and 

subsequent actions taken to reduce 

respirable dust exposure over time. This 

MLI will inform how leadership 

communicates to their employees and 

what affect(s) this communication has 

on individual behavior such as 

corrective dust actions taken by 

workers. By assessing the ongoing 

safety/health interactions between 

individual workers and their 

organizational capacities (i.e. levels of 

leadership and management of safety), 

and how these interactions influence 

and shape personal H&S performance, 

we can better understand what aspects 

of both systems need attention in a 

merged, more balanced and 

comprehensive system of health and 

safety management (DeJoy, 2005). 

Specifically, this project is using mine 

technology, the Helmet-CAM, as a 

communication medium to help merge 

these two worksite systems. Previous 

research indicates that the use of 

information technology can enhance 

lateral and horizontal communication 

within organizations, showing support 

for using the Helmet-CAM in the current 

study (Hinds & Kiesler, 1995). NIOSH 

researchers can analyze what and how 

communication practices should be 

implemented to influence worker 

perceptions of their organizations’ H&S 

values and how this impacts their 

subsequent H&S behavior. Eventually, 

the practices used to influence behavior 

related to this dust issue can be 

extrapolated to inform ways to 


asabaliauskas on DSK5VPTVN1PROD with NOTICES
68448 Federal Register / Vol. 79, No. 221 / Monday, November 17, 2014 / Notices 

communicate about and manage 

additional health/safety problems 

within the industry via an HSMS as 

implemented by site leaders. 

The Helmet-CAM incorporates video 

footage and real-time dust 

measurements of workers while 

performing their job duties and tasks in 

various locations throughout the 

workday. This technology has proven to 

be a very viable assessment tool to 

provide a comparison of where and 

when miners are being exposed to their 

highest respirable dust concentrations. 

As a result, Helmet-CAM technology is 

being employed at many mines as a way 

to identify dust exposures of workers 

and to help reduce dust hazards in the 

environment. However, we do not yet 

know how mine site management is 

using, if at all, this technology to 

communicate with workers about their 

personal health and safety barriers and 

behaviors. Discussions about the tasks 

workers perform when exposure levels 

are high and what actions they can take 

to reduce their dust exposure may be 

valuable to the industry in helping 

advance the way engineering-control 

technology is used from a behavioral 

vantage point as well. 

The MLI is designed to help mine 

workers and organizational leadership 

work together, using the Helmet-CAM to 

bridge their communication efforts, to 

lower exposure to respirable dust among 

other H/S behaviors. Previous research 

(Yorio et al. 2014) identified three 

distinct areas that influence the 

relationship between the strategic 

HSMS and its overall success in 

implementing and encouraging worker 

behavior change: Worksite leadership, 

organizational values, and worker 

perceptions and interpretations of 

management. Data on these three 

contingencies are collected from the 

management and worker levels during 

three time points throughout a six-week 

intervention to assess the ongoing 

communication via the Helmet-CAM 

and effects of the communication on 

behavior. Data collection and analysis 

pertaining to these three areas may 

occur via a pre/post survey with 

workers and pre/mid/post interviews/

focus groups with workers and mine site 

leaders, some of which include dialogue 

around Helmet-CAM footage as 

provided by the workers who choose to 

participate. 

NIOSH proposes this intervention 

design at a minimum of three and no 

more than five industrial mineral metal/ 

nonmetal mine sites. All of the data 

collection instruments have been used 

in previous studies to examine worker 

and leadership variables and factors. 

Therefore, NIOSH knows that the data 

collection instruments are valid and 

reliable to use in studying the worker 

and leader levels simultaneously, 

within the same mine. Industrial 

mineral sites will be recruited who have 

inquired interest in learning how to use 

the Helmet-CAM on their site and/or 

interest in improving their site wide 

communication efforts. Only a small 

sample of workers will participate at 

each mine site because of the time 

required for completion and to ensure 

the longitudinal data can be adequately 

collected over the six weeks. In other 

words, we would rather collect data 

multiple times with the same worker 

and have fewer participants than collect 

data from more workers but not have the 

ability to appropriately follow-up 

during the subsequent two visits. 

Data collection will take place with 

no more than 150 mine workers and 30 

mine site leaders over three years. The 

respondents targeted for this study 

include any active mine worker and any 

active site leader at an industrial 

mineral metal/nonmetal mine site. It is 

estimated that a sample of up to 150 

mine workers will participate in the 

intervention, which includes wearing 

the Helmet-CAM for a portion of their 

job tasks (no more than two hours total) 

during three time periods (when NIOSH 

is present during the field visit). In 

addition to wearing the Helmet-CAM, 

workers will be asked to complete a pre 

and post-test survey (∼15 minutes) and 

an interview during three time points 

throughout the study (∼ 30 minutes). 

The interviews also will debrief HelmetCAM footage with participants at 

various mining operations who have 

agreed to participate. It also is estimated 

that a sample of up to 30 mine site 

leaders will participate in interviews/

focus groups about HSMS practices at 

the same mining operations which have 

agreed to participate. 

The interviews/focus groups also will 

occur three times during each of the 

NIOSH field visits and will take no 

more than 45 minutes each. All 

participants will be between the ages of 

18 and 75, currently employed, and 

living in the United States. Participation 

will require no more than 4.5 hours of 

workers’ time over the six-week 

intervention and no more than 2.5 hours 

of site leaders’ time over the six-week 

intervention period. 

There is no cost to respondents other 

than their time. 

ESTIMATED ANNUALIZED BURDEN HOURS

Type of respondent Form name Number of 

respondents 

Number of 

responses per 

respondent 

Average 

burden per 

response 

(in hours) 

Total 

burden 

hours 

Mine Site Leaders/Managers ............ Mine Recruitment Script ................... 10 1 5/60 1 

Initial/Mid/Post HSMS interview or 

focus group.

10 3 45/60 23 

Mine Worker ...................................... Individual Miner Recruitment Script 50 1 5/60 4 

Pre/Post Org Perceptions Survey .... 50 2 15/60 25 

Wear Helmet-CAM during job cycle 50 3 1 150 

Pre/Mid/Post Behavior and HelmetCAM footage Interview.50 3 30/60 75 

Total ........................................... ........................................................... ........................ ........................ ........................ 278 


asabaliauskas on DSK5VPTVN1PROD with NOTICES
Federal Register / Vol. 79, No. 221 / Monday, November 17, 2014 / Notices 68449 

Leroy A. 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. 2014–27018 Filed 11–14–14; 8:45 am] 

BILLING CODE 4163–18–P 

DEPARTMENT OF HEALTH AND 

HUMAN SERVICES 

Centers for Medicare & Medicaid 

Services 

[Document Identifier CMS–10530, CMS– 

1880 and CMS–1882] 

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 

January 16, 2015. 

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 lllll, 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/

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: 

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–10530 Ambulatory Surgical 

Center Quality Reporting Program 

CMS–1880 and CMS–1882 Certification 

as a Supplier of Portable X-Ray and 

Portable X-Ray Survey Report Form and 

Supporting Regulations 

Under the 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: New collection (Request for a 

new OMB control number); Title of 

Information Collection: Ambulatory 

Surgical Center Quality Reporting 

Program; Use: Our quality reporting 

programs promote higher quality, more 

efficient health care for Medicare 

beneficiaries. We have implemented 

quality measure reporting programs for 

multiple settings, including for 

ambulatory surgical centers. Section 

109(b) of the Tax Relief and Health Care 

Act of 2006 (TRHCA) (Pub. L. 109–432) 

amended section 1833(i) of the Act by 

re-designating clause (iv) as clause (v) 

and adding new clause (iv) to paragraph 

(2)(D) and by adding new paragraph (7). 

Section 1833(i)(2)(D)(iv) of the Act 

authorizes, but does not require, the 

Secretary to implement the revised ASC 

payment system ‘‘in a manner so as to 

provide for a reduction in any annual 

update for failure to report on quality 

measures in accordance with paragraph 

(7).’’ Section 1833(i)(7)(A) of the Act 

states that the Secretary may provide 

that any ASC that does not submit 

quality measures to the Secretary in 

accordance with paragraph (7) will 

incur a 2.0 percentage point reduction 

to any annual increase provided under 

the revised ASC payment system for 

such year. Sections 1833(t)(17)(C)(i) and 

(ii) of the Act require the Secretary to 

develop measures appropriate for the 

measurement of the quality of care 

furnished in outpatient settings. 

Section 3014 of the Affordable Care 

Act of 2010 (ACA) modified section 

1890(b) of the Social Security Act to 

require CMS to develop quality and 

efficiency measures through a 

‘‘consensus-based entity’’. To fulfill this 

requirement, the Measure Applications 

Partnership (MAP) was formed to 

review measures consistent with these 

requirements. The MAP is convened by 

the National Quality Forum (NQF), a 

national consensus organization. In 

implementing this and other quality 

reporting programs, our overarching 

goal is to support the National Quality 

Strategy’s goals of better health for 

individuals, better health for 

populations, and lower costs for health 

care. 

This information is used to direct 

contractors, including Quality 

Improvement Organizations (QIOs), to 

focus on particular areas of 

improvement, and to develop quality 

improvement initiatives. The 

information is made available to ASCs 

for their use in internal quality 

improvement initiatives. Most 

importantly, this information is 


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