22934 Federal Register / Vol. 74, No. 93 / Friday, May 15, 2009 / Notices 

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: Extension of a currently 

approved collection; Title of 

Information Collection: Medicare 

Advantage Applications—Part C and 

regulations under 42 CFR 422 subpart K; 

Use: The Balanced Budget Act of 1997 

established a new ‘‘Part C’’ in the 

Medicare statute Social Security Act 

(the Act), which provided for a 

Medicare+Choice (M+C) program. 

Under section 1851 of the Act, every 

individual entitled to Medicare Part A 

and enrolled under Part B, except for 

most individuals with end-stage renal 

disease (ESRD), could elect to receive 

benefits either through the Original 

Medicare Program or an M+C plan. 

The Medicare Prescription Drug, 

Improvement, and Modernization Act of 

2003 (MMA) was enacted on December 

8, 2003. The MMA established the 

Medicare Prescription Drug Benefit 

Program (Part D) and made revisions to 

the provisions of Medicare Part C, 

governing what is now called the 

Medicare Advantage (MA) program 

(formerly Medicare+Choice). 

Coverage for the prescription drug 

benefit is provided through contracted 

prescription drug plans or through 

Medicare Advantage (MA) plans that 

offer integrated prescription drug and 

health care coverage (MA–PD plans). 

Cost plans that are required under 

section 1876 of the Social Security Act, 

and Employer Group Waiver Plans 

(EGWP) may also provide a Part D 

benefit. Organizations wishing to 

provide services under the MA and 

MA–PD plans must complete an 

application, negotiate rates and receive 

final approval from CMS. Certain 

existing MA plans may also expand 

their contracted area by completing the 

Service Area Expansion (SAE) 

application. Form Number: CMS–10237 

and 10214 (OMB# 0938–0935); 

Frequency: Yearly; Affected Public: 

Private Sector; Number of Respondents: 

267; Total Annual Responses: 267; Total 

Annual Hours: 6,490. (For policy 

questions regarding this collection 

contact Betty Burrier at 410–786–4649. 

For all other issues call 410–786–1326.) 

2. Type of Information Collection 

Request: Revision of a currently 

approved collection; Title of 

Information Collection: Coordination of 

Benefits between Part D Plans and Other 

Prescription Coverage Providers; Use: 

Section 1860D–23 and 1860D–24 of the 

Social Security Act requires the 

Secretary to establish requirements for 

prescription drug plans to ensure the 

effective coordination between Part D 

plans, State pharmaceutical Assistance 

programs and other payers. This 

collection request will assist CMS, Part 

D plans and other payers with 

coordination of prescription drug 

benefits at the point-of-sale and tracking 

of the beneficiary’s True out-of-pocket 

(TrOOP) expenditures using the TrOOP 

facilitator. This information will be used 

by Part D plans, other health insurers or 

payers, pharmacies and CMS to 

coordinate prescription drug benefits 

provided to the Medicare beneficiary. 

Beginning in CY 2009, CMS, via the 

TrOOP facilitation contractor, will 

automate the transfer of beneficiary 

coverage information when a 

beneficiary changes plans. Form 

Number: CMS–10171 (OMB# 0938– 

0978); Frequency: Hourly, yearly and 

occasionally; Affected Public: Business 

or other for-profits; Number of 

Respondents: 56,988; Total Annual 

Responses: 1,139,760; Total Annual 

Hours: 1,125,883. (For policy questions 

regarding this collection contact 

Christine Hinds at 410–786–4578. For 

all other issues call 410–786–1326.) 

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 

e-mail 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 June 15, 2009. 

OMB, Office of Information and 

Regulatory Affairs, Attention: CMS Desk 

Officer, Fax Number: (202) 395–6974, Email: OIRA_submission@omb.eop.gov. 

Dated: May 7, 2009. 

Michelle Shortt, 

Director, Regulations Development Group, 

Office of Strategic Operations and Regulatory 

Affairs. 

[FR Doc. E9–11424 Filed 5–14–09; 8:45 am] 

BILLING CODE 4120–01–P 

DEPARTMENT OF HEALTH AND 

HUMAN SERVICES 

Administration for Children and 

Families 

Proposed Information Collection 

Activity; Comment Request 

Proposed Projects 

Title: Grant Application Data 

Summary (GADS) Form. 

OMB No.: 0970–0328. 

Description: The Grant Application 

Data Summary (GADS) form collects 

information from applicants seeking 

grants from the Administration for 

Native Americans (ANA). Applicants 

complete the GADS form as part of their 

funding package. This standardized 

format allows ANA to evaluate 

applications for financial assistance and 

to determine the relative focus of the 

projects for which such assistance is 

requested. The data collected focuses on 

the specific ANA program area for 

which the applicant is applying. ANA 

awards annual grants in the following 

nine competitive areas: (1) Social & 

Economic Develop Strategies (SEDS); (2) 

Alaska SEDS; (3) Special Initiative: 

Family Preservation: Improving the 

Well-Being of Children Planning; (4) 

Special Initiative: Family Preservation: 

Improving the Well-Being of Children 

Implementation; (5) Native Language 

Preservation & Maintenance 

Assessment; (6) Native Language 

Preservation & Maintenance Planning; 

(7) Native Language Preservation & 

Maintenance Implementation; (8) Native 

Language Preservation & Maintenance 

Immersion; (9) Environmental 

Regulatory Enhancement. 

Respondents: Federally Recognized 

Indian Tribes, Tribal Governments, 

Native American Non-profits, Tribal 

Colleges and Universities. 

Federal Register / Vol. 74, No. 93 / Friday, May 15, 2009 / Notices 22935 

ANNUAL BURDEN ESTIMATES 

Instrument Number of 

respondents 

Number of 

responses per 

respondent 

Average 

burden hours 

per response 

Total burden 

hours 

Grant Application Data Summary (GADS) ...................................................... 500 1 0.50 250 

Estimated Total Annual Burden 

Hours: 250 

In compliance with the requirements 

of Section 506(c)(2)(A) of the Paperwork 

Reduction Act of 1995, the 

Administration for Children and 

Families is soliciting public comment 

on the specific aspects of the 

information collection described above. 

Copies of the proposed collection of 

information can be obtained and 

comments may be forwarded by writing 

to the Administration for Children and 

Families, Office of Administration, 

Office of Information Services, 370 

L’Enfant Promenade, SW., Washington, 

DC 20447, Attn: ACF Reports Clearance 

Officer. E-mail address: 

infocollection@acf.hhs.gov. All requests 

should be identified by the title of the 

information collection. 

The Department specifically requests 

comments 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) 

the quality, utility, and clarity of the 

information to be collected; and (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. 

Consideration will be given to 

comments and suggestions submitted 

within 60 days of this publication. 

Dated: May 12, 2009. 

Janean Chambers, 

Reports Clearance Officer. 

[FR Doc. E9–11364 Filed 5–14–09; 8:45 am] 

BILLING CODE 4184–01–P 

DEPARTMENT OF HEALTH AND 

HUMAN SERVICES 

Centers for Disease Control and 

Prevention 

[30Day–09–0234) 

Agency Forms Undergoing Paperwork 

Act Review 

The Centers for Disease Control and 

Prevention (CDC) publishes a list of 

information collection requests under 

review by the Office of Management and 

Budget (OMB) in compliance with the 

requirement of Section 3506(c)(2)(A) of 

the Paperwork Reduction Act of 1995. 

To request a copy of these requirements, 

call the CDC Reports Clearance Officer 

at 404–639–5960 or send comments to 

CDC/ATSDR Assistant Reports 

Clearance Officer, 1600 Clifton Road, 

MS–D74, Atlanta, GA 30333 or send an 

e-mail to omb@cdc.gov. Written 

comments should be received within 30 

days of this notice. 

Proposed Project 

National Ambulatory Medical Care 

Survey (NAMCS) (OMB No. 0920– 

0234)—Revision—National Center for 

Health Statistics (NCHS), Centers for 

Disease Control and Prevention (CDC). 

Background and Brief Description 

Section 306 of the Public Health 

Service (PHS) Act (42 U.S.C. 242k), as 

amended, authorizes that the Secretary 

of Health and Human Services (DHHS), 

acting through NCHS, shall collect 

statistics on ‘‘utilization of health care’’ 

in the United States. NAMCS was 

conducted annually from 1973 to 1981, 

again in 1985, and resumed as an 

annual survey in 1989. The purpose of 

NAMCS is to meet the needs and 

demands for statistical information 

about the provision of ambulatory 

medical care services in the United 

States. NCHS is seeking OMB approval 

to extend this survey for three years. 

Ambulatory services are rendered in a 

wide variety of settings, including 

physician offices and hospital 

outpatient and emergency departments. 

The NAMCS target universe consists of 

all office visits made by ambulatory 

patients to non-Federal office-based 

physicians (excluding those in the 

specialties of anesthesiology, radiology, 

and pathology) who are engaged in 

direct patient care. 

In 2006, physicians and mid-level 

providers (i.e., nurse practitioners, 

physician assistants, and nurse 

midwives) practicing in community 

health centers (CHCs) were added to the 

NAMCS sample, and these data will 

continue to be collected. To 

complement NAMCS data, NCHS 

initiated the National Hospital 

Ambulatory Medical Care Survey 

(NHAMCS, OMB No. 0920–0278) in 

1992 to provide data concerning patient 

visits to hospital outpatient and 

emergency departments. NAMCS and 

NHAMCS are the principal sources of 

data on ambulatory care provided in the 

United States. 

NAMCS provides a range of baseline 

data on the characteristics of the users 

and providers of ambulatory medical 

care. Data collected include the patients’ 

demographic characteristics, reason(s) 

for visit, provider diagnoses, diagnostic 

services, medications, and visit 

disposition. In addition, information on 

cervical cancer screening practices in 

physician offices will continue to be 

collected through the Cervical Cancer 

Screening Supplement (CCSS), which 

was added in 2006. It will allow CDC’s 

National Center for Chronic Disease 

Prevention and Health Promotion 

(NCCDPHP) to evaluate cervical cancer 

screening methods and the use of 

Human Papillomavirus DNA tests. 

A supplemental mail survey on the 

adoption and use of electronic medical 

records (EMRs) in physician offices was 

added to NAMCS in 2008, and will 

continue. These data were requested by 

the Office of the National Coordinator 

for Health Information Technology 

(ONC), Department of Health and 

Human Services, to measure progress 

toward goals for EMR adoption. The 

mail survey will collect information on 

characteristics of physician practices 

and the capabilities of EMRs used in 

those practices. 

In 2009, in addition to conducting the 

on-going survey, NAMCS will include 

an additional sample of 70 physicians to 

pretest additional questionnaire items 

on laboratory values. These new items 

were requested by the Division of Heart 

Disease and Stroke Prevention within 

NCCDPHP to better understand the 

extent to which ambulatory health care 

providers identify and control abnormal 

values before and after cardiovascular 

disease. Users of NAMCS data include, 

but are not limited to, Congressional 

offices, Federal agencies, state and local 

governments, schools of public health, 

colleges and universities, private 

industry, nonprofit foundations, 

professional associations, clinicians, 

researchers, administrators, and health 

planners. 

There is no cost to respondents other 

than their time to participate. The total