Attachment B 60-Day FRN Governance

Federal Register / Vol. 71, No. 246 / Friday, December 22, 2006 / Notices
Atlanta, GA 30333 or send an e-mail to
omb@cdc.gov.
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; 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. Written comments should
be received within 60 days of this
notice.
Proposed Project
National Public Health Performance
Standards Program Local Public Health
System Assessment (OMB 0920–0555)—

Background and Brief Description
The Office of Chief of Public Health
Practice is proposing to revise and
extend the formal, voluntary data
collection that assesses the capacity of
local public health systems to deliver
the essential services of public health.
Local health departments will respond
to the survey on behalf of the collective
body of representatives from the local
public health system. Electronic data
submission will be used when local
public health agencies complete the
public health assessment.
A three-year approval is being sought
with the revised data collection
instrument. The original data collection
instrument has been valuable in
assessing performance and capacity and
identifying areas for improvement. It is
anticipated that the updated data

collection instrument will be
voluntarily used by local public health
systems for similar purposes.
From 1998–2002, the National Public
Health Performance Standards Program
convened workgroups with the National
Association of County and City Health
Officials (NACCHO), The Association of
State and Territorial Health Officials
(ASTHO), the National Association of
Local Boards of Health (NALBOH), the
American Public Health Association
(APHA), and the Public Health
Foundation (PHF) to develop
performance standards for public health
systems based on the essential services
of public health. In 2005, CDC
reconvened workgroups with these
same organizations to revise the data
collection instruments, in order to
ensure the standards remain current and
improve user friendliness.
There are no costs to the respondent
other than their time.

Respondents

Number of respondents

Number of responses per
respondent

Average burden per response
(in hours)

Total burden
hours

Local Public Health Systems ...........................................................................

350

1

16

5,600

Dated: December 15, 2006.
Joan F. Karr,
Acting Reports Clearance Officer, Centers for
Disease Control and Prevention.
[FR Doc. E6–21933 Filed 12–21–06; 8:45 am]
BILLING CODE 4163–18–P

DEPARTMENT OF HEALTH AND
HUMAN SERVICES
Centers for Disease Control and
Prevention
[60Day–07–0580]

Proposed Data Collections Submitted
for Public Comment and
Recommendations

jlentini on PROD1PC65 with NOTICES

Revision—Office of Chief of Public
Health Practice, Centers for Disease
Control and Prevention (CDC).

77025

In compliance with the requirement
of Section 3506(c)(2)(A) of the
Paperwork Reduction Act of 1995 for
opportunity for public comment on
proposed data collection projects, the
Centers for Disease Control and
Prevention (CDC) will publish periodic
summaries of proposed projects. To
request more information on the
proposed projects or to obtain a copy of
the data collection plans and
instruments, call 404–639–5960 and
send comments to Seleda Perryman,
CDC Assistant Reports Clearance
Officer, 1600 Clifton Road, MS–D74,

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17:45 Dec 21, 2006

Jkt 211001

Atlanta, GA 30333 or send an e-mail to
omb@cdc.gov.
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; 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. Written comments should
be received within 60 days of this
notice.
Proposed Project
National Public Health Performance
Standards Program Local Public Health
Governance Assessment (OMB 0920–
0580)—Reinstatement—Office of the
Director (OD), Centers for Disease
Control and Prevention (CDC).
Background and Brief Description
The Office of the Director is proposing
to revise and extend the formal,
voluntary data collection that assesses
the capacity of local boards of health to
deliver the essential services of public

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Fmt 4703

Sfmt 4703

health. Electronic data submission will
be used when local boards of health
complete the public health assessment.
A three-year approval is being sought
with the revised data collection
instrument. The original data collection
instrument has been valuable in
assessing performance and capacity and
identifying areas for improvement. It is
anticipated that the updated data
collection instrument will be
voluntarily used by local boards of
health for similar purposes.
From 1998–2002, the CDC National
Public Health Performance Standards
Program convened workgroups with the
National Association of County and City
Health Officials (NACCHO), The
Association of State and Territorial
Health Officials (ASTHO), the National
Association of Local Boards of Health
(NALBOH), the American Public Health
Association (APHA), and the Public
Health Foundation (PHF) to develop
performance standards for public health
systems based on the essential services
of public health. In 2005, CDC
reconvened workgroups with these
same organizations to revise the data
collection instruments, in order to
ensure the standards remain current and
improve user friendliness.
There is no cost to the respondent,
other than their time.

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22DEN1

77026

Federal Register / Vol. 71, No. 246 / Friday, December 22, 2006 / Notices
ESTIMATE OF ANNUALIZED BURDEN HOURS
No. of respondents

Respondents
Local Board of Health ..............................................................

Dated: December 15, 2006.
Joan F. Karr,
Acting Reports Clearance Officer, Centers for
Disease Control and Prevention.
[FR Doc. E6–21935 Filed 12–21–06; 8:45 am]
BILLING CODE 4163–18–P

DEPARTMENT OF HEALTH AND
HUMAN SERVICES
Centers for Medicare & Medicaid
Services
[Document Identifier: CMS–43, CMS–4040 &
4040–SP, CMS–10179, CMS–R–142, and
CMS–10210]

Agency Information Collection
Activities: Submission for OMB
Review; Comment Request
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: Extension of a currently
approved collection; Title of
Information Collection: Application for
Hospital Insurance Benefits for
individuals with End Stage Renal
Disease; Use: 42 CFR 406.13 outlines the
requirements for entitlement to
Medicare Part A (hospital insurance
[HI]) and Part B (supplementary medical
insurance [SMI]) for individuals with
End Stage Renal Disease (ESRD). 42 CFR
406.7 lists the CMS–43 form,

jlentini on PROD1PC65 with NOTICES

AGENCY:

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17:45 Dec 21, 2006

Jkt 211001

No. of responses
per respondent

175

1

Application for Hospital Insurance
Benefits for Individuals with End Stage
Renal Disease, as the application to be
used by individuals applying for
Medicare under the ESRD provisions of
the Social Security Act. The form CMS–
43 elicits the information that the Social
Security Administration and the Centers
for Medicare & Medicaid Services need
to determine entitlement to Medicare
based on the ESRD requirements of the
law and regulations. Form Number:
CMS–43 (OMB:# 0938–0800);
Frequency: Reporting—Once; Affected
Public: Individuals or households;
Number of Respondents: 60,000; Total
Annual Responses: 60,000; Total
Annual Hours: 25,989.60.
2. Type of Information Collection
Request: Extension of a currently
approved collection; Title of
Information Collection: Request for
Enrollment in Supplementary Medical
Insurance; Use: 42 CFR 407.10 list the
alternative requirements for enrollment
in Part B for any individual who is not
entitled to hospital insurance under Part
A but has attained age 65 and is either
a citizen of the United States or an alien
lawfully admitted for permanent
residence who has lived in the United
States continually for 5 years. 42 CFR
407.11 lists the CMS–4040 form,
Request for Enrollment in
Supplementary Medical Insurance, as
the application to be used by
individuals not eligible for monthly
benefits or free Part A. Form CMS–4040
elicits the information that the Social
Security Administration and Centers for
Medicare & Medicaid Services need to
determine entitlement to Part B only.
Form Number: CMS–4040, 4040–SP
(OMB:# 0938–0245); Frequency:
Reporting—Once; Affected Public:
Individuals or households; Number of
Respondents: 10,000; Total Annual
Responses: 10,000; Total Annual Hours:
25,000.
3. Type of Information Collection
Request: New Collection; Title of
Information Collection: Requests by
Hospitals for an Alternative Cost-toCharge Ration Instead of the Statewide
Average Cost-to-Charge Ratio; Use:
Because of the extensive gaming of
outlier payments, CMS implemented
new regulations in § 412.84(i)(2) of the
Code of Federal Regulations for
Inpatient Prospective Payment System

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Fmt 4703

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Average burden
per response
(in hours)

Total burden
hours
5

875

(IPPS) hospitals and §§ 412.525(a)(4)(ii)
and 412.529(c)(5)(ii) of the Code of
Federal Regulations for Long Term Care
Hospitals (LTCH) to allow a hospital to
contact its FI to request that its cost-tocharge ratio (CCR) (operating and/or
capital CCR for IPPS hospitals or the
total (combined operating and capital)
CCR for LTCHs), otherwise applicable,
be changed if the hospital presents
substantial evidence that the ratios are
inaccurate for IPPS hospitals. Any such
requests would have to be approved by
the CMS RO with jurisdiction over that
FI. Form Number: CMS–10179 (OMB:#
0938–NEW); Frequency: Reporting—On
occasion; Affected Public: Business or
other for-profit and Not-for-profit
institutions and Federal government;
Number of Respondents: 18; Total
Annual Responses: 18; Total Annual
Hours: 144.
4. Type of Information Collection
Request: Extension of a currently
approved collection; Title of
Information Collection: Examination
and Treatment for Emergency Medical
Conditions and Women in Labor Act
(EMTALA) and Supporting Regulations
in 42 CFR 482.12, 488.18, 489.20, and
489.24; Use: As mandated by Congress,
the information collection requirements
found in supporting regulations in 42
CFR 482.12, 488.18, 489.20, and 489.24,
aim to prevent hospitals from
inappropriately transferring individuals
with emergency medical conditions.
These requirements are supported by
two other current statutes. Section
1861(e)(9) of the Act permits the
Secretary to impose on hospitals such
other requirements as he finds necessary
in the interests of the health and safety
of individuals who are furnished
services in the institution. It is under
this authority that the Secretary has
obligated hospitals that participate in
Medicare to report when they receive
patients that have been inappropriately
transferred. Under section 1866(b)(2)(A)
and (B) of the Social Security Act (the
Act), the Secretary may terminate the
provider agreement of a hospital that is
not complying substantially with the
statute and regulations under title XVIII
or that no longer substantially meets the
provisions of section 1861 of the Act.
Form Number: CMS–R–142 (OMB#:
0938–0667); Frequency: Recordkeeping
and Reporting—On occasion; Affected

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