Att 2_60d published FRN

396

Federal Register / Vol. 79, No. 2 / Friday, January 3, 2014 / Notices

A total of 600 individuals who
develop CDI will be contacted for a
telephone interview annually and, of
those, it is estimated that 500 will meet
study inclusion criteria. The interview

screening is estimated to take 5 minutes
and the full telephone interview is
estimated to take 40 minutes. Therefore,
the total estimated annualized burden

for this data collection is estimated to be
383 hours.
There are no costs to the respondents
other than their time.

ESTIMATE OF ANNUALIZED BURDEN HOURS
Form name

Persons in the community infected with C. difficile ................

Screening Form .....................
Telephone interview ...............

Leroy 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. 2013–31478 Filed 1–2–14; 8:45 am]
BILLING CODE 4163–18–P

Centers for Disease Control and
Prevention
[60Day–14–0200]

Proposed Data Collections Submitted
for Public Comment and
Recommendations
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 404–639–7570 or send
comments to LeRoy Richardson, 1600
Clifton Road, MS–D74, Atlanta, GA
30333 or send an email 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 the use of
automated collection techniques or
other forms of information technology.
Written comments should be received
within 60 days of this notice.

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Proposed Project—Coal Workers’
Health Surveillance Program (CWHSP)
(OMB Control No. 0920–0200,
Expiration 06/30/2014)—Revision—
National Institute for Occupational
Safety and Health (NIOSH), Centers for
Disease Control and Prevention (CDC).
Background and Brief Description

DEPARTMENT OF HEALTH AND
HUMAN SERVICES

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Number of
respondents

Type of respondents

Jkt 232001

NIOSH would like to submit an
Information Collection Request (ICR) to
revise the data collection instruments
being utilized within the Coal Workers’
Health Surveillance Program (CWHSP).
The current ICR incorporates all four
components that fall under the CWHSP.
Those four components include: Coal
Workers’ X-ray Surveillance Program
(CWXSP), B Reader Program, Enhanced
Coal Workers’ Health Surveillance
Program (ECWHSP), and National Coal
Workers’ Autopsy Study (NCWAS). The
CWHSP is a congressionally-mandated
medical examination program for
monitoring the health of underground
coal miners, established under the
Federal Coal Mine Health and Safety
Act of 1969, as amended in 1977 and
2006, Public Law 95–164 (the Act). The
Act provides the regulatory authority for
the administration of the CWHSP. This
Program is useful in providing
information for protecting the health of
miners (whose participation is entirely
voluntary), and also in documenting
trends and patterns in the prevalence of
coal workers’ pneumoconiosis (‘‘black
lung disease’’) among miners employed
in U.S. coal mines. The total estimated
annualized burden hours of 4,420 is
based on the following:
• Coal Mine Operators Plan (2.10)—
Under 42 CFR Part 37.4, every coal
operator and construction contractor for
each underground coal mine must
submit a coal mine operator’s plan every
3 years, providing information on how
they plan to notify their miners of the
opportunity to obtain the chest
radiographic examination. To complete
this form with all requested information
(including a roster of current

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600
500

Number of
responses per
respondent
1
1

Average
burden per
response
(in hrs.)
5/60
40/60

employees) takes approximately 30
minutes.
• Facility Certification Document
(2.11)—X-ray facilities seeking NIOSHapproval to provide miner radiographs
under the CWHSP must complete an
approval packet which requires
approximately 30 minutes for
completion.
• Miner Identification Document
(2.9)—Miners who elect to participate in
the CWHSP must fill out this document
which requires approximately 20
minutes. This document records
demographic and occupational history,
as well as information required under
the regulations from x-ray facilities in
relation to coal miner examinations. In
addition to completing this form, the
process of capturing the chest image
takes approximately 15 minutes.
• Chest Radiograph Classification
Form (2.8)—Under 42 CFR Part 37,
NIOSH utilizes a radiographic
classification system developed by the
International Labour Office (ILO), in the
determination of pneumoconiosis
among underground coal miners.
Physicians (B Readers) fill out this form
regarding their interpretations of the
radiographs (each image has at least two
separate interpretations). Based on prior
practice it takes the physician
approximately 3 minutes per form.
• Physician Application for
Certification (2.12)—Physicians taking
the B Reader examination are asked to
complete this registration form which
provides demographic information as
well as information regarding their
medical practices. It typically takes the
physician about 10 minutes to complete
this form.
• Spirometry Testing—Miners
participating in the ECWHSP
component of the Program are asked to
perform a spirometry test which
requires no additional paperwork on the
part of the miner, but does require
approximately 15 to 20 minutes for the
test itself. Since spirometry testing is
offered as part of the ECWHSP only, the
2,500 respondents listed in the burden

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397

Federal Register / Vol. 79, No. 2 / Friday, January 3, 2014 / Notices
table below account for about half of the
total participants in the CWHSP.
• Pathologist Invoice—42 CFR 37.202
specifies procedures for the NCWAS.
The invoice submitted by the
pathologist must contain a statement
that the pathologist is not receiving any
other compensation for the autopsy.
Each participating pathologist may use
their individual invoice as long as this
statement is added. It is estimated that
only 5 minutes is required for the
pathologist to add this statement to the
standard invoice that they routinely use.

• Pathologist Report—42 CFR 37.203
provides the autopsy specifications. The
pathologist must submit information
found at autopsy, slides, blocks of
tissue, and a final diagnosis indicating
presence or absence of pneumoconiosis.
The format of the autopsy reports are
variable depending on the pathologist
conducting the autopsy. Since an
autopsy report is routinely completed
by a pathologist, the only additional
burden is the specific request for a
clinical abstract of terminal illness and
final diagnosis relating to
pneumoconiosis. Therefore, only 5

minutes of additional burden is
estimated for the pathologist’s report.
• Consent, Release and History Form
(2.6)—This form documents written
authorization from the next-of-kin to
perform an autopsy on the deceased
miner. A minimum of essential
information is collected regarding the
deceased miner including the
occupational history and smoking
history. From past experience, it is
estimated that 15 minutes is required for
the next-of-kin to complete this form.
There are no costs to respondents
other than their time.

ESTIMATED ANNUALIZED BURDEN HOURS
Average
burden/
response
(in hrs)

Total burden
(in hrs)

Form name

Coal Mine Operators .........................
X-ray Facility Supervisor ...................
X-ray—Coal Miners ...........................
Coal Miners .......................................
B Reader Physicians ........................
Physicians taking the B Reader Examination.
Spirometry Test—Coal Miners ..........
Pathologist ........................................
Pathologist ........................................

Form 2.10 .........................................
Form 2.11 .........................................
No form required ..............................
Form 2.9 ...........................................
Form 2.8 ...........................................
Form 2.12 .........................................

200
100
5,000
5,000
10,000
100

1
1
1
1
1
1

30/60
30/60
15/60
20/60
3/60
10/60

100
50
1,250
1,667
500
17

2,500
5
5

1
1
1

20/60
5/60
5/60

833
1
1

Next-of-kin for deceased miner ........

No form required ..............................
Invoice—No standard form ..............
Pathology Report—No standard
form.
Form 2.6 ...........................................

5

1

15/60

1

Total ...........................................

...........................................................

........................

........................

........................

4,420

Leroy 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. 2013–31464 Filed 1–2–14; 8:45 am]
BILLING CODE 4163–18–P

DEPARTMENT OF HEALTH AND
HUMAN SERVICES
Centers for Medicare & Medicaid
Services
Statement of Organization, Functions,
and Delegations of Authority

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responses per
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Number of
respondents

Type of respondents

Part F of the Statement of
Organization, Functions, and
Delegations of Authority for the
Department of Health and Human
Services, Centers for Medicare &
Medicaid Services (CMS), (last amended
at Federal Register, Vol. 76, No. 75, pp.
21908–21909, dated April 19, 2011, and
Vol. 77, No. 140, p. 42740, dated July
20, 2012) is amended to reflect the
abolishment of the Office of Public
Engagement (OPE). The Offices of
Hearings and Inquiries (OHI) was

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16:36 Jan 02, 2014

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established and reports directly to the
Chief Operating Officer (COO).
CMS modified its structure to: (1)
Conduct Marketplace eligibility appeals;
(2) assist Medicare beneficiaries with
complaints, inquiries, and grievances,
and to gather the information necessary
to file Medicare appeals; and (3)
conduct administrative hearings for
institutional appeals which fall under
the jurisdiction of the Provider
Reimbursement Review Board, the
Medicare Geographic Classification
Review Board, and the CMS Hearings
Officers.
The functions in OPE include the
Medicare Ombudsman, tribal affairs,
and emergency preparedness and
continuity of operations. The Medicare
Ombudsman was moved to OHI, tribal
affairs was moved to the Center for
Medicaid and CHIP Services (CMCS),
and emergency preparedness and
continuity of operations was moved to
the Consortium for Quality
Improvement and Survey & Certification
Operations (CQISCO). In addition, the
Office of Marketplace Eligibility
Appeals was established in OHI, and the
Office of Hearings was moved from the

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Office of Operations Management
(OOM) to OHI.
Part F., Section FC. 10 (Organization)
is revised as follows:
Office of the Administrator (FC)
Office of Equal Opportunity and Civil
Rights (FCA)
Office of Legislation (FCC)
Office of the Actuary (FCE)
Office of Strategic Operations and
Regulatory Affairs (FCF)
Center for Clinical Standards and
Quality (FCG)
Center for Medicare (FCH)
Center for Medicaid and CHIP Services
(FCJ)
Center for Strategic Planning (FCK)
Center for Program Integrity (FCL)
Chief Operating Officer (FCM)
Office of Minority Health (FCN)
Center for Medicare and Medicaid
Innovation (FCP)
Federal Coordinated Health Care Office
(FCQ)
Center for Consumer Information and
Insurance Oversight (FCR)
Office of Communications (FCT)
Delegations of Authority
All delegations and re-delegations of
authority made to officials and
employees of affected organizational

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