83_FR_22159 83 FR 22067 - Proposed Data Collection Submitted for Public Comment and Recommendations

83 FR 22067 - Proposed Data Collection Submitted for Public Comment and Recommendations

DEPARTMENT OF HEALTH AND HUMAN SERVICES
Centers for Disease Control and Prevention

Federal Register Volume 83, Issue 92 (May 11, 2018)

Page Range22067-22069
FR Document2018-10067

The Centers for Disease Control and Prevention (CDC), as part of its continuing effort to reduce public burden and maximize the utility of government information, invites the general public and other Federal agencies the opportunity to comment on a proposed and/or continuing information collection, as required by the Paperwork Reduction Act of 1995. This notice invites comment on a proposed information collection project titled World Trade Center Health Program Enrollment, Treatment, Appeals & Reimbursement.

Federal Register, Volume 83 Issue 92 (Friday, May 11, 2018)
[Federal Register Volume 83, Number 92 (Friday, May 11, 2018)]
[Notices]
[Pages 22067-22069]
From the Federal Register Online  [www.thefederalregister.org]
[FR Doc No: 2018-10067]



[[Page 22067]]

-----------------------------------------------------------------------

DEPARTMENT OF HEALTH AND HUMAN SERVICES

Centers for Disease Control and Prevention

[60Day-18-0891; Docket No. CDC-2018-0045]


Proposed Data Collection Submitted for Public Comment and 
Recommendations

AGENCY: Centers for Disease Control and Prevention (CDC), Department of 
Health and Human Services (HHS).

ACTION: Notice with comment period.

-----------------------------------------------------------------------

SUMMARY: The Centers for Disease Control and Prevention (CDC), as part 
of its continuing effort to reduce public burden and maximize the 
utility of government information, invites the general public and other 
Federal agencies the opportunity to comment on a proposed and/or 
continuing information collection, as required by the Paperwork 
Reduction Act of 1995. This notice invites comment on a proposed 
information collection project titled World Trade Center Health Program 
Enrollment, Treatment, Appeals & Reimbursement.

DATES: CDC must receive written comments on or before July 10, 2018.

ADDRESSES: You may submit comments, identified by Docket No. CDC-2018-
0045 by any of the following methods:
     Federal eRulemaking Portal: Regulations.gov. Follow the 
instructions for submitting comments.
     Mail: Jeffrey M. Zirger, Information Collection Review 
Office, Centers for Disease Control and Prevention, 1600 Clifton Road 
NE, MS-D74, Atlanta, Georgia 30329.
    Instructions: All submissions received must include the agency name 
and Docket Number. CDC will post, without change, all relevant comments 
to Regulations.gov.

    Please note:  Submit all Federal comments through the Federal 
eRulemaking portal (regulations.gov) or by U.S. mail to the address 
listed above.


FOR FURTHER INFORMATION CONTACT: To request more information on the 
proposed project or to obtain a copy of the information collection plan 
and instruments, contact Leroy A. Richardson, Information Collection 
Review Office, Centers for Disease Control and Prevention, 1600 Clifton 
Road NE, MS-D74, Atlanta, Georgia 30329; phone: 404-639-7570; Email: 
omb@cdc.gov.

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. In addition, the PRA also requires 
Federal agencies to provide a 60-day notice in the Federal Register 
concerning each proposed collection of information, including each new 
proposed collection, each proposed extension of existing collection of 
information, and each reinstatement of previously approved information 
collection before submitting the collection to the OMB for approval. To 
comply with this requirement, we are publishing this notice of a 
proposed data collection as described below.
    The OMB is particularly interested in comments that will help:
    1. Evaluate whether the proposed collection of information is 
necessary for the proper performance of the functions of the agency, 
including whether the information will have practical utility;
    2. Evaluate the accuracy of the agency's estimate of the burden of 
the proposed collection of information, including the validity of the 
methodology and assumptions used;
    3. Enhance the quality, utility, and clarity of the information to 
be collected; and
    4. Minimize the burden of the collection of information on those 
who are to respond, including through the use of appropriate automated, 
electronic, mechanical, or other technological collection techniques or 
other forms of information technology, e.g., permitting electronic 
submissions of responses.
    5. Assess information collection costs.

Proposed Project

    World Trade Center Health Program Enrollment, Treatment, Appeals & 
Reimbursement (OMB Control No. 0920-0891, Expires 09/30/2018)--
Revision--National Institute for Occupational Safety and Health, 
Centers for Disease Control and Prevention (CDC).

Background and Brief Description

    NIOSH seeks to request OMB approval to revise the currently 
approved information collection activities that support the World Trade 
Center (WTC) Health Program. The James Zadroga 9/11 Health and 
Compensation Act of 2010 (Pub. L. 111-347, as amended by Pub. L. 114-
113) created the WTC Health Program to provide medical monitoring and 
treatment benefits to eligible firefighters and related personnel, law 
enforcement officers, and rescue, recovery, and cleanup workers who 
responded to the September 11, 2001, terrorist attacks in New York 
City, at the Pentagon, and in Shanksville, Pennsylvania (responders), 
and to eligible persons who were present in the dust or dust cloud on 
September 11, 2001, or who worked, resided, or attended school, 
childcare, or adult daycare in the New York City disaster area 
(survivors).
    This request also seeks to incorporate the World Trade Center 
Health Program Petition for the addition of a New WTC-Related Health 
Condition for Coverage under the WTC Health Program package (0920-0929) 
into the existing approval, World Trade Center Health Program 
Enrollment, Appeals, Reimbursement, & Petitions (OMB Control No. 0920-
0891). Upon approval, OMB Control number 0920-0929 will be 
discontinued.
    Since its inception in 2011, the WTC Health Program has been 
approved to collect information from applicants and Program members 
(enrolled WTC responders and survivors) concerning eligibility and 
enrollment, appointment of a designated representative, medical care, 
travel reimbursement, and appeal of adverse Program decisions. The WTC 
Health Program is also currently approved to collect information from 
Program medical providers, including health condition certification 
requests and pharmaceutical claims. Currently approved total estimated 
burden is 13,594 hours annually (see OMB Control No. 0920-0891, exp. 
September 30, 2018).
    The WTC Health Program has determined that some existing forms need 
to be updated, and new information collections related to a recent 
rulemaking should be added. Changes to WTC Health Program regulations 
in 42 CFR part 88 will require the extension of existing information 
collections. Specifically, 42 CFR 88.13 establishes procedures for the 
appeal of Program decisions to disenroll Program members and deny 
enrollment to applicants. Appeals of enrollment denial decisions, which 
include the submission of appeal request letters, are currently 
approved; the Program proposes to extend this information collection to 
account for the burden of requests for appeal of disenrollment 
decisions. Of the over 70,000 Program members, we expect that 0.014 
percent (10) will be subsequently disenrolled from the Program. Of 
those, we expect that 30 percent (three) will appeal the disenrollment 
decisions. We estimate that the disenrollment appeal requests will take 
no more than 0.5 hours per respondent. The annual burden estimate is 
1.5 hours.
    Section 42 CFR 88.21 establishes procedures for the appeal of WTC

[[Page 22068]]

Health Program decisions to decertify a WTC-related health condition, 
deny certification, and deny treatment authorization. Appeals of health 
condition certification denials and treatment authorization denials, 
which include the submission of appeal request letters, are currently 
approved; the Program proposes to extend this information collection to 
account for the burden of requests for appeal of decertification 
decisions. The information collection would also be expanded to allow 
Program members to provide additional information and/or an oral 
statement. Of the estimated 51,472 Program members who have at least 
one health condition certification, we estimate that 0.02 percent (10) 
will be decertified, and 50 percent (five) of those will appeal a 
decertification. We estimate that the appeal request letter will take 
no more than 0.5 hours per respondent. Providing additional information 
and/or an oral statement will take no more than 1 hour per respondent. 
The annual burden estimate for decertification appeals is 7.5 hours.
    We estimate that Program members request certification for 20,000 
health conditions each year. Of those 20,000, we estimate that 1 
percent (200) of certification requests are denied by the WTC Health 
Program. We further expect that 30 percent of denied certifications, or 
60 individuals, will be appealed. We estimate that the appeals letter 
takes no more than 30 minutes and providing additional information and/
or an oral statement will take no more than one hour. The burden 
estimate for certification denial appeals is 90 hours.
    Of the projected 51,472 Program members who receive medical care, 
we estimate that 0.05 percent (26) will appeal a determination by the 
WTC Health Program that the treatment being sought is not medically 
necessary. We estimate that the appeals letter will take no more than 
30 minutes and providing additional information and/or an oral 
statement will take no more than one hour. The burden estimate for 
treatment authorization denial appeals is 39 hours.
    Finally, 42 CFR 88.23 establishes procedures for the appeal of a 
WTC Health Program decision to deny reimbursement to a Program medical 
provider for treatment determined not to be medically necessary. 
Accordingly, the Program proposes the addition of information collected 
in the appeal request. We estimate that of the nearly 52,000 Program 
providers, we estimate that 1.15 percent (600) annually will be denied 
reimbursement for treatment found to be not medically necessary or in 
accordance with treatment protocols, and will appeal the decision. We 
estimate that the appeal letter will take no more than 0.5 hours to 
compile. The burden estimate for treatment reimbursement denial appeals 
is 300 hours.
    The Program also finds it necessary to add a new form to allow 
applicants and Program members to grant permission to share information 
with a third person about an individual's application or case. We 
estimate that 30 applicants and members will submit a Health Insurance 
Portability and Accountability Act (HIPAA) Release Form annually. The 
form will to take no longer than 0.25 hours to complete. The burden 
estimate for the HIPAA Release form is 7.5 hours.
    In addition to describing those burden estimates revised by this 
action, the estimated annualized burden hours for those collection 
instruments not subject to revision in this action are included in the 
table below.

                                        Estimated Annualized Burden Hours
----------------------------------------------------------------------------------------------------------------
                                                                                      Average
                                                     Number of       Number of      burden per     Total burden
      Type of respondents           Form name       respondents    responses per   response  (in    (in hours)
                                                                    respondent        hours)
----------------------------------------------------------------------------------------------------------------
FDNY Responder................  World Trade                   45               1           30/60              23
                                 Center Health
                                 Program FDNY
                                 Responder
                                 Eligibility
                                 Application.
General Responder.............  World Trade                2,475               1           30/60           1,238
                                 Center Health
                                 Program
                                 Responder
                                 Eligibility
                                 Application
                                 (Other than
                                 FDNY).
Pentagon/Shanksville Responder  World Trade                  630               1           30/60             315
                                 Center Health
                                 Program
                                 Pentagon/
                                 Shanksville
                                 Responder.
WTC Survivor..................  World Trade                1,350               1           30/60             675
                                 Center Health
                                 Program
                                 Survivor
                                 Eligibility
                                 Application
                                 (all languages).
General responder.............  Postcard for new           2,475               1           15/60             619
                                 general
                                 responders in
                                 NY/NJ to select
                                 a clinic.
Program Medical Provider......  Physician                 20,000               1           30/60          10,000
                                 Request for
                                 Certification.
Responder (FDNY and General     Denial Letter                 45               1           30/60              23
 Responder)/Survivor.            and Appeal
                                 Notification--E
                                 nrollment.
Responder (FDNY and General     Disenrollment                  3               1           30/60             1.5
 Responder)/Survivor.            Letter and
                                 Appeal
                                 Notification.
Responder (FDNY and General     Denial Letter                 60               1           90/60              90
 Responder)/Survivor.            and Appeal
                                 Notification--H
                                 ealth Condition
                                 Certification.
Responder (FDNY and General     Decertification                5               1           90/60             7.5
 Responder)/Survivor.            Letter and
                                 Appeal
                                 Notification.
Responder (FDNY and General     Denial Letter                 26               1           90/60              39
 Responder)/Survivor.            and Appeal
                                 Notification--T
                                 reatment
                                 Authorization.
Responder (FDNY and General     WTC Health                    10               1           10/60               2
 Responder)/Survivor.            Program Medical
                                 Travel Refund
                                 Request.
Designated Rep Form...........  Form to                       30               1           15/60             7.5
                                 designate a
                                 representative.
HIPAA Release.................  Form to share                 30               1           15/60             7.5
                                 member
                                 information.
Pharmacy......................  Outpatient                   150             261            1/60             653
                                 prescription
                                 pharmaceuticals.
Program Medical Provider......  Reimbursement                600               1           30/60             300
                                 Denial Letter
                                 and Appeal
                                 Notification.

[[Page 22069]]

 
Responder/Survivor/Advocate     Petition for the              60               1           60/60              60
 (physician).                    addition of
                                 health
                                 conditions.
                                                 ---------------------------------------------------------------
    Total.....................  ................  ..............  ..............  ..............          14,061
----------------------------------------------------------------------------------------------------------------



Jeffrey M. Zirger,
Acting 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. 2018-10067 Filed 5-10-18; 8:45 am]
 BILLING CODE 4163-18-P



                                                                                 Federal Register / Vol. 83, No. 92 / Friday, May 11, 2018 / Notices                                           22067

                                                DEPARTMENT OF HEALTH AND                                must obtain approval from the Office of               September 11, 2001, terrorist attacks in
                                                HUMAN SERVICES                                          Management and Budget (OMB) for each                  New York City, at the Pentagon, and in
                                                                                                        collection of information they conduct                Shanksville, Pennsylvania (responders),
                                                Centers for Disease Control and                         or sponsor. In addition, the PRA also                 and to eligible persons who were
                                                Prevention                                              requires Federal agencies to provide a                present in the dust or dust cloud on
                                                [60Day–18–0891; Docket No. CDC–2018–                    60-day notice in the Federal Register                 September 11, 2001, or who worked,
                                                0045]                                                   concerning each proposed collection of                resided, or attended school, childcare,
                                                                                                        information, including each new                       or adult daycare in the New York City
                                                Proposed Data Collection Submitted                      proposed collection, each proposed                    disaster area (survivors).
                                                for Public Comment and                                  extension of existing collection of                      This request also seeks to incorporate
                                                Recommendations                                         information, and each reinstatement of                the World Trade Center Health Program
                                                                                                        previously approved information                       Petition for the addition of a New WTC-
                                                AGENCY: Centers for Disease Control and                 collection before submitting the                      Related Health Condition for Coverage
                                                Prevention (CDC), Department of Health                  collection to the OMB for approval. To                under the WTC Health Program package
                                                and Human Services (HHS).                               comply with this requirement, we are                  (0920–0929) into the existing approval,
                                                ACTION: Notice with comment period.                     publishing this notice of a proposed                  World Trade Center Health Program
                                                                                                        data collection as described below.                   Enrollment, Appeals, Reimbursement, &
                                                SUMMARY:    The Centers for Disease                                                                           Petitions (OMB Control No. 0920–0891).
                                                                                                          The OMB is particularly interested in
                                                Control and Prevention (CDC), as part of                                                                      Upon approval, OMB Control number
                                                                                                        comments that will help:
                                                its continuing effort to reduce public                    1. Evaluate whether the proposed                    0920–0929 will be discontinued.
                                                burden and maximize the utility of                      collection of information is necessary                   Since its inception in 2011, the WTC
                                                government information, invites the                     for the proper performance of the                     Health Program has been approved to
                                                general public and other Federal                        functions of the agency, including                    collect information from applicants and
                                                agencies the opportunity to comment on                  whether the information will have                     Program members (enrolled WTC
                                                a proposed and/or continuing                            practical utility;                                    responders and survivors) concerning
                                                information collection, as required by                    2. Evaluate the accuracy of the                     eligibility and enrollment, appointment
                                                the Paperwork Reduction Act of 1995.                    agency’s estimate of the burden of the                of a designated representative, medical
                                                This notice invites comment on a                        proposed collection of information,                   care, travel reimbursement, and appeal
                                                proposed information collection project                 including the validity of the                         of adverse Program decisions. The WTC
                                                titled World Trade Center Health                        methodology and assumptions used;                     Health Program is also currently
                                                Program Enrollment, Treatment,                            3. Enhance the quality, utility, and                approved to collect information from
                                                Appeals & Reimbursement.                                clarity of the information to be                      Program medical providers, including
                                                DATES: CDC must receive written                         collected; and                                        health condition certification requests
                                                comments on or before July 10, 2018.                      4. Minimize the burden of the                       and pharmaceutical claims. Currently
                                                ADDRESSES: You may submit comments,                     collection of information on those who                approved total estimated burden is
                                                identified by Docket No. CDC–2018–                      are to respond, including through the                 13,594 hours annually (see OMB
                                                0045 by any of the following methods:                   use of appropriate automated,                         Control No. 0920–0891, exp. September
                                                   • Federal eRulemaking Portal:                        electronic, mechanical, or other                      30, 2018).
                                                Regulations.gov. Follow the instructions                technological collection techniques or                   The WTC Health Program has
                                                for submitting comments.                                other forms of information technology,                determined that some existing forms
                                                   • Mail: Jeffrey M. Zirger, Information               e.g., permitting electronic submissions               need to be updated, and new
                                                Collection Review Office, Centers for                   of responses.                                         information collections related to a
                                                Disease Control and Prevention, 1600                      5. Assess information collection costs.             recent rulemaking should be added.
                                                Clifton Road NE, MS–D74, Atlanta,                                                                             Changes to WTC Health Program
                                                                                                        Proposed Project                                      regulations in 42 CFR part 88 will
                                                Georgia 30329.
                                                   Instructions: All submissions received                 World Trade Center Health Program                   require the extension of existing
                                                must include the agency name and                        Enrollment, Treatment, Appeals &                      information collections. Specifically, 42
                                                Docket Number. CDC will post, without                   Reimbursement (OMB Control No.                        CFR 88.13 establishes procedures for the
                                                change, all relevant comments to                        0920–0891, Expires 09/30/2018)—                       appeal of Program decisions to disenroll
                                                Regulations.gov.                                        Revision—National Institute for                       Program members and deny enrollment
                                                                                                        Occupational Safety and Health, Centers               to applicants. Appeals of enrollment
                                                   Please note: Submit all Federal comments
                                                through the Federal eRulemaking portal                  for Disease Control and Prevention                    denial decisions, which include the
                                                (regulations.gov) or by U.S. mail to the                (CDC).                                                submission of appeal request letters, are
                                                address listed above.                                                                                         currently approved; the Program
                                                                                                        Background and Brief Description                      proposes to extend this information
                                                FOR FURTHER INFORMATION CONTACT:               To          NIOSH seeks to request OMB                         collection to account for the burden of
                                                request more information on the                         approval to revise the currently                      requests for appeal of disenrollment
                                                proposed project or to obtain a copy of                 approved information collection                       decisions. Of the over 70,000 Program
                                                the information collection plan and                     activities that support the World Trade               members, we expect that 0.014 percent
                                                instruments, contact Leroy A.                           Center (WTC) Health Program. The                      (10) will be subsequently disenrolled
                                                Richardson, Information Collection                      James Zadroga 9/11 Health and                         from the Program. Of those, we expect
                                                Review Office, Centers for Disease                      Compensation Act of 2010 (Pub. L. 111–
sradovich on DSK3GMQ082PROD with NOTICES




                                                                                                                                                              that 30 percent (three) will appeal the
                                                Control and Prevention, 1600 Clifton                    347, as amended by Pub. L. 114–113)                   disenrollment decisions. We estimate
                                                Road NE, MS–D74, Atlanta, Georgia                       created the WTC Health Program to                     that the disenrollment appeal requests
                                                30329; phone: 404–639–7570; Email:                      provide medical monitoring and                        will take no more than 0.5 hours per
                                                omb@cdc.gov.                                            treatment benefits to eligible firefighters           respondent. The annual burden estimate
                                                SUPPLEMENTARY INFORMATION: Under the                    and related personnel, law enforcement                is 1.5 hours.
                                                Paperwork Reduction Act of 1995 (PRA)                   officers, and rescue, recovery, and                      Section 42 CFR 88.21 establishes
                                                (44 U.S.C. 3501–3520), Federal agencies                 cleanup workers who responded to the                  procedures for the appeal of WTC


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                                                22068                                   Federal Register / Vol. 83, No. 92 / Friday, May 11, 2018 / Notices

                                                Health Program decisions to decertify a                         we estimate that 1 percent (200) of                  information collected in the appeal
                                                WTC-related health condition, deny                              certification requests are denied by the             request. We estimate that of the nearly
                                                certification, and deny treatment                               WTC Health Program. We further expect                52,000 Program providers, we estimate
                                                authorization. Appeals of health                                that 30 percent of denied certifications,            that 1.15 percent (600) annually will be
                                                condition certification denials and                             or 60 individuals, will be appealed. We              denied reimbursement for treatment
                                                treatment authorization denials, which                          estimate that the appeals letter takes no            found to be not medically necessary or
                                                include the submission of appeal                                more than 30 minutes and providing                   in accordance with treatment protocols,
                                                request letters, are currently approved;                        additional information and/or an oral                and will appeal the decision. We
                                                the Program proposes to extend this                             statement will take no more than one                 estimate that the appeal letter will take
                                                information collection to account for the                       hour. The burden estimate for                        no more than 0.5 hours to compile. The
                                                burden of requests for appeal of                                certification denial appeals is 90 hours.            burden estimate for treatment
                                                decertification decisions. The                                    Of the projected 51,472 Program                    reimbursement denial appeals is 300
                                                information collection would also be                            members who receive medical care, we                 hours.
                                                expanded to allow Program members to                            estimate that 0.05 percent (26) will                   The Program also finds it necessary to
                                                provide additional information and/or                           appeal a determination by the WTC                    add a new form to allow applicants and
                                                an oral statement. Of the estimated                             Health Program that the treatment being              Program members to grant permission to
                                                51,472 Program members who have at                              sought is not medically necessary. We                share information with a third person
                                                least one health condition certification,                       estimate that the appeals letter will take           about an individual’s application or
                                                we estimate that 0.02 percent (10) will                         no more than 30 minutes and providing                case. We estimate that 30 applicants and
                                                be decertified, and 50 percent (five) of                        additional information and/or an oral                members will submit a Health Insurance
                                                those will appeal a decertification. We                         statement will take no more than one                 Portability and Accountability Act
                                                estimate that the appeal request letter                         hour. The burden estimate for treatment              (HIPAA) Release Form annually. The
                                                will take no more than 0.5 hours per                            authorization denial appeals is 39                   form will to take no longer than 0.25
                                                respondent. Providing additional                                hours.                                               hours to complete. The burden estimate
                                                information and/or an oral statement                              Finally, 42 CFR 88.23 establishes                  for the HIPAA Release form is 7.5 hours.
                                                will take no more than 1 hour per                               procedures for the appeal of a WTC                     In addition to describing those burden
                                                respondent. The annual burden estimate                          Health Program decision to deny                      estimates revised by this action, the
                                                for decertification appeals is 7.5 hours.                       reimbursement to a Program medical                   estimated annualized burden hours for
                                                   We estimate that Program members                             provider for treatment determined not to             those collection instruments not subject
                                                request certification for 20,000 health                         be medically necessary. Accordingly,                 to revision in this action are included in
                                                conditions each year. Of those 20,000,                          the Program proposes the addition of                 the table below.

                                                                                                               ESTIMATED ANNUALIZED BURDEN HOURS
                                                                                                                                                                                         Average
                                                                                                                                                                     Number of
                                                                                                                                                  Number of                            burden per     Total burden
                                                           Type of respondents                                     Form name                                       responses per
                                                                                                                                                 respondents                            response       (in hours)
                                                                                                                                                                     respondent         (in hours)

                                                FDNY Responder ..............................         World Trade Center Health Program                      45                 1             30/60             23
                                                                                                        FDNY Responder Eligibility Appli-
                                                                                                        cation.
                                                General Responder ...........................         World Trade Center Health Program                   2,475                 1             30/60          1,238
                                                                                                        Responder Eligibility Application
                                                                                                        (Other than FDNY).
                                                Pentagon/Shanksville Responder .....                  World Trade Center Health Program                     630                 1             30/60            315
                                                                                                        Pentagon/Shanksville Responder.
                                                WTC Survivor ....................................     World Trade Center Health Program                   1,350                 1             30/60            675
                                                                                                        Survivor Eligibility Application (all
                                                                                                        languages).
                                                General responder ............................        Postcard for new general respond-                   2,475                 1             15/60            619
                                                                                                        ers in NY/NJ to select a clinic.
                                                Program Medical Provider ................             Physician Request for Certification ..             20,000                 1             30/60         10,000
                                                Responder (FDNY and General Re-                       Denial Letter and Appeal Notifica-                     45                 1             30/60             23
                                                  sponder)/Survivor.                                    tion—Enrollment.
                                                Responder (FDNY and General Re-                       Disenrollment Letter and Appeal                          3                1             30/60             1.5
                                                  sponder)/Survivor.                                    Notification.
                                                Responder (FDNY and General Re-                       Denial Letter and Appeal Notifica-                     60                 1             90/60             90
                                                  sponder)/Survivor.                                    tion—Health Condition Certifi-
                                                                                                        cation.
                                                Responder (FDNY and General Re-                       Decertification Letter and Appeal                        5                1             90/60             7.5
                                                  sponder)/Survivor.                                    Notification.
                                                Responder (FDNY and General Re-                       Denial Letter and Appeal Notifica-                     26                 1             90/60             39
                                                  sponder)/Survivor.                                    tion—Treatment Authorization.
sradovich on DSK3GMQ082PROD with NOTICES




                                                Responder (FDNY and General Re-                       WTC Health Program Medical Trav-                       10                 1             10/60              2
                                                  sponder)/Survivor.                                    el Refund Request.
                                                Designated Rep Form .......................           Form to designate a representative                     30                 1             15/60             7.5
                                                HIPAA Release .................................       Form to share member information                       30                 1             15/60             7.5
                                                Pharmacy ..........................................   Outpatient prescription pharma-                       150               261              1/60            653
                                                                                                        ceuticals.
                                                Program Medical Provider ................             Reimbursement Denial Letter and                       600                 1             30/60            300
                                                                                                        Appeal Notification.



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                                                                                          Federal Register / Vol. 83, No. 92 / Friday, May 11, 2018 / Notices                                                                                               22069

                                                                                                         ESTIMATED ANNUALIZED BURDEN HOURS—Continued
                                                                                                                                                                                                                                 Average
                                                                                                                                                                                                   Number of
                                                                                                                                                                        Number of                                              burden per              Total burden
                                                          Type of respondents                                               Form name                                                            responses per
                                                                                                                                                                       respondents                                              response                (in hours)
                                                                                                                                                                                                   respondent                   (in hours)

                                                Responder/Survivor/Advocate (physi-                      Petition for the addition of health                                             60                            1                   60/60                 60
                                                  cian).                                                   conditions.

                                                     Total ...........................................   ..........................................................   ........................   ........................   ........................         14,061



                                                                                                                       Prevention, 1600 Clifton Road NE, MS–          3. Enhance the quality, utility, and
                                                Jeffrey M. Zirger,                                                     D74, Atlanta, Georgia 30329.                clarity of the information to be
                                                Acting Chief, Information Collection Review                              Instructions: All submissions received    collected; and
                                                Office, Office of Scientific Integrity, Office                         must include the agency name and               4. Minimize the burden of the
                                                of the Associate Director for Science, Office                          Docket Number. CDC will post, without       collection of information on those who
                                                of the Director, Centers for Disease Control                           change, all relevant comments to            are to respond, including through the
                                                and Prevention.                                                        Regulations.gov.                            use of appropriate automated,
                                                [FR Doc. 2018–10067 Filed 5–10–18; 8:45 am]                                                                        electronic, mechanical, or other
                                                                                                                          Please note: Submit all comments through
                                                BILLING CODE 4163–18–P
                                                                                                                       the Federal eRulemaking portal
                                                                                                                                                                   technological collection techniques or
                                                                                                                       (regulations.gov) or by U.S. mail to the    other forms of information technology,
                                                                                                                       address listed above.                       e.g., permitting electronic submissions
                                                DEPARTMENT OF HEALTH AND                                                                                           of responses.
                                                HUMAN SERVICES                                                         FOR FURTHER INFORMATION CONTACT: To            5. Assess information collection costs.
                                                                                                                       request more information on the
                                                Centers for Disease Control and                                                                                    Proposed Project
                                                                                                                       proposed project or to obtain a copy of
                                                Prevention                                                             the information collection plan and            The National Health and Nutrition
                                                [60Day–18–0950; Docket No. CDC–2018–                                   instruments, contact Leroy A.               Examination Survey (NHANES), (OMB
                                                0040]                                                                  Richardson, Information Collection          Control Number 0920–0950, Expiration
                                                                                                                       Review Office, Centers for Disease          Date 12/31/2019)—Revision — National
                                                Proposed Data Collection Submitted                                     Control and Prevention, 1600 Clifton        Center for Health Statistics (NCHS),
                                                for Public Comment and                                                 Road NE, MS–D74, Atlanta, Georgia           Centers for Disease Control and
                                                Recommendations                                                        30329; phone: 404–639–7570; Email:          Prevention (CDC).
                                                AGENCY: Centers for Disease Control and                                omb@cdc.gov.                                Background and Brief Description
                                                Prevention (CDC), Department of Health                                 SUPPLEMENTARY INFORMATION: Under the           Section 306 of the Public Health
                                                and Human Services (HHS)                                               Paperwork Reduction Act of 1995 (PRA) Service (PHS) Act (42 U.S.C. 242k), as
                                                ACTION: Notice with comment period.                                    (44 U.S.C. 3501–3520), Federal agencies amended, authorizes that the Secretary
                                                                                                                       must obtain approval from the Office of     of Health and Human Services (DHHS),
                                                SUMMARY:    The Centers for Disease                                    Management and Budget (OMB) for each acting through NCHS, shall collect
                                                Control and Prevention (CDC), as part of                               collection of information they conduct      statistics on the extent and nature of
                                                its continuing efforts to reduce public                                or sponsor. In addition, the PRA also       illness and disability; environmental,
                                                burden and maximize the utility of                                     requires Federal agencies to provide a      social and other health hazards; and
                                                government information, invites the                                    60-day notice in the Federal Register       determinants of health of the population
                                                general public and other Federal                                       concerning each proposed collection of      of the United States. The National
                                                agencies the opportunity to comment on                                 information, including each new             Health and Nutrition Examination
                                                proposed and/or continuing information                                 proposed collection, each proposed          Surveys (NHANES) have been
                                                collection, as required by the Paperwork                               extension of existing collection of         conducted periodically between 1970
                                                Reduction Act of 1995. This notice                                     information, and each reinstatement of      and 1994, and continuously since 1999
                                                invites comment on a proposed                                          previously approved information             by the National Center for Health
                                                information collection project titled                                  collection before submitting the            Statistics, CDC.
                                                National Health and Nutrition                                          collection to the OMB for approval. To         NHANES programs produce
                                                Examination Survey (NHANES).                                           comply with this requirement, we are        descriptive statistics, which measure the
                                                NHANES programs produce descriptive                                    publishing this notice of a proposed        health and nutrition status of the
                                                statistics, which measure the health and                               data collection as described below.         general population. With physical
                                                nutrition status of the general                                           The OMB is particularly interested in examinations, laboratory tests, and
                                                population.                                                            comments that will help:                    interviews, NHANES studies the
                                                DATES: CDC must receive written                                           1. Evaluate whether the proposed         relationship between diet, nutrition and
                                                comments on or before July 10, 2018.                                   collection of information is necessary      health in a representative sample of the
                                                ADDRESSES: You may submit comments,                                    for the proper performance of the           United States.
                                                                                                                       functions of the agency, including             NHANES monitors the prevalence of
sradovich on DSK3GMQ082PROD with NOTICES




                                                identified by Docket No. CDC–2018–
                                                0040 by any of the following methods:                                  whether the information will have           chronic conditions and risk factors.
                                                   • Federal eRulemaking Portal:                                       practical utility;                          NHANES data are used to produce
                                                Regulation.gov. Follow the instructions                                   2. Evaluate the accuracy of the          national reference data on height,
                                                for submitting comments.                                               agency’s estimate of the burden of the      weight, and nutrient levels in the blood.
                                                   • Mail: Leroy A. Richardson,                                        proposed collection of information,         Results from more recent NHANES can
                                                Information Collection Review Office,                                  including the validity of the               be compared to findings reported from
                                                Centers for Disease Control and                                        methodology and assumptions used;           previous surveys to monitor changes in


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Document Created: 2018-11-02 09:50:20
Document Modified: 2018-11-02 09:50:20
CategoryRegulatory Information
CollectionFederal Register
sudoc ClassAE 2.7:
GS 4.107:
AE 2.106:
PublisherOffice of the Federal Register, National Archives and Records Administration
SectionNotices
ActionNotice with comment period.
DatesCDC must receive written comments on or before July 10, 2018.
ContactTo request more information on the proposed project or to obtain a copy of the information collection plan and instruments, contact Leroy A. Richardson, Information Collection Review Office, Centers for Disease Control and Prevention, 1600 Clifton Road NE, MS-D74, Atlanta, Georgia 30329; phone: 404-639-7570; Email: [email protected]
FR Citation83 FR 22067 

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