60 Day FRN

Federal Register / Vol. 79, No. 107 / Wednesday, June 4, 2014 / Notices
with regard to any of the following: (a)
Whether the proposed collection of
information is necessary for the proper
performance of AHRQ healthcare
research and healthcare information
dissemination functions, including
whether the information will have
practical utility; (b) the accuracy of
AHRQ’s estimate of burden (including
hours and costs) of the proposed
collection(s) 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 upon the
respondents, including the use of
automated collection techniques or
other forms of information technology.
Comments submitted in response to
this notice will be summarized and
included in the Agency’s subsequent
request for OMB approval of the
proposed information collection. All
comments will become a matter of
public record.
Dated: May 23, 2014.
Richard Kronick,
Director.
[FR Doc. 2014–12908 Filed 6–3–14; 8:45 am]
BILLING CODE 4160–90–M

DEPARTMENT OF HEALTH AND
HUMAN SERVICES

Proposed Data Collections Submitted
for Public Comment and
Recommendations

Proposed Project
Musculoskeletal Disorder (MSD)
Intervention Effectiveness in Material
Handling Operations (OMB No. 0920–
0907, expires 11/30/2014)—Revision—
National Institute for Occupational
Safety and Health (NIOSH), Centers for
Disease Control and Prevention (CDC).

The Centers for Disease Control and
Prevention (CDC), as part of its
continuing effort to reduce public
burden, invites the general public and
other Federal agencies to take this
opportunity to comment on proposed
and/or continuing information
collections, as required by the
Paperwork Reduction Act of 1995. To
request more information on the below
proposed project or to obtain a copy of
the information collection plan and
instruments, call 404–639–7570 or send
comments to LeRoy Richardson, 1600
Clifton Road, MS–D74, Atlanta, GA
30333 or send an email to [email protected].
Comments submitted in response to
this notice will be summarized and/or
included in the request for Office of
Management and Budget (OMB)
approval. Comments are invited on: (a)
Whether the proposed collection of
information is necessary for the proper
performance of the functions of the
agency, including whether the

Background and Brief Description
The mission of the National Institute
for Occupational Safety and Health
(NIOSH) is to promote safety and health
at work for all people through research
and prevention. Under Public Law 91–
596, sections 20 and 22 (Section 20–22,
Occupational Safety and Health Act of
1970), NIOSH has the responsibility to
conduct research to advance the health
and safety of workers. In this capacity,
NIOSH proposes a two-year approval to
continue a study to assess the
effectiveness and cost-benefit of
occupational safety and health (OSH)
interventions for musculoskeletal
disorders.
NIOSH and the Ohio Bureau of
Workers Compensation (OBWC) will
continue to collaborate on a multi-site
intervention study at OBWC-insured
companies from 2014–2016. In
overview, MSD engineering control
interventions (such as stair-climbing,
powered hand trucks, and powered

Centers for Disease Control and
Prevention
[60Day–14–0907]

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information shall have practical utility;
(b) the accuracy of the agency’s estimate
of the burden of the proposed collection
of information; (c) ways to enhance the
quality, utility, and clarity of the
information to be collected; (d) ways to
minimize the burden of the collection of
information on respondents, including
through the use of automated collection
techniques or other forms of information
technology; and (e) estimates of capital
or start-up costs and costs of operation,
maintenance, and purchase of services
to provide information. Burden means
the total time, effort, or financial
resources expended by persons to
generate, maintain, retain, disclose or
provide information to or for a Federal
agency. This includes the time needed
to review instructions; to develop,
acquire, install and utilize technology
and systems for the purpose of
collecting, validating and verifying
information, processing and
maintaining information, and disclosing
and providing information; to train
personnel and to be able to respond to
a collection of information, to search
data sources, to complete and review
the collection of information; and to
transmit or otherwise disclose the
information. Written comments should
be received within 60 days of this
notice.

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truck lift gates) will be tested for
effectiveness in reducing self-reported
back and upper extremity pain among
960 employees performing material
handling operations in 72
establishments using a prospective
experimental design (multiple baselines
across groups). The costs of the
interventions will be funded through
existing OBWC funds and participating
establishments.
This study will provide important
information that is not currently
available elsewhere on the effectiveness
of OSH interventions for workers. The
study sub-sample will be volunteer
employees at OBWC-insured
establishments who perform material
handling tasks that are expected to be
impacted by the engineering control
interventions. It is estimated that there
will be 960 impacted employees in the
recruited establishments, which will be
paired according to previous workers
compensation loss history and
establishment size.
This protocol is changed from the
previous data collection in that:
• A Low Back Functional Assessment
is no longer being conducted to increase
data collection efficiency.
• The study population now includes
workers performing material handling
tasks in all industries, not just
wholesale retail trade. Tested
interventions also include a number of
material handling engineering controls.
These changes were made to increase
generalizability of results.
• All employers will now receive the
intervention immediately, rather than
half being randomly selected to receive
the intervention six months later. This
change was made to increase
participation among employers.
The main outcomes for this study are
self-reported low back pain and upper
extremity pain collected using surveys
every three months over a two-year
period from volunteer material handling
workers at participating establishments.
Individuals will also be asked to report
usage of the interventions and material
handling exposures every three months
over two years. Individuals will also be
asked to complete an annual health
assessment survey at baseline, and once
annually for two years.
In order to maximize efficiency and
reduce burden, a choice of web-based or
paper survey is proposed for the data
collection.
All collected information will be used
to determine whether there are
significant differences in reported
musculoskeletal pain and functional
back pain score ratios (pre/post
intervention scores), while controlling
for covariates. Once the study is

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Federal Register / Vol. 79, No. 107 / Wednesday, June 4, 2014 / Notices

completed, results will be made
available through the NIOSH internet
site and peer-reviewed publications.
The ‘‘Self-reported low back pain’’
and ‘‘Self-reported upper extremity
pain’’ forms are collected every three
months (9 over two years, or an average
of 4.5 per year). The ‘‘Self-reported
general work environment and health’’
form is collected at baseline, at the end

of the first year and at the end of the
second year (3 times over two years, or
an average of 1.5 per year). The
informed consent form is collected once
at the beginning of the study, an average
of .5 per year. The early exit interview
is collected once for a limited number
of participants, an average of .5 per year.
There is no cost to respondents other
than their time.

In summary, this study will determine
the effectiveness of the tested MSD
interventions for material handling
workers and enable evidence based
prevention practices to be shared with
the greatest audience possible. NIOSH
expects to complete data collection in
2016. The total estimated annual burden
hours are 1,364.

ESTIMATED ANNUALIZED BURDEN HOURS
Number of
responses per
respondent

Avg. burden
per response
(in hrs.)

Total
burden
(in hrs.)

Form name

Material handling workers .....

Self-reported low back pain .........................
Self-reported upper extremity pain ..............
Self-reported specific job tasks and safety
incidents.
Self-reported general work environment and
health.
Informed Consent Form (Overall Study) ......
Early Exit Interview ......................................

960
960
960

4.5
4.5
4.5

5/60
5/60
5/60

360
360
360

960

1.5

10/60

240

960
106

.5
.5

5/60
5/60

40
4

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

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

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

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

1,364

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

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.

be received, not postmarked, by this
date.
FOR FURTHER INFORMATION CONTACT:
Miechal Lefkowitz, (212) 616–2517.
SUPPLEMENTARY INFORMATION:

[FR Doc. 2014–12838 Filed 6–3–14; 8:45 am]

I. Background
Section 5506 of the Patient Protection
and Affordable Care Act (Pub. L. 111–
148), as amended by the Health Care
and Education Reconciliation Act of
2010 (Pub. L. 111–152) (collectively, the
‘‘Affordable Care Act’’), ‘‘Preservation of
Resident Cap Positions from Closed
Hospitals,’’ authorizes the Secretary of
the Department of Health and Human
Services (the Secretary) to redistribute
residency slots after a hospital that
trained residents in an approved
medical residency program closes.
Specifically, section 5506 of the
Affordable Care Act amended the Social
Security Act (the Act) by adding
subsection (vi) to section 1886(h)(4)(H)
of the Act and modifying language at
section 1886(d)(5)(B)(v) of the Act, to
instruct the Secretary to establish a
process to increase the full time
equivalent (FTE) resident caps for other
hospitals based upon the FTE resident
caps in teaching hospitals that closed
‘‘on or after a date that is 2 years before
the date of enactment’’ (that is, March
23, 2008). In the November 24, 2010 CY
2011 Outpatient Prospective Payment
System (OPPS) final rule (75 FR 72212),
we established regulations and an

BILLING CODE 4163–18–P

DEPARTMENT OF HEALTH AND
HUMAN SERVICES
Centers for Medicare & Medicaid
Services
[CMS–1620–N]

Medicare Program; Notification of
Closure of Teaching Hospital and
Opportunity To Apply for Available
Slots
Centers for Medicare &
Medicaid Services (CMS), HHS.
ACTION: Notice.
AGENCY:

This notice announces the
closure of one teaching hospital and the
initiation of an application process for
hospitals to apply to the Centers for
Medicare & Medicaid Services (CMS) to
receive Long Beach Medical Center’s
full time equivalent (FTE) resident cap
slots.
DATES: We will consider applications
received no later than 5 p.m. (e.s.t.)
September 2, 2014. Applications must
SUMMARY:

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Number of
respondents

Type of respondents

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application process for qualifying
hospitals to apply to CMS to receive
direct graduate medical education
(GME) and indirect medical education
(IME) FTE resident cap slots from the
hospital that closed. We made certain
modifications to those regulations in the
FY 2013 Hospital Inpatient Prospective
Payment System/Long Term Care
Hospital final rule (FY 2013 IPPS/LTCH
PPS final rule (77 FR 53434 through
53447)). The procedures we established
apply both to teaching hospitals that
closed on or after March 23, 2008 and
on or before August 3, 2010, and to
teaching hospitals that closed after
August 3, 2010.
II. Provisions of the Notice
A. Notice of Closure of Teaching
Hospital and Application Process
CMS has learned of the closure of one
teaching hospital, Long Beach Medical
Center, of Long Beach, NY. The purpose
of this notice is to notify the public of
the closure of this teaching hospital, and
to initiate another round of the
application and selection process
described in section 5506 of the
Affordable Care Act. This round will be
the seventh round (‘‘Round 7’’) of the
application and selection process. The
table below identifies the closed
teaching hospital, which is part of the
Round 7 application process under
section 5506 of the Affordable Care Act:

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