Published 60 Day FRN

Appendix B 60dy FRN.pdf

World Trade Center Health Program Enrollment, Appeals & Reimbursement

Published 60 Day FRN

OMB: 0920-0891

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Federal Register / Vol. 79, No. 132 / Thursday, July 10, 2014 / Notices
definition above) also are authorized to
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Dated: July 1, 2014.
Jennifer L. Gordon,
Alternate Designated Federal Official,
National Vaccine Advisory Committee, Public
Health Analyst, National Vaccine Program
Office.
[FR Doc. 2014–16132 Filed 7–9–14; 8:45 am]
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DEPARTMENT OF HEALTH AND
HUMAN SERVICES

Proposed Data Collections Submitted
for Public Comment and
Recommendations

Proposed Project
World Trade Center Health Program
Enrollment, Appeals & Reimbursement
(OMB No. 0920–0891, expires
12/31/2014)—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

Background and Brief Description
Title XXXIII of the PHS Act as
amended establishes the WTC Health
Program within the Department of
Health and Human Services (HHS). The
Program provides medical monitoring
and treatment benefits to responders to
the September 11, 2001, terrorist attacks
in New York City, at the Pentagon, and
in Shanksville, Pennsylvania, and to
survivors of the terrorist attacks in New
York City. Title XXXIII requires that

Centers for Disease Control and
Prevention
[60Day–14–0891]

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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
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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various Program provisions be
established by regulation, including
eligibility criteria for responders and
volunteers at the Pentagon and in
Shanksville, Pennsylvania.
This submission will incorporate the
World Trade Center Health Program
Enrollment, Appeals & Reimbursement
(0920–0891, expiration date
12/31/2014), and the World Trade
Center Enrollment & Appeals—Pentagon
& Shanksville (0920–1001, expiration
date 12/31/2016) into one complete
package which will be called the World
Trade Center Health Program
Enrollment, Appeals & Reimbursement.
Upon OMB approval, 0920–1001 will be
discontinued. The provisions in the
interim final rule that contain data
collection requirements are:
§ 88.5 Application process—status as
a WTC responder. This section informs
applicants who believe they meet the
eligibility criteria for a WTC responder
how to apply for enrollment in the WTC
Health Program, and describes the types
of documentation the WTC Program
Administrator will accept as proof of
eligibility. We expect that to receive
approximately 4,500 applications per
year. The burden table reflects the
annualized total burden broken into the
four separate applicant groups: We
estimate that 45 Fire Department of New
York (FDNY) responders (1% of
applicants); 2,475 general responders
(55%); 630 Pentagon/Shanksville
responders (14%); and 1,350 survivors
(30%) will submit applications. The
burden estimates for these three
different forms are: FDNY = 23 hours;
general responders = 1,238 hours;
Pentagon/Shanksville responders = 315
hours; survivors = 405 hours.
§ 88.11 Appeals regarding eligibility
determination—responders and
survivors. This section establishes the
process for appeals regarding eligibility
determinations. Of the 4,500
applications we expect to receive per
year, we expect that 10% will fail due
to ineligibility. We further assume that
10% of those individuals, or 45
respondents, will appeal the decision.
The burden estimate is 23 hours.
§ 88.15 Appeals regarding treatment.
This section establishes the timeline
and process to appeal the
Administrator’s determinations
regarding treatment decisions. HHS
estimates that Program participants will
request certification for 20,000 health
conditions each year. Of those 20,000,
we expect that .01 percent (200) will be
denied certification by the WTC
Program Administrator. We further
expect that such a denial will be
appealed 30 percent of the time. Of the
projected 451,472 enrollees who will

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Federal Register / Vol. 79, No. 132 / Thursday, July 10, 2014 / Notices

receive medical care, it is estimated that
.05% percent (26) will appeal decisions
of unnecessary treatment. We estimate
that the appeals letter will take no more
than 30 minutes.
§ 88.16 Reimbursement for travel
expenses. This section established the
process for members of the Nationwide
Provider Network (NPN) who travel
more than 250 miles to a nationwide
network provider for medically
necessary treatment may be provided
necessary and reasonable transportation
and other expenses. These individuals

implement the WTC Health Program.
This emergency data collection is
warranted because it is essential that
individuals who wish to be enrolled,
apply to the WTC Health Program,
appeal a determination made by the
WTC Program Administrator, or submit
a claim for reimbursement have the
opportunity to do so as soon as the
eligibility criteria are established with
the publication of this interim final rule.
There are no costs to respondents other
than their time.

may submit a travel refund request
form, which should take respondents 10
minutes. HHS expects no more than 10
claims per year.
The reporting and record keeping
requirements contained in these
regulations are used by NIOSH to carry
out its responsibilities related to the
implementation of the WTC Health
Program as required by law. The
burdens imposed have been reduced to
the absolute minimum considered
necessary to permit NIOSH to carry out
the purpose of the legislation, i.e., to

ESTIMATED ANNUALIZED BURDEN HOURS
Form name

FDNY Responder ..............................

World Trade Center Health Program
FDNY Responder Eligibility Application.
World Trade Center Health Program
Responder Eligibility Application
(Other than FDNY).
World Trade Center Health Program
Pentagon/Shanksville Responder.
World Trade Center Health Program
Survivor Eligibility Application.
Denial Letter and Appeal Notification—Eligibility.
Denial Letter and Appeal Notification—Health Conditions.
Denial Letter and Appeal Notification—Treatment.
WTC Health Program Medical Travel Refund Request.

General Responder ...........................
Pentagon/Shanksville Responder .....
WTC Survivor ....................................
Responder (FDNY and
sponder)/Survivor.
Responder (FDNY and
sponder)/Survivor.
Responder (FDNY and
sponder)/Survivor.
Responder (FDNY and
sponder)/Survivor.

General ReGeneral ReGeneral ReGeneral Re-

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.
[FR Doc. 2014–16121 Filed 7–9–14; 8:45 am]
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DEPARTMENT OF HEALTH AND
HUMAN SERVICES
Centers for Disease Control and
Prevention
[30Day–14–14UQ]

Agency Forms Undergoing Paperwork
Reduction Act Review
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Number of
respondents

Type of respondent

The Centers for Disease Control and
Prevention (CDC) has submitted the
following information collection request
to the Office of Management and Budget
(OMB) for review and approval in
accordance with the Paperwork
Reduction Act of 1995. The notice for
the proposed information collection is

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Average
burden per
response
(in hours)

Total burden
hours

45

1

30/60

23

2,475

1

30/60

1,238

630

1

30/60

315

1,350

1

30/60

675

45

1

30/60

23

60

1

30/60

30

26

1

30/60

13

10

1

10/60

2

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

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

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

2,319

published to obtain comments from the
public and affected agencies.
Written comments and suggestions
from the public and affected agencies
concerning the proposed collection of
information are encouraged. Your
comments should address any of the
following: (a) 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; (b) Evaluate the
accuracy of the agencies estimate of the
burden of the proposed collection of
information, including the validity of
the methodology and assumptions used;
(c) Enhance the quality, utility, and
clarity of the information to be
collected; (d) 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 submission of

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responses per
respondent

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responses; and (e) Assess information
collection costs.
To request additional information on
the proposed project or to obtain a copy
of the information collection plan and
instruments, call (404) 639–7570 or
send an email to [email protected]. Written
comments and/or suggestions regarding
the items contained in this notice
should be directed to the Attention:
CDC Desk Officer, Office of Management
and Budget, Washington, DC 20503 or
by fax to (202) 395–5806. Written
comments should be received within 30
days of this notice.
Proposed Project
Generic Clearance for the Collection
of Qualitative Feedback on Agency
Service Delivery—NEW—Centers for
Disease Control and Prevention (CDC),
National Center for Immunization and
Respiratory Diseases (NCIRD).
As part of a Federal Government-wide
effort to streamline the process to seek
feedback from the public on service
delivery, the CDC has submitted a

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