60 Day FRN

Federal Register / Vol. 79, No. 221 / Monday, November 17, 2014 / Notices
Leroy A. 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. 2014–27017 Filed 11–14–14; 8:45 am]
BILLING CODE 4163–18–P

DEPARTMENT OF HEALTH AND
HUMAN SERVICES

Proposed Data Collections Submitted
for Public Comment and
Recommendations

Proposed Project
Improving Organizational
Management and Worker Behavior
through Worksite Communication—
New—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 A. 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

Background and Brief Description
NIOSH, under Public Law 91–596,
Sections 20 and 22 (Section 20–22,
Occupational Safety and Health Act of
1977) has the responsibility to conduct
research relating to innovative methods,
techniques, and approaches dealing
with occupational safety and health
problems.
This research assesses best practices
for communicating and employing a
strategic health and safety management
system (HSMS) to facilitate workers’
health and safety behaviors, including
ways that lateral communication from
management influences worker
perceptions and behaviors. Currently,
ambivalence exists about how to
strategically communicate aspects of an
HSMS top-down in the mining industry.
Research indicates that, to answer
questions about effectively using an
HSMS to improve safety, research needs
to follow a sample of workplaces over
time, measuring the introduction or
utilization of an HSMS and then
measuring outcomes of interest at the
workplace level and at the worker-level
too.
Therefore, analyzing workers’
perception of the organizational HSMS,
leaders’ implementation of the
organizational HSMS, and
communication gaps between these two
entities, may provide more insight into
the best, most feasible practices and
approaches to worker H&S performance
within a system. This project is
initiating such an approach by
implementing a series of multilevel
intervention (MLI) case studies that
assess the utility of a safety system that
includes aspects of both safety
management on the organizational level
and behavior-based safety on the worker
level. By studying these levels
separately and introducing an
intervention to bridge these two groups

Centers for Disease Control and
Prevention
[60Day–15–15EC]

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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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68447

together to enhance safety, the
communication practices within an
HSMS may be enhanced.
NIOSH requests OMB approval for a
3-year for a project that involves
information collection and that seeks to
empirically understand what HSMS
communication practices are important
for mine worker H&S and how those
practices can be developed,
implemented, and maintained over time
via desired communication from mine
site leadership. The following questions
guide this study:
What impact does the MLI
communication model that was
designed and implemented have on: (1)
Workers’ health/safety behaviors,
including those that lower exposure to
dust; (2) workers’ perceptions of their
organizations’ values; and (3) changes in
managers’ strategic HSMS
communication and implementation
with workers to facilitate health/safety
performance, including those that lower
exposure to dust.
To answer the above questions,
NIOSH researchers developed a
multilevel intervention (MLI) that
focuses on both management and
workers’ communication about and
subsequent actions taken to reduce
respirable dust exposure over time. This
MLI will inform how leadership
communicates to their employees and
what affect(s) this communication has
on individual behavior such as
corrective dust actions taken by
workers. By assessing the ongoing
safety/health interactions between
individual workers and their
organizational capacities (i.e. levels of
leadership and management of safety),
and how these interactions influence
and shape personal H&S performance,
we can better understand what aspects
of both systems need attention in a
merged, more balanced and
comprehensive system of health and
safety management (DeJoy, 2005).
Specifically, this project is using mine
technology, the Helmet-CAM, as a
communication medium to help merge
these two worksite systems. Previous
research indicates that the use of
information technology can enhance
lateral and horizontal communication
within organizations, showing support
for using the Helmet-CAM in the current
study (Hinds & Kiesler, 1995). NIOSH
researchers can analyze what and how
communication practices should be
implemented to influence worker
perceptions of their organizations’ H&S
values and how this impacts their
subsequent H&S behavior. Eventually,
the practices used to influence behavior
related to this dust issue can be
extrapolated to inform ways to

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Federal Register / Vol. 79, No. 221 / Monday, November 17, 2014 / Notices

communicate about and manage
additional health/safety problems
within the industry via an HSMS as
implemented by site leaders.
The Helmet-CAM incorporates video
footage and real-time dust
measurements of workers while
performing their job duties and tasks in
various locations throughout the
workday. This technology has proven to
be a very viable assessment tool to
provide a comparison of where and
when miners are being exposed to their
highest respirable dust concentrations.
As a result, Helmet-CAM technology is
being employed at many mines as a way
to identify dust exposures of workers
and to help reduce dust hazards in the
environment. However, we do not yet
know how mine site management is
using, if at all, this technology to
communicate with workers about their
personal health and safety barriers and
behaviors. Discussions about the tasks
workers perform when exposure levels
are high and what actions they can take
to reduce their dust exposure may be
valuable to the industry in helping
advance the way engineering-control
technology is used from a behavioral
vantage point as well.
The MLI is designed to help mine
workers and organizational leadership
work together, using the Helmet-CAM to
bridge their communication efforts, to
lower exposure to respirable dust among
other H/S behaviors. Previous research
(Yorio et al. 2014) identified three
distinct areas that influence the
relationship between the strategic
HSMS and its overall success in
implementing and encouraging worker
behavior change: Worksite leadership,
organizational values, and worker

ability to appropriately follow-up
during the subsequent two visits.
Data collection will take place with
no more than 150 mine workers and 30
mine site leaders over three years. The
respondents targeted for this study
include any active mine worker and any
active site leader at an industrial
mineral metal/nonmetal mine site. It is
estimated that a sample of up to 150
mine workers will participate in the
intervention, which includes wearing
the Helmet-CAM for a portion of their
job tasks (no more than two hours total)
during three time periods (when NIOSH
is present during the field visit). In
addition to wearing the Helmet-CAM,
workers will be asked to complete a pre
and post-test survey (∼15 minutes) and
an interview during three time points
throughout the study (∼ 30 minutes).
The interviews also will debrief HelmetCAM footage with participants at
various mining operations who have
agreed to participate. It also is estimated
that a sample of up to 30 mine site
leaders will participate in interviews/
focus groups about HSMS practices at
the same mining operations which have
agreed to participate.
The interviews/focus groups also will
occur three times during each of the
NIOSH field visits and will take no
more than 45 minutes each. All
participants will be between the ages of
18 and 75, currently employed, and
living in the United States. Participation
will require no more than 4.5 hours of
workers’ time over the six-week
intervention and no more than 2.5 hours
of site leaders’ time over the six-week
intervention period.
There is no cost to respondents other
than their time.

perceptions and interpretations of
management. Data on these three
contingencies are collected from the
management and worker levels during
three time points throughout a six-week
intervention to assess the ongoing
communication via the Helmet-CAM
and effects of the communication on
behavior. Data collection and analysis
pertaining to these three areas may
occur via a pre/post survey with
workers and pre/mid/post interviews/
focus groups with workers and mine site
leaders, some of which include dialogue
around Helmet-CAM footage as
provided by the workers who choose to
participate.
NIOSH proposes this intervention
design at a minimum of three and no
more than five industrial mineral metal/
nonmetal mine sites. All of the data
collection instruments have been used
in previous studies to examine worker
and leadership variables and factors.
Therefore, NIOSH knows that the data
collection instruments are valid and
reliable to use in studying the worker
and leader levels simultaneously,
within the same mine. Industrial
mineral sites will be recruited who have
inquired interest in learning how to use
the Helmet-CAM on their site and/or
interest in improving their site wide
communication efforts. Only a small
sample of workers will participate at
each mine site because of the time
required for completion and to ensure
the longitudinal data can be adequately
collected over the six weeks. In other
words, we would rather collect data
multiple times with the same worker
and have fewer participants than collect
data from more workers but not have the

ESTIMATED ANNUALIZED BURDEN HOURS
Average
burden per
response
(in hours)

Number of
responses per
respondent

Total
burden
hours

Form name

Mine Site Leaders/Managers ............

Mine Recruitment Script ...................
Initial/Mid/Post HSMS interview or
focus group.
Individual Miner Recruitment Script
Pre/Post Org Perceptions Survey ....
Wear Helmet-CAM during job cycle
Pre/Mid/Post Behavior and HelmetCAM footage Interview.

10
10

1
3

5/60
45/60

1
23

50
50
50
50

1
2
3
3

5/60
15/60
1
30/60

4
25
150
75

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

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

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

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

278

Mine Worker ......................................

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Number of
respondents

Type of respondent

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

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Federal Register / Vol. 79, No. 221 / Monday, November 17, 2014 / Notices
Leroy A. 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. 2014–27018 Filed 11–14–14; 8:45 am]
BILLING CODE 4163–18–P

DEPARTMENT OF HEALTH AND
HUMAN SERVICES
Centers for Medicare & Medicaid
Services
[Document Identifier CMS–10530, CMS–
1880 and CMS–1882]

Agency Information Collection
Activities: Proposed Collection;
Comment Request
Centers for Medicare &
Medicaid Services, HHS.
ACTION: Notice.
AGENCY:

The Centers for Medicare &
Medicaid Services (CMS) is announcing
an opportunity for the public to
comment on CMS’ intention to collect
information from the public. Under the
Paperwork Reduction Act of 1995 (the
PRA), federal agencies are required to
publish notice in the Federal Register
concerning each proposed collection of
information (including each proposed
extension or reinstatement of an existing
collection of information) and to allow
60 days for public comment on the
proposed action. Interested persons are
invited to send comments regarding our
burden estimates or any other aspect of
this collection of information, including
any of the following subjects: (1) The
necessity and utility of the proposed
information collection for the proper
performance of the agency’s functions;
(2) the accuracy of the estimated
burden; (3) ways to enhance the quality,
utility, and clarity of the information to
be collected; and (4) the use of
automated collection techniques or
other forms of information technology to
minimize the information collection
burden.
DATES: Comments must be received by
January 16, 2015.
ADDRESSES: When commenting, please
reference the document identifier or
OMB control number (OCN). To be
assured consideration, comments and
recommendations must be submitted in
any one of the following ways:
1. Electronically. You may send your
comments electronically to http://
www.regulations.gov. Follow the
instructions for ‘‘Comment or
Submission’’ or ‘‘More Search Options’’
to find the information collection

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SUMMARY:

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document(s) that are accepting
comments.
2. By regular mail. You may mail
written comments to the following
address: CMS, Office of Strategic
Operations and Regulatory Affairs,
Division of Regulations Development,
Attention: Document Identifier/OMB
Control Number lllll, Room C4–
26–05, 7500 Security Boulevard,
Baltimore, Maryland 21244–1850.
To obtain copies of a supporting
statement and any related forms for the
proposed collection(s) summarized in
this notice, you may make your request
using one of following:
1. Access CMS’ Web site address at
http://www.cms.hhs.gov/
PaperworkReductionActof1995.
2. Email your request, including your
address, phone number, OMB number,
and CMS document identifier, to
[email protected].
3. Call the Reports Clearance Office at
(410) 786–1326.
FOR FURTHER INFORMATION CONTACT:
Reports Clearance Office at (410) 786–
1326.
SUPPLEMENTARY INFORMATION:

Contents
This notice sets out a summary of the
use and burden associated with the
following information collections. More
detailed information can be found in
each collection’s supporting statement
and associated materials (see
ADDRESSES).
CMS–10530 Ambulatory Surgical
Center Quality Reporting Program
CMS–1880 and CMS–1882 Certification
as a Supplier of Portable X-Ray and
Portable X-Ray Survey Report Form and
Supporting Regulations
Under the 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.
The term ‘‘collection of information’’ is
defined in 44 U.S.C. 3502(3) and 5 CFR
1320.3(c) and includes agency requests
or requirements that members of the
public submit reports, keep records, or
provide information to a third party.
Section 3506(c)(2)(A) of the PRA
requires federal agencies to publish a
60-day notice in the Federal Register
concerning each proposed collection of
information, including each proposed
extension or reinstatement of an existing
collection of information, before
submitting the collection to OMB for
approval. To comply with this
requirement, CMS is publishing this
notice.

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Information Collection
1. Type of Information Collection
Request: New collection (Request for a
new OMB control number); Title of
Information Collection: Ambulatory
Surgical Center Quality Reporting
Program; Use: Our quality reporting
programs promote higher quality, more
efficient health care for Medicare
beneficiaries. We have implemented
quality measure reporting programs for
multiple settings, including for
ambulatory surgical centers. Section
109(b) of the Tax Relief and Health Care
Act of 2006 (TRHCA) (Pub. L. 109–432)
amended section 1833(i) of the Act by
re-designating clause (iv) as clause (v)
and adding new clause (iv) to paragraph
(2)(D) and by adding new paragraph (7).
Section 1833(i)(2)(D)(iv) of the Act
authorizes, but does not require, the
Secretary to implement the revised ASC
payment system ‘‘in a manner so as to
provide for a reduction in any annual
update for failure to report on quality
measures in accordance with paragraph
(7).’’ Section 1833(i)(7)(A) of the Act
states that the Secretary may provide
that any ASC that does not submit
quality measures to the Secretary in
accordance with paragraph (7) will
incur a 2.0 percentage point reduction
to any annual increase provided under
the revised ASC payment system for
such year. Sections 1833(t)(17)(C)(i) and
(ii) of the Act require the Secretary to
develop measures appropriate for the
measurement of the quality of care
furnished in outpatient settings.
Section 3014 of the Affordable Care
Act of 2010 (ACA) modified section
1890(b) of the Social Security Act to
require CMS to develop quality and
efficiency measures through a
‘‘consensus-based entity’’. To fulfill this
requirement, the Measure Applications
Partnership (MAP) was formed to
review measures consistent with these
requirements. The MAP is convened by
the National Quality Forum (NQF), a
national consensus organization. In
implementing this and other quality
reporting programs, our overarching
goal is to support the National Quality
Strategy’s goals of better health for
individuals, better health for
populations, and lower costs for health
care.
This information is used to direct
contractors, including Quality
Improvement Organizations (QIOs), to
focus on particular areas of
improvement, and to develop quality
improvement initiatives. The
information is made available to ASCs
for their use in internal quality
improvement initiatives. Most
importantly, this information is

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