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Federal Register / Vol. 81, No. 48 / Friday, March 11, 2016 / Notices
To
request more information on the
proposed project or to obtain a copy of
the information collection plan and
instruments, contact the 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].
FOR FURTHER INFORMATION CONTACT:
DEPARTMENT OF HEALTH AND
HUMAN SERVICES
Centers for Disease Control and
Prevention
[60Day–16–16TL; Docket No. CDC–2016–
0027]
Proposed Data Collection Submitted
for Public Comment and
Recommendations
Centers for Disease Control and
Prevention (CDC), Department of Health
and Human Services (HHS).
ACTION: Notice with comment period.
AGENCY:
The Centers for Disease
Control and Prevention (CDC), as part of
its continuing efforts to reduce public
burden and maximize the utility of
government information, 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. This notice invites
comment on a proposed information
collection plan entitled ‘‘Health Risks
from Using Private Wells for Drinking
Water.’’ The purpose of this new generic
clearance information collection request
(ICR) is to assess the health risks
associated with exposure to
contaminants in drinking water from
private wells across varied geographic
areas of the United States in partnership
with the requesting agency (state,
territorial, local, or tribal health
department).
SUMMARY:
Written comments must be
received on or before May 10, 2016.
ADDRESSES: You may submit comments,
identified by Docket No. CDC–2016–
0027 by any of the following methods:
• Federal eRulemaking Portal:
Regulation.gov. Follow the instructions
for submitting comments.
• Mail: Leroy A. Richardson,
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. All relevant comments
received will be posted without change
to Regulations.gov, including any
personal information provided. For
access to the docket to read background
documents or comments received, go to
Regulations.gov.
asabaliauskas on DSK3SPTVN1PROD with NOTICES
DATES:
Please note: All public comment should be
submitted through the Federal eRulemaking
portal (Regulations.gov) or by U.S. mail to the
address listed above.
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17:56 Mar 10, 2016
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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 OMB for approval. To
comply with this requirement, we are
publishing this notice of a proposed
data collection as described below.
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.
SUPPLEMENTARY INFORMATION:
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Proposed Project
Health Risks from Using Private Wells
for Drinking Water—New—National
Center for Environmental Health
(NCEH), Centers for Disease Control and
Prevention (CDC).
Background and Brief Description
The Safe Drinking Water Act of 1974
ensures that most Americans are
provided access to water that meets
established public health standards.
However, for over 38 million Americans
who rely on private wells or other
drinking water not protected by the Safe
Drinking Water Act (herein referred to
as private wells), that is not the case.
There is no comprehensive knowledge
about the locations of private wells, the
populations served by these sources,
potential contaminants that might be
present in private well water in specific
areas of the country, or the potential
health risks associated with drinking
water from these sources.
The purpose of this new generic
clearance information collection request
(Generic ICR) is to assess the health
risks associated with exposure to
contaminants in drinking water from
private wells across varied geographic
areas of the United States in partnership
with the requesting agency (state,
territorial, local, or tribal health
department). The information obtained
from these investigations will be used to
describe health risks from exposure to
contaminants in drinking water from
private wells within a defined time
period and geographic distribution. This
information will be used to inform
public health protection activities
conducted by the requesting agencies.
The respondents are defined as adults
at least 18 years old, who use private
wells for drinking water, who are
willing to receive and return a tap water
sampling kit and urine specimen kit or
to provide a blood specimen, and who
are willing to answer survey questions.
They will be recruited from geographic
areas of interest as defined by the
requesting agency.
Based on our historical activities, we
estimate that CDC will conduct up to 10
investigations per year. Each
investigation will involve, on average,
200 respondents who are adults at least
18 years old and use a private well for
tap water.
The total time burden is 2,084 hours.
There will be no cost to the respondents
other than their time.
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Federal Register / Vol. 81, No. 48 / Friday, March 11, 2016 / Notices
ESTIMATED ANNUALIZED BURDEN HOURS
Total burden
(in hrs.)
Form name
Adult at least 18 years old using a
private well for tap water.
Screening Form ................................
Questionnaire ...................................
Urine Specimen and Tap Water
Sample Collection.
2,500
2,000
2,000
1
1
1
6/60
35/60
20/60
250
1,167
667
Total ...........................................
...........................................................
........................
........................
........................
2,084
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. 2016–05519 Filed 3–10–16; 8:45 am]
BILLING CODE 4163–18–P
DEPARTMENT OF HEALTH AND
HUMAN SERVICES
Centers for Medicare & Medicaid
Services
[Document Identifiers: CMS–359/360, CMS–
10003, and CMS–10280]
Agency Information Collection
Activities: Submission for OMB
Review; Comment Request
ACTION:
Notice.
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
(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
a second opportunity for public
comment on the notice. Interested
persons are invited to send comments
regarding the burden estimate or any
other aspect of this collection of
information, including any of the
following subjects: The necessity and
utility of the proposed information
collection for the proper performance of
the agency’s functions; the accuracy of
the estimated burden; ways to enhance
the quality, utility, and clarity of the
information to be collected; and the use
of automated collection techniques or
other forms of information technology to
minimize the information collection
burden.
SUMMARY:
asabaliauskas on DSK3SPTVN1PROD with NOTICES
Average
burden per
response
(in hrs.)
Number of
responses per
respondent
Number of
respondents
Type of respondents
VerDate Sep<11>2014
17:56 Mar 10, 2016
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Comments on the collection(s) of
information must be received by the
OMB desk officer by April 11, 2016.
ADDRESSES: When commenting on the
proposed information collections,
please reference the document identifier
or OMB control number. To be assured
consideration, comments and
recommendations must be received by
the OMB desk officer via one of the
following transmissions: OMB, Office of
Information and Regulatory Affairs,
Attention: CMS Desk Officer, Fax
Number: (202) 395–5806 OR Email:
[email protected].
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/Paperwork
ReductionActof1995.
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: 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. 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 (44 U.S.C.
3506(c)(2)(A)) requires federal agencies
to publish a 30-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
DATES:
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comply with this requirement, CMS is
publishing this notice that summarizes
the following proposed collection(s) of
information for public comment:
1. Type of Information Collection
Request: Extension of a currently
approved information collection; Title
of Information Collection:
Comprehensive Outpatient
Rehabilitation Facility (CORF)
Eligibility and Survey Forms and
Supporting Regulations; Use: The form
CMS–359 is used as the application for
health care providers seeking to
participate in the Medicare program as
a Comprehensive Outpatient
Rehabilitation Facility (CORF). This
form initiates the process for facilities to
become certified as a CORF and it
provides the CMS Regional Office State
Survey Agency staff identifying
information regarding the applicant that
is stored in the Automated Survey
Processing Environment (ASPEN)
system.
The form CMS–360 is a survey tool
used by the State Survey Agencies to
record information in order to
determine a provider’s compliance with
the CORF Conditions of Participation
(CoPs) and to report this information to
the Federal government. The form
includes basic information on the CoP
requirements, check boxes to indicate
the level of compliance, and a section
for recording notes. We have the
responsibility and authority for
certification decisions which are based
on provider compliance with the CoPs
and this form supports this process.
Form Number: CMS–359/360 (OMB
control number: 0938–0267); Frequency:
Occasionally; Affected Public: Private
Sector (Business or other for-profits);
Number of Respondents: 50; Number of
Responses: 50; Total Annual Hours:
123. (For questions regarding this
collection contact James Cowher (410)
786–1948.)
2. Type of Information Collection
Request: Revision of a currently
approved collection; Title of
Information Collection: Notice of Denial
of Medical Coverage (or Payment); Use:
Medicare health plans, including
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File Type | application/pdf |
File Modified | 2016-03-11 |
File Created | 2016-03-11 |