60 Day FRN

Attachment 2. 60 day FRN.pdf

[NIOSH] National Firefighter Registry for Cancer

60 Day FRN

OMB: 0920-1348

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20478

Federal Register / Vol. 89, No. 57 / Friday, March 22, 2024 / Notices

between sleep, alertness, fatigue, fatigue
management, and related factors, within
the onshore OGE industry.
Primary data will be collected using
three approaches. First, researchers will
collect direct measurements of sleep
and alertness among OGE workers.
Second, researchers will use
questionnaires to collect information on
OGE worker demographics, occupation,
general heath, normal working hours,

commute times, physical sleeping
environment, and typical sleep quality.
Third, researchers will collect
qualitative information through
interviews with workers, front-line
supervisors, health and safety leaders,
as well as subject matter experts, to
understand challenges and
opportunities related to fatigue
management in OGE. Actigraphy
watches will collect data passively and

will not require participant effort except
for training and fitting of the watch.
Data collected will be used to guide
the development of targeted
interventions, training, and educational
materials. CDC requests OMB approval
for an estimated 404 annual burden
hours. There is no cost to respondents
other than their time to participate.

ESTIMATED ANNUALIZED BURDEN HOURS
Type of
respondents

Form name

Land-based OGE workers ...............
Land-based OGE workers ...............
Land-based OGE workers ...............
Land-based OGE workers ...............
Land-based OGE workers ...............
Land-based OGE workers ...............
Field-level Supervisors .....................
Health and Safety Leaders ..............
Subject Matter Experts .....................

Baseline Questionnaire .................................................
Daily Pre-Shift Questionnaires ......................................
Daily Post-Shift Questionnaires ....................................
Psychomotor Vigilance Test (PVT)—no form ...............
Actigraphy .....................................................................
Worker Interview Guide ................................................
Manager Interview Guide ..............................................
HSE Interview Guide ....................................................
SME Interview Guide ....................................................

Jeffrey M. Zirger,
Lead, Information Collection Review Office,
Office of Public Health Ethics and
Regulations, Office of Science, Centers for
Disease Control and Prevention.
[FR Doc. 2024–06093 Filed 3–21–24; 8:45 am]
BILLING CODE 4163–18–P

DEPARTMENT OF HEALTH AND
HUMAN SERVICES
Centers for Disease Control and
Prevention
[60Day–24–1348; Docket No. CDC–2024–
0020]

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 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 continuing information collection, as
required by the Paperwork Reduction
Act of 1995. This notice invites
comment on a proposed information
collection project titled The National
Firefighter Registry (NFR) for Cancer. In
accordance with the Firefighter Cancer
Registry Act of 2018, the NFR will

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SUMMARY:

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Number of
respondents

maintain a voluntary registry of
firefighters to collect relevant health and
occupational information of such
firefighters for purposes of determining
cancer incidence.
DATES: CDC must receive written
comments on or before May 21, 2024.
ADDRESSES: You may submit comments,
identified by Docket No. CDC–2020–
0020 by either of the following methods:
• Federal eRulemaking Portal:
www.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 H21–8, Atlanta,
Georgia 30329.
Instructions: All submissions received
must include the agency name and
Docket Number. CDC will post, without
change, all relevant comments to
www.regulations.gov.
Please note: Submit all comments
through the Federal eRulemaking portal
(www.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 Jeffrey M. Zirger,
Information Collection Review Office,
Centers for Disease Control and
Prevention, 1600 Clifton Road NE, MS
H21–8, Atlanta, Georgia 30329;
Telephone: 404–639–7570; Email: omb@
cdc.gov.
SUPPLEMENTARY INFORMATION: Under the
Paperwork Reduction Act of 1995 (PRA)

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Number of
responses per
respondent

80
80
80
80
80
30
10
7
3

1
14
14
28
1
1
1
1
1

Average
burden per
response
(in hours)
15/60
3/60
3/60
5/60
15/60
1.5
1
1
1

(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;
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

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Federal Register / Vol. 89, No. 57 / Friday, March 22, 2024 / Notices
other forms of information technology,
e.g., permitting electronic submissions
of responses; and
5. Assess information collection costs.
Proposed Project
The National Firefighter Registry
(NFR) for Cancer (OMB Control No.
0920–1348, Exp. 9/30/2024)—
Revision—National Institute for
Occupational Safety and Health
(NIOSH), Centers for Disease Control
and Prevention (CDC).
Background and Brief Description
In order to accurately monitor trends
in cancer incidence and evaluate control
measures among the U.S. fire service,
Congress passed the Firefighter Cancer
Registry Act of 2018. Under this
legislation, CDC/NIOSH was directed to
create a registry of U.S. firefighters for
the purpose of monitoring cancer
incidence and risk factors among the

current earnings based on the U.S.
Bureau of Labor Statistics for 2022 and
a more accurate number of respondents
based on the first year of project
enrollment. Additionally, minor
updates to the enrollment questionnaire
were made to improve readability and
the overall user experience.
The below table outlines the
estimated time burden for participants
enrolling in the NFR. There are three
corresponding documents to be
completed as part of the enrollment
process; the Informed Consent, User
Profile, and Enrollment Questionnaire.
The estimated time burden for the
Informed Consent and User Profile are
five minutes each, and an estimated
twenty-minute burden for enrollment
questionnaire. CDC requests OMB
approval for an estimated 17,221 burden
hours. There are no costs to respondents
other than their time to participate.

current U.S. fire service. Funding for the
project was authorized through this
legislation for five years as of fiscal year
2019.
According to the Firefighter Cancer
Registry Act of 2018, the main goal of
the National Firefighter Registry (NFR)
for Cancer is to develop and maintain
. . . a voluntary registry of firefighters
to collect relevant health and
occupational information of such
firefighters for purposes of determining
cancer incidence. Results from the NFR
will provide information for decision
makers within the fire service and
medical or public health community to
devise and implement policies and
procedures to lessen cancer risk and/or
improve early detection of cancer
among firefighters. Revisions to this
collection include an update of the
estimated annualized time burden and
occupational wage information to reflect

ESTIMATED ANNUALIZED BURDEN HOURS
Type of respondents

U.S.
U.S.
U.S.
U.S.

Firefighters
Firefighters
Firefighters
Firefighters

Total burden
(in hours)

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

Informed Consent .........................................
NFR User Profile (web-portal registration) ..
NFR Enrollment Questionnaire ....................
Records request ...........................................

33,333
33,333
33,333
34

1
1
1
1

5/60
5/60
20/60
960/60

2,783
2,783
11,111
544

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

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

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

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

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

17,221

Jeffrey M. Zirger,
Lead, Information Collection Review Office,
Office of Public Health Ethics and
Regulations, Office of Science, Centers for
Disease Control and Prevention.
[FR Doc. 2024–06095 Filed 3–21–24; 8:45 am]
BILLING CODE 4163–18–P

DEPARTMENT OF HEALTH AND
HUMAN SERVICES
Centers for Medicare & Medicaid
Services
[CMS 3452–FN]

Medicare Program; Application by the
Utilization Review Accreditation
Commission (URAC) for Continued
CMS Approval of Its Home Infusion
Therapy (HIT) Accreditation Program
ddrumheller on DSK120RN23PROD with NOTICES1

Average
burden per
response
(in hours)

Number of
responses per
respondent

Number of
respondents

Form name

Centers for Medicare &
Medicaid Services (CMS), Health and
Human Services (HHS).
ACTION: Final notice.
AGENCY:

This final notice announces
our decision to approve the Utilization
Review Accreditation Commission
(URAC) for continued recognition as a

SUMMARY:

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national accrediting organization that
accredits suppliers of home infusion
therapy (HIT) services that wish to
participate in the Medicare or Medicaid
programs.
DATES: The approval announced in this
final notice is effective March 27, 2024
through March 27, 2030.
FOR FURTHER INFORMATION CONTACT:
Shannon Freeland, (410) 786–4348.
SUPPLEMENTARY INFORMATION:
I. Background
Home infusion therapy (HIT) is a
treatment option for Medicare
beneficiaries with a wide range of acute
and chronic conditions. Section 5012 of
the 21st Century Cures Act (Pub. L. 114–
255, enacted December 13, 2016) added
section 1861(iii) to the Social Security
Act (the Act), establishing a new
Medicare benefit for HIT services.
Section 1861(iii)(1) of the Act defines
‘‘home infusion therapy’’ as professional
services, including nursing services;
training and education not otherwise
covered under the Durable Medical
Equipment (DME) benefit; remote
monitoring; and other monitoring
services. Home infusion therapy must

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be furnished by a qualified HIT supplier
and furnished in the individual’s home.
Sections 1861(iii)(A) and (B) of the Act
require that the individual (patient)
must:
• Be under the care of an applicable
provider (that is, physician, nurse
practitioner, or physician assistant); and
• Have a plan of care established and
periodically reviewed by a physician in
coordination with the furnishing of
home infusion drugs under Part B,
which prescribes the type, amount, and
duration of infusion therapy services
that are to be furnished.
Section 1861(iii)(3)(D)(i)(III) of the Act
requires that a qualified HIT supplier be
accredited by an accrediting
organization (AO) designated by the
Secretary in accordance with section
1834(u)(5) of the Act.
Section 1834(u)(5)(A) of the Act
identifies factors for designating HIT
AOs and in reviewing and modifying
the list of designated HIT AOs. These
statutory factors are as follows:
• The ability of the accrediting
organization to conduct timely reviews
of HIT accreditation applications.

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