[Federal Register Volume 79, Number 246 (Tuesday, December 23, 2014)]
[Notices]
[Pages 77007-77008]
From the Federal Register Online via the Government Publishing Office [www.gpo.gov]
[FR Doc No: 2014-29985]
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DEPARTMENT OF HEALTH AND HUMAN SERVICES
Centers for Disease Control and Prevention
[30Day-15-0891]
Agency Forms Undergoing Paperwork Reduction Act Review
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 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 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
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).
Background and Brief Description
Title XXXIII of the PHS Act as amended establishes the WTC Health
Program within 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 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,
[[Page 77008]]
Appeals & Reimbursement. Upon OMB approval, 0920-1001 will be
discontinued. The provisions in the interim final rule that contain
data collection requirements are:
Section 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.
Section 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.
Section 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 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.
Section 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 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 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. The total annualized burden is 2,319. There are no
costs to respondents other than their time.
Estimated Annualized Burden Hours
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Average
Number of Number burden per
Type of respondent Form name respondents responses per response (in
respondent hours)
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FDNY Responder........................ World Trade Center 45 1 30/60
Health Program FDNY
Responder Eligibility
Application.
General Responder..................... World Trade Center 2,475 1 30/60
Health Program
Responder Eligibility
Application (Other than
FDNY).
Pentagon/Shanksville Responder........ World Trade Center 630 1 30/60
Health Program Pentagon/
Shanksville Responder.
WTC Survivor.......................... World Trade Center 1,350 1 30/60
Health Program Survivor
Eligibility Application.
Responder (FDNY and General Responder)/ Denial Letter and Appeal 45 1 30/60
Survivor. Notification_Eligibilit
y.
Responder (FDNY and General Responder)/ Denial Letter and Appeal 60 1 30/60
Survivor. Notification_Health
Conditions.
Responder (FDNY and General Responder)/ Denial Letter and Appeal 26 1 30/60
Survivor. Notification_Treatment.
Responder (FDNY and General Responder)/ WTC Health Program 10 1 10/60.
Survivor. Medical Travel Refund
Request.
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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. 2014-29985 Filed 12-22-14; 8:45 am]
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