Proposed Data Collections Submitted for Public Comment and Recommendations, 21022-21023 [E7-8075]

Download as PDF 21022 Federal Register / Vol. 72, No. 81 / Friday April 27, 2007 / Notices Dated: April 23, 2007. Joan F. Karr, Acting Reports Clearance Officer, Centers for Disease Control and Prevention. [FR Doc. E7–8073 Filed 4–26–07; 8:45 am] National Institute for Occupational Safety and Health (NIOSH), Centers for Disease Control and Prevention (CDC). BILLING CODE 4163–18–P Beryllium is a lightweight metal with many applications. Exposed workers may be found in the primary production, nuclear power and weapons, aerospace, scrap metal reclamation, specialty ceramics, and electronics industries, among others. The size of the USA workforce at risk of chronic beryllium disease (CBD), from either current or past work-related exposure to the metal, may be as high as one million. Demand for beryllium is growing worldwide, which means that increasing numbers of workers are likely to be exposed. Exposure to beryllium can lead to sensitization and cause an immunologic granulomatous lung disease. Sensitization is a cell-mediated allergictype response that may be detected in the peripheral blood with the beryllium lymphocyte proliferation test (BeLPT), which is used by the industry as a surveillance tool. Workers found to be sensitized may be clinically evaluated for CBD with tests including bronchoalveolar lavage and transbronchial biopsy. Cross-sectional studies in various beryllium workplace populations have identified sensitization in the range of less than 1% to 14% of workers. The proportion of sensitized workers who have beryllium disease at initial clinical evaluation has varied from 10 to 100% in different workplaces. Sensitized workers not initially diagnosed with CBD are often diagnosed with the disease upon follow-up, but whether all sensitized workers will eventually develop beryllium disease is unknown. Industry screening programs have enabled the identification of CBD in persons without apparent symptoms, often early in disease progression (often referred to as ‘‘subclinical disease’’). Progression from sensitization to subclinical disease to clinical impairment, while difficult to predict for any one individual, is not uncommon. DEPARTMENT OF HEALTH AND HUMAN SERVICES Centers for Disease Control and Prevention [60Day–07–07AY] Proposed Data Collections Submitted for Public Comment and Recommendations In compliance with the requirement of section 3506(c)(2)(A) of the Paperwork Reduction Act of 1995 for opportunity for public comment on proposed data collection projects, the Centers for Disease Control and Prevention (CDC) will publish periodic summaries of proposed projects. To request more information on the proposed projects or to obtain a copy of the data collection plans and instruments, call 404–639–5960 and send comments to Joan Karr, CDC Acting Reports Clearance Officer, 1600 Clifton Road, MS–D74, Atlanta, GA 30333 or send an e-mail to omb@cdc.gov. 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; and (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. Written comments should be received within 60 days of this notice. Proposed Project Long-Term Efficacy of a Program to Prevent Beryllium Disease—New— Currently, there are no preventive programs that have been demonstrated to have long-term effectiveness in preventing beryllium sensitization and CBD among beryllium-exposed workers. In the United States, recent short-term evidence (i.e., average work tenure 16 months, maximum four years) at one facility suggests that the comprehensive preventive program that was implemented by company management beginning in 2000 has successfully reduced the incidence of beryllium sensitization, as defined by the occurrence of confirmed abnormal BeLPTs. However, the follow-up has thus far been limited to current workers, the duration has been too short to document a reduced incidence of CBD, and it is possible that sensitization has been delayed, rather than prevented. Evaluation of this program’s effectiveness would therefore be more complete by including individuals who have left employment and documenting whether: (1) The program was effective at two other facilities at which it was implemented, (2) the program prevented beryllium sensitization over a longer period of time (i.e., up to eight years); and (3) the program prevented CBD, which generally takes longer to develop. Background and Brief Description Study Design This proposed study is designed to evaluate the effectiveness of a comprehensive preventive program at three beryllium plants. Eligible workers for this survey include those hired between implementation of a comprehensive program (2000–01) and December 31, 2008, including any already known to be sensitized. NIOSH will offer all eligible current and former workers the BeLPT to identify sensitization and administer a work and medical history questionnaire. There are no costs to former worker respondents except their time to participate in the interview. Current workers will participate during work hours, and will thus be compensated for their time by their employer. Former workers will participate during their own time. ESTIMATE OF ANNUALIZED BURDEN HOURS Number of respondents cprice-sewell on PROD1PC66 with NOTICES Respondents Current Workers .............................................................................................. Former Workers ............................................................................................... 239 340 Total .......................................................................................................... Number of responses/respondent 579 VerDate Aug<31>2005 15:18 Apr 26, 2007 Jkt 211001 PO 00000 Frm 00040 Fmt 4703 Sfmt 4703 E:\FR\FM\27APN1.SGM 1 1 Avg. burden/ response (in hours) 45/60 45/60 Total burden (in hours) 179 255 434 27APN1 Federal Register / Vol. 72, No. 81 / Friday April 27, 2007 / Notices Dated: April 23, 2007. Joan F. Karr, Acting Reports Clearance Officer, Centers for Disease Control and Prevention. [FR Doc. E7–8075 Filed 4–26–07; 8:45 am] DEPARTMENT OF HEALTH AND HUMAN SERVICES BILLING CODE 4163–18–P [Document Identifier: CMS–10108, CMS– 10219, CMS–10097] DEPARTMENT OF HEALTH AND HUMAN SERVICES Agency Information Collection Activities: Submission for OMB Review; Comment Request Centers for Disease Control and Prevention In accordance with section 10(a)(2) of the Federal Advisory Committee Act (Pub. L. 92–463), the Centers for Disease Control and Prevention (CDC) announces the following meeting of the aforementioned SEP: cprice-sewell on PROD1PC66 with NOTICES Time and Date: 1 p.m.–4 p.m., June 4, 2007 (Closed). Place: Teleconference. Status: The meeting will be closed to the public in accordance with provisions set forth in Section 552b(c)(4) and (6), Title 5 U.S.C., and the Determination of the Director, Management Analysis and Services Office, CDC, pursuant to Public Law 92–463. Matters to be Discussed: The meeting will include the review, discussion, and evaluation of scientific merit of grant applications received in response to RFA DD07–008, ‘‘Optimal Resources and Care for Children with Craniofacial Malformations,’’ and RFA DD07–009, ‘‘Public Health Research Grants on Orofacial Clefts and Craniosynostosis,’’ RFA DD07–009. Contact Person for More Information: Maurine Goodman, MA, MPH, Scientific Review Administrator, Centers for Disease Control and Prevention, 1600 Clifton Road, NE., Mailstop D72, Atlanta, GA 30333, Telephone 404.639.4737. The Director, Management Analysis and Services Office, has been delegated the authority to sign Federal Register notices pertaining to announcements of meetings and other committee management activities, for both CDC and the Agency for Toxic Substances and Disease Registry. Dated: April 20, 2007. Elaine L. Baker, Acting Director, Management Analysis and Services Office, Centers for Disease Control and Prevention. [FR Doc. E7–8074 Filed 4–26–07; 8:45 am] VerDate Aug<31>2005 15:18 Apr 26, 2007 Jkt 211001 Centers for Medicare & Medicaid Services. In compliance with the requirement of section 3506(c)(2)(A) of the Paperwork Reduction Act of 1995, the Centers for Medicare & Medicaid Services (CMS), Department of Health and Human Services, is publishing the following summary of proposed collections for public comment. Interested persons are invited to send comments regarding this burden estimate 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 function; (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. 1. Type of Information Collection Request: Extension of a currently approved collection; Title of Information Collection: Medicaid Managed Care Regulations for 42 CFR 438.6, 438.8, 438.10, 438.12, 438.50, 438.56, 438.102, 438.114, 438.202, 438.204, 438.206, 438.207, 438.240, 438.242, 438.402, 438.404, 438.406, 438.408, 438.410, 438.414, 438.416, 438.604, 437.710, 438.722, 438.724, and 438.810; Use: These information collection requirements implement regulations that allow States greater flexibility to implement mandatory managed care program, implement new beneficiary protections, and eliminate certain requirements viewed by State agencies as impediments to the growth of managed care programs. Information collected includes information about managed care programs, grievances and appeals, enrollment broker contracts, and managed care organizational capacity to provide health care services. Form Number: CMS–10108 (OMB#: 0938–0920); Frequency: Reporting: Occasionally; Affected Public: State, Local, or Tribal Government; Number of Respondents: 39,114,558; Total Annual AGENCY: Disease, Disability, and Injury Prevention and Control Special Emphasis Panel (SEP): Optimal Resources and Care for Children With Craniofacial Malformations, Request for Applications (RFA) DD07–008 and Public Health Research Grants on Orofacial Clefts and Craniosynostosis, RFA DD07–009 BILLING CODE 4163–18–P Centers for Medicare & Medicaid Services PO 00000 Frm 00041 Fmt 4703 Sfmt 4703 21023 Responses: 4,640,344; Total Annual Hours: 3,930,093.5. 2. Type of Information Collection Request: New collection; Title of Information Collection: Health Plan Employer Data and Information Set (HEDIS); Use: The Centers for Medicare & Medicaid Services (CMS) collects quality performance measures in order to hold the Medicare managed care industry accountable for the care being delivered, to enable quality improvement, and to provide quality information to Medicare beneficiaries in order to promote an informed choice. It is critical to CMS’ mission that we collect and disseminate information that will help beneficiaries choose among health plans, contribute to improved quality of care through identification of improvement opportunities, and assist CMS in carrying out its oversight and purchasing responsibilities. In December 1997, OMB approved the request from CMS for the information collections under HEDIS and assigned the agency form number CMS–R–200. The collections approved under that request included the HEDIS collection (following the technical specifications contained in Volume 2, published by the National Committee for Quality Assurance (NCQA); the Health of Seniors/Health Outcomes Survey (HOS); and the Medicare CAHPS survey. Since that approval there has been a change in the statutory authority as a result of the Balanced Budget Act of 1997. During the latter part of 2000, CMS instituted several policy changes regarding this collection which reduced burden substantially on the part of the managed care organizations and the process for finalizing and publishing that policy delayed the request for OMB approval. In addition, the renewal of OMB authority for the Medicare CAHPS survey was completed as a separate request. The HOS renewal was also submitted separately. This request is solely for the approval of the HEDIS collection, which is now a stand alone collection. Form Number: CMS–10219 (OMB#: 0938–NEW); Frequency: Yearly; Affected Public: Business or other forprofit and Not-for-profit institutions; Number of Respondents: 705; Total Annual Responses: 705; Total Annual Hours: 33,840. 3. Type of Information Collection Request: Extension of a currently approved collection; Title of Information Collection: Medicare Contractor Provider Satisfaction Survey (MCPSS); Form No.: CMS–10097 (OMB#: 0938–0915); Use: The Centers for Medicare & Medicaid Services will obtain feedback from Medicare providers via a survey about E:\FR\FM\27APN1.SGM 27APN1

Agencies

[Federal Register Volume 72, Number 81 (Friday, April 27, 2007)]
[Notices]
[Pages 21022-21023]
From the Federal Register Online via the Government Printing Office [www.gpo.gov]
[FR Doc No: E7-8075]


-----------------------------------------------------------------------

DEPARTMENT OF HEALTH AND HUMAN SERVICES

Centers for Disease Control and Prevention

[60Day-07-07AY]


Proposed Data Collections Submitted for Public Comment and 
Recommendations

    In compliance with the requirement of section 3506(c)(2)(A) of the 
Paperwork Reduction Act of 1995 for opportunity for public comment on 
proposed data collection projects, the Centers for Disease Control and 
Prevention (CDC) will publish periodic summaries of proposed projects. 
To request more information on the proposed projects or to obtain a 
copy of the data collection plans and instruments, call 404-639-5960 
and send comments to Joan Karr, CDC Acting Reports Clearance Officer, 
1600 Clifton Road, MS-D74, Atlanta, GA 30333 or send an e-mail to 
omb@cdc.gov.
    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; and (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. Written comments should be received 
within 60 days of this notice.

Proposed Project

    Long-Term Efficacy of a Program to Prevent Beryllium Disease--New--
National Institute for Occupational Safety and Health (NIOSH), Centers 
for Disease Control and Prevention (CDC).

Background and Brief Description

    Beryllium is a lightweight metal with many applications. Exposed 
workers may be found in the primary production, nuclear power and 
weapons, aerospace, scrap metal reclamation, specialty ceramics, and 
electronics industries, among others. The size of the USA workforce at 
risk of chronic beryllium disease (CBD), from either current or past 
work-related exposure to the metal, may be as high as one million. 
Demand for beryllium is growing worldwide, which means that increasing 
numbers of workers are likely to be exposed.
    Exposure to beryllium can lead to sensitization and cause an 
immunologic granulomatous lung disease. Sensitization is a cell-
mediated allergic-type response that may be detected in the peripheral 
blood with the beryllium lymphocyte proliferation test (BeLPT), which 
is used by the industry as a surveillance tool. Workers found to be 
sensitized may be clinically evaluated for CBD with tests including 
bronchoalveolar lavage and transbronchial biopsy. Cross-sectional 
studies in various beryllium workplace populations have identified 
sensitization in the range of less than 1% to 14% of workers. The 
proportion of sensitized workers who have beryllium disease at initial 
clinical evaluation has varied from 10 to 100% in different workplaces. 
Sensitized workers not initially diagnosed with CBD are often diagnosed 
with the disease upon follow-up, but whether all sensitized workers 
will eventually develop beryllium disease is unknown. Industry 
screening programs have enabled the identification of CBD in persons 
without apparent symptoms, often early in disease progression (often 
referred to as ``subclinical disease''). Progression from sensitization 
to subclinical disease to clinical impairment, while difficult to 
predict for any one individual, is not uncommon.
    Currently, there are no preventive programs that have been 
demonstrated to have long-term effectiveness in preventing beryllium 
sensitization and CBD among beryllium-exposed workers. In the United 
States, recent short-term evidence (i.e., average work tenure 16 
months, maximum four years) at one facility suggests that the 
comprehensive preventive program that was implemented by company 
management beginning in 2000 has successfully reduced the incidence of 
beryllium sensitization, as defined by the occurrence of confirmed 
abnormal BeLPTs. However, the follow-up has thus far been limited to 
current workers, the duration has been too short to document a reduced 
incidence of CBD, and it is possible that sensitization has been 
delayed, rather than prevented. Evaluation of this program's 
effectiveness would therefore be more complete by including individuals 
who have left employment and documenting whether: (1) The program was 
effective at two other facilities at which it was implemented, (2) the 
program prevented beryllium sensitization over a longer period of time 
(i.e., up to eight years); and (3) the program prevented CBD, which 
generally takes longer to develop.

Study Design

    This proposed study is designed to evaluate the effectiveness of a 
comprehensive preventive program at three beryllium plants. Eligible 
workers for this survey include those hired between implementation of a 
comprehensive program (2000-01) and December 31, 2008, including any 
already known to be sensitized. NIOSH will offer all eligible current 
and former workers the BeLPT to identify sensitization and administer a 
work and medical history questionnaire.
    There are no costs to former worker respondents except their time 
to participate in the interview. Current workers will participate 
during work hours, and will thus be compensated for their time by their 
employer. Former workers will participate during their own time.

                                       Estimate of Annualized Burden Hours
----------------------------------------------------------------------------------------------------------------
                                                                     Number of     Avg. burden/
                   Respondents                       Number of      responses/     response  (in   Total burden
                                                    respondents     respondent        hours)        (in hours)
----------------------------------------------------------------------------------------------------------------
Current Workers.................................             239               1           45/60             179
Former Workers..................................             340               1           45/60             255
                                                 ---------------------------------------------------------------
    Total.......................................             579                                             434
----------------------------------------------------------------------------------------------------------------



[[Page 21023]]

    Dated: April 23, 2007.
Joan F. Karr,
Acting Reports Clearance Officer, Centers for Disease Control and 
Prevention.
[FR Doc. E7-8075 Filed 4-26-07; 8:45 am]
BILLING CODE 4163-18-P
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