Proposed Data Collections Submitted for Public Comment and Recommendations, 54470-54472 [2011-22395]
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Federal Register / Vol. 76, No. 170 / Thursday, September 1, 2011 / Notices
committee members may be obtained from
Marjorie S. Greenberg, Executive Secretary,
NCVHS, National Center for Health Statistics,
Centers for Disease Control and Prevention,
3311 Toledo Road, Room 2402, Hyattsville,
Maryland 20782, telephone (301) 458–4245.
Information also is available on the NCVHS
home page of the HHS Web site: https://
www.ncvhs.hhs.gov/, where further
information including an agenda will be
posted when available.
Should you require reasonable
accommodation, please contact the CDC
Office of Equal Employment Opportunity on
(301) 458–4EEO (4336) as soon as possible.
Dated: August 25, 2011.
James Scanlon,
Deputy Assistant Secretary for Planning and
Evaluation, Office of the Assistant Secretary
for Planning and Evaluation.
[FR Doc. 2011–22340 Filed 8–31–11; 8:45 am]
BILLING CODE 4151–05–P
DEPARTMENT OF HEALTH AND
HUMAN SERVICES
Centers for Disease Control and
Prevention
[60Day–11–0891]
srobinson on DSK4SPTVN1PROD with NOTICES
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 Daniel Holcomb, CDC
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.
VerDate Mar<15>2010
16:16 Aug 31, 2011
Jkt 223001
Proposed Project
World Trade Center Health Program
Enrollment, Appeals &
Reimbursement—New—National
Institute for Occupational Safety and
Health (NIOSH), Centers for Disease
Control and Prevention (CDC).
Background and Brief Description
The James Zadroga 9/11 Health and
Compensation Act of 2010 (Zadroga
Act), promulgated on December 22,
2010, establishes a Federal program to
support health monitoring and
treatment for emergency responders;
recovery and cleanup workers; and
residents, building occupants, and area
workers in New York City who were
directly impacted and adversely affected
by the terrorist attacks of September 11,
2001. In order to provide medical
monitoring and treatment to eligible
individuals, the World Trade Center
(WTC) Health Program will collect
eligibility and appeals data as well as
information from medical and
prescription pharmaceutical providers.
All responders to the New York City
attack who will be newly seeking
medical monitoring and treatment and
survivors of the attack who were not
covered by the Medical Monitoring and
Treatment Program (MMTP) (for
responders) or the Community Program
(for survivors) prior to January 2, 2011,
may apply to obtain coverage under the
new WTC Health Program. In order to
begin the determination eligibility
process, an enrollment form must be
completed. After an eligibility
application is submitted to the Program,
an unsuccessful applicant has an
opportunity to appeal the decision;
enrolled participants have further
appeal rights. Health care and
prescription pharmaceutical providers
will be required to submit medical
determinations to the WTC Program
Administrator and request
reimbursement.
Data are being collected in order to
determine the eligibility of applicants. If
an applicant is denied enrollment based
on the information provided, the
applicant will receive a letter that gives
the reason for the denial and the
opportunity to appeal the decision.
Once someone is enrolled, he or she
may request approval for reimbursement
of travel if the individual must travel
more than 250 miles to receive
healthcare services.
Healthcare providers and pharmacies
will file claims electronically or by
paper form to be paid for their services.
There are three separate enrollment
forms for each population of responders
(FDNY responders, general responders,
PO 00000
Frm 00045
Fmt 4703
Sfmt 4703
and survivors). The following
information includes the definition of
each population: ‘‘FDNY responder’’ is
defined as a member of the Fire
Department of New York City (whether
fire or emergency personnel, active, or
retired) who participated at least one
day in the rescue and recovery effort at
any of the former World Trade Center
sites. ‘‘General Responder’’ is a worker
or volunteer who provided Rescue,
Recovery, Demolition, Debris, Removal
and related support services in the
aftermath of the September 11, 2001
attacks on the World Trade Center but
was not affiliated with the Fire
Department of New York. ‘‘Survivor’’ is
a person who was present in the disaster
area in the aftermath of the September
11, 2001 attacks on the World Trade
Center as a result of his or her work,
residence, or attendance at school,
childcare, or adult daycare.
The eligibility application form will
collect general contact information as
well as information regarding the WTC
disaster area experience. Some of the
information provided will be shared
with the Federal Bureau of Investigation
in order to screen an individual against
the terrorist watch list maintained by
the Federal government. This
information will also be shared with the
WTC Program Administrator and will be
kept in a secure manner.
WTC Health Program applicants and
enrolled participants have opportunities
to appeal adverse decisions made by the
WTC Program Administrator. The first
opportunity to appeal arises after a
determination that an applicant does
not meet the eligibility requirements.
Once enrolled in the Program,
participants will also have the
opportunity to appeal a decision not to
certify a WTC-related health condition
or a determination that treatment will
not be authorized as medically
necessary. In the notification letter
explaining the adverse determination,
the applicant will be advised that an
appeal can be requested by submitting
in writing his or her name, contact
information, and an explanation for the
basis of the appeal.
Certain enrolled participants may be
reimbursed for necessary and reasonable
transportation and expenses incident to
the securing of medically necessary
treatment through the nationwide
network if the care involves travel of
more than 250 miles. Individuals
requesting reimbursement must fill out
a 1-page written form requesting such
information as date of travel, distance,
and total expense.
Pharmacies will transmit
reimbursement claims to the WTC
Health Program. The following data
E:\FR\FM\01SEN1.SGM
01SEN1
54471
Federal Register / Vol. 76, No. 170 / Thursday, September 1, 2011 / Notices
elements will be collected for pharmacy
reimbursement: Pharmacy name,
pharmacy address, drug name,
prescription number, patient name,
patient ID number, and cost. Pharmacies
utilize Electronic Data Interchange (EDI)
processing at the point-of-sale to
transmit claims to the World Trade
Center Health Program (WTC–HP). The
EDI transmission conforms to ANSI
standards developed by the National
Council for Prescription Drug Programs.
The information collection burden
occurs as the WTC–HP member
information is copied from the
membership card at the point-of-sale.
The EDI transmission occurs in realtime as the prescription transaction is
made.
The Zadroga Act of 2010 requires that
all qualifying WTC-related health
conditions or health conditions
medically associated with a WTCrelated health condition be certified by
member to enable reimbursement of
treatment services for care rendered to
that member for a given qualifying
condition(s). To meet the requirement
for certification and maintain continuity
caught in the dust cloud on September
11, 2001, whether the individual
conducted strenuous activity while in
the exposure zone(s), the individual’s
symptom time course relative to
September 11, 2001, and the reasons a
person might be more likely to get sick
from given exposures (family history or
coexisting medical problems).
A Program physician will also submit
a form to the WTC Health Program
when a member needs medical
treatment for a condition that has not
yet been certified. In that case, the
physician will request authorization to
treat the condition because of the
urgency of the medical scenario. The
physician will sign a form attesting that
a determination was made, and indicate
the patient’s name and the name of the
health condition and its diagnostic
code.
Physicians will be compensated
through administrative expenses
invoiced by their respective Clinical
Center of Excellence that is under
contract with the Federal government.
There are no costs to respondents
other than their time.
of care for an individual who had been
enrolled in the prior MMTP or
Community Program, the WTC Health
Program physician shall attest that a
prior determination was rendered in the
previous federally sponsored program.
The attestation will include the
physician’s name and signature, the
name of the patient, and the name of the
health condition and its diagnostic
(ICD–9) code.
An individual who is new to the WTC
Health Program must have a certified
WTC-related health condition or health
condition medically associated with
WTC-related health condition to receive
reimbursement for treatment and other
services. If a new medical determination
is being made, the Program clinician
must provide to the WTC Health
Program the patient’s name and program
identification number, the name and
diagnostic code of the health condition,
and a brief narrative explaining the key
exposure findings. The narrative will
include information such as the time
and duration of the individual’s
presence in defined geographic areas (of
exposure), whether the individual was
ESTIMATE OF ANNUALIZED BURDEN HOURS
Number of
respondents
Type of respondents
Form name
Responder (FDNY and General Responder)/Survivor.
Eligibility and Qualification for the WTC
Health Program.
World Trade Center
Health Program
FDNY Responder Eligibility Application.
World Trade Center
Health Program Responder Eligibility Application (Other than
FDNY).
World Trade Center
Health Program Survivor Eligibility Application.
Denial Letter and Appeal Notification—Eligibility.
Denial Letter and Appeal Notification—
Health Conditions.
Denial Letter and Appeal Notification—
Treatment.
WTC Health Program
Medical Travel Refund Request.
WTC Health Condition
Certification Request.
Attestation for previously-enrolled.
Request for treatment
pending authorization.
Outpatient prescription
pharmaceuticals.
FDNY Responder .................................................
General Responder ..............................................
WTC Survivor .......................................................
Responder (FDNY and General Responder)/Survivor.
Responder (FDNY and General Responder)/Survivor.
Responder (FDNY and General Responder)/Survivor.
srobinson on DSK4SPTVN1PROD with NOTICES
Responder (FDNY and General Responder)/Survivor.
Physician ..............................................................
Pharmacy ..............................................................
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Frm 00046
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Sfmt 4703
Number of
responses per
respondent
Avg. burden
per response
(in hrs)
Total burden
(in hrs)
290
1
10/60
48
189
1
30/60
95
2979
1
30/60
1490
1560
1
15/60
390
47
1
30/60
24
30
1
30/60
15
588
1
30/60
294
10
1
10/60
2
2,300
14
1
32,200
2,300
14
5/60
2,683
6,000
1
30/60
3,000
150
261
1/60
653
E:\FR\FM\01SEN1.SGM
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Federal Register / Vol. 76, No. 170 / Thursday, September 1, 2011 / Notices
ESTIMATE OF ANNUALIZED BURDEN HOURS—Continued
Form name
Number of
respondents
Number of
responses per
respondent
Avg. burden
per response
(in hrs)
.......................................
........................
........................
........................
Type of respondents
Total ...............................................................
Dated:August 25, 2011.
Daniel Holcomb,
Reports Clearance Officer, Centers for Disease
Control and Prevention.
Center for Chronic Disease Prevention
and Health Promotion (NCCDPHP),
Centers for Disease Control and
Prevention (CDC).
[FR Doc. 2011–22395 Filed 8–31–11; 8:45 am]
Background and Brief Description
The causes of obesity in the United
States are complex and numerous, and
they occur at social, economic,
environmental, and individual levels.
To address the complex nature of
obesity, the Centers for Disease Control
and Prevention (CDC) encourages states
to adopt public health strategies that
address obesity through environmental
change and policies. In 2009, CDC
issued guidance outlining 24
community-based strategies that can be
implemented to encourage healthy
eating and active living.
CDC plans to collect information
about the effectiveness, in practice, of a
selected group of the 24 recommended
strategies. Information will be collected
through a systematic process for
nominating, screening and assessing
promising program interventions. The
study is designed to highlight local
achievements and identify the most
promising strategies for further
development, evaluation through
rigorous methods, and dissemination for
widespread use. Eligible respondents
include states and jurisdictions that are
funded through CDC’s Nutrition,
Physical Activity and Obesity (NPAO)
cooperative agreement program, states
and jurisdictions that do not currently
have NPAO funding, and other
organizations.
CDC will solicit nominations for preevaluation assessment through on-line
forums (e.g., obesity prevention listservs
supported by CDC and other national
partners, e-mail messages, and an
announcement posted on CDC’s NPAO
Web site). CDC will select programs for
assessment by reviewing completed
program nomination forms, which can
be submitted on-line or in hardcopy
format. The program nomination form is
designed to provide information
enabling an initial assessment of each
candidate program’s suitability for
further evaluation. The topics addressed
in this form include a general program
description, an overview of
organizational capacity, and a summary
of the program’s potential impact, reach
BILLING CODE 4163–18–P
DEPARTMENT OF HEALTH AND
HUMAN SERVICES
Centers for Disease Control and
Prevention
[60-Day–11–11KF]
srobinson on DSK4SPTVN1PROD with NOTICES
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 or send
comments to Daniel Holcomb, CDC/
ATSDR Reports Clearance Officer, 1600
Clifton Road, MS D–74, 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
Pre-Evaluation Assessments of
Nutrition, Physical Activity and Obesity
Programs and Policies—New—National
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Frm 00047
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Sfmt 4703
Total burden
(in hrs)
40,894
to target population, feasibility,
transportability, acceptability to
stakeholders, and sustainability.
Up to 23 initiatives will be selected
for pre-assessment evaluation over a
two-year period. Selected initiatives
will receive FAQs to help them
understand the process, effort entailed,
and public health benefit. They will also
be asked to provide additional
information supporting coordination of
a site visit and interviews with key
informants.
The primary information collection
involves semi-structured, in-person
interviews with approximately 12 key
informants at each participating site,
including: The lead administrator (1),
program staff (3), evaluator (1), and
community partners and other
stakeholders (7). Community partners
and other stakeholders will be drawn
from both the private sector and the
state, local, and Tribal government
sector. The topics to be addressed
during the site visit interviews include
history and description of the initiative,
stakeholder involvement, evaluation
plans, and funding. Site reviewers will
also collect contextual information
about program implementation through
direct observation, which does not
entail burden to respondents.
Results will be used to identify
promising practices in nutrition,
physical activity, and obesity used by
NPAO grantees and others in the obesity
prevention field; provide feedback and
technical assistance to each initiative’s
developers, implementers and
managers; and assess the evaluation
readiness of obesity prevention
initiatives, thereby encouraging the
judicious use of scarce evaluation
resources.
OMB approval will be requested for
two years. Authority to collect
information is provided to CDC under
Sections 301 (a) and 317 (k) of the
Public Health Service Act. CDC
anticipates reviewing approximately 51
program nomination forms per year. Site
visits will be conducted with an average
of 12 programs per year.
Participation is voluntary. There are
no costs to respondents other than their
time.
E:\FR\FM\01SEN1.SGM
01SEN1
]]>Agencies
[Federal Register Volume 76, Number 170 (Thursday, September 1, 2011)]
[Notices]
[Pages 54470-54472]
From the Federal Register Online via the Government Printing Office [www.gpo.gov]
[FR Doc No: 2011-22395]
-----------------------------------------------------------------------
DEPARTMENT OF HEALTH AND HUMAN SERVICES
Centers for Disease Control and Prevention
[60Day-11-0891]
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 Daniel Holcomb, CDC 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
World Trade Center Health Program Enrollment, Appeals &
Reimbursement--New--National Institute for Occupational Safety and
Health (NIOSH), Centers for Disease Control and Prevention (CDC).
Background and Brief Description
The James Zadroga 9/11 Health and Compensation Act of 2010 (Zadroga
Act), promulgated on December 22, 2010, establishes a Federal program
to support health monitoring and treatment for emergency responders;
recovery and cleanup workers; and residents, building occupants, and
area workers in New York City who were directly impacted and adversely
affected by the terrorist attacks of September 11, 2001. In order to
provide medical monitoring and treatment to eligible individuals, the
World Trade Center (WTC) Health Program will collect eligibility and
appeals data as well as information from medical and prescription
pharmaceutical providers.
All responders to the New York City attack who will be newly
seeking medical monitoring and treatment and survivors of the attack
who were not covered by the Medical Monitoring and Treatment Program
(MMTP) (for responders) or the Community Program (for survivors) prior
to January 2, 2011, may apply to obtain coverage under the new WTC
Health Program. In order to begin the determination eligibility
process, an enrollment form must be completed. After an eligibility
application is submitted to the Program, an unsuccessful applicant has
an opportunity to appeal the decision; enrolled participants have
further appeal rights. Health care and prescription pharmaceutical
providers will be required to submit medical determinations to the WTC
Program Administrator and request reimbursement.
Data are being collected in order to determine the eligibility of
applicants. If an applicant is denied enrollment based on the
information provided, the applicant will receive a letter that gives
the reason for the denial and the opportunity to appeal the decision.
Once someone is enrolled, he or she may request approval for
reimbursement of travel if the individual must travel more than 250
miles to receive healthcare services.
Healthcare providers and pharmacies will file claims electronically
or by paper form to be paid for their services.
There are three separate enrollment forms for each population of
responders (FDNY responders, general responders, and survivors). The
following information includes the definition of each population:
``FDNY responder'' is defined as a member of the Fire Department of New
York City (whether fire or emergency personnel, active, or retired) who
participated at least one day in the rescue and recovery effort at any
of the former World Trade Center sites. ``General Responder'' is a
worker or volunteer who provided Rescue, Recovery, Demolition, Debris,
Removal and related support services in the aftermath of the September
11, 2001 attacks on the World Trade Center but was not affiliated with
the Fire Department of New York. ``Survivor'' is a person who was
present in the disaster area in the aftermath of the September 11, 2001
attacks on the World Trade Center as a result of his or her work,
residence, or attendance at school, childcare, or adult daycare.
The eligibility application form will collect general contact
information as well as information regarding the WTC disaster area
experience. Some of the information provided will be shared with the
Federal Bureau of Investigation in order to screen an individual
against the terrorist watch list maintained by the Federal government.
This information will also be shared with the WTC Program Administrator
and will be kept in a secure manner.
WTC Health Program applicants and enrolled participants have
opportunities to appeal adverse decisions made by the WTC Program
Administrator. The first opportunity to appeal arises after a
determination that an applicant does not meet the eligibility
requirements. Once enrolled in the Program, participants will also have
the opportunity to appeal a decision not to certify a WTC-related
health condition or a determination that treatment will not be
authorized as medically necessary. In the notification letter
explaining the adverse determination, the applicant will be advised
that an appeal can be requested by submitting in writing his or her
name, contact information, and an explanation for the basis of the
appeal.
Certain enrolled participants may be reimbursed for necessary and
reasonable transportation and expenses incident to the securing of
medically necessary treatment through the nationwide network if the
care involves travel of more than 250 miles. Individuals requesting
reimbursement must fill out a 1-page written form requesting such
information as date of travel, distance, and total expense.
Pharmacies will transmit reimbursement claims to the WTC Health
Program. The following data
[[Page 54471]]
elements will be collected for pharmacy reimbursement: Pharmacy name,
pharmacy address, drug name, prescription number, patient name, patient
ID number, and cost. Pharmacies utilize Electronic Data Interchange
(EDI) processing at the point-of-sale to transmit claims to the World
Trade Center Health Program (WTC-HP). The EDI transmission conforms to
ANSI standards developed by the National Council for Prescription Drug
Programs. The information collection burden occurs as the WTC-HP member
information is copied from the membership card at the point-of-sale.
The EDI transmission occurs in real-time as the prescription
transaction is made.
The Zadroga Act of 2010 requires that all qualifying WTC-related
health conditions or health conditions medically associated with a WTC-
related health condition be certified by member to enable reimbursement
of treatment services for care rendered to that member for a given
qualifying condition(s). To meet the requirement for certification and
maintain continuity of care for an individual who had been enrolled in
the prior MMTP or Community Program, the WTC Health Program physician
shall attest that a prior determination was rendered in the previous
federally sponsored program. The attestation will include the
physician's name and signature, the name of the patient, and the name
of the health condition and its diagnostic (ICD-9) code.
An individual who is new to the WTC Health Program must have a
certified WTC-related health condition or health condition medically
associated with WTC-related health condition to receive reimbursement
for treatment and other services. If a new medical determination is
being made, the Program clinician must provide to the WTC Health
Program the patient's name and program identification number, the name
and diagnostic code of the health condition, and a brief narrative
explaining the key exposure findings. The narrative will include
information such as the time and duration of the individual's presence
in defined geographic areas (of exposure), whether the individual was
caught in the dust cloud on September 11, 2001, whether the individual
conducted strenuous activity while in the exposure zone(s), the
individual's symptom time course relative to September 11, 2001, and
the reasons a person might be more likely to get sick from given
exposures (family history or coexisting medical problems).
A Program physician will also submit a form to the WTC Health
Program when a member needs medical treatment for a condition that has
not yet been certified. In that case, the physician will request
authorization to treat the condition because of the urgency of the
medical scenario. The physician will sign a form attesting that a
determination was made, and indicate the patient's name and the name of
the health condition and its diagnostic code.
Physicians will be compensated through administrative expenses
invoiced by their respective Clinical Center of Excellence that is
under contract with the Federal government.
There are no costs to respondents other than their time.
Estimate of Annualized Burden Hours
----------------------------------------------------------------------------------------------------------------
Number of Avg. burden
Type of respondents Form name Number of responses per per response Total burden
respondents respondent (in hrs) (in hrs)
----------------------------------------------------------------------------------------------------------------
Responder (FDNY and General Eligibility and 290 1 10/60 48
Responder)/Survivor. Qualification
for the WTC
Health Program.
FDNY Responder................ World Trade 189 1 30/60 95
Center Health
Program FDNY
Responder
Eligibility
Application.
General Responder............. World Trade 2979 1 30/60 1490
Center Health
Program
Responder
Eligibility
Application
(Other than
FDNY).
WTC Survivor.................. World Trade 1560 1 15/60 390
Center Health
Program
Survivor
Eligibility
Application.
Responder (FDNY and General Denial Letter 47 1 30/60 24
Responder)/Survivor. and Appeal
Notification--E
ligibility.
Responder (FDNY and General Denial Letter 30 1 30/60 15
Responder)/Survivor. and Appeal
Notification--H
ealth
Conditions.
Responder (FDNY and General Denial Letter 588 1 30/60 294
Responder)/Survivor. and Appeal
Notification--T
reatment.
Responder (FDNY and General WTC Health 10 1 10/60 2
Responder)/Survivor. Program Medical
Travel Refund
Request.
Physician..................... WTC Health 2,300 14 1 32,200
Condition
Certification
Request.
Attestation for 2,300 14 5/60 2,683
previously-
enrolled.
Request for 6,000 1 30/60 3,000
treatment
pending
authorization.
Pharmacy...................... Outpatient 150 261 1/60 653
prescription
pharmaceuticals.
---------------------------------------------------------------
[[Page 54472]]
Total..................... ................ .............. .............. .............. 40,894
----------------------------------------------------------------------------------------------------------------
Dated:August 25, 2011.
Daniel Holcomb,
Reports Clearance Officer, Centers for Disease Control and Prevention.
[FR Doc. 2011-22395 Filed 8-31-11; 8:45 am]
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