8876 Federal Register / Vol. 73, No.

32 / Friday, February 15, 2008 / Notices

objectives in Healthy People 2010, an data measures as many of the Healthy students attending public and private
initiative of the U.S. Department of People 2010 objectives addressing schools in grades 9–12. Information
Health and Human Services (HHS). The adolescent behaviors as the YRBS. The supporting the YRBS also will be
YRBS provides data to measure at least data also will have significant collected from school administrators
10 of the health objectives and 3 of the implications for policy and program and teachers. The table below reports
10 Leading Health Indicators development for school health programs the number of respondents annualized
established by Healthy People 2010. In nationwide. over the 3-year project period.
addition, the YRBS can identify racial In Spring 2009 and Spring 2011, the
and ethnic disparities in health risk YRBS will be conducted among There are no costs to respondents
behaviors. No other national source of nationally representative samples of except their time.

ESTIMATED ANNUALIZED BURDEN HOURS

Average
Number of
Type of Number of burden per Total burden
Form name responses per
respondents respondents response (in hours)
respondent (in hours)

Administrators ............... Recruitment Script for the Youth Risk Behavior 230 1 30/60 115
Survey.
Teachers ....................... Data Collection Checklist for the Youth Risk Be- 400 1 15/60 100
havior Survey.
Students ........................ Youth Risk Behavior Survey ................................ 8,000 1 45/60 6,000

Total ....................... .............................................................................. ........................ ........................ ........................ 6,215

Dated: February 7, 2008. proposed collection of information; (c) childhood lead poisoning in the United
Maryam I. Daneshvar, ways to enhance the quality, utility, and States.
Acting Reports Clearance Officer, Centers for clarity of the information to be The objectives for developing this
Disease Control and Prevention. collected; and (d) ways to minimize the system are three-fold. First, we would
[FR Doc. E8–2832 Filed 2–14–08; 8:45 am] burden of the collection of information like to use surveillance data to estimate
BILLING CODE 4163–18–P on respondents, including through the the extent of elevated blood-lead levels
use of automated collection techniques (BLLs) among children less than 6 years
or other forms of information old. This is important because it will
DEPARTMENT OF HEALTH AND technology. Written comments should allow us to systematically track the
HUMAN SERVICES be received within 60 days of this management and follow-up of those
notice. children found to be poisoned with
Centers for Disease Control and lead.
Prevention Proposed Project Our next objective for the
development of this system is to
[60Day–08–0337] National Blood Lead Surveillance
examine potential sources of lead
System (OMB No. 0920–0337)—
Proposed Data Collections Submitted exposure. Although we’ve been
Revision—National Center for successful in eliminating atmospheric
for Public Comment and Environmental Health (NCEH),
Recommendations lead with the use of unleaded gasoline
Coordinating Center for Environmental and have continued to make strides in
In compliance with the requirement Health and Injury Prevention (CCEHIP), the elimination of household sources of
of Section 3506(c)(2)(A) of the Centers for Disease Control and lead commonly found in paint and dust,
Paperwork Reduction Act of 1995 for Prevention (CDC). recent events have highlighted other
opportunity for public comment on Background and Brief Description potentially hidden sources of lead. This
proposed data collection projects, the system will allow us to track the burden
Centers for Disease Control and The National Blood Lead Surveillance of such hidden sources and will help us
Prevention (CDC) will publish periodic System (NBLSS) would like to continue eliminate such threats with the
summaries of proposed projects. To its effort to collect information related to establishment of laws aimed at
request more information on the lead exposure among children less than preventing the importation of such
proposed projects or to obtain a copy of six years old. The overarching goal of goods into our nation. The
the data collection plans and this system is to establish Childhood establishment of such laws will of
instruments, call 404–639–5960, send Lead Surveillance Systems at the state course be a joint effort between several
comments to Maryam I. Daneshvar, CDC and national levels. This is a revision federal agencies; however, this
Acting Reports Clearance Officer, 1600 request in addition to a 3-year revision surveillance system will help facilitate
Clifton Road, MS–D74, Atlanta, GA with an increase in the burden hours our efforts.
30333 or send an e-mail to and inclusion of the adult blood lead The final objective of this system is to
omb@cdc.gov. surveillance system. As part of this facilitate the allocation of resources for
Comments are invited on: (a) Whether effort we would like to revise this lead poison prevention activities. The
the proposed collection of information application to include 3 additional State allocation of federal resources to State
rwilkins on PROD1PC63 with NOTICES

is necessary for the proper performance and local Childhood Lead Poisoning surveillance systems are based on
of the functions of the agency, including Prevention Programs (CLPPP) who reports of blood-lead tests from
whether the information shall have report to the NBLSS. These three laboratories. Ideally, laboratories report
practical utility; (b) the accuracy of the programs were added to help provide a results of all lead tests to the state health
agency’s estimate of the burden of the more comprehensive picture of department. State health departments

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 Federal Register / Vol. 73, No. 32 / Friday, February 15, 2008 / Notices 8877

then send reports to CDC using de- lead levels among adults. For all adults for 20 variables, even if some variables
identified data. It is from these reports (16 and older) the State will provide have no data available at the time.
that CDC is able to determine funding data on all laboratory reports when the The use of both Childhood Lead
levels. adult’s blood lead level is equal to or Surveillance System and the ABLES
In addition to reporting child blood greater than 25 mcg/dl. These data are Program will allow us to systematically
lead levels, many laboratories also to be consolidated into a single data track pockets of exposure to lead. It will
report adult blood lead levels. Thus, this submission by task time periods.
OMB request would also like to include also allow us to fully understand
the Adult Blood Lead Epidemiology and The ABLES program ultimately aims exposure potential and ways in which
Surveillance Program (ABLES). The to collect the complete list of variables to prevent future sources of lead
ABLES Program is a state-based for all blood lead tests, including blood poisoning. Both systems are invaluable
surveillance system under which lead levels less than 25 mcg/dl, and and will no doubt help us as we
participating States provide information urges all States to progressively supply continue our stride in the elimination of
to CDC’s National Institute for this information as it becomes available. lead poisoning in our nation.
Occupational Safety and Health All data submissions must be delivered There is no cost to respondents other
(NIOSH) on laboratory reported blood in the supplied format providing a field than their time.
ESTIMATED ANNUALIZED BURDEN TABLE
Average
Number of
Number of burden per Total burden
Respondents response per
respondents response hours
respondent (in hrs.)

State and Local Health Departments for Child Surveillance ........................... 42 4 2 336
State and Local Health Departments for Adult Surveillance ........................... 40 4 2 320

Total .......................................................................................................... ........................ ........................ ........................ 656

Dated: February 6, 2008. burden; (3) ways to enhance the quality, CMS is proposing that, for emergency
Maryam I. Daneshvar, utility, and clarity of the information to ambulance transport services, an
Acting Reports Clearance Officer, Centers for be collected; and (4) the use of ambulance provider or supplier may
Disease Control and Prevention. automated collection techniques or submit the claim without a beneficiary’s
[FR Doc. E8–2836 Filed 2–14–08; 8:45 am] other forms of information technology to signature, as long as certain
BILLING CODE 4163–18–P minimize the information collection documentation requirements are met.
burden. The information collected will be used
1. Type of Information Collection by CMS contractors (both, fiscal
DEPARTMENT OF HEALTH AND Request: New collection; Title of intermediaries and carriers) that process
HUMAN SERVICES Information Collection: Revisions to and pay emergency ambulance transport
Payment Policies Under the Physician claims. Form Number: CMS–10242
Centers for Medicare & Medicaid Fee Schedule, Other Changes to (OMB#: 0938–New); Frequency:
Services Payment Under Part B, and Revisions to Reporting: Hourly, Daily, Weekly,
Payment Policies for Ambulance Monthly and Yearly; Affected Public:
[Document Identifier: CMS–10242, CMS– Services for CY 2008 (42 CFR 424.36— Business or other for-profit and Not-for-
10165, CMS–10251, CMS–R–218 and CMS–
Signature Requirements); Use: Section profit institutions; Number of
10252]
42 CFR 424.33(a)(3) states that all claims Respondents: 9,000; Total Annual
Agency Information Collection must be signed by the beneficiary or the Responses: 6,500,000; Total Annual
Activities: Submission for OMB beneficiary’s representative (in Hours: 541,667.
Review; Comment Request accordance with 42 CFR 424.36(b)). 2. Type of Information Collection
Section 42 CFR 424.36(a) states that the Request: Revision of a currently
AGENCY: Centers for Medicare & beneficiary’s signature is required on a approved collection; Title of
Medicaid Services, HHS. claim unless the beneficiary has died or Information Collection: Electronic
In compliance with the requirement the provisions of 424.36(b), (c), or (d) Health Record; Use: The purpose of this
of section 3506(c)(2)(A) of the apply. The statutory authority requiring demonstration project is to reward the
Paperwork Reduction Act of 1995, the a beneficiary’s signature on a claim delivery of high-quality care supported
Centers for Medicare & Medicaid submitted by a provider is located in by the adoption and use of electronic
Services (CMS), Department of Health section 1835(a) and in 1814(a) of the health records in small to medium-sized
and Human Services, is publishing the Social Security Act (the Act), for Part B primary care physician practices. While
following summary of proposed and Part A services, respectively. The this is separate and distinct from the
collections for public comment. authority requiring a beneficiary’s Medicare Care Management
Interested persons are invited to send signature for supplier claims is implicit Performance (MCMP) Demonstration, it
comments regarding this burden in sections 1842(b)(3)(B)(ii) and in expands upon the foundation created by
estimate or any other aspect of this 1848(g)(4) of the Act. Because it is very the MCMP Demonstration, which was
collection of information, including any difficult to obtain a beneficiary’s mandated by Section 649 of the
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of the following subjects: (1) The signature (or the signature of a person Medicare Prescription Drug,
necessity and utility of the proposed authorized to sign on behalf of the Improvement and Modernization Act of
information collection for the proper beneficiary) on a claim when the 2003. The electronic health record
performance of the Agency’s function; beneficiary is being transported by demonstration will be operational for a
(2) the accuracy of the estimated ambulance in emergency situations, 5-year period and will be operated

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