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10766 Federal Register / Vol. 72, No.

46 / Friday, March 9, 2007 / Notices

and Worksheet D have been modified to the full fee schedule amount. In (FYSB) of the Administration for
implement provisions of the Medicare addition, if a physician or supplier does Children and Families, United States
Prescription Drug Improvement and not accept assignment on a claim for Department of Health and Human
Modernization Act of 2003. On Medicare payment, the physician or Services, administers the Mentoring
Worksheet B, the allocation of supplier must collect payment from the Children of Prisoners (MCP) program.
Administrative and General cost to beneficiary. If the physician or supplier The MCP program provides children of
Separately Billable Drugs was accepts assignment on the claim, prisoners with caring adult mentors,
eliminated. On Worksheet C, two Medicare pays its share of the payment supporting one-to-one mentoring
columns were sub-divided to identify directly to the physician or supplier, relationships. Research in other
services before, on or after 4/1/2005. A resulting in faster and more certain populations has shown that such
line was added to Worksheet D to report payment. Frequency: Reporting, Other— relationships can lead to reductions in
bad debts for dual eligible beneficiaries. when starting a new business; Affected risk behaviors and improvements in
None of these changes request new Public: Business or other for-profit; academic, behavioral and psychological
information; rather, the changes require Number of Respondents: 6000; Total outcomes in children and youth.
reporting of data in greater detail than Annual Responses: 6000; Total Annual Although the MCP program was
was previously reported. Frequency: Hours: 1500. developed based on research
Reporting—Annually; Affected Public: To obtain copies of the supporting documenting the efficacy of mentoring
Business or other for-profit, Not-for- statement and any related forms for the as a general intervention strategy, it is
profit institutions; Number of proposed paperwork collections not yet known whether or not this
Respondents: 4,885; Total Annual referenced above, access CMS’ Web site particular intervention yields positive
Responses: 4,885; Total Annual Hours: address at http://www.cms.hhs.gov/ outcomes for the children of prisoners
957,460. PaperworkReductionActof1995, or E- population. Little is known about how
2. Type of Information Collection mail your request, including your mentoring relationships work for these
Request: Extension of a currently address, phone number, OMB number, youth, and how effective mentoring
approved collection; Title of and CMS document identifier, to relationships for children of prisoners
Information Collection: Medicare Paperwork@cms.hhs.gov, or call the differ from effective mentoring
Participating Physician or Supplier Reports Clearance Office on (410) 786– relationships for other youth. In
Agreement; Form No.: CMS–460 (OMB# 1326. addition, little is known about children
0938–0373); Use: The CMS–460 is the To be assured consideration, of prisoners in general and thus a survey
agreement a physician, supplier or their comments and recommendations for the of MCP program youth has the potential
authorized official signs to participate in proposed information collections must to provide important data about this
Medicare Part B. By signing the be received at the address below, no relatively unstudied population.
agreement to participate in Medicare, later than 5 p.m. on May 8, 2007. CMS,
the physician, supplier or their The evaluation and data collection
Office of Strategic Operations and proposed in this notice are to fulfill the
authorized official agrees to accept the Regulatory Affairs, Division of
Medicare-determined payment for statutory requirement under Section 8,
Regulations Development—B, Attention: subsection h(1) of the Child and Family
Medicare covered services as payment William N. Parham, III, Room C4–26–
in full and to charge the Medicare Part Services Improvement Act of 2006, as
05, 7500 Security Boulevard, Baltimore, amended, that the Secretary of the
B beneficiary no more than the Maryland 21244–1850.
applicable deductible or coinsurance for Department of Health and Human
the covered services. For purposes of Dated: March 2, 2007. Services evaluate outcomes of the MCP
this explanation, the term a supplier Michelle Shortt, program and report to Congress on the
means any person or entity that may bill Director, Regulations Development Group, findings. The proposed data collections
Medicare for Part B services (e.g. DME Office of Strategic Operations and Regulatory will support a study of the MCP
supplier, nurse practitioner, supplier of Affairs. program that measures the program’s
diagnostic tests) except a Medicare [FR Doc. E7–4235 Filed 3–8–07; 8:45 am] child outcomes and compares these
provider of services (e.g. hospital), BILLING CODE 4120–01–P outcomes in similar programs. The data
which must participate to be paid by collection also will provide general
Medicare for covered care. information about youth in the program.
There are additional benefits DEPARTMENT OF HEALTH AND Finally, the study will include an
associated with payment for services HUMAN SERVICES administrative survey of grantees
paid under the Medicare fee schedule. participating in the study. The proposed
Payments made under the Medicare fee Administration for Children and study will include baseline and follow-
schedule for physician services to Families up surveys (to be administered
participating physicians and suppliers approximately 12 months apart) of
Submission for OMB Review; youth ages 9–16 in the MCP program
are based on 100 percent of the
Comment Request and will compare changes in key
Medicare fee schedule amount, while
the Medicare fee schedule payment for Title: Evaluation of the Mentoring behaviors for program youth against
physician services by nonparticipating Children of Prisoners (MCP) Program. changes in behaviors of similar youth
physicians and suppliers is based on 95 OMB No.: New Collection. not enrolled in mentoring programs. By
percent of the fee schedule amount. Description: The Promoting Safe and comparing changes for youth in the
Physicians and suppliers who do not Stable Families Amendments, as MCP program against changes for youth
participate in Medicare are subject to reauthorized (2006), amended Title IV– not in the program, we will be able to
limits on their actual charges for B of the Social Security Act (42 U.S.C. determine if MCP youths’ behaviors are
jlentini on PROD1PC65 with NOTICES

unassigned claims for physician 629–629e) providing funding for closer to the norm for their age group at
services. These limits, known as nonprofit agencies that recruit, screen, follow-up than at program intake. If
limiting charges, cannot exceed 115 train, and support mentors for children MCP youths’ behaviors and outcomes
percent of the non-participant fee with an incarcerated parent or parents. are shown to improve relative to other
schedule, which is set at 95 percent of The Family and Youth Services Bureau groups, the MCP program has

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Federal Register / Vol. 72, No. 46 / Friday, March 9, 2007 / Notices 10767

demonstrated the potential for positive towards and performance in school; The administrative survey of grantees
impacts. The survey also will include relationships with parents, peers and will include questions about the
some general informational questions teachers; self-esteem; and engagement in programmatic structure of each grantee.
about youth in the study so that HHS, a variety of risk behaviors, including It will provide information about
policy makers, and practitioners can alcohol and drug use and physical variations in program administration,
have a greater understanding of the life violence. They also will include mentor activities, and youth served.
circumstances of these youth and of questions about the living situations of
youth in the study, their relationships Respondents: Mentoring Children of
some of the challenges they may face.
The youth surveys will focus on with both incarcerated and non- Prisoners (MCP) grantees and non-MCP
measuring both attitudinal and incarcerated caregivers, and their mentoring organizations.
behavioral changes in areas targeted by relationships with other supportive Annual Burden Estimates:
the MCP program including attitudes adults in their communities.

Number of re- Average burden


Number of re- Total burden
Instrument sponses per hours per re-
spondents hours
respondent sponse

Student Baseline Survey. ............................................................................ 625 1 .5 312.5


Student follow-up Survey. ............................................................................ 500 1 .5 250
Grantee Survey ............................................................................................ 72 1 1 72

Estimated Total Annual Burden ACTION: Notice. I. Background


Hours: 634.5.
SUMMARY: The Food and Drug In the Federal Register of August 17,
Additional Information: Copies of the
Administration (FDA) is announcing the 2006 (71 FR 47502), FDA published the
proposed collection may be obtained by
availability of the guidance for industry notice of availability of the draft
writing to the Administration for
(#183) entitled ‘‘Guidance for Industry: guidance entitled ‘‘Guidance for
Children and Families, Office of
Animal Drug User Fees; Fees Exceed Industry: Animal Drug User Fees; Fees
Administration, Office of Information
Costs Waiver/Reduction.’’ This Exceed Costs Waiver and Reductions’’
Services, 370 L’Enfant Promenade, SW.,
guidance explains the procedures FDA giving interested persons until October
Washington, DC 20447, Attn: ACF
expects to use to evaluate waiver 31, 2006, to submit comments. FDA
Reports Clearance Officer. All requests
requests under the fees exceed costs received no comments.
should be identified by the title of the
information collection. E-mail address: waiver provision of the Animal Drug ADUFA (Public Law 108–130)
infocollection@acf.hhs.gov. User Fee Act of 2003 (ADUFA). amended the Federal Food, Drug, and
OMB Comment: OMB is required to Cosmetic Act (the act) and requires the
DATES:Submit written or electronic FDA to assess and collect user fees for
make a decision concerning the comments on agency guidances at any
collection of information between 30 certain applications, products,
time. establishments, and sponsors. It also
and 60 days after publication of this
document in the Federal Register. ADDRESSES: Submit written requests for requires the agency to grant a waiver
Therefore, a comment is best assured of single copies of the guidance document from or a reduction of those fees in
having its full effect if OMB receives it to the Communications Staff (HFV–12), certain circumstances.
within 30 days of publication. Written Center for Veterinary Medicine (CVM), This guidance explains the
comments and recommendations for the Food and Drug Administration, 7519 procedures FDA expects to use to
proposed information collection should Standish Pl., Rockville, MD 20855. Send evaluate waiver requests under the fees
be sent directly to the following: Office one self-addressed adhesive label to exceed costs waiver provision of
of Management and Budget, Paperwork assist that office in processing your ADUFA. These procedures may be
Reduction Project, FAX: 202–395–6974, requests. Submit written comments on modified in the future as FDA gains
Attn: Desk Officer for ACF. the guidance document to the Division more experience with waiver requests.
Dated: March 5, 2007. of Dockets Management (HFA–305), To qualify for waiver consideration, a
Food and Drug Administration, 5630 written request to the agency for a
Robert Sargis,
Fishers Lane, rm. 1061, Rockville, MD waiver/reduction, including under the
Reports Clearance Officer.
20852. Submit electronic comments to fees exceed costs waiver provision, must
[FR Doc. 07–1101 Filed 3–8–07; 8:45 am] be submitted no later than 180 days
http:///www.fda.gov/dockets/
BILLING CODE 4184–07–M after the fee is due (section 740(i) of the
ecomments. Comments should be
identified with the full title of the act (21 U.S.C. 379j–12(i))).
guidance document and the docket II. Significance of Guidance
DEPARTMENT OF HEALTH AND
number found in the heading of this
HUMAN SERVICES This level 1 guidance is being issued
document. See the SUPPLEMENTARY
Food and Drug Administration INFORMATION section for electronic consistent with FDA’s good guidance
access to the guidance document. practices regulation (21 CFR 10.115).
The guidance represents the agency’s
[Docket No. 2006D–0301] FOR FURTHER INFORMATION CONTACT:
current thinking on the topic. The
Dave Newkirk, Center for Veterinary document does not create or confer any
Guidance for Industry: Animal Drug Medicine (HFV–100), Food and Drug
jlentini on PROD1PC65 with NOTICES

User Fees; Fees Exceed Costs Waiver/ rights for or on any person and does not
Administration, 7500 Standish Pl., operate to bind FDA or the public.
Reduction; Availability Rockville, MD 20855, 301–827–6967, e- Alternative approaches may be used as
mail: david.newkirk@fda.hhs.gov.
AGENCY: Food and Drug Administration, long as they satisfy the requirements of
HHS. SUPPLEMENTARY INFORMATION: the applicable statutes and regulations.

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