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15750 Federal Register / Vol. 71, No.

60 / Wednesday, March 29, 2006 / Notices

Dated: March 12, 2006. have confirmed additional cases of DEPARTMENT OF HEALTH AND
Joan F. Karr, highly pathogenic avian influenza HUMAN SERVICES
Acting Reports Clearance Officer, Centers for (H5N1), USDA/APHIS has added
Disease Control and Prevention. additional countries to its ban. Because Centers for Disease Control and
[FR Doc. E6–4551 Filed 3–28–06; 8:45 am] of the documentation of highly Prevention
BILLING CODE 4163–18–P pathogenic avian influenza H5N1 in
poultry, HHS/CDC added the following Amendment of February 4, 2004, Order
countries to its embargo: Kazakhstan, To Embargo Birds and Bird Products
DEPARTMENT OF HEALTH AND Imported From Afghanistan
Romania, Russia, Turkey, and Ukraine
HUMAN SERVICES on December 29, 2005; Nigeria on SUMMARY: On February 4, 2004, the
February 8, 2006; India on February 22, Centers for Disease Control and
Centers for Disease Control and 2006; Egypt on February 27, 2006; Niger Prevention (CDC) within the U.S.
Prevention on March 2, 2006; Albania, Azerbaijan, Department of Health and Human
Amendment of February 4, 2004, Order Cameroon, and Burma (Myanmar) on Services issued an order to ban
To Embargo Birds and Bird Products March 15, 2006. immediately the import of all birds
Imported From Israel On March 17, 2006, OIE reported (Class: Aves) from specified countries,
confirmation of highly pathogenic avian subject to limited exemptions for
SUMMARY: On February 4, 2004, the returning pet birds of U.S. origin and
influenza H5N1 in poultry in Israel. At
Centers for Disease Control and this time, HHS/CDC is adding Israel to certain processed bird-derived products.
Prevention (CDC) within the U.S. its current embargo. This action is HHS/CDC took this step because birds
Department of Health and Human effective on March 20, 2006, and will from these countries potentially can
Services issued an order to ban remain in effect until further notice. infect humans with avian influenza
immediately the import of all birds (influenza A/ [H5N1]). The February 4,
(Class: Aves) from specified countries, SUPPLEMENTARY INFORMATION: 2004, order complemented a similar
subject to limited exemptions for action taken at the same time by the
Background
returning pet birds of U.S. origin and Animal and Plant Health Inspection
certain processed bird-derived products. On March 17, 2006, OIE reported Service (APHIS) within the U.S.
HHS/CDC took this step because birds confirmation of highly pathogenic avian Department of Agriculture (USDA).
from these countries potentially can influenza H5N1 in turkeys in farms in On March 10, 2004, HHS/CDC lifted
infect humans with avian influenza the Beer-Sheva, Ashkelon, and the embargo of birds and bird products
(influenza A/ [H5N1]). The February 4, Jerusalem districts, Israel. from the Hong Kong Special
2004, order complemented a similar Administrative Region (HKSAR)
action taken at the same time by the Introduction of birds infected with because of the documented public-
Animal and Plant Health Inspection highly pathogenic avian influenza H5N1 health and animal health measures
Service (APHIS) within the U.S. into the United States could lead to taken by Hong Kong officials to prevent
Department of Agriculture (USDA). outbreaks of disease among birds and spread of the outbreak within the
On March 10, 2004, HHS/CDC lifted among the human population, a HKSAR, and the absence of highly
the embargo of birds and bird products significant public health threat. Banning pathogenic avian influenza H5N1 cases
from the Hong Kong Special the importation of all avian species from in Hong Kong’s domestic and wild bird
Administrative Region (HKSAR) affected countries is an effective means populations. USDA/APHIS took a
because of the documented public- of limiting this threat. HHS/CDC is similar action. On September 28, 2004,
health and animal health measures therefore taking this action to reduce the HHS/CDC extended the embargo on
taken by Hong Kong officials to prevent likelihood of introduction or spread of birds and bird products to include
spread of the outbreak within the influenza A H5N1 into the United Malaysia because of the documented
HKSAR, and the absence of highly States. cases of highly pathogenic avian
pathogenic avian influenza H5N1 cases Immediate Action influenza A H5N1 in poultry in
in Hong Kong’s domestic and wild bird Malaysia. On July 20, 2005, USDA/
populations. USDA/APHIS took a Therefore, pursuant to 42 CFR APHIS adopted as a final rule the
similar action. On September 28, 2004, 71.32(b), HHS/CDC is amending the interim rule that became effective on
HHS/CDC extended the embargo on February 4, 2004, order to add Israel to February 4, 2004, which amended its
birds and bird products to include the list of countries subject to the regulations to prohibit or restrict the
Malaysia because of the documented order’s embargo of birds and products importation of birds, poultry, and
cases of highly pathogenic avian derived from birds. All other portions of unprocessed birds and poultry products
influenza A H5N1 in poultry in the February 4, 2004, order, as further from regions that have reported the
Malaysia. On July 20, 2005, USDA/ amended on March 10, 2004, September presence of highly pathogenic avian
APHIS adopted as a final rule the 28, 2004, December 29, 2005, February influenza H5N1 in poultry. (See 70 FR
interim rule that became effective on 8, 2006, February 22, 2006, February 27, 41608 [July 20, 2005].) As the United
February 4, 2004, which amended its 2006, March 2, 2006, and March 15, Nations Food and Agriculture
regulations to prohibit or restrict the 2006 shall remain in effect until further Organization and the World
importation of birds, poultry, and notice. Organization for Animal Health (OIE)
unprocessed birds and poultry products have confirmed additional cases of
Dated: March 23, 2006.
from regions that have reported the highly pathogenic avian influenza
hsrobinson on PROD1PC68 with NOTICES

presence of highly pathogenic avian Julie Louise Gerberding, (H5N1), USDA/APHIS has added
influenza H5N1 in poultry. (See 70 FR Director, Centers for Disease Control and additional countries to its ban. Because
41608 [July 20, 2005].) As the United Prevention, U.S. Department of Health and of the documentation of highly
Nations Food and Agriculture Human Services. pathogenic avian influenza H5N1 in
Organization and the World [FR Doc. E6–4513 Filed 3–28–06; 8:45 am] poultry, HHS/CDC added the following
Organization for Animal Health (OIE) BILLING CODE 4163–18–P countries to its embargo: Kazakhstan,

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Federal Register / Vol. 71, No. 60 / Wednesday, March 29, 2006 / Notices 15751

Romania, Russia, Turkey, and Ukraine Dated: March 23, 2006. resulting impact on reducing improper
on December 29, 2005; Nigeria on Julie Louise Gerberding, payments. Data collected will determine
February 8, 2006; India on February 22, Director, Centers for Disease Control and factors affecting program participation,
2006; Egypt on February 27, 2006; Niger Prevention, U.S. Department of Health and relevant PARIS administrative and
on March 2, 2006; Albania, Azerbaijan, Human Services. implementation information, challenges
Cameroon, and Burma (Myanmar) on [FR Doc. E6–4514 Filed 3–28–06; 8:45 am] in implementation, cost of program
March 15, 2006; and Israel on March 20, BILLING CODE 4163–18–P participation and estimated savings
2006. through identified and resolved
On March 15, 2006, OIE reported participant matches.
confirmation of highly pathogenic avian DEPARTMENT OF HEALTH AND
influenza H5N1 in poultry in HUMAN SERVICES Health Systems Research, an ACF
Afghanistan. At this time, HHS/CDC is Contractor conducting the research, will
adding Afghanistan to its current Administration for Children and send State-level PARIS Administrators
embargo. This action is effective on Families surveys regarding the organization and
March 21, 2006, and will remain in administration of PARIS, processes used
effect until further notice. Proposed Information Collection for submitting data, and follow-up
Activity; Comment Request protocols. Information obtained though
SUPPLEMENTARY INFORMATION:
Proposed Projects key-informant interviews of Medicaid,
Background TANF, and Food Stamp program
On March 15, 2006, OIE reported Title: Evaluation to Determine the
officials will provide information
confirmation of highly pathogenic avian Effectiveness of the Public Assistance
regarding relationships among the
influenza H5N1 in chickens and turkeys Reporting Information System (PARIS).
OMB No. New Collection. various stakeholders, opinions on
in five provinces of Afghanistan, effectiveness of PARIS, and the rationale
Description: The PARIS program is a
including Jalalabad, Kabul, Laghman, behind decisions. E-mails sent to States
voluntary information exchange system
Vardak and Kunar. will contain cost-accounting forms,
Introduction of birds infected with that allows States and other entities
(counties or jurisdictions like the providing cost information on program
highly pathogenic avian influenza H5N1
District of Columbia) to submit Medical start-up, submission of data, follow-up
into the United States could lead to
Assistance, Medicaid, Food Stamp, and of potential participant matches, and
outbreaks of disease among birds and
among the human population, a Temporary Assistance for Needy will then be verified through telephone
significant public health threat. Banning Families (TANF) participant data to the interviews with program and fiscal
the importation of all avian species from Administration for Children and administrators. As part of the final
affected countries is an effective means Families (ACF) to be matched with PARIS evaluation, a prospective and
of limiting this threat. HHS/CDC is Federal and participating States’ retrospective analysis is planned.
therefore taking this action to reduce the databases to detect potential dual Collections of prospective information
likelihood of introduction or spread of participation and improper payments. from a sample of States that are not yet
influenza A H5N1 into the United Launched by ACF in 1997, the PARIS committed to permanent participation
States. project was developed to provide States in PARIS and prospective and
with usable data by which they could retrospective information from States
Immediate Action identify and correct erroneous payments already participating in the program are
Therefore, pursuant to 42 CFR and to promote State partnerships and planned.
71.32(b), HHS/CDC is amending the matching of cross-state data to improve
Two current PARIS sites and one non-
February 4, 2004, order to add program integrity. There are currently
PARIS grantee site will comprise a pilot
Afghanistan to the list of countries 36 entities participating in the PARIS
of the data collection instruments to
subject to the order’s embargo of birds project (Member States). ACF is
ensure evaluation questions are clear
and products derived from birds. All encouraging the expansion of PARIS via
other portions of the February 4, 2004, a grantee program by providing funds to and elicit salient responses. Findings
order, as further amended on March 10, Member States to partner with from the pilot study will inform the
2004, September 28, 2004, December 29, nonparticipating States to develop the final PARIS evaluation tool
2005, February 8, 2006, February 22, internal organization and mechanisms development.
2006, February 27, 2006, March 2, 2006, needed for PARIS participation. An Respondents: Approximately sixteen
March 15, 2006, and March 20, 2006, implementation and outcome evaluation States will comprise the sample, with an
shall remain in effect until further of the PARIS program will determine estimated twelve respondents from each
notice. the effectiveness of the program and the State, county or jurisdiction.

ANNUAL BURDEN ESTIMATES


Numer of Average
Number of Total burden
Instrument responses per burden hours
respondents hours
respondent per response

State-Level PARIS Administrator Survey ........................................................ 16 1 1 16


Medicaid, Food Stamp and TANF Program Officials Key-Informant Inter-
views ............................................................................................................ 160 1 1 160
hsrobinson on PROD1PC68 with NOTICES

State Cost-Accounting Forms .......................................................................... 16 1 1.5 24


Fiscal Administrator Telephone Interviews ...................................................... 32 1 1.5 48

Estimated Total Annual Burden In compliance with the requirements Paperwork Reduction Act of 1995, the
Hours: 248. of Section 3506(c)(2)(A) of the Administration for Children and

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