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77396 Federal Register / Vol. 70, No.

250 / Friday, December 30, 2005 / Notices

Commission by January 13, 2006 (see public session for any attendee to poisoning is a silent attacker because
FOR FURTHER INFORMATION CONTACT). address issues specific to the topic. most children who are lead poisoned do
ADDRESSES: The Meeting: The meeting Authority: 5 U.S.C. App. 2, section 10(a)(1) not show symptoms. Low levels of lead
will be held at the following address: and (a)(2). poisoning are often associated with
Holiday Inn Washington-Chevy Chase, Dated: December 20, 2005.
reductions in IQ and attention span, and
5520 Wisconsin Ave, Chevy Chase, MD with learning disabilities, hyperactivity,
Donald A.Young,
20815, United States, telephone: 1 (301) and behavioral problems. Because of
Acting Assistant Secretary for Planning and
656–1500, fax: 1 (301) 656–5045. these subtle effects, the best way to
Evaluation, Department of Health and
Web site: You may access up-to-date Human Services. determine if a child has lead poisoning
information on this meeting at http:// is by giving the child a blood lead test.
[FR Doc. E5–8097 Filed 12–29–05; 8:45 am]
www.cms.hhs.gov/FACA/ Children eligible for Medicaid are
BILLING CODE 5150–05–P
10_mc.asp#TopOfPage. typically at highest risk for lead
exposure. DHHS policies require blood
FOR FURTHER INFORMATION CONTACT: lead testing for all children participating
DEPARTMENT OF HEALTH AND
Margaret Reiser, (202) 205–8255. in Federal health care programs.
HUMAN SERVICES
SUPPLEMENTARY INFORMATION: On May However, most children in or targeted
24, 2005, we published a notice (70 FR Centers for Disease Control and by Federal health care programs have
29765) announcing the Medicaid Prevention not been tested.
Commission and requesting [30Day–06–05AD]
Although blood lead testing is
nominations for individuals to serve on important, it is ineffective unless it is
the Medicaid Commission. This notice Agency Forms Undergoing Paperwork performed when the child is young
announces a public meeting of the Reduction Act Review enough to receive the full benefits of
Medicaid Commission. effective environmental interventions.
The Centers for Disease Control and Thus, it was determined by the CDC
Topics of the Meeting Prevention (CDC) publishes a list of Lead Poisoning Prevention Branch
The Commission will discuss options information collection requests under (LPPB) that more information is needed
for making longer-term review by the Office of Management and to understand the barriers Medicaid
recommendations on the future of the Budget (OMB) in compliance with the providers face when it comes to blood
Medicaid program that ensure long-term Paperwork Reduction Act (44 U.S.C. lead testing.
sustainability. Issues to be addressed chapter 35). To request a copy of these Helping To End Lead Poisoning
may include, but are not limited to: requests, call the CDC Reports Clearance (HELP) is a comparison study between
eligibility, benefit design, and delivery; Officer at (404) 639–4766 or send an two communities in Wisconsin. To
expanding the number of people email to omb@cdc.gov. Send written determine why some areas in Wisconsin
covered with quality care while comments to CDC Desk Officer, Office of have high blood lead testing rates and
recognizing budget constraints; long Management and Budget, Washington,
others do not, Medicaid providers in
term care; quality of care, choice, and DC or by fax to (202) 395–6974. Written
two areas will be studied. Community 1
comments should be received within 30
beneficiary satisfaction; and program has high and Community 2 has low
days of this notice.
administration. blood lead testing rates. Questionnaires
Proposed Project will be mailed to all Medicaid providers
Procedure and Agenda
Helping to End Lead Poisoning in these two Wisconsin communities.
This meeting is open to the public. (HELP): A Questionnaire Study of The questionnaires will be sent from
There will be a public comment period Medicaid Providers’ Self-Reported and returned to the CDC LPPB in
at the meeting. The Commission may Attitudes, Practices, Beliefs, and Atlanta, Georgia. CDC will analyze the
limit the number and duration of oral Barriers to Childhood Blood Lead data from the questionnaires. CDC and
presentations to the time available. We Testing—New—National Center for the Wisconsin Childhood Lead
will request that you declare at the Environmental Health, Centers for Poisoning Prevention Program staff will
meeting whether or not you have any Disease Control and Prevention (CDC). use this information to understand the
financial involvement related to any barriers Medicaid providers face
services being discussed. Background and Brief Description concerning blood lead testing and to
After the presentations and public According to the United States develop effective strategies that promote
comment period, the Commission will Department of Health and Human blood lead testing among Medicaid
deliberate openly. Interested persons Services (DHHS), lead poisoning is one providers. There is no cost to
may observe the deliberations, but the of the most serious environmental respondents, other than their time.
Commission will not hear further threats to children in the United States. National Center for Environment
comments during this time except at the Very high blood lead levels in children Health (NCEH), is requesting a year to
request of the Chairperson. The can cause encephalopathy, coma, and complete the study. The total estimated
Commission will also allow an open even death. At lower levels, lead burden hours are 14.

ESTIMATED ANNUALIZED BURDEN HOURS


Average
No. of
No. of burden per
Respondents responses per
respondents response
respondent (in hours)
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Targeted Medicaid Providers in Wisconsin ................................................................................. 13 1 10/60


(mailed questionnaire)
Targeted Medicaid Providers in Wisconsin ................................................................................. 60 1 10/60
(telephone follow-up): ‘‘Yes’’

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Federal Register / Vol. 70, No. 250 / Friday, December 30, 2005 / Notices 77397

ESTIMATED ANNUALIZED BURDEN HOURS—Continued


Average
No. of
No. of burden per
Respondents responses per
respondents response
respondent (in hours)

Targeted Medicaid Providers in Wisconsin ................................................................................. 49 1 2/60


(telephone follow-up): ‘‘No’’ or mailed.

Dated: December 23, 2005. Response, Compensation, and Liability with results interpretation. General
Betsey Dunaway, Act (CERCLA) and its 1986 information can account for
Acting Reports Clearance Officer, Centers for Amendments, the Superfund approximately 28 questions per
Disease Control and Prevention. Amendments and Reauthorization Act investigation. Some of this information
[FR Doc. E5–8098 Filed 12–29–05; 8:45 am] (SARA) to prevent or mitigate adverse is investigation-specific; not all of this
BILLING CODE 4163–18–P human health effects and diminished data is collected for every investigation.
quality of life resulting from the ATSDR is seeking approval for a set of
exposure to hazardous substances in the 57 potential general information
DEPARTMENT OF HEALTH AND environment. Exposure Investigations questions.
HUMAN SERVICES (EIs) is an approach developed by ATSDR also collects information on
ATSDR that employs targeted biologic other possible confounding sources of
Centers for Disease Control and (e.g., urine, blood, hair samples) and chemical(s) exposure such as medicines
Prevention environmental (e.g., air, water, soil, or taken, foods eaten, etc. In addition,
food) sampling to determine whether ATSDR asks questions on recreational
[30Day–06–05AZ]
people are or have been exposed to or occupational activities that could
Agency Forms Undergoing Paperwork unusual levels of pollutants at specific increase exposure potential. This
Reduction Act Review locations (e.g., where people live, spend information represents an individual’s
leisure time, or anywhere they might exposure history. To cover these broad
The Centers for Disease Control and come into contact with contaminants categories, ATSDR is also seeking
Prevention (CDC) publishes a list of under investigation). After a chemical approval for the use of sets of topical
information collection requests under release or suspected release into the questions. Of these, ATSDR will use
review by the Office of Management and environment, ATSDR’s EIs are used by approximately 12–15 questions about
Budget (OMB) in compliance with the public health professionals, the pertinent environmental exposures
Paperwork Reduction Act (44 U.S.C. environmental risk managers, and other per investigation. This number can vary
Chapter 35). To request a copy of these decision makers to determine if current depending on the number of chemicals
requests, call the CDC Reports Clearance conditions warrant intervention being investigated, the route of exposure
Officer at (404) 639–4766 or send an strategies to minimize or eliminate (breathing, eating, touching), and
email to omb@cdc.gov. Send written human exposure. EIs are usually number of other sources (e.g., products,
comments to CDC Desk Officer, Office of requested by officials of a state health jobs) for the chemical(s).
Management and Budget, Washington, agency, county health departments, the
Typically, the number of participants
DC or by fax to (202) 395–6974. Written Environmental Protection Agency, the
in an individual EI ranges from 10 to
comments should be received within 30 general public, and ATSDR staff.
All of ATSDR’s biomedical less than 50. Questionnaires are
days of this notice. generally needed in less than half of the
assessments and some of the
Proposed Project environmental investigations involve EIs (approximately 10–15 per year).
NCEH/ATSDR Exposure participants. Participation is completely Areas for the complete set of topical
Investigations (EIs)—New—National voluntary. To assist in interpreting the questions include the following:
Center for Environmental Health sampling results, a survey questionnaire (1) Media specific which includes: air
(NCEH) and the Agency for Toxic appropriate to the specific contaminant (indoor/outdoor); water (water source
Substances and Disease Registry will be administered to participants. and plumbing); soil, and food
(ATSDR), Centers for Disease Control ATSDR collects contact information (gardening, fish, game, domestic
and Prevention (CDC). (e.g., name, address, phone number) to animals).
provide the participant with their (2) Other sources such as: occupation;
Background and Brief Description individual results. Name and address hobbies; household uses or house
This is a brief summary of a joint information are broken into nine construction; lifestyle (e.g., smoking);
clearance between the NCEH and separate questions (data fields) for medicines and/or health conditions, and
ATSDR, (hereafter ATSDR will computer entry. General information, foods.
represent both ATSDR and NCEH). which includes height, weight, age, There are no costs to the respondents
ATSDR is mandated pursuant to the race, gender, etc., is needed primarily other than their time. The estimated
1980 Comprehensive Environmental on biomedical investigations to assist total burden hours are 375.

ESTIMATE OF ANNUALIZED BURDEN TABLE


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Responses
No. of Average
Respondents per response per
respondents burden
respondent

Exposure Investigation Participants ............................................................................................ 750 1 30/60

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