12964 Federal Register / Vol. 76, No. 46 / Wednesday, March 9, 2011 / Notices 

inherent complexity of the topic. The 

term ‘‘mixture’’ can be broadly 

interpreted and can refer to a substance 

with variable composition or to 

mixtures resulting from combined 

exposures. For the purposes of this RFI, 

‘‘mixtures’’ pertains to any set of 

multiple environmental exposures 

(chemical or non-chemical) that may 

contribute jointly to adverse human 

health outcomes, irrespective of 

whether people are exposed to the 

substances at the same/different times 

or through similar/distinct sources or 

routes. 

Continuous human exposure to 

complex and dynamic mixtures 

precludes directly testing the toxicity of 

each possible exposure combination. 

Therefore, predictive models of mixture 

toxicity must be developed and 

validated in order to characterize the 

hazard associated with complex 

exposures. In order to develop these 

models, a better understanding is 

required of both the composition of realworld exposures and the fundamental 

principles of chemical interactions. 

Combinatorial or statistical approaches 

are needed to address the potential 

interactions of complex exposures. 

Moreover, these approaches should be 

used to move beyond assessment of 

individual chemicals and further our 

understanding of the impacts of realistic 

exposures. 

Information gathered through this RFI 

will be used in planning a workshop on 

mixtures to be held in late summer 

2011. The date and location have not yet 

been determined, but when set, will be 

announced in the Federal Register. The 

overarching goals of this workshop are 

to foster discussion on the approaches, 

infrastructure, and resources needed to 

make progress and to identify new 

scientific opportunities by applying 

innovative tools to the field of mixtures 

research. Additionally, the workshop 

should provide opportunities for 

development of collaborations and 

foster multidisciplinary interactions 

among the mixtures scientific 

community. The workshop will bring 

together experts from multiple 

disciplines including, but not limited to, 

exposure assessment, risk assessment, 

biostatistics, toxicology, biology, 

regulatory science, and epidemiology. 

Information Requested 

DERT and the NTP request 

information on the challenges and 

potential solutions in mixtures research. 

Responses to any or all of the questions 

below are invited from interested 

individuals/groups, including, but not 

limited to, the environmental health 

research community, health 

professionals, educators, policy makers, 

industry, and the public. 

• What are the underlying scientific 

knowledge gaps for assessing the effects 

of mixtures on human health? 

• What are the scientific issues 

encountered in performing risk 

assessments of mixtures that can be 

addressed by new research? 

• What types of scientific data (e.g., 

mechanistic, epidemiological) are 

needed to address these underlying 

knowledge gaps? 

• What are the new technologies and 

innovative approaches that could be 

leveraged to address these underlying 

knowledge gaps? 

All responses to information 

requested in this RFI are optional. The 

information collected will be analyzed 

and considered for use in the further 

development of the workshop. The 

summarized data (without identifiers) 

may appear in future reports. Although 

the NIH will provide safeguards to 

prevent the release of identifying 

information, there is no guarantee of 

confidentiality. This RFI is for planning 

purposes only and shall not be 

construed as a solicitation for 

applications or as an obligation on the 

part of the Government. The 

Government will not pay for the 

preparation of any information 

submitted or for the Government’s use 

of that information. Acknowledgement 

of receipt of responses will be provided 

through the Web site (http:// 

ntp.niehs.nih.gov/go/rfimix), but 

respondents will not be notified of the 

Government’s assessment of the 

information received. No basis for 

claims against the Government shall 

arise as a result of responses to this RFI, 

or in the Government’s use of such 

information as part of its evaluation 

process. 

Dated: February 28, 2011. 

Linda S. Birnbaum, 

Director, National Institute of Environmental 

Health Sciences and National Toxicology 

Program. 

[FR Doc. 2011–5352 Filed 3–8–11; 8:45 am] 

BILLING CODE 4140–01–P 

DEPARTMENT OF HEALTH AND 

HUMAN SERVICES 

Centers for Disease Control and 

Prevention 

[30Day–11–11BH] 

Agency Forms Undergoing Paperwork 

Reduction Act Review 

The Centers for Disease Control and 

Prevention (CDC) publishes a list of 

information collection requests under 

review by the Office of Management and 

Budget (OMB) in compliance with the 

Paperwork Reduction Act (44 U.S.C. 

chapter 35). To request a copy of these 

requests, call the CDC Reports Clearance 

Officer at (404) 639–5960 or send an email to omb@cdc.gov. Send written 

comments to CDC Desk Officer, Office of 

Management and Budget, Washington, 

DC 20503 or by fax to (202) 395–5806. 

Written comments should be received 

within 30 days of this notice. 

Proposed Project 

The Division of Behavior Surveillance 

(DBS) Gulf States Population Survey— 

New—Public Health Surveillance 

Program Office (PHSPO), Office of 

Surveillance, Epidemiology, and 

Laboratory Services (OSELS), Centers 

for Disease Control and Prevention 

(CDC). 

Background and Brief Description 

On April 20, 2010, the BP Deepwater 

Horizon oil rig exploded in the Gulf of 

Mexico spilling more than 4.9 million 

barrels of oil into the Gulf. The lives and 

livelihoods of persons residing in the 

Gulf coastal communities were affected 

by this event due to loss of work, 

disruption in the fishing and tourism 

industries, and the effect on the 

physical environment in which they 

live. 

An ongoing public health concern 

following the spill is the effect on the 

mental and behavioral health of 

populations living in and around the 

Gulf region and access to the mental 

health services required to meet that 

need. 

On October 7, 2010 the Office of 

Management and Budget (OMB) granted 

emergency clearance (OMB control # 

0920–0868, expiration date April 30, 

2011) to CDC’s Public Health 

Surveillance Program Office (PHSPO), 

Division of Behavioral Surveillance 

(DBS) to conduct a survey to monitor 

the mental and behavioral health status 

of this affected population. Data 

collection for the DBS Gulf States 

Population Survey began on December 

14, 2010 and will continue monthly for 

a one-year period. No data were 

collected from October 2010 to 

December 13, 2010, because the 

sampling and data collecting contracts 

had not been awarded. 

Using the existing capacity and 

infrastructure of the Behavioral Risk 

Factor Surveillance System (BRFSS), 

DBS implemented a standalone survey 

designed to monitor mental and 

behavioral health indicators in the adult 

population in selected coastal counties 

affected by the oil spill. The survey 

includes health related questions taken 


Emcdonald on DSK2BSOYB1PROD with NOTICES
Federal Register / Vol. 76, No. 46 / Wednesday, March 9, 2011 / Notices 12965 

from the ongoing BRFSS as well as 

additional questions taken from 

standardized scales or from other 

surveys designed to measure anxiety, 

depression, and potential stressassociated physical health effects. 

The survey questionnaire was 

developed by DBS in partnership with 

the Substance Abuse and Mental Health 

Services Administration (SAMHSA) and 

state public health and mental health 

departments from Louisiana, 

Mississippi, Alabama, and Florida, 

where the survey is being conducted. 

Coastal counties within 32 miles of an 

area where fishing was closed due to the 

Deepwater Horizon Event were selected 

for inclusion. These include the 

following Gulf coast counties: 

Louisiana: Assumption Parish, 

Calcasieu Parish, Cameron Parish, 

Iberia Parish, Jefferson Parish, 

Jefferson Davis Parish, Lafourche 

Parish, Orleans Parish, Plaquemines 

Parish, St. Bernard Parish, St. Charles 

Parish, St. Mary Parish, St. Tammany 

Parish, Tangipahoa Parish, 

Terrebonne Parish, Vermilion Parish 

Mississippi: Hancock County, Harrison 

County, Jackson County 

Alabama: Baldwin County, Mobile 

County 

Florida: Escambia County, Okaloosa 

County, Santa Rosa County, Walton 

County 

Since the publication of the 60-day 

Federal Register Notice, DBS proposes 

to include the following modifications 

to the Gulf States Population Survey. 

• Addition of a Spanish translation of 

the questionnaire. 

• Minor modifications in the wording 

of some survey questions to improve 

respondent’s understanding of the 

question. 

• Extension of the sample area to the 

entirety of the four states (AL, FL, LA, 

MS), which will allow comparison of 

results from the Gulf Coast counties to 

non-Gulf Coast counties. 

• Addition of cellular phones to the 

sampling frame. Extension of the sample 

area to the entirety of the four states 

(AL, FL, LA, MS) will allow DBS to 

sample cellular phone responses in 

addition to land-line telephones. This 

will improve the survey 

representativeness because those who 

have a cellular phone, but no land-line 

telephone, have a demographic profile 

that differs from those who do have 

land-line telephones. 

The objective of the survey is to 

provide state health and mental health 

departments, SAMHSA, and other 

appropriate organizations data they 

need to assess the need for mental and 

behavioral health services in the 

selected counties and to inform the 

provision of those services. 

The telephone survey will collect data 

from a random sample of telephone 

households which include landline and 

cellular phone telephones in the 

selected counties. Approximately 2,500 

interviews will be completed each 

month in the targeted coastal areas and 

approximately 1,250 interviews will be 

completed in the comparison areas. 

Adults 18 years or older will be asked 

to take part in the survey, but only one 

adult per household will be 

interviewed. Potential respondents will 

be notified through an introductory 

script that participation is voluntary and 

they will not be compensated for 

participating. For those who agree to 

participate, interviews should last 

approximately 30 minutes. 

Since the OMB emergency clearance 

for the DBS Gulf States Population 

Survey expires April 30, 2011, DBS is 

submitting and information collection 

request (ICR) to continue data collection 

for one year. 

Preliminary data from the survey will 

be available to SAMHSA and 

participating states monthly (pending 

sample size). The final dataset and 

analyses will be provided to SAMHSA 

and participating states in January 2012. 

There is no cost to respondents other 

than their time. The total estimated 

annual burden hours are 20,000. 

ESTIMATED ANNUALIZED BURDEN HOURS

Respondents Form Group Number of respondents 

Number responses per 

respondent 

Average burden per 

pesponse 

(in hours) 

Individuals ..................................... GSPS ..................... Coastal Counties ......................... 30,000 1 30/60 

Comparison Group Counties ....... 10,000 1 30/60 

Catina Conner, 

Acting Reports Clearance Officer, Centers for 

Disease Control and Prevention. 

[FR Doc. 2011–5294 Filed 3–8–11; 8:45 am] 

BILLING CODE 4163–18–P 

DEPARTMENT OF HEALTH AND 

HUMAN SERVICES 

Centers for Medicare & Medicaid 

Services 

[Document Identifier: CMS–10232 and CMS– 

R–211] 

Agency Information Collection 

Activities: Proposed Collection; 

Comment Request 

AGENCY: Centers for Medicare & 

Medicaid Services, HHS. 

In compliance with the requirement 

of section 3506(c)(2)(A) of the 

Paperwork Reduction Act of 1995, the 

Centers for Medicare & Medicaid 

Services (CMS) is publishing the 

following summary of proposed 

collections for public comment. 

Interested persons are invited to send 

comments regarding this burden 

estimate or any other aspect of this 

collection of information, including any 

of the following subjects: (1) The 

necessity and utility of the proposed 

information collection for the proper 

performance of the agency’s functions; 

(2) the accuracy of the estimated 

burden; (3) ways to enhance the quality, 

utility, and clarity of the information to 

be collected; and (4) the use of 

automated collection techniques or 

other forms of information technology to 

minimize the information collection 

burden. 

1. Type of Information Collection 

Request: Revision of currently approved 

collection; Title of Information 

Collection: State Plan Template to 

Implement Section 6062 of the Deficit 

Reduction Act; Form No.: CMS–10232 

(OMB#: 0938–1045); Use: The Deficit 

Reduction Act (DRA) provides States 

with numerous flexibilities in operating 

their State Medicaid Programs. Section 

6062 of the DRA (Opportunity for 

families of Disabled Children to 

Purchase Medicaid Coverage for Such 

Children) provides States the 

opportunity to provide Medicaid 

benefits to disabled children who would 

otherwise be ineligible because of 

family income that is above the State’s 

highest Medicaid eligibility standards 

for children. States must establish a 

State Plan for medical assistance to 

implement this provision. To do this, 


Emcdonald on DSK2BSOYB1PROD with NOTICES