Federal Register / Vol. 76, No. 75 / Tuesday, April 19, 2011 / Notices 21907 

burden of the collection of information 

on respondents, including through the 

use of automated collection techniques 

or other forms of information 

technology. Written comments should 

be received within 60 days of this 

notice. 

Proposed Project 

Dynamic Decision Making in Mine 

Emergency Situations—Existing 

Collection in use without an OMB 

control number—National Institute for 

Occupational Safety and Health 

(NIOSH), Centers for Disease Control 

and Prevention (CDC). 

Background and Brief Description 

Mining is a context filled with tragic 

outcomes, as thousands of miners die in 

mining accidents each year throughout 

the world. In the process of examining 

workers’ responses in emergency 

situations in mines, researchers at the 

NIOSH-Pittsburgh Research Laboratory 

(PRL) have found that one of the key 

human behavior processes that need to 

be better understood to better handle 

emergency situations is Decision 

Making (Vaught, Brnich, & Mallett, 

2004). Decision Making, the process by 

which alternatives are constructed and 

a choice is made, continues to be one of 

the critically understudied aspects of 

mine emergencies. For example, The 

Mine Safety Technology and Training 

(MSTT) Commission suggests that 

escape/rescue decision-making is one of 

the most critical skill/knowledge gaps 

identified in mining (MSTTC, 2006). 

Their report strongly supports the need 

for additional training in decisionmaking during emergency situations to 

improve the ability of miners to escape 

(or be rescued). 

The research proposed here will help 

address this gap by integrating the 

theoretical knowledge of human 

decision making in dynamic situations 

with the practical aspects of training 

miners. The research will result in the 

improved science of decision making 

and practical guidelines and tools that 

demonstrate how to best train decision 

making in the unique conditions of 

accidents when under workload, 

uncertainty, and time constraints. 

A simple Decision Making Game 

(DMGame) will be used in a laboratory 

study to investigate choice strategies 

based on the dynamic development of 

cues. Through a contract with the 

Centers for Disease Control and 

Prevention (Contract #200–2009– 

31403), the Dynamic Decision Making 

Laboratory at Carnegie Mellon 

University will investigate several 

independent variables relevant to 

Instance-Based Learning Theory, 

including: The diversity of instances, 

the number of instances (base rates) 

needed to improve accuracy in the 

triage process, and the effects of time 

constraints and workload on the 

effectiveness of triage. The 

manipulation of these independent 

variables will reveal training scenarios 

and conditions that are more effective 

during learning and at transfer. 

Knowledge acquired during training 

will be tested in transfer conditions. The 

transfer conditions will vary depending 

on the participants used in the 

experiment. New guidelines for training 

for unexpected situations will be 

developed from the results of the 

laboratory experiment. The results and 

guidelines will be published in journal 

research papers and presented in 

international conferences and meeting. 

The Dynamic Decision Making 

Laboratory conducted this research with 

a total of 28 students from Carnegie 

Mellon University and the University of 

Pittsburgh between January 2010 and 

December 2010. Participants were 

recruited through an online research 

participant pool from Carnegie Mellon 

University and the University of 

Pittsburgh to participate in a simple 

DMGame, called the ‘‘Work Hazard 

Game.’’ Participants were asked to read 

and sign a consent form. After signing 

the form, participants were provided 

with instructions on how to play the 

game. They then completed the Work 

Hazard Game. Overall, participation 

lasted about 30 minutes. The game 

recorded participants’ actions and the 

data was transferred to statistical 

software (i.e., SPSS) for analysis. 

Participants were not asked to identify 

which school they were affiliated with. 

There were no costs to respondents 

other than their time. 

ESTIMATED ANNUALIZED BURDEN HOURS

Respondents/form name Number of 

respondents 

Number of 

responses per 

respondent 

Average burden 

response 

(in hours) 

Total burden 

(in hours) 

Student ..................................................................................... 28 1 30/60 14 

Total .................................................................................. .............................. .............................. .............................. 14 

Daniel Holcomb, 

Reports Clearance Officer, Centers for Disease 

Control and Prevention. 

[FR Doc. 2011–9419 Filed 4–18–11; 8:45 am] 

BILLING CODE 4163–18–P 

DEPARTMENT OF HEALTH AND 

HUMAN SERVICES 

Centers for Disease Control and 

Prevention 

[Docket No. CDC–2011–0002] 

Draft Action Plan—A Public Health 

Action Plan To Combat Antimicrobial 

Resistance 

AGENCY: Centers for Disease Control and 

Prevention (CDC), Department of Health 

and Human Services (DHHS). 

ACTION: Extension of public comment 

period. 

SUMMARY: On March 16, 2011, the 

Centers for Disease Control and 

Prevention (CDC), located within the 

Department of Health and Human 

Services (HHS) published a notice in the 

Federal Register requesting public 

comment on the draft, A Public Health 

Action Plan to Combat Antimicrobial 

Resistance (76 FR 14402). Written and 

electronic comments were to be 

received on or before April 15, 2011. 

CDC/HHS received requests asking for a 

60-day extension of the comment 

period. In consideration of those 

requests, HHS/CDC is extending the 

comment period by 60 days to June 14, 

2011. 

DATES: Written or electronic comments 

must be received on or before June 14, 

mstockstill on DSKH9S0YB1PROD with NOTICES

21908 Federal Register / Vol. 76, No. 75 / Tuesday, April 19, 2011 / Notices 

2011. Please refer to SUPPLEMENTARY

INFORMATION for additional information. 

ADDRESSES: Written comments may be 

submitted to the following address: 

Centers for Disease Control and 

Prevention, National Center for 

Emerging and Zoonotic Infectious 

Diseases, Division of Healthcare Quality 

Promotion, Office of Antimicrobial 

Resistance, Attn: Antimicrobial 

Resistance Action Plan, Docket No. 

CDC–2011–0002, 1600 Clifton Rd., NE., 

Mailstop A–07, Atlanta, Georgia 30333. 

You may also submit written 

comments electronically to: http:// 

www.regulations.gov. All comments 

received will be posted publicly without 

change, including any personal or 

proprietary information provided. To 

download an electronic version of the 

plan, access http://www.regulations.gov. 

Written comments, identified by 

Docket No. CDC–2011–0002 will be 

available for public inspection Monday 

through Friday, except for legal 

holidays, from 9 a.m. until 5 p.m., 

Eastern Daylight Time, at 1600 Clifton 

Road, NE., Atlanta, Georgia 30333. 

Please call ahead to (404) 639–4000 and 

ask for a representative from the Office 

of Antimicrobial Resistance to schedule 

your visit. Comments may also be 

viewed at http://www.regulations.gov. 

FOR FURTHER INFORMATION CONTACT: 

Rachel Wolf, Centers for Disease Control 

and Prevention, National Center for 

Emerging and Zoonotic Infectious 

Diseases, Division of Healthcare Quality 

Promotion, Office of Antimicrobial 

Resistance; 1600 Clifton Road, NE., 

Mailstop A–07, Atlanta, Georgia 30333. 

(404) 639–4000. 

SUPPLEMENTARY INFORMATION: The HHS 

Interagency Task Force on 

Antimicrobial Resistance (hereafter 

referred to as the Task Force) was 

created in 1999 to coordinate the 

activities of Federal agencies in 

addressing antimicrobial resistance (AR) 

in recognition of the increasing 

importance of AR as a public health 

threat. The Task Force is co-chaired by 

the Centers for Disease Control and 

Prevention (CDC), the Food and Drug 

Administration (FDA), and the National 

Institutes of Health (NIH). The Task 

Force also includes the Agency for 

Healthcare Research and Quality 

(AHRQ), the Centers for Medicare and 

Medicaid Services (CMS), the Health 

Resources and Services Administration 

(HRSA), the HHS Office of the Assistant 

Secretary for Preparedness and 

Response (HHS/ASPR), the Department 

of Agriculture (USDA), the Department 

of Defense (DoD), the Department of 

Veterans Affairs (VA), and the 

Environmental Protection Agency 

(EPA). 

In 2001, the Task Force developed an 

initial Action Plan, outlining specific 

issues, goals, and actions important for 

addressing the problem of AR. This 

document, entitled, A Public Health 

Action Plan to Combat Antimicrobial 

Resistance, Part I: Domestic Issues, 

reflected a broad-based consensus of 

participating Federal agencies, which 

was reached with individual input from 

state and local health agencies, 

universities, professional societies, 

pharmaceutical companies, healthcare 

delivery organizations, agricultural 

producers, consumer groups, and other 

members of the public. Continued 

collaboration with these partners has 

been vital to achieving successful 

implementation of the Action Plan. 

This draft document, A Public Health 

Action Plan to Combat Antimicrobial 

Resistance, is a revision of the 2001 

interagency action plan. The revised 

Action Plan provides an updated 

blueprint for specific, coordinated 

Federal action to address emerging 

threats in AR. The document covers a 

broad spectrum of AR issues, addressing 

resistance in a wide range of pathogens 

(bacteria, viruses, fungi, and parasites) 

and settings (human medicine, 

veterinary medicine, agriculture, animal 

production, and others). 

The Action Plan includes action items 

organized into four focus areas: 

Surveillance, Prevention and Control, 

Research, and Product Development. 

The Action Plan contains specific action 

items, projects, and implementation 

steps. Wherever possible, action items 

are populated with specific projects or 

implementation steps to provide greater 

specificity for planned Federal 

activities. The action items, projects, 

and implementation steps do not 

represent an exhaustive list of activities. 

HHS/CDC has posted the original 

notice and all related materials on 

http://www.regulations.gov. 

Dated: April 13, 2011. 

John Murphy, 

Business Operation Manager, Centers for 

Disease Control and Prevention. 

[FR Doc. 2011–9418 Filed 4–18–11; 8:45 am] 

BILLING CODE 4163–18–P 

DEPARTMENT OF HEALTH AND 

HUMAN SERVICES 

Centers for Medicare & Medicaid 

Services 

Statement of Organization, Functions, 

and Delegations of Authority 

Part F of the Statement of 

Organization, Functions, and 

Delegations of Authority for the 

Department of Health and Human 

Services, Centers for Medicare & 

Medicaid Services (CMS) (last amended 

at 75 FR 14176–14178, dated March 24, 

2010), is amended to reflect the 

abolishment of the Office of External 

Affairs and Beneficiary Services and the 

establishment of the Office of Public 

Engagement and the Office of 

Communications. 

The specific amendments to part F are 

described below: 

(1) Under Part F, CMS, Office of the 

Administrator, FC. 10 Organizations, 

delete the Office of External Affairs and 

Beneficiary Services (FCB) and insert 

the following Office of Public 

Engagement (FCS) and the Office of 

Communications (FCT) after the Chief 

Operating Officer. 

(2) Under Part F, CMS, FC. 20 

Functions, delete the description of the 

Office of External Affairs and 

Beneficiary Services (FCB) and insert 

the following descriptions of the Office 

of Public Engagement (FCS) and the 

Office of Communications (FCT): 

Office of Public Engagement (FCS) 

• Serves as CMS’ focal point for 

outreach to beneficiaries and partners, 

provides leadership for CMS in the 

areas of Medicare Ombudsman 

activities, partnerships with providers 

and stakeholders, and tribal affairs. 

Advises the Administrator and other 

CMS components in all activities related 

to these functions and on matters that 

affect other units and levels of 

government. 

• Formulates and implements a 

customer service plan that serves as a 

roadmap for the effective treatment and 

advocacy of customers and the quality 

of information provided to them. 

• Coordinates a State and local 

program of counseling assistance for 

people with Medicare and their families 

through the administration of grants to 

State Health Insurance Assistance 

Program (SHIP), implementation of 

continuous quality improvement 

activities, ongoing performance 

measurement, and regular 

communication with SHIP grantees. 

• Contributes to the formulation of 

policies, programs, and systems as well 

mstockstill on DSKH9S0YB1PROD with NOTICES