61258 Federal Register / Vol. 69, No. 199 / Friday, October 15, 2004 / Notices 

Use: The Phone Surveys of Product/

Service for Medicare Payment 

Validation will be used to identify 

specific products/services provided to 

Medicare beneficiaries and the costs 

associated with the provision of those 

products/services. The information 

collected will be used to validate the 

Medicare payment amounts for those 

products/services and institute revisions 

of payment amounts where necessary. 

The respondents will be the companies 

that have provided the product/service 

under review to Medicare beneficiaries.; 

Frequency: On occasion; Affected 

Public: Business or other for-profit; 

Number of Respondents: 2,000; Total 

Annual Responses: 2,000; Total Annual 

Hours: 16,000. 

3. Type of Information Collection 

Request: Extension of a currently 

approved collection; Title of 

Information Collection: Assessing the 

Division of Beneficiary Inquiry 

Customer Service’s Performance for 

Written Responses; Form No.: CMS–

10068 (OMB# 0938–0894); Use: The 

Division of Beneficiary Inquiry 

Customer Service (DBICS) will collect 

information several times during FY 

’04–’05 to assess the customer service 

provided via written responses. DBICS 

will conduct the written survey through 

mailings that will accompany actual 

responses. The envelopes will be sent 

by Release Clerks so that the actual 

writer has no knowledge that a 

particular response is being rated.; 

Frequency: Quarterly; Affected Public:

Individuals or households; Number of 

Respondents: 2,872; Total Annual 

Responses: 2,872; Total Annual Hours:

287. 

To obtain copies of the supporting 

statement and any related forms for the 

proposed paperwork collections 

referenced above, access CMS’ Web Site 

address at http://www.cms.hhs.gov/

regulations/pra/, or E-mail your request, 

including your address, phone number, 

OMB number, and CMS document 

identifier, to Paperwork@cms.hhs.gov, 

or call the Reports Clearance Office on 

(410) 786–1326. 

Written comments and 

recommendations for the proposed 

information collections must be mailed 

within 60 days of this notice directly to 

the CMS Paperwork Clearance Officer 

designated at the following address: 

CMS, Office of Strategic Operations and 

Regulatory Affairs, Division of 

Regulations Development and 

Issuances, Attention: Melissa Musotto, 

Room C5–14–03, 7500 Security 

Boulevard, Baltimore, Maryland 21244–

1850.

Dated: October 7, 2004. 

John P. Burke, III, 

Paperwork Reduction Act Team Leader, 

Office of Strategic Operations and Strategic 

Affairs, Division of Regulations Development 

and Issuances.

[FR Doc. 04–23123 Filed 10–14–04; 8:45 am] 

BILLING CODE 4120–03–P

DEPARTMENT OF HEALTH AND 

HUMAN SERVICES 

Health Resources and Services 

Administration 

Technical and Non-Financial 

Assistance to Health Centers: 

Perinatal/Patient Safety Pilot Health 

Disparities Collaborative Cooperative 

Agreement Announcement of Single 

Source Award

AGENCY: Health Resources and Services 

Administration, HHS.

ACTION: Announcement of Single Source 

Award. 

SUMMARY: The Health Resources and 

Services Administration (HRSA) 

announces the award of a single source 

cooperative agreement for $1,700,000 to 

the Institute for Health Care 

Improvement. This award is for an 18 

month project period beginning 

September 1, 2004. The purpose of this 

cooperative agreement is to pilot a 

Perinatal/Patient Safety Health 

Disparities Collaborative for health 

centers funded under section 330 of the 

Public Health Service (PHS) Act. 

Background: The Institute for Health 

Care Improvement (IHI) is uniquely 

qualified. IHI is a private, non-profit 

organization leading the improvement 

of health care throughout the world. IHI 

is a catalyst for change, cultivating 

innovative concepts for improving 

patient care and implementing programs 

for putting those ideas into action. It is 

recognized as a leading force in the 

challenge to improve health status, 

clinical outcomes, access to high quality 

acceptable care, patient satisfaction and 

cost effectiveness in the health care 

arena. They have achieved this high 

level of standing among health 

professionals by developing and 

teaching the Breakthrough Series to 

leaders interested in improving the 

quality of medical care. The 

Breakthrough Series methodology 

facilitates rapid implementation of 

successful care models in many area of 

health care delivery. 

Given the mission of IHI, its 

recognized leadership position in 

implementing improvements in health 

care delivery systems, and its 

experience in working with thousands 

of health care providers, including 

health centers, HRSA believes that IHI 

is uniquely qualified and essential to 

assist the Agency in launching the pilot 

Perinatal/Patient Safety Health 

Disparities Collaborative in FY 2004.

FOR FURTHER INFORMATION CONTACT:

Additional information may be obtained 

from Ada Determan, HRSA/Bureau of 

Primary Health Care, 4350 East West 

Highway, 8th Floor, Bethesda, Maryland 

20814; telephone: (301) 594–4358; fax: 

(301) 594–4081; e-mail: 

Adeterman@hrsa.gov.

Dated: October 8, 2004. 

Elizabeth M. Duke, 

Administrator.

[FR Doc. 04–23184 Filed 10–14–04; 8:45 am] 

BILLING CODE 4165–15–P

DEPARTMENT OF HEALTH AND 

HUMAN SERVICES 

Health Resources and Services 

Administration 

Notice of Senior Executive Service 

Performance Review Board 

Membership 

The Health Resources and Services 

Administration (HRSA) announces the 

appointment of members to the HRSA 

Senior Executive Service (SES) 

Performance Review Board (PRB). This 

action is being taken in accordance with 

Title 5, U.S.C. 4314(c)(4), which 

requires notice of the appointment of 

members of performance review boards 

to be published in the Federal Register. 

The function of the PRB is to ensure 

consistency, stability and objectivity in 

SES performance appraisals, and to 

make recommendations to the 

Administrator, HRSA, relating to the 

performance of senior executives in the 

Agency. 

The following persons will serve on 

the HRSA SES Performance Review 

Board: Dennis P. Williams, Catherine A. 

Flickinger, Denise H. Geolot, Neil 

Sampson, Merle G. McPherson, Samuel 

Shekar, Stephen R. Smith, Marcia K. 

Brand, Kerry Nesseler, Katherine M. 

Marconi, Peter C. van Dyck, Deborah 

Parham, Mary J. Horner, J. Henry 

Montes, Steven A. Pelovitz, Douglas 

Morgan, James Macrae, A. Michelle 

Snyder, Patricia L. Mackey, Jon L. 

Nelson, and Kay Templeton Garvey. 

For further information about the 

HRSA Performance Review Board, 

contact Ms. Wendy Ponton, HRSA 

Office of Administration and Financial 

Management, 5600 Fishers Lane, Room 

14A20, Rockville, Maryland 20857.