49460 Federal Register / Vol. 71, No. 163 / Wednesday, August 23, 2006 / Notices 

• Mail: Jennifer J. Johnson, Secretary, 

Board of Governors of the Federal 

Reserve System, 20th Street and 

Constitution Avenue, N.W., 

Washington, DC 20551. 

All public comments are available 

from the Board’s web site at 

www.federalreserve.gov/generalinfo/ 

foia/ProposedRegs.cfm as submitted, 

unless modified for technical reasons. 

Accordingly, your comments will not be 

edited to remove any identifying or 

contact information. Public comments 

may also be viewed electronically or in 

paper in Room MP–500 of the Board’s 

Martin Building (20th and C Streets, 

N.W.) between 9:00 a.m. and 5:00 p.m. 

on weekdays. 

Additionally, commenters should 

send a copy of their comments to the 

Desk Officer for the agencies by mail to 

U.S. Office of Management and Budget, 

725 17th Street N.W., #10235, 

Washington, DC 20503 or by fax to 202–

395–6974. 

FOR FURTHER INFORMATION CONTACT: 

Additional information or a copy of the 

collection may be requested from 

Michelle Long, Federal Reserve Board 

Clearance Officer, 202–452–3829, 

Division of Research and Statistics, 

Board of Governors of the Federal 

Reserve System, 20th and C Streets, 

N.W., Washington, DC 20551. 

Telecommunications Device for the Deaf 

(TDD) users may call 202–263–4869, 

Board of Governors of the Federal 

Reserve System, 20th and C Streets, 

N.W., Washington, DC 20551. 

Proposal to request approval from OMB 

of the extension for three years, without 

revision, of the following currently 

approved collection of information: 

Report Title: Country Exposure Report 

for U.S. Branches and Agencies of 

Foreign Banks 

Form Number: FFIEC 019 

OMB Number: 7100–0213 

Frequency of Response: Quarterly 

Affected Public: U.S. branches and 

agencies of foreign banks 

Estimated Number of Respondents: 

162 

Estimated Average Time per 

Response: 10 hours 

Estimated Total Annual Burden: 

6,480 hours 

General Description of Reports: This 

information collection is mandatory: 12 

U.S.C. 3906 for all agencies; 12 U.S.C. 

3105 and 3108 for the Board; sections 7 

and 10 of the Federal Deposit Insurance 

Act (12 U.S.C. 1817, 1820) for the FDIC; 

and the National Bank Act (12 U.S.C. 

161) for the OCC. The FFIEC 019 

information collection is given 

confidential treatment under the 

Freedom of Information Act (5 U.S.C. 

552(b)(8)). 

Abstract: All individual U.S. branches 

and agencies of foreign banks that have 

more than $30 million in direct claims 

on residents of foreign countries must 

file the FFIEC 019 report quarterly. 

Currently, all respondents report 

adjusted exposure amounts to residents 

of their home country, regardless of 

amount, and to residents of the five 

other countries for which their adjusted 

exposure amounts are largest, provided 

these amounts are at least $20 million. 

The agencies collect these data to 

monitor the extent to which such 

branches and agencies are pursuing 

prudent country risk diversification 

policies and limiting potential liquidity 

pressures. No changes are proposed to 

the FFIEC 019 reporting form or 

instructions. 

Request for Comment 

Comments are invited on: 

a. Whether the information collection 

is necessary for the proper performance 

of the agencies’ functions, including 

whether the information has practical 

utility; 

b. The accuracy of the agencies’

estimate of the burden of the 

information collection, including the 

validity of the methodology and 

assumptions used; 

c. Ways to enhance the quality, 

utility, and clarity of the information to 

be collected; 

d. Ways to minimize the burden of the 

information collection on respondents, 

including through the use of automated 

collection techniques or other forms of 

information technology; and 

e. Estimates of capital or start up costs 

and costs of operation, maintenance, 

and purchase of services to provide 

information. 

Comments submitted in response to 

this notice will be shared among the 

agencies. All comments will become a 

matter of public record. Written 

comments should address the accuracy 

of the burden estimate and ways to 

minimize burden including the use of 

automated collection techniques or the 

use of other forms of information 

technology as well as other relevant 

aspects of the information collection 

request. 

Board of Governors of the Federal Reserve 

System, August 18, 2006. 

Robert deV. Frierson, 

Deputy Secretary of the Board. 

[FR Doc. E6–13939 Filed 8–22–06; 8:45 am] 

BILLING CODE 6210–01–S 

FEDERAL RESERVE SYSTEM 

Change in Bank Control Notices; 

Acquisition of Shares of Bank or Bank 

Holding Companies 

The notificants listed below have 

applied under the Change in Bank 

Control Act (12 U.S.C. 1817(j)) and 

§ 225.41 of the Board’s Regulation Y (12 

CFR 225.41) to acquire a bank or bank 

holding company. The factors that are 

considered in acting on the notices are 

set forth in paragraph 7 of the Act (12 

U.S.C. 1817(j)(7)). 

The notices are available for 

immediate inspection at the Federal 

Reserve Bank indicated. The notices 

also will be available for inspection at 

the office of the Board of Governors. 

Interested persons may express their 

views in writing to the Reserve Bank 

indicated for that notice or to the offices 

of the Board of Governors. Comments 

must be received not later than 

September 7, 2006. 

A. Federal Reserve Bank of Kansas 

City (Donna J. Ward, Assistant Vice 

President) 925 Grand Avenue, Kansas 

City, Missouri 64198-0001: 

1. Helen D. Roberts Trust for Bruce 

Lauritzen, and by Elizabeth D. 

Lauritzen, as individual trustee, to 

acquire control of Cypress Corporation, 

all of Omaha, Nebraska, and thereby 

indirectly acquire voting shares of 

Sibley State Bank, Sibley, Iowa. 

Board of Governors of the Federal Reserve 

System, August 18, 2006. 

Robert deV. Frierson, 

Deputy Secretary of the Board. 

[FR Doc. E6–13972 Filed 8–22–06; 8:45 am] 

BILLING CODE 6210–01–S 

DEPARTMENT OF HEALTH AND 

HUMAN SERVICES 

Centers for Medicare & Medicaid 

Services 

[CMS–5035–N] 

Medicare Program; Senior Risk 

Reduction Demonstration 

AGENCY: Centers for Medicare & 

Medicaid Services (CMS), HHS. 

ACTION: Notice. 

SUMMARY: This notice informs interested 

parties of an opportunity to apply to 

participate in a risk reduction/health 

management demonstration project. 

This notice also contains information on 

how to obtain the complete solicitation 

and supporting information. 

DATES: Applications will be considered 

timely if we receive them on or before 

November 21, 2006. 


sroberts on PROD1PC70 with NOTICES
Federal Register / Vol. 71, No. 163 / Wednesday, August 23, 2006 / Notices 49461 

ADDRESSES: Mail applications for the 

Senior Risk Reduction Demonstration 

to—Centers for Medicare & Medicaid 

Services, 7500 Security Boulevard, 

Baltimore, Maryland 21244–1850. 

Medicare Demonstrations Program 

Group, Mail stop S3–02–01, Attention: 

Pauline Lapin. 

FOR FURTHER INFORMATION CONTACT: 

Pauline Lapin, (410) 786–6883 or 

Sidney Trieger, (410) 786–6613. 

SUPPLEMENTARY INFORMATION:

I. Background 

The aging of the population, the 

prevalence of chronic disease, and the 

rapidly rising cost of health care in the 

United States provides a sense of 

urgency and immediacy for finding 

innovative solutions that would 

improve the health and well-being of 

seniors and prevent or delay debilitating 

and costly disease onset. 

Recent research suggests that wellstructured risk reduction programs can 

achieve significant improvements in a 

population’s health risk profile. 

Successful programs are founded on 

solid behavior change theory, use 

tailored interventions, are personalized 

and sufficiently intensive, and are 

delivered with adequate social supports. 

In 2001, CMS commissioned RAND, and 

RAND prepared, a report on risk 

reduction programs entitled, ‘‘The 

Evidence Report and Evidence Based 

Recommendations: Health Risk 

Appraisals and Medicare.’’ This report 

concluded that effective risk reduction 

programs, beginning with the 

administration of a Health Risk 

Appraisal (HRA) and including 

evidence-based and tailored behavior 

change through follow-up interventions, 

exert a beneficial effect on behavioral, 

physiological, and general health status 

outcomes. Other supportive studies 

have shown that multicomponent health 

promotion programs that engage 

participants in self-care activities and 

increase their involvement in health 

care decision-making can achieve longterm behavior changes and health risk 

reductions in large populations. 

Also, evidence is mounting that 

successful risk reduction programs may 

produce a positive return on 

investment. Based on this evidence, the 

RAND report concluded that health 

promotion and disease prevention 

programs using HRAs and ongoing 

tailored interventions may be cost 

beneficial. Experts agree that the 

approach used in risk reduction 

programs is promising for Medicare 

beneficiaries and should be tested in a 

demonstration project. 

II. Provisions of the Notice 

The purpose of the notice is to inform 

interested parties of an opportunity to 

implement a risk reduction/health 

management program as part of the 

Medicare Senior Risk Reduction 

Demonstration. The goal of this 

demonstration project is to determine 

whether risk reduction programs (also 

referred to as health promotion, health 

management, demand management, and 

disease prevention programs) that have 

been developed and tested in the private 

sector can also be tailored to, and work 

well with, Medicare beneficiaries to 

improve their health and reduce 

avoidable health care utilization. The 

specific aims are to—

• Determine whether a senior risk 

reduction service provided by Medicare 

will—

—Be viewed positively by beneficiaries. 

—Be accepted by beneficiaries. 

—Achieve high participation rates. 

—Reduce health risk factors, improve 

health behaviors, improve 

functioning, and prevent disability. 

• Produce cost savings for the 

Medicare program. 

Applicants must be willing to accept 

a 10 percent withhold of their fee each 

year, and as much as a 15 percent 

withhold over the course of the 

demonstration should Medicare 

expenditures for the intervention group 

exceed those of the control group by 

more than 5 percent after the first 18 

months of the demonstration. 

We intend to use a competitive 

application process to select up to five 

existing health promotion, disease 

prevention, health management, or risk 

reduction organizations to participate in 

the demonstration project. Interested 

parties can obtain complete solicitation 

and supporting information on the CMS 

Web site at http://www.cms.hhs.gov/ 

DemoProjectsEvalRpts/downloads/ 

Senior_Risk_Reduction_Solicitation.pdf. 

We anticipate that we will make final 

award decisions by April 1, 2007, and 

that project implementation activities 

would begin July 1, 2007. 

III. Collection of Information 

Requirements 

The document does impose 

information collection and 

recordkeeping requirements. However, 

since we believe there are less than 10 

potential respondents, of which CMS 

will be selecting 5 applicants to 

participate in the demonstration, this 

collection is exempt from the PRA as 

stipulated under 5 CFR 1320.3(c)(4). 

Authority: Section 402(a)(1)(B) of the 

Social Security Amendments of 1967, Pub. L. 

No. 90–248, as amended, 42 U.S.C. 1395b–

1(a)(1)(B) and (a)(2). 

(Catalog of Federal Domestic Assistance No. 

93.773 Medicare—Hospital Insurance 

Program; and No. 93.774, Medicare—

Supplementary Medical Insurance Program). 

Dated: July 20, 2006. 

Mark B. McClellan, 

Administrator, Centers for Medicaid & 

Medicare Services. 

[FR Doc. 06–7120 Filed 8–21–06; 4:00 pm] 

BILLING CODE 4120–01–M 

DEPARTMENT OF HEALTH AND 

HUMAN SERVICES 

National Institutes of Health 

Fogarty International Center; Notice of 

Meeting 

Pursuant to section 10(d) of the 

Federal Advisory Committee Act, as 

amended (5 U.S.C. Appendix 2), notice 

is hereby given of a meeting of the 

Fogarty International Center Advisory 

Board. 

The meeting will be open to the 

public as indicated below, with 

attendance limited to space available. 

Individuals who plan to attend and 

need special assistance, such as sign 

language interpretation or other 

reasonable accommodations, should 

notify the Contact Person listed below 

in advance of the meeting. 

The meeting will be closed to the 

public in accordance with the 

provisions set forth in section 

552b(c)(9)(B), Title 5 U.S.C., as 

amended. The grant applications and/or 

contract proposals and the discussions 

could disclose confidential trade secrets 

or commercial property such as 

patentable material, and personal 

information concerning individuals 

associated with the grant applications 

and/or contract proposals, the 

disclosure of which could constitute a 

clearly unwarranted invasion of 

personal privacy. 

Name of Committee: Fogarty International 

Center Advisory Board. 

Date: September 11–12, 2006. 

Closed: September 11, 2006, 1 p.m. to 5 

p.m. 

Agenda: To review and evaluate grant 

applications and/or proposals. 

Place: National Institutes of Health, 

Lawton Chiles International House, Bethesda, 

MD 20892. 

Open: September 12, 2006, 8:30 a.m. to 5 

p.m. 

Agenda: Preliminary Discussions of the 

Strategic Planning for the Fogarty 

International Center. 

Place: National Institutes of Health, 

Lawton Chiles International House, Bethesda, 

MD 20892. 


sroberts on PROD1PC70 with NOTICES