Federal Register / Vol. 72, No. 88 / Tuesday, May 8, 2007 / Notices 26117 

Proposal to approve under OMB 

delegated authority the extension for 

three years, without revision, of the 

following reports: 

1. Report title: Report of Selected 

Balance Sheet Items for Discount 

Window Borrowers 

Agency form number: FR 2046 

OMB control number: 7100–0289 

Frequency: On occasion 

Reporters: Depository institutions 

Annual reporting hours: 894 

Estimated average hours per response: 

Primary and Secondary Credit, 0.75 

hour; Seasonal Credit, 0.25 hour 

Number of respondents: 171 

General description of report: This 

information collection is required to 

obtain or retain a benefit pursuant to 

section 10B of the Federal Reserve Act 

[12 U.S.C. § 347b] and is given 

confidential treatment [5 U.S.C. §

552(b)(4)]. 

Abstract: The Federal Reserve(s 

Regulation A, Extensions of Credit by 

Federal Reserve Banks, requires that the 

Federal Reserve review balance sheet 

data in determining whether to extend 

credit and to help ascertain whether 

undue use is made of such credit. 

Borrowers report certain balance sheet 

data for a period that encompasses the 

dates of borrowing. There are no 

proposed changes to the FR 2046; 

however, the Federal Reserve is 

clarifying the instructions. 

2. Report title: Request for Extension 

of Time to Dispose of Assets Acquired 

in Satisfaction of Debts Previously 

Contracted 

Agency form number: FR 4006 

OMB control number: 7100–0129 

Frequency: Annual 

Reporters: Bank holding companies 

Annual reporting hours: 180 hours 

Estimated average hours per response: 

5 hours 

Number of respondents: 36 

General description of report: This 

information collection is required to 

obtain a benefit pursuant to section 

4(c)(2) of the Bank Holding Company 

Act [12 U.S.C. § 1843(c)(2)] and may be 

given confidential treatment upon 

request. The Federal Reserve has 

established a procedure for requesting 

an extension in its Regulation Y [12 

C.F.R. § 225.22(d)(1)(ii)]. 

Abstract: A bank holding company 

that acquired voting securities or assets 

through foreclosure in the ordinary 

course of collecting a debt previously 

contracted may not retain ownership of 

those shares or assets for more than two 

years without prior Federal Reserve 

approval. There is no formal reporting 

form, and each request for extension 

must be filed at the appropriate Reserve 

Bank of the bank holding company. The 

Federal Reserve uses the information 

provided in the request to fulfill its 

statutory obligation to supervise bank 

holding companies. 

Board of Governors of the Federal Reserve 

System, May 3, 2007. 

Robert deV. Frierson, 

Deputy Secretary of the Board. 

[FR Doc. E7–8753 Filed 5–7–07; 8:45 am] 

BILLING CODE 6210–01–S 

FEDERAL RESERVE SYSTEM 

Government in the Sunshine; Meeting 

Notice 

AGENCY HOLDING THE MEETING: Board of 

Governors of the Federal Reserve 

System. 

FEDERAL REGISTER CITATION OF PREVIOUS

ANNOUNCEMENT: 72 FR 24311, May 2, 

2007. 

PREVIOUSLY ANNOUNCED TIME AND DATE OF

THE MEETING: 12 p.m. Monday, May 7, 

2007. 

CHANGES IN THE MEETING: Change in the 

time of the closed meeting to 10 a.m., 

Monday, May 7, 2007. 

FOR MORE INFORMATION PLEASE CONTACT: 

Michelle Smith, Director, or Dave 

Skidmore, Assistant to the Board, Office 

of Board Members at 202–452–2955. 

SUPPLEMENTARY INFORMATION: You may 

call 202–452–3206 beginning at 

approximately 5 p.m. two business days 

before the meeting for a recorded 

announcement of bank and bank 

holding company applications 

scheduled for the meeting; or you may 

contact the Board’s Web site at http:// 

www.federalreserve.gov for an electronic 

announcement that not only lists 

applications, but also indicates 

procedural and other information about 

the meeting. 

Dated: May 4, 2007. 

Robert deV. Frierson, 

Deputy Secretary of the Board. 

[FR Doc. 07–2301 Filed 5–4–07; 2:20 pm] 

BILLING CODE 6210–01–P 

DEPARTMENT OF HEALTH AND 

HUMAN SERVICES 

Agency for Healthcare Research and 

Quality 

Agency Information Collection 

Activities; Proposed Collection; 

Comment Request 

AGENCY: Agency for Healthcare Research 

and Quality, Department of Health and 

Human Services. 

ACTION: Notice 

SUMMARY: This notice announces the 

intention of the Agency for Healthcare 

Research and Quality (AHRQ) to request 

that the Office of Management and 

Budget (OMB) allow the proposed 

information collection project: 

‘‘Chartering Value Exchanges for Valuedriven Health Care.’’ The information 

collection will take the form of narrative 

responses to semiannual Requests for 

Proposals for participation in a learning 

network of model multi-stakeholder 

community health care collaboratives 

operated to measure, report, and 

improve the quality and cost of 

available healthcare. In accordance with 

the Paperwork Reduction Act of 1995, 

Public Law 104–13 (44 U.S.C. 

3506(c)(2)(A)), AHRQ invites the public 

to comment on this proposed 

information collection. 

DATES: Comments on this notice must be 

received by July 9, 2007. 

ADDRESSES: Written comments should 

be submitted to: Doris Lefkowitz, 

Reports Clearance Officer, AHRQ, 540 

Gaither Road, Room # 5036, Rockville, 

MD 20850. 

Copies of the proposed collection 

plans, application form, and specific 

details on the estimated burden can be 

obtained from AHRQ’s Reports 

Clearance Officer. 

FOR FURTHER INFORMATION CONTACT: 

Doris Lefkowitz, AHRQ, Reports 

Clearance Officer, (301) 427–1477. 

SUPPLEMENTARY INFORMATION: 

Proposed Project 

‘‘Chartering Value Exchanges for Valuedriven Healthcare’’

This project proposes to twice 

annually post a public call for parties 

interested in becoming chartered as 

Value Exchanges for Value-driven 

Healthcare, described in the Background 

Section below. Anticipated benefits of 

being a chartered Value Exchange 

include (1) participation in an AHRQmanaged Learning Network and (2) 

eligibility to request Medicare-inclusive 

multi-payer patient de-identified 

individual physician-level performance 

measurement results. 

Background 

The Secretary of Health and Human 

Services has created and is 

implementing a Value-driven 

Healthcare Initiative to enhance person 

and population-centered care by 

improving the quality of healthcare 

services and reducing healthcare costs. 

Related HHS goals and objectives reflect 

the President’s Executive Order and 

encompass (1) promotion of the 


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26118 Federal Register / Vol. 72, No. 88 / Tuesday, May 8, 2007 / Notices 

establishment of health information 

technology interoperability standards 

for exchanging price and quality 

healthcare data; (2) promotion of the 

availability and use of transparent, 

nationally endorsed, consensus-derived 

quality measures; (3) promotion of the 

availability and use of transparent, 

nationally endorsed, consensus-derived 

measures of price/cost; and, (4) 

promotion of the use of provider and 

consumer incentives for high quality 

and cost efficient healthcare. 

This Initiative’s design is based on 

three fundamental principles. The first 

is that at its core, healthcare is ‘‘local’’—

provided in uniquely constituted 

cultural and market-based 

environments. As such, improving the 

value of healthcare requires a critical 

mass of community stakeholders (public 

and private purchasers, health plans, 

providers, and consumers), as well as 

other relevant community entities (e.g., 

local information exchange 

organizations, State data organizations) 

investing their time and resources 

toward shared cost and quality 

improvement goals. We refer to such 

representative quality improvement 

community organizations as local multistakeholder collaboratives. Scattered 

across the country there are community 

collaboratives in various stages of 

development ranging from mature 

multi-stakeholder collaboratives to 

communities where only a limited 

number of organizations within a single 

stakeholder group or a limited number 

of stakeholder groups are working 

together. 

The second principle is that broad 

access to accurate, meaningful 

information will improve the value of 

healthcare services by (1) stimulating 

provider improvement, (2) engaging 

consumers in provider selection and 

treatment choices, and (3) enabling 

purchasers to align consumer and 

provider incentives. Generating the 

information needed to accomplish this 

is maximized when performance 

measures can be calculated based on all 

payer data. 

The third principle is that 

establishing a nation-wide learning 

network will foster market-based 

healthcare reform. Learning networks 

are an evidence-based organizational 

mechanism to achieve rapid 

identification, dissemination and 

adoption of best practices. They are 

comprised of individuals or groups 

focused on common broad goals. 

Based on the above, AHRQ plans to 

establish a nation-wide learning 

network of mature community-based 

multi-stakeholder healthcare quality 

improvement collaboratives. Goals of 

the Learning Network include 

facilitating collaborative production of 

public reports, fostering pay for 

performance, fostering consumer 

financial incentives, and ultimately, 

improving quality. AHRQ will issue 

semi-annual public Requests for 

Proposals (RFP) and conduct a selection 

process immediately thereafter to 

identify and charter mature multistakeholder collaboratives as Value 

Exchanges. To be eligible, interested 

parties must first be recognized by HHS 

Secretary Michael O. Leavitt as a 

Community Leader for Value-driven 

Healthcare. 

For additional information on 

Community Leader recognition, see 

http://www.hhs.gov/transparency/ 

communities/communityleaders/ 

communities.html. 

Method of Collection 

Each RFP will be posted on the AHRQ 

public Web site (www.ahrg.gov) with a 

link to the AHRQ site on the OS 

transparency Web site as well. The RFP 

instructions will direct interested 

parties to electronically submit narrative 

information (maximum 3000 words) to 

AHRQ that describes their capacity or 

plans to develop their capacity to do 

each of the following: 

A. Facilitate collection of providerlevel measures across the six 

performance domains identified by the 

Institute of Medicine (IOM) (safety, 

timeliness, effectiveness, efficiency, 

equitableness, patient-centeredness). 

B. Use (or promote the use of) 

transparent, nationally endorsed, 

consensus-derived performance 

measures and consumers’ cost for 

public/consumer reporting. 

C. Use (or promote the use of) 

transparent, nationally endorsed, 

consensus-derived performance 

measures to reward and foster better 

performance. 

D. Use (or promote the use of) 

transparent, nationally endorsed, 

consensus-derived performance 

measures for improvement by directly 

informing providers of their results. 

E. Foster collaboration across multiple 

stakeholders (public and, private 

purchasers, health plans, providers, and 

consumers), as well as other relevant 

community entities (e.g., local 

information exchange organizations, 

State data organizations) in the 

community of interest and serve as a 

hub for sharing information and 

dialogue. 

F. Promote the use of interoperable 

health information technologies for 

measurement as appropriate and 

collaborate with health information 

sharing processes and in the adoption of 

these technologies. 

G. Support knowledge transfer—

maintain transparent processes and 

share lessons learned. 

H. Conduct ongoing evaluation and 

improvement of efforts. 

At a minimum, successful applicants 

will demonstrate the following: 

A1. For those conducting or 

overseeing measurement/auditing and 

aggregation of data across multiple 

payers, the ability to do so. 

A2. For those receiving already 

aggregated data and calculated 

performance results from a source (e.g., 

national aggregators), the ability to 

effectively implement the use of these 

results. 

B. The ability to manage collaborative 

processes that engage all critical 

stakeholders. 

C. Organizational capacity to meet A.1 

or A.2 and B above. At a minimum the 

following organizational characteristics 

or capacities will be required: 

• Non-profit status. 

• Staff/consultant arrangements to 

provide needed expertise. 

• History of raising funds or in-kind 

support uom multiple stakeholders. 

• Ability to manage collaborative, 

multi-stakeholder projects and finances. 

• Ability to track progress in meeting 

individual collaborative goals, which 

may include, for example, producing 

public reports, or fostering pay for 

performance or consumer incentives. 

The request for proposals will be open 

for two months. 

A review committee will be 

assembled and have the following 

composition: 

• Three experts representing 

institutional healthcare purchaser 

stakeholder perspectives. 

• Three experts representing health 

plan stakeholder perspectives. 

• Three experts representing 

individual consumer stakeholder 

perspectives. 

• Three experts representing 

providers with at least two of the 

providers being physicians. 

• AHRQ staff experienced in working 

with community collaboratives. 

Proposals will be reviewed by review 

teams comprised of at least one 

representative from each stakeholder 

group listed above and at least one 

AHRQ staff person. All proposals will 

be reviewed in the 6 weeks following 

the closing of the application period. 

Estimated Annual Respondent Burden 


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Federal Register / Vol. 72, No. 88 / Tuesday, May 8, 2007 / Notices 26119 

EXHIBIT 1.—ESTIMATE OF COST BURDEN TO RESPONDENTS

Data collection effort 

Number of 

estimated respondents 

Estimated time 

per respondent in hours 

Estimated total 

burden hours 

Average 

hourly wage 

rate 

Estimated 

annual cost 

burden to respondents 

Draft narrative response to RFP by Collaborative Manager 50 8 400 $34.67 $13,868 

Narrative reviews by 2 members of Collaborative executive committee .................................................................. 100 1 100 57.90 5,790 

Narrative revisions by Collaborative Manager ..................... 50 8 400 34.67 13,868 

Assembly of narrative with any supporting documents by 

Collaborative Assistant ..................................................... 50 2 100 12.58 1,258 

Total .............................................................................. 250 ........................ 1,000 ........................ 34,784 

This information collection will not 

impose a cost burden on the respondent 

beyond that associated with the above 

estimates of the time needed to provide 

the application-requested information, 

No additional costs to respondents are 

anticipated, e.g., for capital equipment, 

software, etc. 

Estimated Costs to the Federal 

Government 

The total cost to the government for 

its proposal review activity is estimated 

to be $500,000 annually. 

Request for Comments 

In accordance with the above-cited 

legislation, comments on the AHRQ’s 

information collection are requested 

with regard to any of the following: (a) 

Whether the proposed collection of 

information is necessary for the proper 

performance of health care 

improvement and information 

dissemination functions of AHRQ, 

including whether the information 

requested will have practical utility; (b) 

the accuracy of AHRQ’s estimate of 

burden (including hours and costs) of 

the proposed collection(s) of 

information; (c) ways to enhance the 

quality, utility, and clarity of 

information to be collected; and, (d) 

ways to minimize the burden of the 

collection of information upon the 

respondents, including the use of 

automated collection techniques or 

other forms of information technology. 

Comments submitted in response to 

this notice will be summarized and 

included in the request for OMB 

approval of the proposed information 

collection. All comments will become a 

matter of public record. 

Dated: May 1, 2007 

Carolyn M. Clancy, 

Director. 

[FR Doc. 07–2268 Filed 5–7–07: 8:45 am] 

BILLING CODE 4160–90–M 

DEPARTMENT OF HEALTH AND 

HUMAN SERVICES 

Agency for Healthcare Research and 

Quality 

Notice of Meetings 

In accordance with section 10(d) of 

the Federal Advisory Committee Act as 

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

Agency for Healthcare Research and 

Quality (AHRQ) announces meetings of 

scientific peer review groups. The 

subcommittees listed below are part of 

the Agency’s Health Services Research 

Initial Review Group Committee. 

The subcommittee meetings will be 

closed to the public in accordance with 

the Federal Advisory Committee Act, 

section 10(d) of 5 U.S.C., Appendix 2 

and 5 U.S.C. 552b(c)(6). Grant 

applications are to be reviewed and 

discussed at these meetings. These 

discussions are likely to involve 

information concerning individuals 

associated with the applications, 

including assessments of their personal 

qualifications to conduct their proposed 

projects. This information is exempt 

from mandatory disclosure under the 

above-cited statutes. 

1. Name of Subcommittee: Health Care 

Research Training. 

Date: June 14–15, 2007 (Open from 8 a.m. 

to 8:15 a.m. on June 14 and closed for 

reminder of the meeting). 

Place: Agency for Healthcare Research and 

Quality (AHRQ), John Eisenberg Conference 

Center, 540 Gaither Road, Rockville, 

Maryland 20850. 

2. Name of Subcommittee: Health Systems 

Research. 

Date: June 14–15, 2007 (Open from 8 a.m. 

to 8:15 a.m. on June 14 and closed for 

remainder of the meeting). 

Place: Agency for Healthcare Research and 

Quality (AHRQ), John Eisenberg Conference 

Center, 540 Gaither Road, Rockville, 

Maryland 20850. 

3. Name of Subcommittee: Health Care 

Quality and Effectiveness Research. 

Date: June 21–22, 2007 (Open from 8 a.m. 

to 8:15 a.m. on June 21 and closed for 

remainder of the meeting). 

Place: Agency for Healthcare Research and 

Quality (AHRQ), John Eisenberg Conference 

Center, 540 Gaither Road, Rockville, 

Maryland 20850. 

4. Name of Subcommittee: Health Care 

Technology and Decision Sciences. 

Date: June 28–29, 2007 (Open from 8 a.m. 

to 8:15 a.m. on June 28 and closed for 

remainder of the meeting). 

Place: Agency for Healthcare Research and 

Quality (AHRQ), John Eisenberg Conference 

Center, 540 Gaither Road, Rockville, 

Maryland 20850. 

Contact Person: Anyone wishing to obtain 

a roster of members, agenda or minutes of the 

nonconfidential portions of the meetings 

should contact Mrs. Bonnie Campbell, 

Committee Management Officer, Office of 

Extramural Research, Education and Priority 

Populations, AHRQ, 540 Gaither Road, Suite 

2000, Rockville, Maryland 20850, Telephone 

(301) 427–1554. 

Agenda items for these meetings are 

subject to change as priorities dictate. 

Dated: April 23, 2007. 

Carolyn M. Clancy, 

Director. 

[FR Doc. 07–2240 Filed 5–7–07; 8:45 am] 

BILLING CODE 4160–90–M 

DEPARTMENT OF HEALTH AND 

HUMAN SERVICES 

Agency for Toxic Substances and 

Disease Registry 

[ATSDR–230] 

Public Health Assessments and Health 

Consultations Completed January 

2007–March 2007 

AGENCY: Agency for Toxic Substances 

and Disease Registry (ATSDR), 

Department of Health and Human 

Services (HHS). 

ACTION: Notice. 

SUMMARY: This notice announces those 

sites for which ATSDR has completed 

public health assessments and health 

consultations during the period from 

January 1, 2007 through March 31, 2007. 

This list includes sites that are on or 

proposed for inclusion on the National 


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