17170 Federal Register / Vol. 72, No. 66 / Friday, April 6, 2007 / Notices 

Discharges—Detailed Notice of 

Discharge; Use: The authority for the 

right to an expedited determination is 

set forth at Section 1869(c)(3)(C)(iii)(III) 

of the Social Security Act. This 

collection has been revised and now 

pertains to sections 42 CFR 405.1206 

and 42 CFR 422.622. When a Quality 

Improvement Organization (QIO) 

notifies a hospital or Medicare 

Advantage (MA) organization that a 

beneficiary/enrollee has requested an 

expedited determination, the hospital or 

MA organization must deliver a detailed 

notice to the beneficiary/enrollee by 

noon of the day after the QIO’s 

notification. In addition, the title has 

been revised, and the wording of the 

notice has been revised to more clearly 

convey the purpose of the notice. This 

revised notice fulfills the regulatory 

requirement; Form Number: CMS–

10066 (OMB#: 0938–New); Frequency: 

Yearly; Affected Public: Business or 

other for-profit and not-for-profit 

institutions; Number of Respondents: 

6057; Total Annual Responses: 130,000; 

Total Annual Hours: 130,000. 

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/ 

PaperworkReductionActof1995, or Email 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 

or faxed within 30 days of this notice 

directly to the OMB desk officer: OMB 

Human Resources and Housing Branch, 

Attention: Carolyn Lovett, New 

Executive Office Building, Room 10235, 

Washington, DC 20503, Fax Number: 

(202) 395–6974. 

Dated: March 29, 2007. 

Michelle Shortt, 

Director, Regulations Development Group, 

Office of Strategic Operations and Regulatory 

Affairs. 

[FR Doc. E7–6310 Filed 4–5–07; 8:45 am] 

BILLING CODE 4120–01–P 

DEPARTMENT OF HEALTH AND 

HUMAN SERVICES 

Substance Abuse and Mental Health 

Services Administration 

Agency Information Collection 

Activities: Submission for OMB 

Review; Comment Request 

Periodically, the Substance Abuse and 

Mental Health Services Administration 

(SAMHSA) will publish a summary of 

information collection requests under 

OMB review, in compliance with the 

Paperwork Reduction Act (44 U.S.C. 

Chapter 35). To request a copy of these 

documents, call the SAMHSA Reports 

Clearance Officer on (240) 276–1243. 

Proposed Project: National Evaluation 

of the Comprehensive Community 

Mental Health Services for Children 

and Their Families Program: Phase 

IV—(OMB No. 0930–0257)—Revision 

The Substance Abuse and Mental 

Health Services Administration 

(SAMHSA), Center of Mental Health is 

responsible for the national evaluation 

of the Comprehensive Community 

Mental Health Services for Children and 

Their Families Program that will collect 

data on child mental health outcomes, 

family life, and service system 

development and performance. 

The national evaluation of the 

Comprehensive Community Mental 

Health Services for Children and Their 

Families Program will collect data on 

child mental health outcomes, family 

life, and service system development 

and performance. Data will be collected 

on 27 service systems, and roughly 5922 

children and families. Data collection 

for this evaluation is conducted over a 

five-year period. The core of service 

system data will be collected every 18 

months throughout the 5-year 

evaluation period, with a sustainability 

survey conducted in selected years. 

Service delivery and system variables of 

interest include the following: Maturity 

of system of care development, 

adherence to the system of care program 

model, and client service experience. 

The length of time that individual 

families will participate in the study 

ranges from 18 to 36 months depending 

on when they enter the evaluation. 

Child and family outcomes of interest 

will be collected at intake and during 

subsequent follow-up sessions at sixmonth intervals. The outcome measures 

include the following: child 

symptomatology and functioning, 

family functioning, material resources, 

and caregiver strain. Time-limited 

studies addressing the cultural 

competence of services and the role of 

primary care providers in systems of 

care will be conducted at selected 

points during the evaluation period. 

Internet-based technology will be used 

for collecting data via Web-based 

surveys and for data entry and 

management. The average annual 

respondent burden is estimated below 

for the final three years of data 

collection. The estimate reflects the 

average number of respondents in each 

respondent category, the average 

number of responses per respondent per 

year, the average length of time it will 

take for each response, and the total 

average annual burden for each category 

of respondent, and for all categories of 

respondents combined. 

This revision to the currently 

approved information collection 

activities includes: (1) The addition of a 

Primary Care Study and (2) the addition 

of a Treatment Effectiveness Study. The 

Primary Care Study seeks to investigate 

the role of primary health care 

practitioners (PCPs) in systems of care 

and to further understand the impact of 

services provided within primary care 

on child and family outcomes. One goal 

of this study is to identify strategies that 

help primary care and mental health 

care providers to work together 

effectively. Another is to identify ways 

to integrate PCPs into systems of care. 

The treatment effectiveness study will 

examine the relative impact of 

community-based treatments focused 

within system of care sites. This study 

will focus on a community-based 

practice that has not accumulated 

research evidence, but rather through 

community-based implementation has 

accumulated practice-based evidence. 

Instrument Respondent Number of 

respondents 

Total average number 

of responses per 

respondent 

Hours per 

response 

Total burden 

hours 

System of Care Assessment 

Interview Guides and Data Collection Forms .......................... Key site informants 1 648 2 1.000 1296 

Interagency Collaboration Scale (IACS) .................................. Key site informants 648 2 0.133 173 

Caregiver Information Questionnaire (CIQ–IC) ........................ Caregiver .............. 3 5,922 1 0.283 1676 

Caregiver Information Questionnaire Followup (CIQ–FC) ....... Caregiver .............. 5,922 3 0.200 3553 


pwalker on PROD1PC71 with NOTICES
Federal Register / Vol. 72, No. 66 / Friday, April 6, 2007 / Notices 17171 

Instrument Respondent Number of 

respondents 

Total average number 

of responses per 

respondent 

Hours per 

response 

Total burden 

hours 

Caregiver Strain Questionnaire (CGSQ) .................................. Caregiver .............. 5,922 5 4 0.167 3956 

Child Behavior Checklist (CBCL)/ Child Behavior Checklist 

11⁄2–5 (CBCL 11⁄2–5).

Caregiver .............. 5,922 4 0.333 7888 

Education Questionnaire—Revised (EQ–R) ............................ Caregiver .............. 5,922 4 0.100 2369 

Living Situations Questionnaire (LSQ) ..................................... Caregiver .............. 5,922 4 0.083 1966 

The Family Life Questionnaire (FLQ) ...................................... Caregiver .............. 5,922 4 0.050 1184 

Behavioral and Emotional Rating Scale—Second Edition, 

Parent Rating Scale (BERS–2C).

Caregiver .............. 6 5,626 4 0.167 3758 

Columbia Impairment Scale (CIS) ........................................... Caregiver .............. 5,922 4 0.083 1966 

The Vineland Screener (VS) .................................................... Caregiver .............. 7 2,369 4 0.250 2369 

Delinquency Survey—Revised (DS) ........................................ Youth ..................... 8 3,553 4 0.167 2374 

Behavioral and Emotional Rating Scale—Second Edition, 

Youth Rating Scale (BERS–2).

Youth ..................... 3,553 4 0.167 2374 

GAIN Quick—R: Substance Problem Scale (GAIN) ................ Youth ..................... 3,553 4 0.083 1180 

Substance Use Survey—Revised (SUS) ................................. Youth ..................... 3,553 4 0.100 1421 

Revised Children’s Manifest Anxiety Scales (RCMAS) ........... Youth ..................... 3,553 4 0.050 711 

Reynolds Adolescent Depression Scale—Second Edition 

(RADS–2).

Youth ..................... 3,553 4 0.050 711 

Youth information Questionnaire—Baseline (YIQ–I) ............... Youth ..................... 3,553 1 0.167 593 

Youth information Questionnaire—Follow-up (YIQ–F) ............ Youth ..................... 3,553 3 0.167 1780 

Service Experience Study 

Multi-Sector Service Contacts—Revised (MSSC–RC) ............ Caregiver .............. 5,992 10 3 0.250 4442 

Cultural Competence and Service Provision Questionnaire 

(CCSP).

Caregiver .............. 5,992 3 0.167 2967 

Youth Services Survey (YSS—F) ............................................ Caregiver .............. 5,922 3 0.117 2079 

Cultural Competence Practices Study (Focus Groups—F) ..... Caregiver .............. 36 1 1.500 54 

Youth Services Survey (YSS—Y) ............................................ Youth ..................... 3,553 4 0.083 1180 

Cultural Competence Practices Study (Focus Groups—Y) ..... Youth ..................... 36 1 1.500 54 

Cultural Competence Practices Study (Focus Groups—P) ..... Provider ................. 60 1 1.500 90 

Treatment Effectiveness Study 

Diagnostic Interview Schedule for Children (DISC—Predictive 

Scales).

Caregiver .............. 262 1 1.000 262 

Conflict Behavior Questionnaire (CBQ) ................................... Caregiver .............. 240 4 .167 160 

Family Assessment Measure (FAM) ........................................ Caregiver .............. 240 4 .250 240 

Therapeutic Alliance Scale—caregiver (TAS) .......................... Caregiver .............. 240 3 .167 120 

Ohio Scales (caregiver) ............................................................ Caregiver .............. 240 4 .250 240 

Therapy Adherence Form—Revised ........................................ Caregiver .............. 240 1 .167 40 

Therapeutic Alliance Scales—youth (TAS–Y) ......................... Youth ..................... 192 4 .167 128 

Ohio Scales—youth .................................................................. Youth ..................... 192 4 .250 192 

Evidence-Based Practices Provider Attitudes Scale ............... Provider ................. 50 1 .083 4 

Family Education and Support Study 

Beck Depression Inventory (BDI) ............................................. Caregiver .............. 300 3 .117 105 

Parenting Sense of Competence Scale (PSOC) ..................... Caregiver .............. 300 3 .167 150 

Alabama Parenting Questionnaire (APQ) ................................ Caregiver .............. 300 3 .117 105 

Duke Social Support Scale ...................................................... Caregiver .............. 300 3 .067 60 

Vanderbilt Mental Health Services Self-Efficacy Questionnaire.Caregiver .............. 300 3 .050 45 

FES—Focus groups ................................................................. Caregiver .............. 54 1 1.500 81 

FES—Focus groups ................................................................. Provider ................. 54 1 1.500 81 

FES—Interview ......................................................................... Provider/Administrator.12 1 1.000 12 

Primary Care Provider Study 

Primary Care Provider Survey ................................................. Provider ................. 540 1 .500 270 

Sustainability Study 

Sustainability Survey—Caregiver ............................................. Caregiver 12 ........... 27 2 0.500 27 

Sustainability Survey—Provider ............................................... Provider/Administrator 12.81 2 0.500 81 


pwalker on PROD1PC71 with NOTICES
17172 Federal Register / Vol. 72, No. 66 / Friday, April 6, 2007 / Notices 

Number of 

distinct respondents 

Number of 

responses 

per respondent 

Average 3- 

year burden 

per response 

(hours) 

Total burden 

(hours) 

Summary of Annualized Burden Estimates for 3 Years 

Caregivers .................................................................................................................... 5,922 1.13 2.08 13,954 

Youth ............................................................................................................................ 3,553 1.19 1.00 4,220 

Provider/Administrators ................................................................................................ 648 .542 1.90 669 

Total Summary ..................................................................................................... 10,123 .................... .................... 18,844 

Total Annual Average Summary ................................................................... 3,374 .................... .................... 6,281 

1An average of 24 stakeholders in up to 27 grantee sites will complete the System of Care Assessment interview. These stakeholders will include site administrative staff, providers, agency representatives, family representatives, youth and youth coordinators. 2Assuming the average annual income across all types of staff/service providers/administrators is $40,000, the wage rate was estimated using 

the following formula: $40,000 (annual income)/2080 (hours worked per year) = $19.25 (dollars per hour). 3 Number of respondents across 27 grantees. Average based on a 5 percent attrition rate at each data collection point. These data are collected as part of the grantees’ routine intake processes. Hence, burden is calculated only for the subset of the Cross-Sectional Descriptive Study 

sample that also participates in the Child and Family Outcome Study. 4Given that 65 percent of the families in the Phase III evaluation sample fall at or below the 2005 DHHS National Poverty Level of $19,350 

(based on family of four), the wage rate was estimated using the following formula: $19,350 (annual family income)/2080 (hours worked per year) 

= 9.30 (dollars per hour). 5Average number of responses per respondent based on 6 data collection points for children recruited in year 3, 4 for children recruited in 

year 4, 2 for children recruited in year 5 (of grantee funding). 6Estimated number of caregivers with children over age 5, based on Phase IV preliminary needs-assessment that 95 percent of children 

served will be over age 5. 7Estimated number of caregivers with children under age 12, based on Phase IV preliminary needs-assessment that 40 percent of children 

served will be under age 12. 8Based on Phase III finding that approximately 60 percent of the children in the evaluation were 11 years old or older. 

9Based on the Federal minimum wage rate of $5.15 per hour. 

10 Respondents only complete Service Experience Study measures at follow-up points. Average number of follow-up responses per respondent 

based on 6 follow-up data collection points for children recruited in year 3, 4 for children recruited in year 4, and 2 for children recruited in year 5 

(of grantee funding). 11Assuming the average annual income across all types of staff/service providers is $31,200, the wage rate was estimated using the following 

formula: $31,200 (annual income)/2080 (hours worked per year) = $15.00 (dollars per hour). 12 25 respondents will be caregiver and 75 respondents will be administrators/providers. 

Written comments and 

recommendations concerning the 

proposed information collection should 

be sent May 7, 2007 to: SAMHSA Desk 

Officer, Human Resources and Housing 

Branch, Office of Management and 

Budget, New Executive Office Building, 

Room 10235, Washington, DC 20503; 

due to potential delays in OMB’s receipt 

and processing of mail sent through the 

U.S. Postal Service, respondents are 

encouraged to submit comments by fax 

to: 202–395–6974. 

Dated: April 3, 2007 

Elaine Parry, 

Acting Director, Office of Program Services. 

[FR Doc. E7–6481 Filed 4–5–07; 8:45 am] 

BILLING CODE 4162–20–P 

DEPARTMENT OF HOMELAND 

SECURITY 

Office of the Secretary 

[Docket Number DHS 2006–0082] 

Privacy Act; Biometric Storage System 

of Records 

AGENCY: Privacy Office, Department of 

Homeland Security. 

ACTION: Notice of Privacy Act system of 

records. 

SUMMARY: Pursuant to the Privacy Act of 

1974, the Department of Homeland 

Security, U.S. Citizenship and 

Immigration Services, proposes to add a 

new system of records to the 

Department’s inventory, entitled 

Biometric Storage System. This new 

system will replace the following 

existing legacy systems, the Image 

Storage and Retrieval System (ISRS), 64 

FR 18052, and portions of the Biometric 

Benefit Support System (BBSS). 

DATES: The established system of 

records will be effective May 7, 2007 

unless comments are received that 

result in a contrary determination. 

ADDRESSES: You may submit comments, 

identified by Docket Number DHS 

2006–0082 by one of the following 

methods: 

• Federal e-Rulemaking Portal: 

http://www.regulations.gov. Follow the 

instructions for submitting comments. 

• Fax: 1–866–466–5370. 

• Mail: Hugo Teufel III, Chief Privacy 

Officer, Department of Homeland 

Security, Washington, DC 20528. 

FOR FURTHER INFORMATION CONTACT: For 

system related questions please contact: 

Phyllis Howard, Branch Chief of 

Application Support for Office of Field 

Operations, U.S. Citizenship and 

Immigration Services, Department of 

Homeland Security, 20 Massachusetts 

Avenue, NW., Washington, DC 20529. 

For privacy issues please contact: Hugo 

Teufel III, Chief Privacy Officer, Privacy 

Office, U.S. Department of Homeland 

Security, Washington, DC 20528. 

SUPPLEMENTARY INFORMATION: The 

Department of Homeland Security 

(DHS), U.S. Citizenship and 

Immigration Services (USCIS) has been 

tasked by Congress with processing all 

immigration benefit applications and 

petitions. Many applications, petitions, 

and other benefits (hereinafter referred 

to as ‘‘applications’’) require that 

fingerprints and other biometrics be 

captured in order to conduct 

background checks, to verify the 

applicant’s, petitioner’s, or beneficiary’s 

(hereinafter referred to as ‘‘applicants’’) 

identity, and to produce benefit cards 

with biometrics and documents. In 

order to fulfill its statutory mandate, 

USCIS is establishing a new system of 

records that will consolidate all 

biometrics collected by USCIS into one 

centralized system. This new system of 


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