### 74067 Federal Register / Vol. 76, No. 230 / Wednesday, November 30, 2011 / Notices

Dated: November 22, 2011. Daniel Holcomb, Reports Clearance Officer, Centers for Disease Control and Prevention.
[FR Doc. 2011–30833 Filed 11–29–11; 8:45 am]

**BILLING CODE 4163–18–P**

**DEPARTMENT OF HEALTH AND HUMAN SERVICES** 

**Centers for Disease Control and Prevention** 

**[30-Day–12–11IY]**

**Agency Forms Undergoing Paperwork Reduction Act Review** 

The Centers for Disease Control and Prevention (CDC) publishes a list of information collection requests under review by the Office of Management and Budget (OMB) in compliance with the Paperwork Reduction Act (44 U.S.C. chapter 35). To request a copy of these requests, call the CDC Reports Clearance Officer at (404) 639–5960 or send an email to omb@cdc.gov. Send written comments to CDC Desk Officer, Office of Management and Budget, Washington, DC 20503 or by fax to (202) 395–5806. Written comments should be received within 30 days of this notice. Proposed Project

Formative Research to Support the Development of Sickle Cell Disease Educational Messages and Materials for the Division of Blood Disorders—New— National Center on Birth Defects and Developmental Disabilities (NCBDDD), Centers for Disease Control and Prevention (CDC). Background and Brief Description

CDC seeks to improve the quality of life of people living with sickle cell disease (SCD). To accomplish this goal, CDC aims to address the need for educational messages and materials for adolescents, young adults, adults, and older adults living with SCD. CDC is interested in understanding the informational needs of these audiences related to the adoption of healthy behaviors and the prevention of complications associated with sickle cell disease. To develop valuable messages and materials, CDC will conduct formative focus groups with people with SCD across the country. Participants will stem from four urban centers as well as more remote, rural areas. Based on the findings from the formative focus groups, CDC will develop and test draft messages.

A total of 10 focus groups will be conducted. Eight focus groups with people with SCD would be held in four cities: Atlanta, GA; Detroit, MI; Oakland, CA; and Philadelphia, PA. Two in-person focus groups—one with males and one with females—will be conducted in each city with each target audience: adolescents aged 15–17, young adults aged 18–25, adults aged 26–35, and older adults 36 and over. To reach more rural participants, two telephone focus groups will be conducted: one with female adolescents aged 15–17 and a second with male older adults aged 36 and older.

The focus groups will be conducted with eight to nine participants in each and will last 2 hours. As part of the focus group, participants will complete an informed consent or adolescent assent form before discussion begins. The parents of the expected 27 adolescent participants (three groups of 9 each) will fill out a permission form to provide their consent in advance of the groups. The use of trained moderators and a structured moderator’s guide will ensure that consistent data are collected across the groups. In total, up to 90 people with SCD will participate in the focus group data collection. It is estimated that 120 potential participants will need to be screened to reach the target of 90 participants. The estimated time per response for screening and recruitment is 12 minutes.

CDC requests OMB approval to obtain clearance for one year. There is no cost to respondents other than their time. The estimated annualized burden hours for this data collection activity are 204.



### E STIMATED 

### A NNUALIZED 

### B URDEN 

### H OURS

Type of respondent Form name Number of respondents Number of responses per

respondent Average burden per response (in hours)

Parents of adolescents (aged 15–17) living with SCD ........... Participant Screener and Recruitment Script. 120 1 12/60

Young adults (aged 18–25) living with SCD. Adults (aged 26–35) living with SCD. Older adults (aged 36+) living with SCD. Adolescents (aged 15–17) living with SCD ............................ Focus Group Moderator’s Guide. 90 1 2

Young adults (aged 18–25) living with SCD. Adults (aged 26–35) living with SCD. Older adults (aged 36+) living with SCD.

Dated: November 21, 2011. Daniel L. Holcomb, Reports Clearance Officer, Centers for Disease Control and Prevention.
[FR Doc. 2011–30841 Filed 11–29–11; 8:45 am]

**BILLING CODE 4163–18–P DEPARTMENT OF HEALTH AND**  **HUMAN SERVICES**

**Centers for Medicare & Medicaid Services** 

**[CMS–5505–N2]**

**Medicare Program; Announcement of a New Application Deadline for the**  **Advance Payment Model**

**AGENCY :**  Centers for Medicare & Medicaid Services (CMS), HHS. **ACTION :**  Notice.

**SUMMARY :**  This notice announces a new application deadline for participation in the Advance Payment Model for certain accountable care organizations participating in the Medicare Shared Savings Program scheduled to begin in
2012.

**DATES :**  Application Submission Deadlines for the Advance Payment Model: Applications for the performance period beginning on April


### 74068 Federal Register / Vol. 76, No. 230 / Wednesday, November 30, 2011 / Notices

1, 2012 will be accepted from January 3, 2012 through February 1, 2012.

The period during which applications will be accepted for the performance period beginning on July 1, 2012 will remain identical to the period for the Medicare Shared Savings Program. More information is available on the Advance Payment Model Web site at http:// www.innovations.cms.gov/initiatives/ aco/advance-payment/index.html

.
**FOR FURTHER INFORMATION CONTACT :**  Dan Farmer, (410) 786–5497.

**SUPPLEMENTARY INFORMATION :**  I. Background

The Centers for Medicare & Medicaid Services (CMS) is committed to achieving the three-part aim of better health for populations, better health care for individuals, and lower growth in expenditures through continuous improvement for Medicare, Medicaid, and Children’s Health Insurance Program (CHIP) beneficiaries. One potential mechanism for achieving this goal is for CMS to partner with groups of health care providers of services and suppliers that have a mechanism for shared governance and have formed an Accountable Care Organization (ACO) through which they work together to coordinate care for a specified group of patients. We will pursue such partnerships through complementary efforts, including the Medicare Shared Savings Program and initiatives undertaken by the Center for Medicare and Medicaid Innovation (Innovation Center).

The Advance Payment Model is an Innovation Center initiative designed for participants in the Medicare Shared Savings Program in need of prepayment of expected shared savings to build their capacity to provide high quality, coordinated care and generate cost savings. The Advance Payment Model will test whether and how pre-paying a portion of future shared savings could increase participation in the Medicare Shared Savings Program, and whether advance payments will enhance the ability of ACOs to effectively coordinate care and generate Medicare savings, as well as the speed at which they attain that goal.

In the November 2, 2011 Federal Register (76 FR 68012), we published a notice announcing the Advance Payment Model. Additional information about the Advance Payment Model is available on the Advance Payment Model Web site at http:// www.innovations.cms.gov/initiatives/ aco/advance-payment/index.html

. II. Provisions of the Notice
This notice announces a new deadline for applications to the Advance Payment Model for the performance period beginning April 1, 2012. We will accept applications to the Advance Payment Model from January 3, 2012 through February 1, 2012. The period during which applications will be accepted for the performance period beginning on July 1, 2012 will remain identical to the period for the Medicare Shared Savings Program.

Organizations interested in applying to the Advance Payment Model must also complete an application for the Shared Savings Program. This modified deadline will provide organizations interested in the Advance Payment Model with more time to complete the additional application needed for the Advance Payment Model. Information about the application process and deadlines for the Shared Savings Program is available at http:// www.cms.gov/sharedsavingsprogram

.

Additional information about the application process for the Advance Payment Model is available on the Advance Payment Model Web site at http://www.innovations.cms.gov/ initiatives/aco/advance-payment/ index.html

.

Authority: Section 1115A of the Social Security Act.

Dated: November 23, 2011. Donald M. Berwick, Administrator, Centers for Medicare & Medicaid Services.
[FR Doc. 2011–30845 Filed 11–29–11; 8:45 am]

**BILLING CODE 4120–01–P**

**DEPARTMENT OF HOMELAND SECURITY** 

**Coast Guard**

**[Docket No. USCG–2011–1084]**

**Guidance on Domestic Implementation of International Standards for**  **Oceangoing Barges Carrying Noxious Liquid Substances** 

**AGENCY :**  Coast Guard, DHS.

**ACTION :**  Notice of public meeting; request for comments.

**SUMMARY :**  The Coast Guard announces a public meeting to receive comments on new policy under consideration that would provide a domestic equivalency for international standards with respect to U.S. flagged oceangoing barges carrying noxious liquid substances (NLS).

**DATES :**  A public meeting will be held on Thursday, December 1, 2011 from 2 p.m. to 4 p.m. to provide an opportunity for oral comments. Written comments and related material may be submitted to Coast Guard personnel specified at that meeting. Written comments may also be submitted in response to this notice. The comment period for this notice will close on December 30, 2011. All written comments and related material submitted before or after the meeting must either be submitted to our online docket via http:// www.regulations.gov on or before December 30, 2011 or reach the Docket Management Facility by that date.

**ADDRESSES :**  The public meeting will be held at the Ernest N. Morial Convention Center, Room 205, 900 Convention Center Boulevard, New Orleans, LA 70130, telephone (504) 582–3000.

You may submit written comments identified by docket number USCG– 2011–1084 before or after the meeting using any one of the following methods:

(1) Federal eRulemaking Portal: http://www.regulations.gov.

(2) Fax: (202) 493–2251. (3) Mail: Docket Management Facility (M–30), U.S. Department of Transportation, West Building Ground Floor, Room W12–140, 1200 New Jersey Avenue SE., Washington, DC 20590–
0001.

(4) Hand delivery: Same as mail address above, between 9 a.m. and 5 p.m., Monday through Friday, except Federal holidays. The telephone number is (202) 366–9329.

To avoid duplication, please use only one of these four methods. Our online docket for this notice is available on the Internet at http://www.regulations.gov under docket number USCG–2011–
1084.

**FOR FURTHER INFORMATION CONTACT :**  If you have questions concerning the meeting or the new policy under consideration, please call or email LT Sean Peterson, Commandant (CG–5223), Coast Guard; telephone (202) 372–1403, email Sean.M.Peterson@uscg.mil. If you have questions on viewing or submitting material to the docket, call Ms. Renee V. Wright, Program Manager, Docket Operations, telephone (202) 366–9826.

**SUPPLEMENTARY INFORMATION :**  Background and Purpose

The Coast Guard is considering new policy that would align Coast Guard guidance with the International Code for the Construction and Equipment of Ships Carrying Dangerous Chemicals in Bulk (IBC Code) as it may relate to oceangoing barges carrying NLS.

The new policy under consideration by the Coast Guard would provide affected parties with an equivalent