17066 Federal Register / Vol. 77, No. 57 / Friday, March 23, 2012 / Notices 

Lawndale, Sierra Madre, San Fernando, 

San Gabriel, Carson, Artesia, and 

Hawthorne. Communities being 

considered for participation in the study 

as comparison communities include 

Temple City, Hawaiian Gardens, 

Monrovia, Maywood, Alhambra, La 

Puente, Monterey Park, Inglewood, and 

San Dimas. 

The availability of both intervention 

and comparison communities will 

enable use of a quasi-experimental, 

baseline and follow-up study design for 

examining the impact of smoke-free 

policies in MUH. Over a period of two 

years, a sample of 500 MUH residents 

and 130 MUH operators will be selected 

from intervention cities and a 

comparable sample of 500 MUH 

residents and 130 MUH operators will 

be selected from comparison cities. 

Baseline and follow-up surveys will be 

conducted involving MUH operators, 

MUH residents, and parents of children 

who reside in MUH facilities. Also, 

MUH residents will be recruited to 

collect environmental air quality data, 

and both parents and children who 

reside in MUH facilities will be 

recruited to provide saliva samples. 

These samples will be analyzed for the 

presence of cotinine, a biomarker of 

exposure to SHS. 

The second component of the study 

will involve focus groups in Maine, 

Minnesota, and Florida—states have 

adopted and implemented smoke-free 

MUH policies for a longer period of 

time, either as a response to local 

regulations or voluntarily. A one-time 

survey of MUH operators will be 

conducted, and a sample of 12 MUH 

operators will be selected from 

communities in Minnesota, Maine, and 

Florida. In addition, a total of 120 

residents will be selected to participate 

in short focus groups, with a maximum 

of 4 focus groups per state. The primary 

data sources for this component of the 

study will be (a) quantitative data 

obtained from interviews with 12 MUH 

operators (4 operators in the three study 

locations, using the same questionnaire 

as Los Angeles County); (b) qualitative 

data from participants from up to 12 

focus groups (an expected total of 120 

residents); and (c) quantitative data on 

the same residents from pre-focus group 

questionnaires. Results from studies in 

these three geographic areas and from 

cities in Los Angeles County, will 

provide insights more useful at the 

national population level than results 

based solely on information collected in 

Los Angeles County. 

OMB approval is requested for two 

years, with first data collection 

beginning approximately May 2012. 

Participation is voluntary. The only cost 

to respondents is their time. 

ESTIMATED ANNUALIZED BURDEN HOURS

Type of respondent Form name Number of 

respondents 

Number of 

responses per 

respondent 

Average 

burden per 

response 

(in hours) 

Total 

burden 

(in hours) 

MUH Operators in Los Angeles 

County.

Telephone Script for Recruitment of 

MUH Operators in Los Angeles 

County.

130 1 5/60 11 

MUH Operators Survey .................... 130 2 75/60 325 

MUH Operators in Minnesota, Maine 

and Florida.

Telephone Script for Recruitment of 

MUH Operators in MN, ME, FL.

6 1 10/60 1 

MUH Operators Survey .................... 6 1 75/60 8 

MUH Residents in Los Angeles 

County.

MUH Residents Survey-Core ........... 500 2 45/60 750 

MUH Residents Survey-Supplement—Survey of Child’s Health.250 2 15/60 125 

Saliva Cotinine Samples (Adult) ...... 500 2 10/60 167 

Saliva Cotinine Samples (Child) ...... 250 2 10/60 83 

Airborne Particle Monitoring Diary ... 100 1 75/60 125 

MUH Residents in Minnesota, Maine 

and Florida.

Telephone Screening Interview 

Script for MUH Resident Focus 

Groups.

60 1 10/60 10 

Resident Pre-Focus Group Demographic and Attitudinal Survey.60 1 5/60 5 

MUH Resident Focus Group 

Guide—Process Oriented.

60 1 1 60 

MUH Resident Focus Group 

Guide—Outcome Oriented.

60 1 1 60 

Total ........................................... ........................ ........................ ........................ 1,730 

Dated: March 19, 2012. 

Ron A. Otten, 

Director, Office of Scientific Integrity, Office 

of the Associate Director for Science (OADS), 

Office of the Director, Centers for Disease 

Control and Prevention. 

[FR Doc. 2012–7024 Filed 3–22–12; 8:45 am] 

BILLING CODE 4163–18–P 

DEPARTMENT OF HEALTH AND 

HUMAN SERVICES 

Centers for Disease Control and 

Prevention 

[60-Day–12–11EC] 

Proposed Data Collections Submitted 

for Public Comment and 

Recommendations 

In compliance with the requirement 

of Section 3506(c)(2)(A) of the 

Paperwork Reduction Act of 1995 for 

opportunity for public comment on 

proposed data collection projects, the 

Centers for Disease Control and 

Prevention (CDC) will publish periodic 

summaries of proposed projects. To 

request more information on the 

proposed projects or to obtain a copy of 

the data collection plans and 

instruments, call 404–639–7570 or send 

comments to Ron Otten, at 1600 Clifton 


srobinson on DSK4SPTVN1PROD with NOTICES
Federal Register / Vol. 77, No. 57 / Friday, March 23, 2012 / Notices 17067 

Road, MS–D74, Atlanta, GA 30333 or 

send an email to omb@cdc.gov. 

Comments are invited on: (a) Whether 

the proposed collection of information 

is necessary for the proper performance 

of the functions of the agency, including 

whether the information shall have 

practical utility; (b) the accuracy of the 

agency’s estimate of the burden of the 

proposed collection of information; (c) 

ways to enhance the quality, utility, and 

clarity of the information to be 

collected; and (d) ways to minimize the 

burden of the collection of information 

on respondents, including through the 

use of automated collection techniques 

or other forms of information 

technology. Written comments should 

be received within 60 days of this 

notice. 

Proposed Project 

Epidemiologic Study of Health Effects 

Associated With Low Pressure Events in 

Drinking Water Distribution Systems— 

New—National Center for Emerging and 

Zoonotic Infectious Diseases—Office of 

Infectious Diseases—Centers for Disease 

Control and Prevention 

Background and Brief Description 

In the United States (U.S.), drinking 

water distribution systems are designed 

to deliver safe, pressurized drinking 

water to our homes, hospitals, schools 

and businesses. However, the water 

distribution infrastructure is 50–100 

years old in much of the U.S. and an 

estimated 240,000 water main breaks 

occur each year. Failures in the 

distribution system such as water main 

breaks, cross-connections, back-flow, 

and pressure fluctuations can result in 

potential intrusion of microbes and 

other contaminants that can cause 

health effects, including acute 

gastrointestinal and respiratory illness. 

Approximately 200 million cases of 

acute gastrointestinal illness occur in 

the U.S. each year, but we lack reliable 

data to assess how many of these cases 

are associated with drinking water. 

Further, data are even more limited on 

the human health risks associated with 

exposure to drinking water during and 

after the occurrence of low pressure 

events (such as water main breaks) in 

drinking water distribution systems. A 

study conducted in Norway from 2003– 

2004 found that people exposed to low 

pressure events in the water distribution 

system had a higher risk for 

gastrointestinal illness. A similar study 

is needed in the United States. 

The purpose of this data collection is 

to conduct an epidemiologic study in 

the U.S. to assess whether individuals 

exposed to low pressure events in the 

water distribution system are at an 

increased risk for acute gastrointestinal 

or respiratory illness. This study would 

be, to our knowledge, the first U.S. 

study to systematically examine the 

association between low pressure events 

and acute gastrointestinal and 

respiratory illnesses. Study findings will 

inform the Environmental Protection 

Agency (EPA), CDC, and other drinking 

water stakeholders of the potential 

health risks associated with low 

pressure events in drinking water 

distribution systems and whether 

additional measures (e.g., new 

standards, additional research, or policy 

development) are needed to reduce the 

risk for health effects associated with 

low pressure events in the drinking 

water distribution system. 

We will conduct a cohort study 

among households that receive water 

from five water utilities across the U.S. 

The water systems will be 

geographically diverse and will include 

both chlorinated and chloraminated 

systems. These water utilities will 

provide information about low pressure 

events that occur during the study 

period using a standardized form 

(approximately 12 events per utility). 

Utilities will provide address listings of 

households in areas exposed to the low 

pressure event and comparable 

households in an unexposed area to 

CDC staff, who will randomly select 

participants and send them an 

introductory letter and questionnaire. 

Consenting household respondents will 

be asked about symptoms and duration 

of any recent gastrointestinal or 

respiratory illness, tap water 

consumption, and other exposures 

including international travel, daycare 

attendance or employment, 

consumption of under-cooked or 

unpasteurized food, animal contacts, 

and recreational water exposures. Study 

participants may choose between two 

methods of survey response: A mail-in 

paper survey and a web-based survey. 

Participation in this study will be 

voluntary. No financial compensation 

will be provided to study participants. 

The study duration is anticipated to last 

24 months. An estimated 5,200 

individuals will be contacted and we 

anticipate 2,080 utility customers (18 

years of age or older) will consent to 

participate in this study. We will 

conduct a pilot study (duration 3 

months) prior to launching the full 

epidemiologic study. An estimated 

1,000 individuals will be contacted and 

we anticipate 400 adults (18 years of age 

or older) will consent to participate in 

the pilot study. The total estimated 

annualized hours associated with this 

study, including the pilot, is expected to 

be 467. 

There are no costs to respondents 

other than their time. 

ESTIMATE OF ANNUALIZED BURDEN HOURS

Type of respondents Form name Number of 

respondents 

Number of responses per 

respondent 

Average 

burden per 

respondent 

(in hours) 

Total burden 

(in hours) 

Full Study: 

Households ................................ Introductory letter ............................. 2,600 1 1/60 44 

Web-based questionnaire ................ 624 1 12/60 125 

Paper-based questionnaire .............. 416 1 12/60 84 

Utility employees ........................ Household Listing ............................. 5 6 15/60 6 

Water sample collection ................... 5 6 1 30 

Low pressure event form ................. 5 6 4 120 

Pilot Study Households ............. Introductory letter ............................. 500 1 1/60 8 

Web-based questionnaire ................ 120 1 12/60 24 

Paper-based questionnaire .............. 80 1 12/60 16 

Utility employees ........................ Household Listing ............................. 1 2 15/60 1 

Water sample collection ................... 1 2 1 2 

Low pressure event form ................. 1 2 4 8 

Total (Full & Pilot) ............... ........................................................... ........................ ........................ ........................ 467 


srobinson on DSK4SPTVN1PROD with NOTICES
17068 Federal Register / Vol. 77, No. 57 / Friday, March 23, 2012 / Notices 

Dated: March 19, 2012. 

Ron A. Otten, 

Director, Office of Scientific Integrity, Office 

of the Associate Director for Science (OADS), 

Office of the Director, Centers for Disease 

Control and Prevention. 

[FR Doc. 2012–7020 Filed 3–22–12; 8:45 am] 

BILLING CODE 4163–18–P 

DEPARTMENT OF HEALTH AND 

HUMAN SERVICES 

Centers for Medicare & Medicaid 

Services 

[Document Identifier: CMS–179 and CMS– 

R–74] 

Agency Information Collection 

Activities: Submission for OMB 

Review; Comment Request 

AGENCY: Centers for Medicare & 

Medicaid Services, HHS. 

In compliance with the requirement 

of section 3506(c)(2)(A) of the 

Paperwork Reduction Act of 1995, the 

Centers for Medicare & Medicaid 

Services (CMS), Department of Health 

and Human Services, is publishing the 

following summary of proposed 

collections for public comment. 

Interested persons are invited to send 

comments regarding this burden 

estimate or any other aspect of this 

collection of information, including any 

of the following subjects: (1) The 

necessity and utility of the proposed 

information collection for the proper 

performance of the Agency’s function; 

(2) the accuracy of the estimated 

burden; (3) ways to enhance the quality, 

utility, and clarity of the information to 

be collected; and (4) the use of 

automated collection techniques or 

other forms of information technology to 

minimize the information collection 

burden. 

1. Type of Information Collection 

Request: Revision of a currently 

approved collection; Title of 

Information Collection: State Plan 

Under Title XIX of the Social Security 

Act (Base plan pages, Attachments, 

Supplements to attachments); Use: State 

Medicaid agencies complete the plan 

pages and CMS reviews the information 

to determine if the State has met all of 

the provisions that the State has chosen 

to implement. If the requirements are 

met, CMS will approve the amendments 

to the State’s Medicaid plan giving the 

State the authority to implement the 

flexibilities. For a State to receive 

Medicaid Title XIX funding, there must 

be an approved Title XIX State plan. In 

addition to the revisions associated with 

the 60-day notice that published on 

December 16, 2011 (76 FR 78264), 

additional changes have been made to 

the Pre-Print (Attachment 4.19–B) 

subsequent to the publication of that 

notice; Form Number: CMS–179 (OCN 

0938–0193); Frequency: Occasionally; 

Affected Public: State, Local, or Tribal 

Governments; Number of Respondents: 

56; Total Annual Responses: 1,120; 

Total Annual Hours: 400. (For policy 

questions regarding this collection 

contact Falecia Smith at 202–260–5991. 

For all other issues call 410–786–1326.) 

2. Type of Information Collection 

Request: Revision of a currently 

approved collection; Title of 

Information Collection: Income and 

Eligibility Verification System (IEVS) 

Reporting and Supporting Regulations 

Contained in 42 CFR 431.17, 431.306, 

435.910, 435.920, and 435.940–960; 

Use: The information collected is used 

to verify the income and eligibility of 

Medicaid applicants and recipients, as 

required by section 1137 of the Social 

Security Act. Under Section 1137, States 

must request applicants’ Social Security 

Numbers and use that number to verify 

the income and eligibility information 

contained on each application through 

data matches with specified agencies 

and entities. The State must use 

information collected by unemployment 

compensation agencies and the Internal 

Revenue Service to the extent useful. 

The Qualifying Individual Program 

Supplemental Funding Act of 2008 

amended section 1903(r) of the Social 

Security Act to incorporate the 

requirement that States include data 

matching through the Public Assistance 

Reporting Information System (PARIS) 

in their Income and Eligibility 

Verification Systems (IEVS). PARIS is a 

system for matching data from certain 

public assistance programs, including 

State Medicaid programs, with selected 

Federal and State data for purposes of 

facilitating appropriate enrollment and 

retention in public programs. States are 

required to sign an agreement to 

participate in PARIS as a condition of 

receiving Medicaid funding for 

automated data systems (including the 

Medicaid Management Information 

System). 

States can use the PARIS data match 

to ensure that individuals enrolled in 

Medicaid or other public assistance 

benefits in one State are not receiving 

duplicate benefits based on 

simultaneous enrollment in the 

Medicaid program or other public 

benefit programs in another State. In 

certain circumstances, PARIS may also 

be used as a tool to identify individuals 

who have not applied for Medicaid 

coverage, but who may be eligible based 

on their income. 

Subsequent to the publication of the 

60-day notice that published on January 

4, 2012 (77 FR 291), a State Plan 

Amendment template has been added to 

the PRA package and the burden 

estimate and Supporting Statement have 

been revised; Form Number: CMS–R–74 

(OCN 0938–0467); Frequency: Monthly; 

Affected Public: State, Local, or Tribal 

Governments; Number of Respondents: 

54; Total Annual Responses: 54; Total 

Annual Hours: 134,865. (For policy 

questions regarding this collection 

contact Barbara Washington at 410– 

786–9964. For all other issues call 410– 

786–1326.) 

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. 

To be assured consideration, 

comments and recommendations for the 

proposed information collections must 

be received by the OMB desk officer at 

the address below, no later than 5 p.m. 

on April 23, 2012. 

OMB, Office of Information and 

Regulatory Affairs, Attention: CMS Desk 

Officer, Fax Number: (202) 395–6974, 

Email: OIRA_submission@omb.eop.gov. 

Dated: March 19, 2012. 

Martique Jones, 

Director, Regulations Development Group, 

Division-B, Office of Strategic Operations and 

Regulatory Affairs. 

[FR Doc. 2012–7066 Filed 3–22–12; 8:45 am] 

BILLING CODE 4120–01–P 

DEPARTMENT OF HEALTH AND 

HUMAN SERVICES 

Centers for Medicare & Medicaid 

Services 

[CMS–2901–FN] 

Medicare and Medicaid Programs; 

Approval of the Application by the 

American Association for 

Accreditation of Ambulatory Surgery 

Facilities for Deeming Authority for 

Rural Health Clinics 

AGENCY: Centers for Medicare & 

Medicaid Services (CMS), HHS. 

ACTION: Final notice. 

SUMMARY: This final notice announces 

our decision to approve the American 

Association for Accreditation of 

Ambulatory Surgery Facilities 


srobinson on DSK4SPTVN1PROD with NOTICES