Federal Register / Vol. 62, No. 61 / Monday, March 31, 1997 / Notices 15191

7500 Security Boulevard, Baltimore,

Maryland 21244–1850.

Demonstration Title/State: Wisconsin.

Description: Wisconsin proposes to

limit the amount of exempt funds that

may be set aside as burial and related

expenses for SSI-related Medicaid

beneficiaries.

Date Received: March 9, 1994.

State Contact: Jean Sheil, Division of

Economic Support, Wisconsin

Department of Health and Social

Services, 1 West Wilson Street, Room

650, P.O. Box 7850, Madison, WI 53707,

(608) 266–0613.

Federal Project Officer: J. Donald

Sherwood, Health Care Financing

Administration, Office of Research and

Demonstrations, Mail Stop C3–16–26,

7500 Security Boulevard, Baltimore, MD

21244–1850.

Demonstration Title/State: Wisconsin

Partnership Program—Wisconsin.

Description: Wisconsin has submitted

Medicare section 222 demonstration

and Medicaid section 1115 waiver

requests to implement the ‘‘Wisconsin

Partnership Program’’ in specific

counties of the State. This program will

test two innovative models of care, one

for frail elderly and one for persons with

disabilities, utilizing a multidisciplinary team to manage care. The

team is to include the beneficiary, a

nurse practitioner, the beneficiary’s

choice of primary care physician, and a

social worker or independent living

coordinator. Consumer choice of care,

settings and the manner of service

delivery is a key component of the

program. The demonstration will test

the use of consumer-defined quality

indicators to measure and improve the

quality of service provided to people

who are elderly and people with

disabilities.

Date Received: February 28, 1996.

State Contact: Mary Rowin, State of

Wisconsin, Department of Health and

Social Services, 1 West Wilson Street,

P.O. Box 7850, Madison, WI 53707,

(608) 261–8885.

Federal Contact: William Clark,

Health Care Financing Administration,

Office of Research and Demonstrations,

Office of Beneficiary and Program

Research and Demonstrations, Mail Stop

C3–21–06, 7500 Security Boulevard,

Baltimore, MD 21244–1850.

3. Approved, Disapproved, and

Withdrawn Proposals

There were no proposals approved,

disapproved, or withdrawn during the

month of January.

IV. Requests for Copies of a Proposal

Requests for copies of a specific

Medicaid proposal should be made to

the State contact listed for the specific

proposal. If further help or information

is needed, inquiries should be directed

to HCFA at the address above.

(Catalog of Federal Domestic Assistance

Program, No. 93.779; Health Financing

Research, Demonstrations, and Experiments)

Dated: February 28, 1997.

Barbara Cooper,

Acting Director, Office of Research and

Demonstrations.

[FR Doc. 97–7987 Filed 3–28–97; 8:45 am]

BILLING CODE 4120–01–P

Indian Health Service

Proposed Collection; Comment

Request; Evaluation of the IHSSupported Alcohol and Substance

Abuse Treatment Programs for

American Indian/Alaska Native Women

SUMMARY: In compliance with Section

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

Reduction Act of 1995, for opportunity

for public comment on proposed data

collection projects, the Indian Health

Service (IHS) is publishing a summary

of a proposed project to be submitted to

the Office of Management and Budget

(OMB) for review and approval.

Proposed Collection

Title: Evaluation of the IHS-Supported

Alcohol and Substance Abuse

Treatment Program for American

Indian/Alaska Native (AI/AN) women.

Type of Information Collection Request:

New. Need and Use of the Information

Collection: Section 703, ‘‘Indian Women

Treatment Programs’’ of Public Law

102–573, the Indian Health Care

Amendments of 1992, (the act)

authorize the IHS to develop and

implement a comprehensive alcohol

and substance abuse (A/SA) program

that specifically addresses the cultural,

historical, social, and child care needs

of AI/AN women. Section 801 of these

Amendments requires a report on the

progress made in meeting the objectives

of the Act, a review of programs

established or assisted pursuant to the

Act, and an assessment of such

programs. Support Services

International, Inc, (SSI) an Indianowned consulting firm, will develop the

data collection instruments and conduct

the study. The information collected

will be used to assess and improve the

effectiveness of the IHS-supported A/SA

treatment program.

Data will be collected from a sample

of AI/AN women who use the services

provided by the IHS-supported A/SA

treatment programs, and from a sample

of treatment program staff. Findings

from the study will be used to

determine: (1) what works, what does

not work, and why; (2) what resources

are required for successful A/SA

treatment for AI/AN women; (3) what

factors help or hinder women from

maintaining sobriety; (4) how many

women achieve success (3-, 6-, and 12-

months after admission into A/SA

treatment); (5) what are the

characteristics, life conditions, and

service needs of the women who use the

treatment programs, (6) what are the

common strengths and problems of the

treatment programs, and what are

recommendations for improvement. The

study is expected to be completed in FY

1998. Affected Public: Individuals.

See Table 1 below for Types of Data

Collection Instruments, Estimated

Number of Respondents, Number of

Responses per Respondent, Average

Burden Hour per Response, and Total

Annual Burden Hour.

TABLE 1.

Data collection

instrument

Estimated

number of

respondents

Responses

per

respondent

Average burden hour per response*

Total annual

burden

hours

Project director ...................................................... 24 1 0.75 hr (45 minutes) ............................................. 18.0

Project staff ........................................................... 216 1 0.50 hr (30 minutes) ............................................. 108.0

Client intake .......................................................... 550 1 0.50 hr (30 minutes) ............................................. 275.0

Client history ......................................................... 550 1 1.00 hr (60 minutes) ............................................. 550.0

Client discharge .................................................... 523 1 0.50 hr (30 minutes) ............................................. 261.5

Client 3-month follow-up ....................................... 467 1 0.42 hr (25 minutes) ............................................. 196.1

Client 6-month follow-up ....................................... 440 1 0.50 hr (30 minutes) ............................................. 220.0

Client 12-month follow-up ..................................... 412 1 0.42 hr (25 minutes) ............................................. 173.4
15192 Federal Register / Vol. 62, No. 61 / Monday, March 31, 1997 / Notices

TABLE 1.—Continued

Data collection

instrument

Estimated

number of

respondents

Responses

per

respondent

Average burden hour per response*

Total annual

burden

hours

Total ........................................................... 790 .................... ............................................................................... 1,802.0

*For ease of understanding, burden hours are also provided in actual minutes.

There are no Capital Costs, Operating

Costs and/or Maintenance Costs to

report for this information collection.

Request for Comments

Your written comments and/or

suggestions are invited on one or more

of the following points: (a) whether the

information collection activity is

necessary to carry out an agency

function and whether the IHS processes

the information collected in a useful

and timely fashion; (b) the accuracy of

the public burden estimate (this is the

amount of time needed for individual

respondents to provide the requested

information) and the methodology and

assumptions used to determine the

estimate; (c) ways to enhance the

quality, utility, and clarity of the

information being collected; and (d)

ways to minimize the public burden

through the use of automated,

electronic, mechanical, or other

technological collection techniques or

other forms of information technology.

Send Comments and Requests for

Further Information: Send your written

comments and requests for more

information on the proposed project or

to obtain a copy of the data collection

plans and instructions to: Mr. Lance

Hodahkwen, Sr., IHS Reports Clearance

Officer, 12300 Twinbrook Parkway,

Suite 450, Rockville, MD 20852–1601,

or call non-toll free (301) 443–0461 fax

(301) 443–1522, or send your E-mail

requests, comments, and return address

to: Ihodahkw@smtp.ihs.gov.

Comment Due Date: Comments

regarding this information collection are

best assured of having their full effect of

received on or before May 30, 1997.

Dated: February 10, 1997.

Michael H. Trujillo,

Assistant Surgeon General Director.

[FR Doc. 97–7974 Filed 3–28–97; 8:45 am]

BILLING CODE 4160–16–M

DEPARTMENT OF THE INTERIOR

Fish and Wildlife Service

Endangered and Threatened Species

Permit Applications

AGENCY: Fish and Wildlife Service,

Interior.

ACTION: Notice of receipt of permit

applications.

SUMMARY: The following applicants have

applied for a scientific research permit

to conduct certain activities with

endangered species pursuant to section

10(a)(1)(A) of the Endangered Species

Act of 1973, as amended (16 U.S.C.

1531, et seq.).

Permit No. 796284

Applicant: Christopher Rogers,

Sacramento, California.

The applicant requests an amendment

of his permit to take (harass by survey)

the California freshwater shrimp

(Syncaris pacifica) in Marin, Napa,

Sonoma, Mendocino, Lake, and

Humboldt Counties, California in

conjunction with presence or absence

surveys for the purpose of enhancing its

survival.

Permit No. 826370

Applicant: Dr. Thomas Dowling,

Tempe, Arizona.

The applicant requests a permit to

take (harass by capture and release;

collect tissue samples) the White River

spinedace (Lepidomeda albibvallis) at

the Kirch Wildlife Management Area,

Nevada in conjunction with genetic

research for the purpose of enhancing

its survival.

Permit No. 797999

Applicant: Merkel and Associates,

Inc., San Diego, California.

The applicant requests an amendment

of his permit to take (harass by survey,

capture and release, collect and sacrifice

voucher specimens) the Riverside fairy

shrimp (Streptocephalus woottoni) in

conjunction with presence or absence

surveys in vernal pools in San Diego,

Orange, Riverside, and Los Angeles

Counties, California for the purpose of

enhancing its survival.

Permit No. 781084

Applicant: Anita Hayworth, Encinitas,

California.

The applicant requests an amendment

of her permit to take (harass by survey,

capture and release, collect and sacrifice

voucher specimens) the Riverside fairy

shrimp (Streptocephalus woottoni) and

San Diego fairy shrimp (Branchinecta

sandiegonensis) in conjunction with

presence or absence surveys in vernal

pools throughout the species range in

California for the purpose of enhancing

their survival.

Permit No. 826197

Applicant: Terrance Healy, Redding,

California.

The applicant requests a permit to

take (harass by survey) the Shasta

(=placid) crayfish (Pacifastacus fortis)

while conducting presence and absence

surveys, and controlling co-occurring

crustaceans in Shasta County, California

for the purpose of enhancing its

survival.

Permit No. 826198

Applicant: Neil Manji, Redding

California.

The applicant requests a permit to

take (harass by survey) the Shasta

(=placid) crayfish (Pacifastacus fortis)

while conducting presence and absence

surveys, and controlling co-occurring

crustaceans in Shasta County, California

for the purpose of enhancing its

survival.

Permit No. 826602

Applicant: John Axtel, Minden,

Nevada.

The applicant requests a permit to

purchase, in interstate commerce,

several pairs of captive-bred masked

bobwhite quail (Colinus virginianus)

from Jim Young of Fairhope, Alaska for

the purpose of enhancing its

propagation and survival.

Permit No. 777965

Applicant: LSA Associates, Inc.,

Irvine, California.

The applicant requests an amendment

to his permit to take (harass by survey)

the southwestern willow flycatcher

(Empidonax traillii extimus) in southern

California in conjunction with presence

or absence surveys for the purpose of

enhancing its survival.

Permit No. 826506

Applicant: EA Engineering, Science &

Technology, Inc., Lafayette, California.

The applicant requests a permit to

take (harass by survey, locate and

monitor nests) the southwestern willow

flycatcher (Empidonax traillii extimus)

in San Bernardino County, California in