54748 Federal Register / Vol. 70, No. 179 / Friday, September 16, 2005 / Notices 

DC or by fax to (202) 395–6974. Written 

comments should be received within 30 

days of this notice. 

Proposed Project 

Exposure to Aerosolized Brevetoxins 

during Red Tide Events (OMB No. 

0920–0494)—Revision—National Center 

for Environmental Health (NCEH), 

Centers for Disease Control and 

Prevention (CDC). 

Karenia brevis (formerly 

Gymnodinium breve) is the marine 

dinoflagellate responsible for extensive 

blooms (called red tides) that form in 

the Gulf of Mexico. K. brevis produces 

potent toxins, called brevetoxins, which 

have been responsible for killing 

millions of fish and other marine 

organisms. The biochemical activity of 

brevetoxins is not completely 

understood and there is very little 

information regarding human health 

effects from environmental exposures, 

such as inhaling brevetoxin that has 

been aerosolized and swept onto the 

coast by offshore winds. The National 

Center for Environmental Health 

(NCEH), Centers for Disease Control and 

Prevention (CDC) has recruited people 

who work along the coast of Florida and 

who are periodically occupationally 

exposed to aerosolized red tide toxins. 

We have administered a baseline 

respiratory health questionnaire and 

conducted pre- and post-shift 

pulmonary function tests during a time 

when there is no red tide reported near 

the area. When a red tide developed, we 

administered a symptom survey and 

conducted pulmonary function testing 

(PFT). We compared (1) symptom 

reports before and during the red tide 

and (2) the changes in baseline PFT 

values during the work shift (differences 

between pre- and post-shift PFT results) 

without exposure to red tide with the 

changes in PFT values during the work 

shift when individuals are exposed to 

red tide. 

The exposures experienced by our 

study cohort have been minimal, and 

we plan to conduct another study (using 

the same symptom questionnaires and 

spirometry tests) during a more severe 

red tide event. 

In addition, we are now planning to 

quantify the levels of cytokines in nasal 

exudates to assess whether they can be 

used to verify exposure and to 

demonstrate a biological effect (i.e., 

allergic response) following inhalation 

of aerosolized brevetoxins. We plan to 

include not only the study subjects who 

have been involved in our earlier 

studies, but also any new individuals 

who are hired to work at the relevant 

beaches. As mentioned above, we have 

collected part data on occupational 

exposure to red tides. However, because 

we are dealing with natural phenomena 

and are subject literally to the tides, and 

because the scientific questions are 

evolving as we learn more, we must 

extend our data collection time for an 

additional three years. There are no 

costs to respondents except for their 

time. The total estimated total burden 

hours are 195. 

ESTIMATE OF ANNUALIZED BURDEN TABLE

Respondents Number of respondents 

Number of responses per 

respondent 

Average burden per response 

Pulmonary History Questionnaire ................................................................................................ 5 1 20/60 

Spirometry .................................................................................................................................... 25 6 20/60 

Nasal exudates collection/Nasal wash ........................................................................................ 25 6 10/60 

Symptom Questionnaire .............................................................................................................. 25 6 5/60 

Hearing test ................................................................................................................................. 25 6 15/60 

Beach Survey .............................................................................................................................. 5 160 5/60 

Dated: September 9, 2005. 

Joan Karr, 

Acting Reports Clearance Officer, Centers for 

Disease Control and Prevention. 

[FR Doc. 05–18407 Filed 9–15–05; 8:45 am] 

BILLING CODE 4163–18–P 

DEPARTMENT OF HEALTH AND 

HUMAN SERVICES 

Centers for Disease Control and 

Prevention 

Disease, Disability, and Injury 

Prevention and Control Special 

Emphasis Panel (SEP): Mind/Body 

Research and Chronic Disease 

Conditions, Request for Applications 

Number DP–05–133 

Correction: This notice was published 

in the Federal Register on September 8, 

2005, Volume 70, Number 173, pages 

53375–53376. The time and date of the 

meeting has been changed. 

Time and Date: 2 p.m.–3:30 p.m., 

September 22, 2005. 

Meeting Location: Teleconference. 

Contact Person for More Information: 

J. Felix Rogers, PhD, Scientific Review 

Administrator, National Center for 

Chronic Disease Prevention and Health 

Promotion, 4770 Buford Highway, MS–

K92, Atlanta, GA 30341, Telephone 

404.639.6101. 

The Director, Management Analysis 

and Services Office, has been delegated 

the authority to sign Federal Register 

notices pertaining to announcements of 

meetings and other committee 

management activities, for both CDC 

and the Agency for Toxic Substances 

and Disease Registry. 

Dated: September 9, 2005. 

Alvin Hall, 

Director, Management Analysis and Services 

Office, Centers for Disease Control and 

Prevention. 

[FR Doc. 05–18404 Filed 9–15–05; 8:45 am] 

BILLING CODE 4163–18–P 

DEPARTMENT OF HEALTH AND 

HUMAN SERVICES 

Centers for Medicare & Medicaid 

Services 

[Document Identifier: CMS–10036] 

Agency Information Collection 

Activities: Proposed Collection; 

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) 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 functions; 

Federal Register / Vol. 70, No. 179 / Friday, September 16, 2005 / Notices 54749 

(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: Extension of a currently 

approved collection; Title of 

Information Collection: Inpatient 

Rehabilitation Assessment Instrument 

and Data Set for PPS for Inpatient 

Rehabilitation Facilities and Supporting 

Regulations in 42 CFR Sections 412.23, 

412.604, 412.606, 412.610, 412.614, 

412.618, 412.626, 413.64; Form Number: 

CMS–10036 (OMB#: 0938–0842); Use: 

This is a request to use the IRF–PAI 

(Inpatient Rehabilitation Facilities—

Patient Assessment Instrument) and its 

supporting manual for the 

implementation phase of the Inpatient 

Rehabilitation PPS (Prospective 

Payment System). This payment system 

is to cover both operating and capital 

costs for inpatient rehabilitation 

hospital services. It will apply to 

rehabilitation units of acute care 

hospitals as well as to rehabilitation 

hospitals, both of which are exempt 

from the current Medicare PPS which is 

generally applicable for inpatient 

hospital services. Use of this instrument 

will enable CMS to implement a 

classification and payment system for 

the legislatively mandated inpatient 

rehabilitation hospital and the 

aforementioned exempt units. 

Frequency: Recordkeeping, third party 

disclosure and reporting—On occasion; 

Affected Public: Business or other forprofit and Not-for-profit institutions; 

Number of Respondents: 1,165; Total 

Annual Responses: 390,000; Total 

Annual Hours: 421,939. 

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/ 

regulations/pra/, or E-mail 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 at the address below, no 

later than 5 p.m. on November 15, 2005. 

CMS, Office of Strategic Operations and 

Regulatory Affairs, Division of 

Regulations Development, Attention: 

Bonnie L Harkless, Room C4–26–05, 

7500 Security Boulevard, Baltimore, 

Maryland 21244–1850. 

Dated: September 1, 2005. 

Michelle Shortt, 

Director, Regulations Development Group, 

Office of Strategic Operations and Regulatory 

Affairs. 

[FR Doc. 05–18004 Filed 9–15–05; 8:45 am] 

BILLING CODE 4120–01–P 

DEPARTMENT OF HEALTH AND 

HUMAN SERVICES 

Centers for Medicare & Medicaid 

Services 

[Document Identifier: CMS–R–138, CMS–

339, CMS–1450] 

Agency Information Collection 

Activities: Submission for OMB 

Review; Comment Request 

AGENCY: Centers for Medicare & 

Medicaid Services. 

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: Extension of a currently 

approved collection; Title of 

Information Collection: Medicare 

Geographic Classification Review Board 

(MGCRB) Procedures and Supporting 

Regulations in 42 CFR 412.256 and 

412.230; Form Nos.: CMS–R–138 (OMB 

# 0938–0573); Use: Section 1886(d)(10) 

of the Social Security Act established 

the Medicare Geographic Classification 

Review Board (MGCRB), an entity with 

the authority to accept short-term 

hospital inpatient prospective payment 

system applications from hospitals 

requesting geographic reclassification 

for wage index or standardized payment 

amounts and to issue decisions on these 

requests. This regulation sets up the 

application process for prospective 

payment system hospitals that choose to 

appeal their geographic status to the 

MGCRB. This regulation also establishes 

procedural guidelines for the MGCRB; 

Frequency: Reporting—Annually; 

Affected Public: Business or other forprofit, Not-for-profit institutions; 

Number of Respondents: 500; Total 

Annual Responses: 500; Total Annual 

Hours: 500. 

2. Type of Information Collection 

Request: Revision of a currently 

approved collection; Title of 

Information Collection: Medicare 

Provider Cost Report Reimbursement 

Questionnaire and Supporting 

Regulations in 42 CFR 413.20, 413.24, 

and 415.60; Form Nos.: CMS–339 (OMB 

# 0938–0301); Use: The purpose of Form 

CMS–339 is to assist the provider in 

preparing an acceptable cost report and 

to minimize subsequent contact 

between the provider and its 

intermediary. Form CMS–339 provides 

the basic data necessary to support the 

information in the cost report. This 

includes information the provider uses 

to develop the provider and professional 

components of physician compensation 

so that compensation can be properly 

allocated between the Part A and the 

Part B trust funds. CMS is currently 

working on eliminating Form CMS–339 

and including the applicable questions 

on the individual cost report forms. 

Because of the time required to include 

the applicable questions in each of the 

individual cost reports, CMS is revising 

the currently approved information 

collection; Frequency: Annually; 

Affected Public: Business or other forprofit, not-for-profit institutions, State, 

Local or Tribal Governments; Number of 

Respondents: 35,904; Total Annual 

Responses: 35,904; Total Annual Hours: 

618,210. 

3. Type of Information Collection 

Request: Extension of a currently 

approved collection; Title of 

Information Collection: Medicare 

Uniform Institutional Provider Bill and 

Supporting Regulations in 42 CFR 

424.5; Form No.: CMS–1450 (OMB 

#0938–0279); Use: Section 42 CFR 

424.5(a)(5) requires providers of services 

to submit claims prior to Medicare 

reimbursement. Charges are coded by 

revenue codes. The bill specifies 

diagnoses according to the International 

Classification of Diseases, Ninth Edition 

(ICD–9–CM) codes. Inpatient procedures 

are identified by ICD–9–CM codes, and 

outpatient procedures are described 

using the Healthcare Common 

Procedure Coding System (HCPCS). 

These are standard systems of 

identification for all major health 

insurance claims payers. Submission of 

information on the CMS–1450 permits 

Medicare intermediaries to receive 

consistent data for proper payment;