75984 Federal Register / Vol. 69, No. 243 / Monday, December 20, 2004 / Notices 

Archives and Records Administration at 

the following Internet address: http:// 

www.access.gpo.gov/nara/cfr/cfr-tablesearch.html. 

The following additional 

requirements apply to this project: 

• AR–7 Executive Order 12372. 

• AR–9 Paperwork Reduction Act 

Requirements. 

• AR–10 Smoke-Free Workplace 

Requirements. 

• AR–11 Healthy People 2010. 

• AR–12 Lobbying Restrictions. 

Additional information on these 

requirements can be found on the CDC 

web site at the following Internet 

address: http://www.cdc.gov/od/pgo/ 

funding/ARs.htm. 

VI.3. Reporting Requirements 

You must provide CDC with an 

original, plus two hard copies of the 

following reports: 

1. Interim progress report, no less 

than 90 days before the end of the 

budget period. Report must contain the 

following elements: 

a. Current Budget Period Activities 

Objectives. 

b. Current Budget Period Financial 

Progress. 

c. Additional Requested Information. 

d. Measures of Effectiveness. 

2. Final financial and performance 

reports, no more than 90 days after the 

end of the project period. 

These reports must be mailed to the 

Grants Management or Contract 

Specialist listed in the ‘‘Agency 

Contacts’’ section of this announcement. 

VII. Agency Contacts 

For general questions about this 

announcement, contact: Technical 

Information Management Section, CDC 

Procurement and Grants Office, 2920 

Brandywine Road, Atlanta, GA 30341, 

Telephone: 770–488–2700. 

For program technical assistance, 

contact: Dan Sadler, Project Officer, 

CDC National Center for Chronic 

Disease Prevention, 4770 Buford 

Highway, NE MS K–24, Atlanta, GA 

30341, Telephone: 770–488–6002, Email:DSadler@CDC.gov. 

For financial, grants management, or 

budget assistance, contact: Carlos 

Smiley, Grants Management Specialist, 

CDC Procurement and Grants Office, 

2920 Brandywine Road, Atlanta, GA 

30341, Telephone: 770–488–2754, Email: CSmiley@cdc.gov. 

VIII. Other Information 

None. 

Dated: December 13, 2004. 

William P. Nichols, 

Director, Procurement and Grants Office, 

Centers for Disease Control and Prevention. 

[FR Doc. 04–27707 Filed 12–17–04; 8:45 am] 

BILLING CODE 4163–18–P 

DEPARTMENT OF HEALTH AND 

HUMAN SERVICES 

Centers for Disease Control and 

Prevention 

Mallinckrodt Chemical Company, 

Destrehan Street Plant 

AGENCY: Centers for Disease Control and 

Prevention (CDC), Department of Health 

and Human Services (HHS). 

ACTION: Notice. 

SUMMARY: The Department of Health and 

Human Services gives notice of a 

decision to evaluate a petition 

submitted on behalf of a class of 

employees at the Mallinckrodt Chemical 

Company, Destrehan Street Plant, in 

Saint Louis, Missouri to determine 

whether all or some part of the class 

should be included in the Special 

Exposure Cohort under the Energy 

Employees Occupational Illness 

Compensation Program Act of 2000. The 

initial proposed definition for the class 

being evaluated, subject to revision as 

warranted by the evaluation, is as 

follows: 

Facility: Mallinckrodt Chemical 

Company, Destrehan Street Plant, Saint 

Louis, Missouri. 

Locations: All locations in the 

Destrehan Street Plant. 

Job Titles and/or Job Duties: All 

employees that conducted Atomic 

Energy Commission (AEC) work at the 

Destrehan Street Plant. 

Period of Employment: 1942–1957. 

FOR FURTHER INFORMATION CONTACT: 

Larry Elliott, Director, Office of 

Compensation Analysis and Support, 

National Institute for Occupational 

Safety and Health, 4676 Columbia 

Parkway, MS C–46, Cincinnati, OH 

45226, Telephone 513–533–6800 (this is 

not a toll-free number). Information 

requests can also be submitted by e-mail 

to OCAS@CDC.GOV. 

Dated: December 13, 2004. 

James D. Seligman, 

Associate Director for Program Services, 

Centers for Disease Control and Prevention. 

[FR Doc. 04–27812 Filed 12–17–04; 8:45 am] 

BILLING CODE 4163–19–P 

DEPARTMENT OF HEALTH AND 

HUMAN SERVICES 

Centers for Medicare and Medicaid 

Services 

[Document Identifier: CMS–R–238] 

Agency Information Collection 

Activities: Proposed Collection; 

Comment Request 

AGENCY: Centers for Medicare and 

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 and Medicaid 

Services (CMS) (formerly known as the 

Health Care Financing Administration 

(HCFA)), 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 functions; 

(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 

Psychiatric Services for Individuals 

Under Age 21 and Supporting 

Regulations in 42 CFR Section 441.151 

and 441.152; Use: Certification 

requirements in 42 CFR 441.151 and 

441.152 require that if it is determined 

that psychiatric services in an inpatient 

setting for individuals under age 21 are 

necessary, certification must be in 

writing before an individual is admitted 

for treatment. This information is used 

by States to document that effective 

screening measures are in place to 

justify the use of inpatient psychiatric 

services; Form Number: CMS–R–238 

(OMB#: 0938–0754); Frequency: 

Recordkeeping; Affected Public: State, 

Local or Tribal Govt., Business or other 

for-profit, and Not-for-profit 

institutions; Number of Respondents: 

80,000; Total Annual Responses: 

80,000; Total Annual Hours: 1. 

To obtain copies of the supporting 

statement and any related forms for the 

proposed paperwork collections 

referenced above, access CMS’s Web site