Federal Register / Vol. 75, No. 101 / Wednesday, May 26, 2010 / Notices 29553 

Substance Abuse and Mental Health 

Services Administration (SAMHSA), 

and authorizes the CMHS to conduct 

surveys with respect to mental health. 

To monitor the prevalence of children 

and youth with mental health problems, 

CMHS and the National Institute of 

Mental Health (NIMH), through a 

reimbursable agreement with the NCHS 

have funded questions on children’s 

mental health on the National Health 

Interview Study (NHIS). 

One component of the NHIS is the 

short Strengths and Difficulties 

Questionnaire (short SDQ), a module 

that has obtained data on the mental 

health of children aged 4–17 years since 

2001. As part of its mission, CMHS has 

undertaken the task of improving its 

methods for providing national 

estimates related to child mental health, 

specifically by conducting studies that 

determine validity and appropriate cutpoints for measuring serious emotional 

disturbance in children. To ensure that 

the short SDQ is a valid measure of 

child mental health, the proposed study 

calibrates the short SDQ on the NHIS to 

a standard psychiatric measure. Highly 

trained clinical interviewers will 

administer, via telephone, the Child and 

Adolescent Psychiatric Assessment 

(CAPA) or the Pre-School Age 

Psychiatric Assessment (PAPA) to the 

parents of a sample of children aged 

4–17 years identified in the NHIS as 

having mental health problems. 

Children aged 12–17 years will also be 

interviewed using the Child and 

Adolescent Psychiatric Assessment 

(CAPA). Clinical interviewers will also 

administer these assessments to a 

suitable control group of parents and 

children. Approximately 460 adults and 

300 children will take part in the study. 

A 24-month clearance is being sought to 

conduct this study. 

Data collected in the follow-up 

interviews will then be used to calibrate 

the short SDQ as it is used in the NHIS. 

Data will not be used to produce 

national estimates. There is no cost to 

respondents other than their time. 

ESTIMATED ANNUALIZED BURDEN TABLE

Type of survey Type of respondent Number of 

respondents 

Number of 

responses per 

respondent 

Average 

burden per 

response in 

hours 

Total burden 

in hours 

Calibration and Control ..................... Parents of children aged 4–8 years 50 1 1 50 

Parents of children aged 9–17 years 180 1 1 180 

Children, aged 12–17 ....................... 150 1 45/60 113 

Total ........................................... ........................................................... 380 ........................ ........................ 343 

Dated: May 20, 2010. 

Maryam I. Daneshvar, 

Reports Clearance Officer, Centers for Disease 

Control and Prevention. 

[FR Doc. 2010–12666 Filed 5–25–10; 8:45 am] 

BILLING CODE 4163–18–P 

DEPARTMENT OF HEALTH AND 

HUMAN SERVICES 

Substance Abuse and Mental Health 

Services Administration 

Agency Information Collection 

Activities: Proposed Collection; 

Comment Request 

In compliance with Section 

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

Reduction Act of 1995 concerning 

opportunity for public comment on 

proposed collections of information, the 

Substance Abuse and Mental Health 

Services Administration (SAMHSA) 

will publish periodic summaries of 

proposed projects. To request more 

information on the proposed project or 

to obtain a copy of the information 

collection plans, call the SAMHSA 

Reports Clearance Officer at (240) 276– 

1243. 

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. 

Proposed Project: Assessment of the 

Underage Drinking Prevention 

Education Initiatives State Videos 

Project—New 

The Substance Abuse and Mental 

Health Services Administration’s Center 

for Substance Abuse Prevention (CSAP) 

is requesting Office of Management and 

Budget (OMB) approval of three new 

data collection instruments— 

• State Video Contacts Form; 

• Video Viewers Form; and 

• Dissemination Update Online Form. 

This new information collection is for 

the assessment of the 2010–2013 

Underage Drinking Prevention 

Education Initiatives State Videos 

project. In 2007, four States participated 

in a pilot study to produce videos on the 

topic of underage drinking prevention. 

Based upon the success of those videos, 

10 additional States and 1 Territory 

were provided videos in 2009. From 

2010 to 2013, CSAP will invite 

approximately 10 States/Territories per 

year to produce their own videos. 

Over the next 4 years, CSAP will 

conduct a process and outcome 

assessment of this project. The process 

assessment will focus on the 

experiences associated with planning 

and producing the State video. The 

outcome assessment will examine the 

effectiveness of the State Videos project 

in meeting the core project objectives 

and will capture the State’s 

dissemination efforts. The process and 

outcome assessments will encompass 

State videos that will be produced in 

2010–2013 and those that were 

produced in 2007 and 2009. State 

contacts will be asked to update their 

dissemination information online if 

there have been changes in these figures 

during the previous 6 months, up 

through 2013. Additionally, data will be 

collected from viewers of the State 

videos using an online survey. 

The information will be collected 

from the primary contact employee 

designated by the State that is agreeing 

to participate in the production of a 

video for the State Videos project. The 

viewers’ information will be collected 

from those who voluntarily decide to 

complete a short survey after seeing the 

video. 

SAMHSA/CSAP intends to support 

annual State underage drinking 

prevention videos. The information 

collected will be used by SAMHSA/ 


wwoods2 on DSK1DXX6B1PROD with NOTICES_PART 1
29554 Federal Register / Vol. 75, No. 101 / Wednesday, May 26, 2010 / Notices 

CSAP to help plan for these annual 

video productions and provide 

technical assistance to the participating 

States. The collected information will 

also provide a descriptive picture of the 

initiative and indicate how the videos 

have been received, as well as some 

factors that may be associated with 

successful dissemination outcomes. 

The information needs to be collected 

using a combination of initial telephone 

interviews to collect process data, 

followed by online forms to collect 

outcome and dissemination data. A 

survey of viewers, collected online, will 

also be used to assess the effectiveness 

of the State videos in increasing 

awareness of the underage prevention 

activities in these States. This 

information collection is being 

implemented under authority of Section 

501(d)(4) of the Public Health Service 

Act (42 USC 290aa). 

State staff members will be contacted 

once the video has been finalized. These 

State staff members will be asked to 

complete a short telephone interview 

that asks questions about the process of 

producing the State video. The State 

Video Contacts Form includes nine 

items about the State video, among 

which are included the following: 

• State’s objectives for the video on 

underage drinking prevention. 

• Targeted audiences. 

• Satisfaction with technical 

assistance (TA) received. 

• Usefulness of preplanning 

materials. 

• Helpfulness of TA during different 

phases of production. 

• Recommendations for improving 

the process. 

• Recommendations for improving 

the content of the video. 

• Advice to other States interested in 

producing a video. 

If the State has disseminated the 

video at the time of the initial telephone 

interview, then they will also be asked 

to complete the second part of the State 

Video Contacts Form, which collects 

information on dissemination outcomes. 

The State Video Contacts Form includes 

19 items about the dissemination 

activities of the State’s video, among 

which are included the following: 

• When they disseminated the video. 

• Methods of dissemination. 

• Number of people who viewed the 

video. 

• Number of DVDs and videotapes 

requested. 

• Effectiveness of the dissemination 

methods. 

• Factors that contributed to the 

effectiveness of dissemination. 

• Effect of TA received. 

• Effect of the video in raising 

awareness about underage drinking 

prevention successes in the State. 

• Effect of the video in raising 

awareness about underage drinking 

prevention challenges in the State. 

• Effectiveness of the video in 

presenting State’s/Territory’s prevention 

activities. 

• Feedback received. 

• Unintended positive outcomes. 

• Effect of TA in improving the 

capacity to provide effective prevention 

services. 

After the State staff member has 

completed the State Video Contacts 

Form online, he or she will be requested 

to update dissemination activities 

online if there have been any changes 

during the past 6 months. This form 

includes seven items, among which are 

included the following: 

• Whether there have been changes in 

dissemination during the past 6 months. 

• Most recent dissemination 

numbers, by method. 

• Facilitation factors. 

• Additional feedback. 

• Additional unintended positive 

outcomes. 

Data will also be collected from 

viewers of the State videos. Each State 

video will include instructions on how 

to access the Video Viewers Form. The 

instructions may be a unique URL, or 

they may consist of instructions on each 

State’s Web site on underage drinking 

prevention. This information will allow 

the CSAP to provide feedback to the 

States on their video and to measure the 

effectiveness of their video. The Video 

Viewers Form includes 24 items about 

the video, among which are included 

the following: 

• When and where they viewed the 

video. 

• Whom they recommended to view 

the video. 

• What they learned from watching 

the video. 

• What actions they may take because 

of the video. 

• Whether they plan to change 

behaviors and knowledge about their 

State’s activities. 

The process assessment of the State 

videos will be conducted using 

telephone interviews with the State 

points of contact. This interview should 

take 10 minutes (0.167 hours). The 

outcome assessment of the State videos 

will be collected using an online form 

that will be completed by no more than 

26 respondents and will require only 1 

response per respondent. It will take an 

average of 10 minutes (0.167 hours) to 

review the instructions, complete the 

form, and submit it electronically. 

Dissemination updates will be 

requested from each State point of 

contact every 6 months if there have 

been changes during that time period. 

These updates will be submitted 

electronically, and it should take 

approximately 5 minutes (0.083 hours) 

to review the instructions, complete the 

short form, and submit it electronically. 

The burden estimate is based on 

comments from several potential 

respondents who completed the online 

form, submitted it, and provided 

feedback on how long it would take 

them to complete it. The respondents 

will be employees of the State. 

A short survey will also be used to 

collect data from viewers of the State 

videos. An estimated 1,000 viewers will 

voluntarily choose to complete this 

online survey, which will take 10 

minutes (0.167 hours) to review, 

complete, and submit. The viewers are 

expected to be pulled from the general 

public. 

Form name Number of 

respondents 

Responses 

per 

respondent 

Hours per 

response 

Total hour 

burden 

Process Interview ............................................................................................ 26 1 0.167 4.34 

Dissemination Outcome ................................................................................... 26 1 0.167 4.34 

Dissemination Updates .................................................................................... 26 1 0.083 2.16 

Viewers Survey ................................................................................................ 1,000 1 0.167 167

Total .......................................................................................................... 1,078 ........................ ........................ 177.84 

Send comments to Summer King, 

SAMHSA Reports Clearance Officer, 

Room 7–1044, One Choke Cherry Road, 

Rockville, MD 20857 AND e-mail a copy 

to: summer.king@samhsa.hhs.gov. 


wwoods2 on DSK1DXX6B1PROD with NOTICES_PART 1
Federal Register / Vol. 75, No. 101 / Wednesday, May 26, 2010 / Notices 29555 

Written comments should be received 

within 60 days of this notice. 

Dated: May 17, 2010. 

Elaine Parry, 

Director, Office of Program Services. 

[FR Doc. 2010–12644 Filed 5–25–10; 8:45 am] 

BILLING CODE 4126–20–P 

DEPARTMENT OF HEALTH AND 

HUMAN SERVICES 

Centers for Medicare & Medicaid 

Services 

[CMS–4151–NC] 

RIN 0938–AQ04 

Medicare Program; Medicare Coverage 

Gap Discount Program Model 

Manufacturer Agreement and 

Announcement of the June 1, 2010 

Public Meeting 

AGENCY: Centers for Medicare & 

Medicaid Services (CMS), HHS. 

ACTION: Notice with comment period. 

SUMMARY: This notice with comment 

period contains a draft model agreement 

for use by the Secretary and 

manufacturers under the Medicare 

Coverage Gap Discount Program 

established by section 3301 of the 

Patient Protection and Affordable Care 

Act, as amended by section 1101 of the 

Health Care and Education 

Reconciliation Act of 2010. Under the 

agreement, manufacturers of applicable 

covered Part D drugs must provide 

applicable discounts to applicable 

Medicare beneficiaries for applicable 

covered Part D drugs while in the 

coverage gap beginning in 2011. It also 

announces the June 1, 2010 public 

meeting regarding the draft model 

agreement. 

DATES: Meeting Date: Tuesday, June 1, 

2010, 9 a.m. to 5:30 p.m., eastern 

daylight time (e.d.t.). 

Meeting Registration and Request for 

Special Accommodations Deadline: 

Register between May 21, 2010 and June 

1, 2010. 

Comment Date: To be assured 

consideration, comments must be 

received at one of the addresses 

provided below, no later than 5 p.m. 

e.d.t on June 21, 2010. 

ADDRESSES: Meeting Location: The 

meeting will be held in the Sheraton 

Baltimore City Center Hotel, 101 West 

Fayette Street, Baltimore, MD 21201. 

Registration and Special 

Accommodations: Register and request 

special accommodations at http:// 

cmsconference.hcmsllc.com. 

Submitting Comments: In 

commenting, please refer to file code 

CMS–4151–NC. Because of staff and 

resource limitations, we cannot accept 

comments by facsimile (FAX) 

transmission. 

You may submit comments in one of 

four ways (please choose only one of the 

ways listed): 

1. Electronically. You may submit 

electronic comments on this notice to 

http://www.regulations.gov. Follow the 

instructions ‘‘For submitting a 

comment.’’ 

2. By regular mail. You may mail 

written comments to the following 

address ONLY: Centers for Medicare & 

Medicaid Services, Department of 

Health and Human Services, Attention: 

CMS–4151–NC, P.O. Box 8013, 

Baltimore, MD 21244–8013. 

Please allow sufficient time for mailed 

comments to be received before the 

close of the comment period. 

3. By express or overnight mail. You 

may send written comments to the 

following address ONLY: Centers for 

Medicare & Medicaid Services, 

Department of Health and Human 

Services, Attention: CMS–4151–NC, 

Mail Stop C4–26–05, 7500 Security 

Boulevard, Baltimore, MD 21244–1850. 

4. By hand or courier. If you prefer, 

you may deliver (by hand or courier) 

your written comments before the close 

of the comment period to either of the 

following addresses: 

a. For delivery in Washington, DC— 

Centers for Medicare & Medicaid 

Services, Department of Health and 

Human Services, Room 445–G, Hubert 

H. Humphrey Building, 200 

Independence Avenue, SW., 

Washington, DC 20201. 

(Because access to the interior of the 

Hubert H. Humphrey Building is not 

readily available to persons without 

Federal government identification, 

commenters are encouraged to leave 

their comments in the CMS drop slots 

located in the main lobby of the 

building. A stamp-in clock is available 

for persons wishing to retain a proof of 

filing by stamping in and retaining an 

extra copy of the comments being filed.) 

b. For delivery in Baltimore, MD— 

Centers for Medicare & Medicaid 

Services, Department of Health and 

Human Services, 7500 Security 

Boulevard, Baltimore, MD 21244–1850. 

If you intend to deliver your 

comments to the Baltimore address, 

please call telephone number (410) 786– 

9994 in advance to schedule your 

arrival with one of our staff members. 

Comments mailed to the addresses 

indicated as appropriate for hand or 

courier delivery may be delayed and 

received after the comment period. 

For information on viewing public 

comments, see the beginning of the 

SUPPLEMENTARY INFORMATION section. 

FOR FURTHER INFORMATION CONTACT: 

Craig Miner, for questions regarding the 

model agreement, (410) 786–7937. Sonia 

Eaddy, for questions regarding the 

meeting registration, 410–786–5459. 

SUPPLEMENTARY INFORMATION: Inspection 

of Public Comments: All comments 

received before the close of the 

comment period are available for 

viewing by the public, including any 

personally identifiable or confidential 

business information that is included in 

a comment. We post all comments 

received before the close of the 

comment period on the following Web 

site as soon as possible after they have 

been received: http:// 

www.regulations.gov. Follow the search 

instructions on that Web site to view 

public comments. 

Comments received timely will also 

be available for public inspection as 

they are received, generally beginning 

approximately 3 weeks after publication 

of a document, at the headquarters of 

the Centers for Medicare & Medicaid 

Services, 7500 Security Boulevard, 

Baltimore, Maryland 21244, Monday 

through Friday of each week from 8:30 

a.m. to 4 p.m. To schedule an 

appointment to view public comments, 

phone 1–800–743–3951. 

I. Background 

Section 101 of the Medicare 

Prescription Drug, Improvement and 

Modernization Act of 2003 (MMA) 

which was enacted on December 8, 2003 

established the Voluntary Prescription 

Drug Benefit Program (hereinafter 

referred to as ‘‘Part D’’). The Part D 

program is available for individuals who 

are entitled to Medicare Part A or 

enrolled in Medicare Part B. The 

Centers for Medicare & Medicaid 

Services (CMS) contracts with private 

companies, referred to as Part D 

sponsors, to administer the Part D 

program via stand alone prescription 

drug plans (PDPs) and prescription drug 

plans offered by Medicare Advantage 

Organizations (MA–PDs). The Part D 

program became effective January 1, 

2006. 

Standard Part D prescription drug 

coverage consists of coverage subject to 

an annual deductible, 25 percent 

coinsurance (or an actuarially 

equivalent cost-sharing design) up to the 

initial coverage limit (ICL), and 

catastrophic coverage for individuals 

that exceed the annual maximum true 

out-of-pocket (TrOOP) threshold with 

cost-sharing equal to the greater of a $2/ 

$5 copayment or coinsurance of 5 


wwoods2 on DSK1DXX6B1PROD with NOTICES_PART 1