Federal Register / Vol. 75, No. 103 / Friday, May 28, 2010 / Notices 30047 

(referred to as the ‘‘CHIP Working 

Group’’). The CHIP Working Group will 

meet to address objectives specified 

under section 311(b)(1)(C) of the 

Children’s Health Insurance Program 

Reauthorization Act of 2009. This 

meeting is open to the public. 

DATES: Meeting Date: Monday, June 14, 

2010 from 9 a.m. to 5 p.m., Eastern 

Standard Time (e.s.t.). 

Deadline for Registration without Oral 

Presentation: June 12, 2010, 12 p.m., 

e.s.t. 

Deadline for Registration of Oral 

Presentations: June 10, 2010, 12 p.m., 

e.s.t. 

Deadline for Submission of Oral 

Remarks and Written Comments: June 

10, 2010, 12 p.m., e.s.t. 

Deadline for Requesting Special 

Accommodations: June 10, 2010, 12 

p.m., e.s.t. 

ADDRESSES: Meeting Location: The 

meeting will be held at the Grand Hyatt 

Washington, 1000 H Street NW., 

Washington, DC 20001. 

Submission of Testimony: 

Testimonies should be mailed to Stacey 

Green, Designated Federal Official 

(DFO), Centers for Medicare & Medicaid 

Services, 7500 Security Boulevard, Mail 

stop C2–04–04, Baltimore, MD 21244– 

1850, or contact the DFO via e-mail at 

stacey.green@cms.hhs.gov. 

FOR FURTHER INFORMATION CONTACT: 

Stacey Green, DFO, Centers for 

Medicare & Medicaid Services, Health 

and Human Services at (410) 786–6102, 

or Amy Turner, Employee Benefits 

Security Administration, DOL at (202) 

693–8335. News media representatives 

must contact the CMS Press Office, 

(202) 690–6145. Please refer to the 

Internet at http://www.cms.hhs.gov/ 

FACA, or http://www.dol.gov/ebsa/ 

CHIP.html for additional information 

and updates on committee activities. 

SUPPLEMENTARY INFORMATION: 

I. Background 

In accordance with section 10(a) of 

the Federal Advisory Committee Act 

(FACA), this notice announces the 

second meeting of the Medicaid, CHIP, 

and Employer-Sponsored Coverage 

Coordination Working Group (‘‘CHIP 

Working Group’’). The Secretary of 

Health and Human Services and the 

Secretary of Labor are required under 

section 311(b)(1)(C) of the Children’s 

Health Insurance Program 

Reauthorization Act (CHIPRA) of 2009 

(Pub. L. 111–3), enacted February 4, 

2009, to jointly establish a CHIP 

Working Group. The membership of the 

group is based on nominations 

submitted in response to a Federal 

Register solicitation notice published on 

May 1, 2009 (74 FR 20323). The CHIP 

Working Group will meet two times to 

develop a model coverage coordination 

disclosure form for group health plan 

administrators to send to States upon 

request regarding benefits available 

under the plan. This notice will enable 

States to determine the availability and 

cost-effectiveness of providing premium 

assistance to individuals eligible for 

benefits under titles XIX or XXI of the 

Social Security Act (the Act) to enable 

them to enroll in group health plans. 

The CHIP Working Group will identify 

and report on the impediments to the 

effective coordination of coverage 

available to families that include 

employees of employers that maintain 

group health plans and members who 

are eligible for medical assistance under 

title XIX of the Act or child health 

assistance or other health benefits 

coverage under title XXI of the Act. 

Not later than August 5, 2010, the 

CHIP Working Group must submit to the 

Secretary of Labor and the Secretary of 

Health and Human Services the model 

coverage coordination disclosure form 

and the report containing 

recommendations for appropriate 

measures for addressing the 

impediments to the effective 

coordination of coverage. 

II. Meeting Format and Agenda 

The meeting will commence with 

welcoming remarks from the CHIP 

Working Group by Departmental 

representatives. In addition, the agenda 

will focus on the following: 

• Introductions from Chair and CoChair. 

• Review of the draft model coverage 

coordination disclosure form for plan 

administrators of group health plans. 

The draft form is available for members 

of the public to review at http:// 

www.dol.gov/ebsa/CHIP.html. To 

submit written comments, follow the 

instructions listed in the ADDRESSES

section of this notice. 

• Review of report containing 

recommendations for appropriate 

measures for addressing the 

impediments to the effective 

coordination of coverage between group 

health plans and title XIX and XXI State 

plans. 

• An opportunity for public comment 

and testimony. 

For additional information and 

clarification on these topics, contact the 

DFO as provided in the FOR FURTHER

INFORMATION CONTACT section of this 

notice. Individual or organizational 

stakeholders that represent the focus 

area of the CHIP Working Group 

wishing to present a 5-minute oral 

testimony on agenda issues must 

register with the DFO by the date listed 

in the DATES section of this notice. 

Testimony is limited to agenda topics 

only. The number of oral testimonies 

may be limited by the time available. A 

written copy of the presenter’s oral 

remarks must be submitted to the DFO 

for distribution to CHIP Working Group 

members for review before the meeting 

by the date listed in the ‘‘DATES’’ 

section of this notice. 

III. Meeting Registration and Security 

Information 

The meeting is open to the public, but 

attendance is limited to the space 

available. Persons wishing to attend this 

meeting must register by contacting the 

DFO at the address listed in the 

ADDRESSES section of this notice or by 

telephone at the number listed in the 

FOR FURTHER INFORMATION CONTACT

section of this notice by the date 

specified in the DATES section of this 

notice. 

Individuals requiring sign language 

interpretation or other special 

accommodations must contact the DFO 

via the contact information specified in 

the FOR FURTHER INFORMATION CONTACT

section of this notice by the date listed 

in the DATES section of this notice. 

Authority: (Section 1868 of the Social 

Security Act (42 U.S.C. 1395ee) and section 

10(a) of Pub. L. 92–463 (5 U.S.C. App. 2, 

section 10(a)).) 

Dated: May 21, 2010. 

Marilyn Tavenner, 

Acting Administrator and Chief Operating 

Officer, Centers for Medicare & Medicaid 

Services. 

Dated: May 21, 2010. 

Michael L. Davis 

Deputy Assistant Secretary, Employee 

Benefits Security Administration, Department 

of Labor. 

[FR Doc. 2010–12952 Filed 5–27–10; 8:45 am] 

BILLING CODE 4120–01–P–4510–29–P 

DEPARTMENT OF HEALTH AND 

HUMAN SERVICES 

Administration for Children and 

Families 

Migrant and Seasonal Farmworkers 

Study 

AGENCY: Office of Head Start. 

ACTION: Notice of Public Comment. 

SUMMARY: The following Notice of 

Public Comment is in response to 

Section 649(f) Sub-Section (3) of the 

2007 Head Start School Readiness Act 

(the Act) requiring the Secretary to 

publish in the Federal Register a plan 

of how the Secretary will carry out 


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30048 Federal Register / Vol. 75, No. 103 / Friday, May 28, 2010 / Notices 

section 649 Sub-Section (f) SubParagraph (1) and shall provide a period 

for public comment. 

DATES: To ensure consideration, written 

comments must be submitted on or 

before 60 days after this notice is 

published. 

To Comment on This Document, or 

for Further Information Contact: 

MigrantFederalRegister@

HeadStartinfo.org. 

SUPPLEMENTARY INFORMATION: Pursuant 

to the Improving Head Start for School 

Readiness Act of 2007, Public Law 110– 

134, Section 649 [42 U.S.C. 9801]—SubSection 649(h)(1)(A–B), notice is hereby 

given of a plan to conduct a set of 

activities designed to focus on the 

Migrant and Seasonal Farmworker Head 

Start-eligible population. As required by 

the Act, the Secretary shall work in 

collaboration with providers of Migrant 

and Seasonal Head Start programs, the 

Secretary of Agriculture, the Secretary 

of Labor, the Bureau of Migrant Health, 

and the Secretary of Education to 

undertake the activities addressed in 

this notice. The notice is required to 

present: (1) A plan to ‘‘collect, report, 

and share data, within a coordinated 

system, on children of migrant and 

seasonal farmworkers and their families, 

including health records and 

educational documents of such 

children, in order to adequately account 

for the number of children of migrant 

and seasonal farmworkers who are 

eligible for Head Start services and 

determine how many of such children 

receive the services;’’ (2) a plan to 

‘‘identify barriers that prevent children 

of migrant and seasonal farmworkers 

who are eligible for Head Start services 

from accessing Head Start services;’’ and 

(3) ‘‘develop a plan for eliminating such 

barriers, including certain requirements 

relating to tracking, health records, and 

educational documents, and increasing 

enrollment.’’ 

Migrant and Seasonal Head Start 

(MSHS) Plans 

(1) Collaboration across Federal 

agencies in order to adequately account 

for the number of children of migrant 

and seasonal farmworkers who are 

eligible for Head Start services and 

determine how many of such children 

receive the services. 

Interagency Meetings. On December 5, 

2008, ACF convened a meeting of 

representatives from the United States 

(U.S.) Department of Education (ED), 

Office of Elementary and Secondary 

Education, Office of Migrant Education; 

the U.S. Department of Labor, 

Employment and Training 

Administration; and the U.S. 

Department of Health and Human 

Services (HHS), Health Resources and 

Services Administration (HRSA), Office 

of Migrant Health; the HHS 

Administration for Children and 

Families, Office of Head Start (OHS), 

Migrant and Seasonal Head Start, and 

the Office of Planning, Research and 

Evaluation. The purpose of the meeting 

was to engage these agencies in 

discussing their efforts in collecting, 

reporting, and sharing data and lessons 

learned to enhance coordination among 

agencies at the Federal, State, and local 

levels. This meeting resulted in the 

organization of a series of Interagency 

Roundtables on Migrant and Seasonal 

Farmworkers. 

The Roundtables will look at: 

• Data collection efforts affecting 

migrant and seasonal farmworker 

children and their families, including 

efforts to maintain and coordinate their 

health and education records: How are 

data efforts pursued and maintained? 

How are data collected and reported? 

What are the lessons learned from 

previous attempts at coordinating data 

collection efforts? 

• Accounting for the number of 

eligible children/workers, as well as the 

number of children/workers who 

receive services: How do various 

organizations identify gaps in their 

services? How can these approaches be 

improved? and 

• Identifying barriers that prevent 

eligible migrant and seasonal 

farmworkers and their families from 

accessing migrant and seasonal services: 

How can these barriers be reduced, 

ameliorated or eliminated? 

After a first planning meeting with 

agencies involved, the first Roundtable 

was held in April 2009 and focused on 

the Department of Education’s Migrant 

Student Information Exchange (MSIX) 

and the Department of Labor’s National 

Agricultural Worker’s Survey (NAWS). 

The second half of the day involved 

active discussions between the Federal 

representatives, addressing the topical 

questions in light of the presented 

information. An additional meeting was 

held on March 17, 2010. 

Systematic Data Collection: Accounting 

for the Number of Children Eligible 

Farmworkers are eligible for MSHS 

services based on mobility, 

employment, age of the children, and 

income. For the eligibility of migrants, 

the family must be primarily engaged in 

agricultural work and have changed 

geographical locations within the past 

24 months in pursuit of agricultural 

work. For seasonal farmworkers eligible 

for MSHS, the parents must be primarily 

engaged in farmwork but need not have 

changed geographical locations within 

the past 24 months. For both migrant 

and seasonal farmworkers, acceptable 

farmwork includes production and 

harvesting of tree and field crops. 

Production and harvesting of tree and 

field crops include preparing the soil, 

planting, cultivating, picking, packing, 

canning, and processing. Agricultural 

work that supports the crop production 

such as irrigation, crop protection, and 

operation of farm machinery are also 

included. Production and harvesting of 

greenhouse and nursery products may 

also be included. Eligible children range 

in age from newborn up to compulsory 

school age. Income requirements for 

families are based on poverty guidelines 

updated annually in the Federal 

Register by the U.S. Department of 

Health and Human Services. The 

income of migrant and seasonal eligible 

families must be primarily derived from 

agricultural work. 

As OHS has been asked to account for 

the total number of MSHS-eligible 

children, it reviewed the data collection 

resources of other Federal agencies that 

are also currently serving or observing 

migrant and seasonal farmworkers. 

These included the Enumeration 

Studies of Migrant Health; Reports of 

Migrant Health Clinics; Data 

Transferring Efforts of Migrant 

Education; and the National 

Agricultural Workers Survey (NAWS) of 

the Department of Labor. 

The methodology of the Enumeration 

Profiles (Larson Assistance Services, 

Vashon Island; 1990; 2001; 2002) was 

very individualized per State and 

involved intensive effort. The results 

presented estimates of the number of 

farmworkers within a State and, when 

possible, by county and across age 

groups. The resulting profile estimations 

were based on secondary data analyses 

and the opinions of invested experts; 

the validity and reliability of the 

information was therefore undermined 

by the inherent variations in quality and 

quantity of data from State to State. 

There are 154 Federally funded 

migrant health center (MHC) entities, 

sponsored by the Office of Migrant 

Health, that collectively operate more 

than 500 satellite service sites that 

comprise a loosely knit network of 

independent organizations serving 

migrant and seasonal farmworkers. 

Their annual reports present the 

national and State number of 

farmworkers served by the clinic sites: 

http://bphc.hrsa.gov/uds/2007data/ 

National/migrant/ 

NationalTable3Amhc.htm. However, 

methodological and definitional issues 

currently undermine the possibility of 

using Migrant Health Clinic data to 


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Federal Register / Vol. 75, No. 103 / Friday, May 28, 2010 / Notices 30049 

account for numbers of MSHS-eligible 

nationally. The HRSA definition of 

farmworkers eligible for service is 

similar to the MSHS definition in terms 

of the types of farmwork allowable and 

the mobility requirements. However, 

HRSA does not require the whole family 

to engage in agricultural work or to 

change geographical location in order to 

receive services. Methodologically, 

programs do not consistently share data 

across sites, so the cumulative count of 

individuals served may include workers 

who are counted more than one time as 

they migrate for work. Further, 

information about the entire family is 

not reported for each individual, so 

siblings that might be eligible for MSHS 

are not identified. Finally, migrant 

clinics are scattered across the U.S., but 

their distribution does not necessarily 

reflect a geographically representative 

profile of farmworkers in the U.S. 

Migrant Education of ED uses an 

extensive network of recruiters to 

actively identify eligible students in 

each area. The Migrant Education 

program uses a data transferring system 

to coordinate records across schools for 

children of migrant farmworkers. Again, 

definitional and methodological issues 

reduce the usefulness of these data for 

identifying the number of MSHSeligible nationally. Migrant Education 

services are available for children who 

traveled with their families within the 

past three years for purposes of a family 

member’s temporary or seasonal 

employment with agricultural, fishing, 

farming or logging. Further, Migrant 

Education recruiters are primarily 

interested in identifying eligible threeyear-olds through high school aged. 

Given these definitions, the number of 

children eligible for Migrant Education 

will differ markedly from those eligible 

for MSHS. 

OHS also reviewed an additional 

established methodology for accounting 

for the national population of migrant 

and seasonal farmworkers: The National 

Agricultural Worker’s Survey (NAWS). 

NAWS is a national, random sample 

survey of crop farmworkers in the 

continental U.S. that is housed at the 

U.S. Department of Labor (DOL). The 

data is collected directly from 

agricultural workers, on an annual basis, 

using field survey methods. Estimates 

and data from this effort have been used 

by HRSA, Migrant Education, and DOLFarmworkers Job Programs. 

Topics covered by NAWS have 

included farmworker work histories and 

tasks, as well as health and housing. 

The survey methodology is complex, 

with sampling occurring three times per 

year to capture seasonal and geographic 

variations in the farmworker 

population. NAWS interviewers travel 

to randomly selected counties, 

contacting an annual sample of 

approximately 500 agricultural 

employers to obtain cooperation for the 

survey. At the randomly selected 

agricultural establishments, 

interviewers draw a random sample of 

farmworkers and then administer the 

questionnaire. DOL calculates estimates 

of each State’s share of the Migrant 

Seasonal Farmworkers population based 

on a formula that includes several data 

sources, including the Census of 

Agriculture, U.S. Department of 

Agriculture’s (USDA) Quarterly 

Agricultural Labor Survey and NAWS. 

Strengths and weaknesses of each of 

these datasets are outlined in Steirman, 

Kissam, and Nakamoto, 1998. 

Estimating the national number of 

eligible MSHS children using NAWS 

data is a multi-step process. The first 

step is to calculate a size estimate for 

the national farmworker population 

(typically done using either the USDA 

Farm Labor Survey or the USDA Census 

of Agriculture). The second step is to 

identify the percent of the farmworker 

population eligible for MSHS and the 

average number of infant through preschool aged children per family (using 

three-year averages of NAWS data 

regarding percentages of farmworker 

families meeting eligibility 

requirements). From steps one and two, 

it is possible to estimate the national 

average of eligible migrant and seasonal 

children. To further refine these 

numbers to agricultural regions, it is 

necessary to incorporate data regarding 

the proportion of farmworkers within 

each region (USDA Farm Labor Survey), 

and multiply the national average of 

eligible by these proportions. 

Upon review of these methods, the 

NAWS methodology was identified as 

an established, carefully designed, large 

scale approach to estimating numbers of 

agricultural workers nationally and by 

agricultural regions. Beginning in 

February 2008, ACF partnered with 

DOL to use this established survey to 

gather a national estimate of MSHSeligible children (both migrant and 

seasonal). Estimates for seven multistate agricultural regions will also be 

calculated. In June 2009, the results 

from the pilot year of NAWS will be 

made available to OHS for review and 

discussion. Further minor refinement of 

the NAWS–MSHS questions will be 

ongoing, to ensure that children who 

match to the MSHS definition of eligible 

can be accurately identified. 

Additional Systematic Data Collection: 

Design for MSHS Survey 

A team of researchers, led by CDM, 

Inc., contracted in September 2007, to 

design the methodology for an MSHS 

Survey. The plans will detail multiple 

options for gathering descriptive data at 

varied levels of the MSHS organization 

(i.e., program, center, staff, children 

and/or families). The development 

activities included gathering of insight 

and suggestions from program staff, 

administrators and families who are 

currently or previously served by 

MSHS. Topics that could be addressed 

by the survey and the methods outlined 

for gathering the data have been 

substantially shaped and refined by this 

input from program stakeholders. After 

completion of the contract and review 

by ACF leadership, the report for the 

Design for MSHS Survey project will be 

placed online in late 2010. 

(1) A Plan To Identify Obstacles and 

Barriers 

Focus Groups. As a first step in 

developing a plan to identify barriers, 

ACF consulted with MSHS advocates, 

grantees, families and researchers 

attending the thirty-eighth and thirtyninth Annual Migrant and Seasonal 

Head Start Conferences in Washington, 

D.C. Potential themes regarding 

obstacles and barriers will be explored 

by providing venues that will allow 

opportunities for comment by key 

stakeholders. These discussions will be 

used to seek examples of high-quality 

recruitment and outreach efforts, details 

of families’ and programs’ perceptions 

of barriers, and potential solutions for 

reducing or eliminating barriers. The 

information gained through these 

venues is being analyzed and will be 

made available to Federal partners, 

Migrant and Seasonal Head Start 

grantees, and advocacy groups for 

comment and validation. 

Efforts for additional discussions with 

stakeholders are continually explored. 

Systematic Data Collection: 

Identification of Obstacles and Barriers 

As discussed extensively above, the 

NAWS is a national, random sample 

survey of crop farmworkers in the 

continental U.S. that is housed at DOL. 

Beginning in February 2008, ACF 

partnered with DOL to pilot a 

questionnaire supplement to NAWS, 

aimed at families with children under 

the age of six. The questionnaire 

supplement asks about: 

• Child care options used by the 

parents in recent months, 

• Reasons for those choices, 

• Parents’ knowledge of MSHS, 


jlentini on DSKJ8SOYB1PROD with NOTICES
30050 Federal Register / Vol. 75, No. 103 / Friday, May 28, 2010 / Notices 

• Families’ participation in MSHS, 

and 

• Any perceived obstacles to 

participation. 

The resulting information can be 

collected for multiple cycles of NAWS 

data, identifying potential issues in 

various agricultural regions over the 

course of the seasons. If continued for 

multiple years, it should be possible to 

identify trends in farmworker family 

child care use for their young children 

and family perceptions of MSHS. 

Systematic Data Collection: 

Incorporation of Related Questions in 

Design of MSHS Survey 

The design options for the MSHS 

Survey will include components that 

OHS could use to gather information 

regarding obstacles and barriers. 

Possible routes identified thus far 

include record reviews that could 

provide insight (e.g., review of local 

community needs assessments and 

program recruitment methods); 

gathering staff and parent opinions 

regarding obstacles and barriers to 

MSHS participation; or direct 

interviews with community partners 

and local advocacy organizations. The 

design contract will illuminate 

methodological and logistical 

considerations for collecting these types 

of data, and will be useful as OHS 

considers future data collection 

strategies. 

(1) A Plan for Eliminating Identified 

Barriers and for Increasing Enrollment 

of Eligible Children 

Based on the information obtained 

from the Migrant and Seasonal 

Roundtables, and input from MSHS 

grantees, families, researchers, and 

private organizations involved in 

advocating for Migrant and Seasonal 

families, ACF will develop a plan that 

will articulate barriers identified 

through (1) and (2) above, propose 

methods for dealing with them that are 

within ACF’s legislative purview, and 

incorporate methods that require action 

by other Federal agencies or statutory 

changes. The plan for eliminating 

identified barriers will form the basis for 

a strategy to increase the enrollment of 

eligible children in MSHS, as 

appropriate. 

Dated: May 21, 2010. 

Yvette Sanchez Fuentes, 

Director, Office of Head Start. 

[FR Doc. 2010–12795 Filed 5–27–10; 8:45 am] 

BILLING CODE 4184–40–P 

DEPARTMENT OF HOMELAND 

SECURITY 

U.S. Citizenship and Immigration 

Services 

Agency Information Collection 

Activities: Form N–648, Revision of an 

Existing Information Collection 

Request; Comment Request 

ACTION: 30-Day Notice of Information 

Collection Under Review: Form N–648, 

Medical Certification for Disability 

Exceptions. OMB Control No. 1615– 

0060. 

The Department of Homeland 

Security, U.S. Citizenship and 

Immigration Services (USCIS) has 

submitted the following information 

collection request to the Office of 

Management and Budget (OMB) for 

review and clearance in accordance 

with the Paperwork Reduction Act of 

1995. The information collection was 

previously published in the Federal 

Register on February 1, 2010, at 75 FR 

5099, allowing for a 60-day public 

comment period. USCIS received 

comments from three commenters. The 

comments and USCIS’ response can be 

found in the supporting statement on 

www.regulations.gov. 

The purpose of this notice is to allow 

an additional 30 days for public 

comments. Comments are encouraged 

and will be accepted until June 28, 

2010. This process is conducted in 

accordance with 5 CFR 1320.10. 

Written comments and/or suggestions 

regarding the item(s) contained in this 

notice, especially regarding the 

estimated public burden and associated 

response time, should be directed to the 

Department of Homeland Security 

(DHS), and to the Office of Management 

and Budget (OMB) USCIS Desk Officer. 

Comments may be submitted to: USCIS, 

Chief, Regulatory Products Division, 

Clearance Office, 111 Massachusetts 

Avenue, Washington, DC 20529–2210. 

Comments may also be submitted to 

DHS via facsimile to 202–272–8352 or 

via e-mail at rfs.regs@dhs.gov, and OMB 

USCIS Desk Officer via facsimile at 202– 

395–5806 or via e-mail at 

oira_submission@omb.eop.gov. 

When submitting comments by e-mail 

please make sure to add OMB Control 

Number 1615–0060 in the subject box. 

Written comments and suggestions from 

the public and affected agencies should 

address one or more of the following 

four points: 

(1) Evaluate whether the collection of 

information is necessary for the proper 

performance of the functions of the 

agency, including whether the 

information will have practical utility; 

(2) Evaluate the accuracy of the 

agency’s estimate of the burden of the 

collection of information, including the 

validity of the methodology and 

assumptions used; 

(3) Enhance the quality, utility, and 

clarity of the information to be 

collected; and 

(4) Minimize the burden of the 

collection of information on those who 

are to respond, including through the 

use of appropriate automated, 

electronic, mechanical, or other 

technological collection techniques, or 

other forms of information technology, 

e.g., permitting electronic submission of 

responses. 

Overview of this information 

collection: 

(1) Type of Information Collection: 

Revision of an existing information 

collection. 

(2) Title of the Form/Collection: 

Medical Certification for Disability 

Exceptions. 

(3) Agency form number, if any, and 

the applicable component of the 

Department of Homeland Security 

sponsoring the collection: Form N–648. 

U.S. Citizenship and Immigration 

Services (USCIS). 

(4) Affected public who will be asked 

or required to respond, as well as a brief 

abstract: Primary: Individuals or 

households. USCIS uses Form N–648 

issued by the medical professional to 

substantiate a claim for an exception to 

the requirements of section 312(a) of the 

Act. 

(5) An estimate of the total number of 

respondents and the amount of time 

estimated for an average respondent to 

respond: 20,000 responses at 2 hours 

per response. 

(6) An estimate of the total public 

burden (in hours) associated with the 

collection: 40,000 annual burden hours. 

If you need a copy of the information 

collection instrument, please visit the 

Web site at: http://www.regulations.gov. 

We may also be contacted at: USCIS, 

Regulatory Products Division, 111 

Massachusetts Avenue, NW., 

Washington, DC 20529–2210, 

Telephone number 202–272–8377. 

Dated: May 24, 2010. 

Stephen Tarragon, 

Deputy Chief, Regulatory Products Division, 

U.S. Citizenship and Immigration Services. 

[FR Doc. 2010–12816 Filed 5–27–10; 8:45 am] 

BILLING CODE 9111–97–P 


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