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52132 Federal Register / Vol. 72, No.

176 / Wednesday, September 12, 2007 / Notices

Data Confidentiality Provisions compendium of tables of estimates, These data provide the basis for
All MEPS–IC data collected, both produced by Census and containing no researchers to address important
identifiable and non-identifiable, will be identifiable data, will be made available questions for employers and
stored at the Census Bureau. Their on the AHRQ website. These tables will policymakers alike.
confidentiality is protected under the contain descriptive statistics, such as,
numbers of establishments offering Method of Collection
U.S. Census Bureau confidentiality
statute, Section 9 of Title 13, United health insurance, average premiums, The data will be collected using a
States Code. In addition, because the average contributions, total enrollments,
combination of modes. The Census
Census sample lists are developed using numbers of self insured establishments
Bureau’s first contact with employers
Internal Revenue Service (IRS) Tax and other related statistics for a large
will be made by telephone. This contact
Information, the data also fall under the number of population subsets defined
by firm size, state, industry and other will provide information on the
review of the IRS which conducts availability of health insurance from
regular audits of the data collection establishment characteristics such as,
age, profit/nonprofit status and union/ that employer and essential persons to
storage and use (Title 26, United States
nonunion status of the workforce. contact. Based upon this information,
Code).
The confidentiality provisions of the The data are intended to be used for Census will mail a questionnaire to the
AHRQ statute at 42 USC 299c–3(c) purposes such as: employer. In order to assure high
apply to all data collected for research • Generating National and State response rates, Census will follow-up
that is supported by AHRQ. All data estimates of employer health care with a second mailing after an interval
products listed below must fully comply offerings; of approximately 30 working days,
with the data confidentiality statute • Producing estimates to support the followed by a telephone call to collect
under which their raw data was Bureau of Economic Analysis and the data from those who have not
collected as well as any additional Center for Medicare and Medicaid responded by mail.
confidentiality provisions that apply. Services in their production of health
For larger respondents with high
care expenditure estimates for the
Data Products burdens, such as State employers and
National Health Accounts and the Gross
Data will be produced in two forms: very large firms, Census may follow
Domestic Product;
(1) Files containing employer • Producing National and State special procedures, as needed. These
information will be available for use by estimates of spending on employer- include performing personal visits and
researchers at the Census Bureau’s sponsored health insurance to study the doing customized collection, such as
Research Data Centers (all research results of National and State health care accepting data in computerized formats
output is reviewed by Census policies; and and using special forms. The response
employees and no identifiable data may • Supplying data for modeling the rate for the most recent survey was
leave the Center) and (2) a large demand for health insurance. approximately 79%.

ESTIMATED ANNUAL RESPONDENT BURDEN


Estimated an-
Annual num- Estimated time Estimated total nual cost to
Survey years ber of re- per respond- annual burden the Govern-
spondents ent in hours hours ment

2008 ................................................................................................................. 33,262 .57 19,032 $9,650,000


2009 ................................................................................................................. 33,262 .57 19,032 9,950,000

Request for Comments included in the request for OMB information collection requests under
In accordance with the above cited approval of the proposed information review by the Office of Management and
legislation, comments on the AHRQ collection. All comments will become a Budget (OMB) in compliance with the
information collection proposal are matter of public record. Paperwork Reduction Act (44 U.S.C.
requested with regard to any of the Carolyn M. Clancy, Chapter 35). To request a copy of these
following: (a) Whether the proposed Director. requests, call the CDC Reports Clearance
collection of information is necessary Officer at (404) 639–5960 or send an e-
[FR Doc. 07–4447 Filed 9–11–07; 8:45 am]
for the proper performance of functions mail to omb@cdc.gov. Send written
BILLING CODE 4160–90–M
of the Agency, including whether the comments to CDC Desk Officer, Office of
information will have practical utility; Management and Budget, Washington,
(b) the accuracy of the Agency’s DEPARTMENT OF HEALTH AND DC or by fax to (202) 395–6974. Written
estimate of the burden (including hours HUMAN SERVICES comments should be received within 30
and costs) of the proposed collection of days of this notice.
information; (c) ways to enhance the Centers for Disease Control and
quality, utility, and clarity of the Prevention Proposed Project
information to be collected; and (d) Human Exposure to Cyanobacterial
[30 Day–07–0527]
ways to minimize the burden of the
Toxins in Water (OMB No. 0920–
collection of information on Proposed Data Collections Submitted 0527)—Reinstatement—National Center
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respondents, including the use of for Public Comment and for Environmental Health (NCEH),
automated collection techniques or Recommendations
other forms of information technology. Centers for Disease Control and
Comments submitted in response to The Centers for Disease Control and Prevention (CDC).
this notice will be summarized and Prevention (CDC) publishes a list of

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Federal Register / Vol. 72, No. 176 / Wednesday, September 12, 2007 / Notices 52133

Background and Brief Description their activities on Lake 2, which had no normally be doing these activities, even
Cyanobacteria (blue-green algae) can bloom. Study participants completed a in the presence of a bloom. We may
be found in terrestrial, fresh, brackish, pre-activity questionnaire, a post- recruit people who train for organized
or marine water environments. Some activity questionnaire, provided a 10-ml swimming events (e.g., triathlons) in
species of cyanobacteria produce toxins blood sample, and completed a lakes. In addition, we will recruit 50
that may cause acute or chronic telephone symptom survey 7–10 days study participants from lakes with no
illnesses (including neurotoxicity, after exposure. The concentrations of blooms as a comparison group to assess
hepatotoxicity, and skin irritation) in microcystins in Lake 1 ranged from 2 to the health effects associated with
humans and animals (including other 5 ug/L and in Lake 2 were all below the recreational activities on ‘‘clean’’ lakes.
mammals, fish, and birds). A number of limit of detection (LOD). When we Study participants will be asked to sign
human health effects, including designed the study, we calculated that a consent form, complete a symptom
gastroenteritis, respiratory effects, skin a person exposed to recreationally- survey before and after doing their
irritations, allergic responses, and liver generated aerosols from water recreational water activities, provide
damage, are associated with the containing 10 ug/L of microcystins one 10-ml whole blood sample after
ingestion of or contact with water should have levels of microcystins in their recreational activities, and
containing cyanobacterial blooms. their blood. However, the microcystin complete a telephone symptom survey
Although the balance of evidence, in concentrations in Lake 2 were below the 8–10 days after doing study activities.
conjunction with data from laboratory LOD and in Lake 1 were actually 2ug/
L to 5ug/L, much lower than we The purpose of the new data
animal research, suggests that collection is to continue assessing the
cyanobacterial toxins are responsible for anticipated based on data from the
previous week. Thus, the recreational public health impact of exposure to the
a range of human health effects, there
exposures were not likely high enough cyanobacterial toxins, microcystins,
have been few epidemiologic studies of
for us to quantify microcystins in blood during recreational activities. We will
this association.
During August 2006, we conducted and the serum samples were all below examine the extent of human exposure
our first study to assess exposure to the LOD for microcystins. to microcystins present in recreational
microcystins in recreational waters with For the new data collection, we will waters and associated aerosols and
a bloom of Microcystis aeruginosa. We conduct two separate studies in whether serum levels of microcystins
recruited 104 people who gave informed different lakes. In total, we will recruit can be used as a biomarker of exposure.
consent to participate. Ninety seven 200 study participants who are at risk There is no cost to the respondents
people did their recreational activities for swallowing water or inhaling spray other than their time. The total
on Lake 1, which had a confirmed M. (i.e., water skiers, jet skiers, people estimated annualized burden hours are
aeruginosa bloom, and 7 others did sailing small boats) and who would 69.

ESTIMATED ANNUALIZED BURDEN HOURS


Average bur-
Number of re-
Number of re- den per re-
Forms sponses per
spondents sponse
respondent (in hours)

Screening questionnaire .............................................................................................................. 125 1 5/60


Consent and pre-exposure questionnaire ................................................................................... 100 1 10/60
Post-exposure questionnaire ....................................................................................................... 100 1 15/60
10-day post exposure questionnaire ........................................................................................... 100 1 10/60

Dated: September 6, 2007. SUMMARY: In accordance with the committed to improving the quality of
Maryam I. Daneshvar, requirements of the Privacy Act of 1974, services, CMS is laying the foundation
Reports Clearance Officer, Centers for Disease CMS is proposing to establish a new for pooling and analyzing information
Control and Prevention. system of records (SOR) titled, about the quality of medical services
[FR Doc. E7–17962 Filed 9–11–07; 8:45 am] ‘‘Performance Measurement and and performance provided by
BILLING CODE 4163–18–P
Reporting System (PMRS),’’ System No. physicians and health care providers.
09–70–0584. PMRS will serve as a PMRS will further assist in developing
master system of records to assist in existing strategies to improve health
DEPARTMENT OF HEALTH AND projects that provide transparency in care quality including transparency of
HUMAN SERVICES health care on a broad-scale enabling cost and/or price information, quality
consumers to compare the quality and and utilization information; and patient
Centers for Medicare & Medicaid price of health care services so that they safety for Medicare beneficiaries by
Services can make informed choices among collecting and aggregating data, by
individual physicians, practitioners and measuring performance at the
Privacy Act of 1974; Report of New providers of services. In cooperation individual physician level, and by
System of Records with local or regional public-private reporting meaningful information to
collaborative stakeholders; individuals Medicare beneficiaries in order to make
AGENCY: Department of Health and assigned to provider groups; insurance informed choices and improve
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Human Services (HHS), Centers for and provider associations; government outcomes.
Medicare & Medicaid Services (CMS). agencies; employers; accrediting and Pursuant to the ‘‘routine use’’
ACTION:Notice of a New System of quality organizations; Chartered Value promulgated under this system of
Records. Exchanges (CVE), data aggregators, and records notice, CMS or a non-Quality
other community leaders who are Improvement Organization (non-QIO)

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