Att 3 - 60 Day FRN

71162

Federal Register / Vol. 70, No. 226 / Friday, November 25, 2005 / Notices

Dated: November 17, 2005.
Betsey Dunaway,
Acting Reports Clearance Officer, Centers for
Disease Control and Prevention.
[FR Doc. E5–6505 Filed 11–23–05; 8:45 am]
BILLING CODE 4163–18–P

help programs set priorities and
evaluate interventions.
The first Injury Control and Risk
Factor Survey (ICARIS), conducted in
1994, was a random digit dial telephone
survey that collected injury risk factor
and demographic data on 5,238 Englishand Spanish-speaking adults (18 years
of age or older) in the United States.
Proxy data were collected on 3,541
children less than 15 years old. More
than a dozen peer-reviewed scientific
reports have been published from the
ICARIS data on related subjects
including dog bites, bicycle helmet use,
residential smoke detector usage, fire
escape practices, attitudes toward
violence, suicidal ideation/behavior,
and compliance with pediatric injury
prevention counseling.
ICARIS–2 is a national telephone
survey focusing on injuries. The survey
process began in the summer of 2001
and was completed in early 2003.
Analyses are currently being conducted
on the data collected on nearly 10,000
respondents. The first phase of the
survey was initiated as a means for
monitoring the injury risk factor status
of the nation at the start of the
millennium.
The 2nd phase of ICARIS–2 is needed
to expand knowledge in areas
investigators could not fully explore
previously. By using data collected in
ICARIS as a baseline, the data collected
in Phase-2 will be used to measure
changes and gauge the impact of injury
prevention policies. This current
national telephone survey on injury risk
is being implemented to fully monitor
injury risk factors and selected year
‘‘Healthy People 2010’’ injury
objectives, as well as evaluate the
effectiveness of injury prevention
programs. There are no costs to
respondents except their time to
participate in the survey.

on respondents, including through the
use of automated collection techniques
or other forms of information
technology. Written comments should
be received within 60 days of this
notice.
Proposed Project

DEPARTMENT OF HEALTH AND
HUMAN SERVICES

The 2nd Injury Control and Risk
Survey (ICARIS 2)—Phase 2—New—
The National Center for Injury
Prevention and Control (NCIPC),
Centers for Disease Control and
Prevention (CDC).

Centers for Disease Control and
Prevention
[60-Day–06–06AA]

Proposed Data Collections Submitted
for Public Comment and
Recommendations
In compliance with the requirement
of section 3506(c)(2)(A) of the
Paperwork Reduction Act of 1995 for
opportunity for public comment on
proposed data collection projects, the
Centers for Disease Control and
Prevention (CDC) will publish periodic
summaries of proposed projects. To
request more information on the
proposed projects or to obtain a copy of
the data collection plans and
instruments, call 404–639–4766 and
send comments to Seleda Perryman,
CDC Assistant Reports Clearance
Officer, 1600 Clifton Road, MS–D74,
Atlanta, GA 30333 or send an e-mail to
[email protected].
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

Background and Brief Description
This project will use data from a
telephone survey to measure injuryrelated risk factors and guide injury
prevention and control priorities,
including those identified as priorities
in ‘‘Healthy People 2010’’ objectives for
the nation. Injuries are a major cause of
premature death and disability with
associated economic costs of over 150
billion dollars in lifetime costs for
persons injured each year. ‘‘Healthy
People 2010’’ objectives and the recent
report from the Institute of Medicine,
‘‘Reducing the Burden of Injury’’, call
for reducing this toll. In addition to
national efforts, NCIPC funds injury
control prevention programs at the state
and local levels. The use of outcome
data (e.g., fatal injuries) for measuring
program effectiveness is problematic
because cause-specific events are
relatively rare and data on critical risk
factors (e.g., whether a helmet was worn
in a bike crash, whether a smoke
detector was present at a fatal fire, etc.)
are often missing. Because these risk
factors occur early in the causal chain
of injury, injury control programs
generally target them to prevent injuries.
Accordingly, monitoring the level of
injury risk factors in a population can

ESTIMATES OF ANNUALIZED BURDEN TABLE
Number of
respondents

Respondents

Adult male and female (18 years of age and older) .......................................

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Average
burden/
response
(in hours)

Number of
responses/
respondent

4,000

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1

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15/60

Total burden
(in hours)
1000

Federal Register / Vol. 70, No. 226 / Friday, November 25, 2005 / Notices
Dated: November 17, 2005.
Betsey Dunaway,
Acting Reports Clearance Officer, Centers for
Disease Control and Prevention.
[FR Doc. E5–6506 Filed 11–23–05; 8:45 am]
BILLING CODE 4163–18–P

DEPARTMENT OF HEALTH AND
HUMAN SERVICES
Centers for Disease Control and
Prevention
National Institute for Occupational
Safety and Health Advisory Board on
Radiation and Worker Health
In accordance with section 10(a)(2) of
the Federal Advisory Committee Act
(Pub. L. 92–463), the Centers for Disease
Control and Prevention (CDC)
announces the following committee
meeting:
Name: Working Group of the Advisory
Board on Radiation and Worker Health
(ABRWH), National Institute for
Occupational Safety and Health (NIOSH).
Audio Conference Call Time and Date:
10 a.m.–4 p.m., EST, Monday, November 28,
2005.
Place: Audio Conference Call via FTS
Conferencing. The USA toll free dial in
number is 1–888–810–8159 with a pass code
of 69883.
Status: Open to the public, but without a
public comment period.
Background: The ABRWH was established
under the Energy Employees Occupational
Illness Compensation Program Act
(EEOICPA) of 2000 to advise the President,
delegated to the Secretary, Department of
Health and Human Services (HHS), on a
variety of policy and technical functions
required to implement and effectively
manage the new compensation program. Key
functions of the Board include providing
advice on the development of probability of
causation guidelines which have been
promulgated by HHS as a final rule, advice
on methods of dose reconstruction which
have also been promulgated by HHS as a
final rule, advice on the scientific validity
and quality of dose estimation and
reconstruction efforts being performed for
purposes of the compensation program, and
advice on petitions to add classes of workers
to the Special Exposure Cohort (SEC). In
December 2000, the President delegated
responsibility for funding, staffing, and
operating the Board to HHS, which
subsequently delegated this authority to CDC.
NIOSH implements this responsibility for
CDC.
Purpose: This board is charged with (a)
providing advice to the Secretary, HHS on
the development of guidelines under
Executive Order 13179; (b) providing advice
to the Secretary, HHS on the scientific
validity and quality of dose reconstruction
efforts performed for this Program; and (c)
upon request by the Secretary, HHS, advise
the Secretary on whether there is a class of
employees at any Department of Energy

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facility who were exposed to radiation but for
whom it is not feasible to estimate their
radiation dose, and on whether there is
reasonable likelihood that such radiation
doses may have endangered the health of
members of this class.
Matters To Be Discussed: Agenda for the
conference call includes reports from the
Working Groups on the Bethlehem Steel Site
Profile, Y–12 Site Profile, and a discussion
concerning the Board’s approach to making
an SEC Petition.
The agenda is subject to change as
priorities dictate.
In the event a member of the working
group cannot attend, written comments may
be submitted. Any written comments
received will be provided at the meeting and
should be submitted to the contact person
below well in advance of the meeting.
For Further Information Contact: Dr. Lewis
V. Wade, Executive Secretary, NIOSH, CDC,
4676 Columbia Parkway, Cincinnati, Ohio
45226, telephone 513/533–6825, fax 513/
533–6826.
Due to administrative issues concerning
the topics for discussion, which were not
confirmed until this week, the Federal
Register notice is being published less than
fifteen days before the date of the meeting.
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 the Centers for Disease Control and
Prevention and the Agency for Toxic
Substances and Disease Registry.
Alvin Hall,
Director, Management Analysis and Services
Office, Centers for Disease Control and
Prevention (CDC).
[FR Doc. E5–6508 Filed 11–23–05; 8:45 am]
BILLING CODE 4163–18–P

DEPARTMENT OF HEALTH AND
HUMAN SERVICES
Centers for Medicare & Medicaid
Services
[CMS–1294–N]
RIN 0938–AN99

Medicare Program; Coverage and
Payment of Ambulance Services;
Inflation Update for CY 2006
Centers for Medicare &
Medicaid Services (CMS), HHS.
ACTION: Notice.
AGENCY:

SUMMARY: This notice announces an
updated Ambulance Inflation Factor
(AIF) for payment of ambulance services
during calendar year (CY) 2006. The
statute requires that this inflation factor
be applied in determining the fee
schedule amounts and payment limits
for ambulance services. The updated
AIF for 2006 applies to ambulance
services furnished during the period

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71163

January 1, 2006, through December 31,
2006.
DATES: Effective date: The AIF for 2006
is effective for ambulance services
furnished during the period January 1,
2006, through December 31, 2006.
FOR FURTHER INFORMATION CONTACT:
Anne E. Tayloe, (410) 786–4546.
SUPPLEMENTARY INFORMATION:
I. Background
A. Legislative and Regulatory History
Under section 1861(s)(7) of the Social
Security Act (the Act), Medicare Part B
(Supplementary Medical Insurance)
covers and pays for ambulance services,
to the extent prescribed in regulations at
42 CFR Part 410 and Part 414, when the
use of other methods of transportation
would be contraindicated. The House
Ways and Means Committee and Senate
Finance Committee Reports that
accompanied the 1965 legislation
creating the Act suggest that the
Congress intended that: the ambulance
benefit cover transportation services
only if other means of transportation are
contraindicated by the beneficiary’s
medical condition; and only ambulance
service to local facilities be covered
unless necessary services are not
available locally, in which case,
transportation to the nearest facility
furnishing those services is covered
(H.R. Rep. No. 213, 89th Cong., 1st Sess.
37 and S. Rep. No. 404, 89th Cong., 1st
Sess., Pt I, 43 (1965)). The reports
indicate that transportation may also be
provided from one hospital to another,
to the beneficiary’s home, or to an
extended care facility.
Our regulations relating to ambulance
services are located at 42 CFR Part 410,
subpart B and Part 414, subpart H.
Section 410.10(i) lists ambulance
services as one of the covered medical
and other health services under
Medicare Part B. Ambulance services
are subject to basic conditions and
limitations set forth at § 410.12 and to
specific conditions and limitations
included at § 410.40. Part 414, subpart
H describes how payment is made for
ambulance services covered by
Medicare.
Ambulance services are divided into
different levels of services based on the
medically necessary treatment provided
during transport as well as into ground
(including water) and air ambulance
services. These services include the
following levels of service.
For Ground:
• Basic Life Support (BLS)
• Advanced Life Support, Level 1
(ALS1)
• Advanced Life Support, Level 2
(ALS2)

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