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69568 Federal Register / Vol. 70, No.

220 / Wednesday, November 16, 2005 / Notices

DEPARTMENT OF HEALTH AND comments should be received within 30 information from the reporting
HUMAN SERVICES days of this notice. jurisdictions and insure that quality and
timely cancer surveillance data are
Centers for Disease Control and Proposed Project
available to CDC.
Prevention National Program of Cancer Registries
Annual Program Evaluation Instrument The NPCR Annual Program
(NPCR–APEI)—New—National Center Evaluation Instrument (NPCR–APEI) is
[30Day–06–05AM] needed in order to receive, process,
for Chronic Disease Prevention and
Health Promotion (NCCDPHP), Centers evaluate, aggregate and disseminate
Proposed Data Collections Submitted
for Disease Control and Prevention NPCR program information collected by
for Public Comment and
(CDC). NPCR registries and reported to CDC.
Recommendations
Data collected with this instrument will
The Centers for Disease Control and Background and Brief Description be used by the NPCR to evaluate various
Prevention (CDC) publishes a list of CDC is responsible for administering attributes of the registries funded by
information collection requests under and monitoring the National Program of NPCR, monitor NPCR registries’
review by the Office of Management and Cancer Registries (NPCR). As of 1999, progress towards program standards and
Budget (OMB) in compliance with the CDC supported 45 states, 3 territories, objectives, and compare an individual
Paperwork Reduction Act (44 U.S.C. and the District of Columbia for NPCR registry’s progress towards
Chapter 35). To request a copy of these population-based cancer registries. (The standards with national program
requests, call the CDC Reports Clearance 5 remaining states receive federal standards as well as those of SEER and
Officer at (404) 639–4794 or send an e- funding for the operations of cancer NAACCR. There are no costs to
mail to omb@cdc.gov. Send written registries through the National Cancer respondents except their time to
comments to CDC Desk Officer, Office of Institute.) The central cancer registries participate in the survey. The total
Management and Budget, Washington, (CCR), the foundation of cancer estimated annualized burden hours are
DC or by fax to (202) 395–6974. Written prevention and control, provide 74.

ESTIMATED ANNUALIZED BURDEN TABLE


Average
Number of re-
Number of re- burden per
Respondents sponses per
spondents response
respondent (in hours)

CCR Program Directors and CCR staff ...................................................................................... 49 1 1.5

Dated: November 9, 2005. DC or by fax to (202) 395–6974. Written enforcement; school curriculum;
Betsey Dunaway, comments should be received within 30 environmental tobacco smoke exposure;
Acting Reports Clearance Officer, Centers for days of this notice. and cessation. Tobacco use, a major
Disease Control and Prevention. preventable cause of morbidity and
Proposed Project
[FR Doc. 05–22713 Filed 11–15–05; 8:45 am] mortality in the U.S., is one of the 28
BILLING CODE 4163–18–P National Youth Tobacco Survey (OMB focus areas in Healthy People 2010.
No.: 0920–0621)—Reinstatement with Within the Healthy People 2010 focus
Change—National Center for Chronic area of tobacco use, the National Youth
DEPARTMENT OF HEALTH AND Disease Prevention and Health Tobacco Survey provides data relevant
HUMAN SERVICES Promotion (NCCDPHP), Centers for to 6 health objectives. The survey also
Disease Control and Prevention (CDC). provides data to monitor one of the 10
Centers for Disease Control and leading health indicators for Healthy
Prevention Background and Brief Description
People 2010 that addresses tobacco use.
The purpose of this request is to In addition, the National Youth Tobacco
[30Day–06–0621] reinstate OMB clearance of the National Survey can identify racial and ethnic
Proposed Data Collections Submitted Youth Tobacco Survey, a national disparities in tobacco-related topics
for Public Comment and school-based study to be conducted in listed above.
Recommendations 2006. NCCDPHP wants to continue a The National Youth Tobacco Survey
biennial survey among middle and is the most comprehensive source of
The Centers for Disease Control and senior high school students attending nationally representative data regarding
Prevention (CDC) publishes a list of regular public, private, and Catholic high school students and tobacco.
information collection requests under schools in grades 6–12. This survey was Moreover, the National Youth Tobacco
review by the Office of Management and previously funded by the American Survey is the only source of such
Budget (OMB) in compliance with the Legacy Foundation in 1999, 2000, and national data for middle school students
Paperwork Reduction Act (44 U.S.C. 2002. The survey was funded by CDC in (grades 6–8). The data have significant
Chapter 35). To request a copy of these 2004. The survey covers the following implications for policy and program
requests, call the CDC Reports Clearance tobacco-related topics: The prevalence development for school and community
Officer at (404) 639–4766 or send an e- of use of cigarettes, smokeless tobacco, health programs nationwide. There is no
mail to omb@cdc.gov. Send written cigars, pipe, bidis, and kreteks; other cost to respondents other than
comments to CDC Desk Officer, Office of knowledge and attitudes; media and their time. The total annual burden
Management and Budget, Washington, advertising; minors’ access and hours is 18,643.

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Federal Register / Vol. 70, No. 220 / Wednesday, November 16, 2005 / Notices 69569

ESTIMATE OF ANNUALIZED BURDEN HOURS


Average
Number of re-
Number of burden per
Respondents sponses per
respondents response
respondent (in hours)

Students ....................................................................................................................................... 24,500 1 45/60


State and School Education Officials .......................................................................................... 537 1 30/60

Dated: November 8, 2005. process, maintain information on Committee on Governmental Affairs,


Betsey Dunaway, individuals and entities that make and the Administrator, Office of
Acting Reports Clearance Officer, Centers for payments on covered drugs under the Information and Regulatory Affairs,
Disease Control and Prevention. Medicare Part D Program, and Office of Management and Budget
[FR Doc. 05–22714 Filed 11–15–05; 8:45 am] coordinate TrOOP relevant data from (OMB) on 11/07/2005. In any event, we
BILLING CODE 4163–18–P State Pharmaceutical Programs (SPAPs) will not disclose any information under
and other health insurers. Information a routine use until 40 days after
retrieved from this system may be publication. We may defer
DEPARTMENT OF HEALTH AND disclosed to: (1) Support regulatory, implementation of this system or one or
HUMAN SERVICES reimbursement, and policy functions more of the routine use statements listed
performed within the agency or by a below if we receive comments that
Centers for Medicare & Medicaid contractor, grantee, consultant or other persuade us to defer implementation.
Services legal agent; (2) support Medicare ADDRESSES: The public should address
Prescription Drug Plans (PDP) and comment to the CMS Privacy Officer,
Privacy Act of 1974; Report of a New Medicare Advantage Prescription Drug
System of Records Room N2–04–27, 7500 Security
Plans (MAPD) directly or through a Boulevard, Baltimore, Maryland 21244–
AGENCY: Centers for Medicare & CMS contractor for the administration of 1850. Comments received will be
Medicaid Services (CMS), HHS. Title XVIII of the Act; (3) assist another available for review at this location by
Federal or state agency with information appointment during regular business
ACTION: Notice of a new system of
to enable such agency to administer a hours, Monday through Friday from 9
records (SOR).
Federal health benefits program, or to a.m.–3 p.m., eastern time.
SUMMARY: In accordance with the enable such agency to fulfill a
requirement of Federal statute or FOR FURTHER INFORMATION CONTACT:
requirements of the Privacy Act of 1974,
regulation that implements a health Henry Chao, Manager, Immediate Office
we propose to create a new system of
benefits program funded in whole or in of the Director, Office of Information
records titled, ‘‘Medicare True Out-of-
part with Federal funds; (4) assist Services, CMS, Room N3–19–23, 7500
Pocket (TrOOP) Expenditures System,’’
Quality Improvement Organization Security Boulevard, Baltimore,
HHS/CMS/OIS, System No. 09–70–
(QIO) in connection with review of Maryland 21244–1849, telephone
0557. The TrOOP facilitation process is
claims; (5) assist insurance companies number (410) 786–7811, e-mail
mandated by the Medicare Prescription
and other groups providing protection Henry.Chao@cms.hhs.gov.
Drug Benefit Program enacted into law
December 8, 2003 under provisions of against medical expenses of their SUPPLEMENTARY INFORMATION: In order to
Section 101 of Title 1 of the Medicare enrollees; (6) assist an individual or calculate TrOOP, Medicare Part D plans
Prescription Drug, Improvement, and organization engaged in the will have to determine if other entities
Modernization Act of 2003 (MMA) (Pub. performance activities of the have made payments on covered drugs,
L. 108–173). MMA amends Title XVIII, demonstration or in a research project or and whether such payments fall under
Section 1860D of the Social Security Act in support of an evaluation project the legal definition of incurred costs. If
(the Act). Section 1860D–2 of the Act related to the prevention of disease or the payments by alternate payers, such
requires the tracking of beneficiaries’ disability, the restoration or as retiree prescription drug coverage, do
TrOOP expenditures. TrOOP costs are maintenance of health, or payment not count toward the TrOOP threshold,
treated as ‘‘incurred’’ only if they were related projects; (7) support constituent then Part D plans must reduce the out-
paid by the individual (or by another requests made to a congressional of-pocket amounts accumulated in their
person, such as a family member, on representative; (8) support litigation claims processing systems.
behalf of the individual), paid on behalf involving the agency; and (9) combat Alternatively, if the payments by
of a low-income subsidy-eligible fraud and abuse in certain health alternate payers, such as SPAPs, do
individual under the § 1860D–14 benefits programs. We have provided count toward the TrOOP threshold, then
provisions, or paid under a State background information about the new the Part D plan will maintain the level
Pharmaceutical Assistance Program system in the SUPPLEMENTARY of beneficiary out-of-pocket spending in
(SPAP) as defined in § 1860D–23. INFORMATION section below. Although their systems.
Section 1860D–2(b)(4)(D)(i) of the MMA the Privacy Act requires only that CMS All Part D Plans will have to correctly
authorizes CMS to establish procedures provide an opportunity for interested calculate the TrOOP amount in order to
for determining whether costs for Part D persons to comment on the proposed properly adjudicate beneficiary claims,
enrollees are being reimbursed by routine uses, CMS invites comments on as well as to communicate to
excluded payers and alerting Part D all portions of this notice. See EFFECTIVE beneficiaries where they are in their
plans about the existence of such DATE section for comment period. benefits. Beneficiaries will expect that
payers. EFFECTIVE DATE: CMS filed a new SOR pharmacies will have all the
The purpose of this system is to report with the Chair of the House information they need to determine
collect and maintain a master file to Committee on Government Reform and their eligibility and to bill the
establish a ‘‘TrOOP’’ facilitation Oversight, the Chair of the Senate appropriate payers and that plans will

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