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will present comments in-person or via
the teleconference line, and list the
topic(s) on which they plan to comment.
The access number for the
teleconference line will be provided to
registrants by email prior to the meeting.
Registration for oral comments will also
be available at the NIEHS on both
meeting days, although time allowed for
presentation by these registrants may be
less than that for pre-registered speakers
and will be determined by the number
of persons who register at the meeting.
Persons registering to make oral
comments are asked to send a copy of
their statement or PowerPoint slides to
the Designated Federal Officer for the
BSC (see ADDRESSES above) by
December 8, 2011. Written statements
can supplement and may expand the
oral presentation. If registering on-site
and reading from written text, please
bring 40 copies of the statement for
distribution to the BSC and NTP staff
and to supplement the record.
Background Information on the NTP
Board of Scientific Counselors
The BSC is a technical advisory body
comprised of scientists from the public
and private sectors that provides
primary scientific oversight to the NTP.
Specifically, the BSC advises the NTP
on matters of scientific program content,
both present and future, and conducts
periodic review of the program for the
purpose of determining and advising on
the scientific merit of its activities and
their overall scientific quality. Its
members are selected from recognized
authorities knowledgeable in fields such
as toxicology, pharmacology, pathology,
biochemistry, epidemiology, risk
assessment, carcinogenesis,
mutagenesis, molecular biology,
behavioral toxicology, neurotoxicology,
immunotoxicology, reproductive
toxicology or teratology, and
biostatistics. Members serve overlapping
terms of up to four years. The BSC
usually meets biannually.
Dated: October 27, 2011.
John R. Bucher,
Associate Director, National Toxicology
Program.
[FR Doc. 2011–28629 Filed 11–3–11; 8:45 am]

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DEPARTMENT OF HEALTH AND
HUMAN SERVICES
Meeting of the Presidential Advisory
Council on HIV/AIDS
AGENCY: Office of the Assistant
Secretary for Health, Office of the
Secretary, Department of Health and
Human Services.

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ACTION:

Notice.

SUMMARY: As stipulated by the Federal
Advisory Committee Act, the U.S.
Department of Health and Human
Service (DHHS) is hereby giving notice
that the Presidential Advisory Council
on HIV/AIDS (PACHA) will hold a
meeting. The meeting will be conducted
as a telephone conference call. The
meeting will be open to the public
through a conference call phone
number.
DATES: The meeting will be on
November 22, 2011 from 3 p.m. to
approximately 4 p.m. EST.
ADDRESSES: No in-person meeting;
conference call only.
Conference Call: Domestic: (888) 455–
2653. International: 1–(210) 839–8485.
Access code: 8098465.
FOR FURTHER INFORMATION CONTACT: Mr.
Melvin Joppy, Committee Manager,
Presidential Advisory Council on HIV/
AIDS, Department of Health and Human
Services, 200 Independence Avenue
SW., Room 443H, Washington, DC
20201; (202) 690–5560. More detailed
information about PACHA can be
obtained by accessing the Council’s Web
site at http://www.pacha.gov.
SUPPLEMENTARY INFORMATION: PACHA
was established by Executive Order
12963, dated June 14, 1995 as amended
by Executive Order 13009, dated June
14, 1996. The Council was established
to provide advice, information, and
recommendations to the Secretary
regarding programs and policies
intended to (a) promote effective
prevention of HIV disease, (b) advance
research on HIV and AIDS, and (c)
promote quality services to persons
living with HIV disease and AIDS.
PACHA was established to serve solely
as an advisory body to the Secretary of
Health and Human Services.
The purpose of this conference call
meeting is for PACHA members to
discuss a World AIDS statement. The
statement asks that the Obama
administration make a bold
announcement about the important
scientific advances and the potential
they bring toward achieving zero new
infections, zero-AIDS-related deaths,
and zero discrimination. A copy of the
statement will be on the PACHA Web
site by close of business Thursday,
November 17, 2011. The meeting will be
open to the public through a conference
call phone number provided above.
There will be a limited amount of open
lines for the public; early registration is
highly recommended. Individuals who
participate using this service and who
need special assistance, such as
captioning of the conference call or

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other reasonable accommodations,
should submit a request at least five
days prior to the meeting. Members of
the public who participate using the
conference call phone number will be
able to listen to the meeting but will not
be heard until the public comment
period.
Members of the public will have the
opportunity to provide comments. Preregistration is required for public
comment. Individuals who wish to
participate in the public comment
session must send a copy of their public
comments to Melvin Joppy, Committee
Manager, at melvin.joppy@hhs.gov by
close of business Friday, November 18,
2011. Registration for public comment
will not be accepted by telephone.
Public comment will be limited to the
first eight individuals who pre-register.
Public comment will be limited to two
minutes per speaker. Individuals not
providing public comment during the
conference call meeting may submit
written comments to Melvin Joppy,
Committee Manager, at
melvin.joppy@hhs.gov by close of
business Monday, November 28, 2011.
Dated: October 28, 2011.
Christopher H. Bates,
Executive Director, Presidential Advisory
Council on HIV/AIDS.
[FR Doc. 2011–28611 Filed 11–3–11; 8:45 am]
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DEPARTMENT OF HEALTH AND
HUMAN SERVICES
Centers for Disease Control and
Prevention
[60Day-12–12AN]

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) 639–5960 and
send comments to Daniel Holcomb, CDC
Reports Clearance Officer, 1600 Clifton
Road, MS–D74, Atlanta, GA 30333 or
send an email to omb@cdc.gov.
Comments are invited on: (a) Whether
the proposed collection of information
is necessary for the proper performance
of the functions of the agency, including

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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. Written comments should
be received within 60 days of this
notice.
Proposed Project
Biomonitoring of Great Lakes
Populations Program—New—Agency
for Toxic Substances and Disease
Registry (ATSDR), Department of Health
and Human Services (DHHS).
Background and Brief Description
The Great Lakes Basin has suffered
decades of pollution and ecosystem
damage. In 1987, the Great Lakes Water
Quality Agreement listed 40 Areas of
Concern (AOCs) representing the most
polluted areas in the Great Lakes Basin.
Many chemicals persist in Great Lakes
sediments, as well as in wildlife and
humans. These chemicals can build up
in the aquatic food chain. Eating
contaminated fish is a known route of
human exposure.
In 2009, the Great Lakes Restoration
Initiative (GLRI) was enacted as Public
Law 111–88. The GLRI makes Great
Lakes restoration a national priority for
16 Federal agencies. The GLRI is led by
the U.S. Environmental Protection

take part in the study. In Minnesota,
American Indians will be randomly
chosen from a list of people who get
local health clinic and social services.
They will be contacted by trained staff
to take part in the study. In New York,
names from the state licensed angler
database will be chosen at random.
These people will be contacted by mail
and telephone to take part in the study.
Another group, immigrants who moved
from Burma to Buffalo, NY, will work
with trained study staff to get their
people to take part in the study.
All respondents who consent will
give blood and urine specimens. Their
blood and urine will be tested for
polychlorinated biphenyls (PCBs),
mercury, lead, and pesticides. Pesticides
will include mirex, hexachlorobenzene,
dichlorodiphenyltrichloroethane (DDT)
and dichlorodiphenyldichloroethylene
(DDE)]. Each state will test blood and
urine for other chemicals of local
concern. Respondents will also be
interviewed. They will be asked about
demographic and lifestyle factors,
hobbies, and types of jobs, which can
contribute to chemical exposure. Some
diet questions will be asked, too, with
a focus on eating Great Lakes fish. There
is no cost to respondents other than
their time spent in the study.
The ATSDR is authorized to conduct
this program under the Comprehensive
Environmental Response,
Compensation, and Liability Act of
1980, as amended by the Superfund
Amendments and Reauthorization Act
of 1986.

Agency (US EPA). Under a 2010
interagency agreement with the US EPA,
the Agency for Toxic Substances and
Disease Registry (ATSDR) announced a
funding opportunity called the
‘‘Biomonitoring of Great Lakes
Populations Program’’ (CDC–RFA–
TS10–1001).
This applied public health program
aims to measure Great Lakes chemicals
in human blood and urine. These
measures will be a baseline for the GLRI
and future restoration activities. The
measures will be compared to available
national estimates. This program also
aims to take these measures from people
who may be at higher risk of harm from
chemical exposures.
Three states were funded for this
program: Michigan, Minnesota, and
New York. The health departments in
these states will look at seven AOCs and
four types of sensitive adults:
Michigan—urban anglers in the Detroit
River and the Saginaw River and Bay
AOCs; Minnesota—American Indians
from the Fond du Lac Community near
the St. Louis River AOC; and New
York—licensed anglers and immigrants
from Burma and their family members
living in four Lake Ontario and Lake
Erie AOCs. These include the Rochester
Embayment AOC, the Eighteenmile
Creek AOC, and the AOCs along the
Niagara and Buffalo Rivers.
Each state will use its own way to ask
people to take part in the study. In
Michigan, people fishing along the
shores of the Detroit River and Saginaw
River and Bay will be asked a few
questions to see if they are willing to

ESTIMATED ANNUALIZED BURDEN HOURS
Number
responses per
respondent

Average
burden per
response
(in hours)

Total burden
hours

Form name

Michigan Shoreline Anglers ..............

Screening Questionnaire .................
Telephone Questions for Scheduling Appointments.
Informed Consent ............................
Biomonitoring Questionnaire ...........

700
500

1
1

5/60
7/60

58
58

400
400

1
1

1/60
54/60

7
360

Calling Script ....................................

625

1

5/60

52

Refusal Questions ...........................
Informed Consent ............................
Contact Information .........................
Study Participant Questionnaire ......
Clinic Visit Incentive Record ............

125
500
500
500
500

1
1
1
1
1

2/60
3/60
2/60
30/60
3/60

4
25
17
250
25

Eligibility Screening Survey .............
Online Eligibility Screening Survey ..
Telephone Script for Non-responders.
Telephone Script for Calling Eligible
Respondents.
Informed Consent ............................
Interview Questionnaire ...................

600
900
1000

1
1
1

5/60
5/60
5/60

50
75
83

300

1

5/60

25

400
400

1
1

1/60
30/60

7
200

American Indians from Fond du Lac
Community.

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Number of
respondents

Type of respondent

New York State Licensed Anglers ....

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Federal Register / Vol. 76, No. 214 / Friday, November 4, 2011 / Notices
ESTIMATED ANNUALIZED BURDEN HOURS—Continued
Total burden
hours

Form name

Immigrants from Burma and Descendents.

Eligibility Screening Survey .............

184

1

5/60

15

Informed Consent ............................
Interview Questionnaire ...................
Network Size Questions for Respondent Driven Sampling.

100
100
100

1
1
1

1/60
1
5/60

2
100
8

..........................................................

........................

........................

........................

1,421

Total ...........................................

Dated: October 28, 2011.
Daniel Holcomb,
Reports Clearance Officer, Centers for Disease
Control and Prevention.
[FR Doc. 2011–28564 Filed 11–3–11; 8:45 am]
BILLING CODE 4163–18–P

DEPARTMENT OF HEALTH AND
HUMAN SERVICES
Centers for Disease Control and
Prevention
[30 Day–12–0234]

Agency Forms Undergoing Paperwork
Reduction Act Review
The Centers for Disease Control and
Prevention (CDC) publishes a list of
information collection requests under
review by the Office of Management and
Budget (OMB) in compliance with the
Paperwork Reduction Act (44 U.S.C.
chapter 35). To request a copy of these
requests, call the CDC Reports Clearance
Officer at (404) 639–5960 or send an
email to omb@cdc.gov. Send written
comments to CDC Desk Officer, Office of
Management and Budget, Washington,
DC or by fax to (202) 395–5806. Written
comments should be received within 30
days of this notice.
Proposed Project
National Ambulatory Medical Care
Survey (NAMCS) (OMB No. 0920–0234
exp. 03/31/2013)—Revision—National
Center for Health Statistics (NCHS),
Centers for Disease Control and
Prevention (CDC).
Background and Brief Description

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Average
burden per
response
(in hours)

Number
responses per
respondent

Number of
respondents

Type of respondent

Section 306 of the Public Health
Service (PHS) Act (42 U.S.C. 242k), as
amended, authorizes that the Secretary
of Health and Human Services (DHHS),
acting through NCHS, shall collect
statistics on the utilization of health
care provided by nonfederal officebased physicians in the United States.
This revision is to notify the public of
significant changes proposed for

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NAMCS for the 2012–2014 survey
period. On July 13, 2010, a notice was
published in the Federal Register (pages
39947–39948) which notified the public
that the President’s fiscal year 2011
budget requested Congress to consider a
budget increase. It also mentioned that
budget increases might be forthcoming
from other sources. Funds have now
been received from the Patient
Protection and Affordable Care Act to
significantly increase the survey sample
size to produce state estimates for 34
states. The 2012 NAMCS will include
an additional sample of over 15,600
physicians/providers. A three-year
clearance is requested.
NAMCS was conducted annually
from 1973 to 1981, again in 1985, and
resumed as an annual survey in 1989.
The purpose of NAMCS, a voluntary
survey, is to meet the needs and
demands for statistical information
about the provision of ambulatory
medical care services in the United
States. Ambulatory services are
rendered in a wide variety of settings,
including physician offices and hospital
outpatient and emergency departments.
The NAMCS target universe consists of
all office visits made by ambulatory
patients to non-Federal office-based
physicians (excluding those in the
specialties of anesthesiology, radiology,
and pathology) who are engaged in
direct patient care. In 2006, physicians
and mid-level providers (i.e., nurse
practitioners, physician assistants, and
nurse midwives) practicing in
community health centers (CHCs) were
added to the NAMCS sample, and these
data will continue to be collected.
NAMCS provides a range of baseline
data on the characteristics of the users
and providers of ambulatory medical
care. Data collected include the patients’
demographic characteristics, reason(s)
for visit, provider diagnoses, diagnostic
services, medications, and visit
disposition.
Additionally, NAMCS data collection
will transition to computerized data
collection, so that induction interviews

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and patient record information will be
entered into laptops that meet the
government’s security requirements.
This effort will greatly reduce
paperwork and will increase efficiency
in data processing. Data collection
activities, including questions asked,
will be similar to current procedures.
NAMCS will also add questions
concerning the physician’s use of
complementary alternative medicine,
conduct an asthma management
supplement as well as a lookback
module based on successful pretests in
2011.
Specifically, the information on the
physician’s utilization of
complementary and alternative
medicine (CAM) will be collected
through additional questions added to
the Physician Induction Interview.
Adding these questions will allow the
National Institutes of Health/National
Center for Complementary and
Alternative Medicine (NCCAM) to
estimate the frequency of referrals and
use of CAM by conventional providers,
which has never been collected before
on a large-scale national survey.
Because the majority of providers who
use CAM do so in conjunction with
conventional medicine, it is important
to find out the extent to which
conventional providers are integrating
CAM into their treatment plans.
The asthma supplement will collect
information on the clinical decisions
providers make when confronted with a
patient suffering from asthma. The
lookback module will collect additional
information from the 12 month period
prior to a sampled visit, which will
identify risk factors and clinical
management of patients with conditions
that put them at high risk for heart
disease and stroke.
A supplemental mail survey on the
adoption and use of electronic health
records (EHRs) in physician offices was
added to NAMCS in 2008, and will
continue. These data were requested by
the Office of the National Coordinator
for Health Information Technology

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