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Federal Register / Vol. 70, No.

10 / Friday, January 14, 2005 / Notices 2637

Research at Department of Energy (DOE) Environmental Health, CDC, 1600 portions of this notice. See EFFECTIVE
Sites: Savannah River Site Health Effects Clifton Road, NE. (E–39), Atlanta, DATES section for comment period.
Subcommittee (SRSHES). Georgia 30333, telephone (404) 498– EFFECTIVE DATES: CMS filed a new
Time and Date: 8 a.m.–12:30 p.m., January 1800, fax (404) 498–1811.
25, 2005. system report with the Chair of the
Place: Augusta Towers Hotel & Convention The Director, Management Analysis House Committee on Government
Center, 2651, Perimeter Parkway, Augusta, and Services Office, has been delegated Reform and Oversight, the Chair of the
GA 30909, telephone 706–855–8100, fax the authority to sign Federal Register Senate Committee on Governmental
706–860–7334. notices pertaining to announcements of Affairs, and the Administrator, Office of
Status: Open to the public, limited only by meetings and other committee Information and Regulatory Affairs,
the space available. The meeting room management activities for both CDC and Office of Management and Budget
accommodates approximately 50 people. ATSDR. (OMB) on December 23, 2004. In any
Background: Under a Memorandum of
Understanding (MOU) signed in December Dated: January 10, 2004. event, we will not disclose any
1990 with DOE, and replaced by MOUs Alvin Hall, information under a routine use until
signed in 1996 and 2000, the Department of forty (40) calendar days after
Director, Management Analysis and Services
Health and Human Services (HHS) was given Office, Centers for Disease Control and publication. We may defer
the responsibility and resources for Prevention (CDC). implementation of this system of
conducting analytic epidemiologic
[FR Doc. 05–784 Filed 1–13–05; 8:45 am] records or one or more of the routine
investigations of residents of communities in use statements listed below if we
the vicinity of DOE facilities, workers at DOE BILLING CODE 4163–18–P
receive comments that persuade us to
facilities, and other persons potentially defer implementation.
exposed to radiation or to potential hazards
from non-nuclear energy production use. DEPARTMENT OF HEALTH AND ADDRESSES: The public should address
HHS delegated program responsibility to HUMAN SERVICES comments to: Director, Division of
CDC. Privacy Compliance Data Development
In addition, a memo was signed in October Centers for Medicare & Medicaid (DPCDD), CMS, Room N2–04–27, 7500
1990 and renewed in November 1992, 1996, Services Security Boulevard, Baltimore,
and in 2000, between ATSDR and DOE. The Maryland 21244–1850. Comments
MOU delineates the responsibilities and Privacy Act of 1974; Report of New received will be available for review at
procedures for ATSDR’s public health System this location, by appointment, during
activities at DOE sites required under
sections 104, 105, 107, and 120 of the regular business hours, Monday through
AGENCY: Department of Health and
Comprehensive Environmental Response, Friday from 9 a.m.–3 p.m., eastern time
Human Services (HHS), Centers for
Compensation, and Liability Act (CERCLA or zone.
Medicare & Medicaid Services (CMS).
‘‘Superfund’’). These activities include health FOR FURTHER INFORMATION CONTACT:
consultations and public health assessments ACTION: Notice of New System of David Escobedo, Finance, Systems and
at DOE sites listed on, or proposed for, the Records (SOR). Budget Group, Center for Medicaid
Superfund National Priorities List and at and State Operations, Centers for
sites that are the subject of petitions from the SUMMARY: In accordance with the
Medicare and Medicaid Services,
public; and other health-related activities requirements of the Privacy Act of 1974,
such as epidemiologic studies, health 7500 Security Boulevard, Room S3–
we are proposing to establish a new
surveillance, exposure and disease registries, 18–11, Baltimore, Maryland 21244–
system of records, called the ‘‘Cytology
health education, substance-specific applied 1850, Telephone Number: (410) 786–
Personnel Record System (CYPERS),
research, emergency response, and 5401.
preparation of toxicological profiles.
HHS/CMS/CMSO, 09–70–0543.’’ The
primary purpose of CYPERS is to assure Thomas Hamilton, Survey and
Purpose: This subcommittee is charged Certification Group, Center for
with providing advice and recommendations CMS of the accuracy and reliability of
gynecologic cytology testing by Medicaid and State Operations,
to the Director of CDC and the Administrator
of ATSDR pertaining to CDC’s and ATSDR’s compliance with the CLIA statutory Centers for Medicare and Medicaid
public health activities and research at this requirements. This will be Services, 7500 Security Boulevard,
DOE site. The purpose of this meeting is to accomplished by tracking and Room S2–12–25, Baltimore, Maryland
provide a forum for community, American monitoring the enrollment, 21244–1850, Telephone Number:
Indian Tribal, and labor interaction, and to participation, and performance of (410) 786–9493.
serve as a vehicle for communities, American SUPPLEMENTARY INFORMATION:
Indian Tribes, and labor to express concerns
individual cytotechnologists and
and provide advice and recommendations to physicians participating in CMS I. Description of the New System of
CDC and ATSDR. approved gynecologic cytology Records
Matters To Be Discussed: Agenda items proficiency testing programs.
include a presentation on Radiation Information retrieved from this A. Statutory and Regulatory Basis for
Epidemiology from the National Center for system of records will be used to System of Records
Environmental Health (NCEH), CDC, and a support regulatory, reimbursement, and Section 353(f)(4)(A) of the Public
Subcommittee discussion on the Advanced policy functions performed within the
Technologies and Laboratories International,
Health Service Act (42 U.S.C. 263a)
Inc., final report.
agency or by a contractor or consultant; mandates that the Secretary establish
Agenda items are subject to change as support constituent requests made to a national standards for quality assurance
priorities dictate. Congressional representative; and in cytology services designed to assure
Inability to confirm attendance of quorum support litigation involving the agency. consistent, valid, and reliable test
prevented publication 15 days prior to the We have provided background performance by cytology laboratories.
meeting. information about the proposed system Section 353(f)(4)(B)(iv) requires, ‘‘* * *
FOR FURTHER INFORMATION CONTACT: Mr. in the SUPPLEMENTARY INFORMATION the periodic confirmation and
Phillip Green, Executive Secretary, section, below. Although the Privacy evaluation of the proficiency of
SRSHES, Radiation Studies Branch, Act requires only that the ‘‘routine use’’ individuals involved in screening or
Division of Environmental Hazards and portion of the system be published for interpreting cytological preparations,
Health Effects, National Center for comment, CMS invites comments on all including announced and unannounced

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2638 Federal Register / Vol. 70, No. 10 / Friday, January 14, 2005 / Notices

on-site proficiency testing of such cytotechnologists and physicians who purpose of the CYPERS. CMS has the
individuals, with such testing to take must participate in a CMS approved following policies and procedures
place, to the extent practicable, under cytology proficiency testing program. concerning disclosures of information
normal working conditions, * * *’’ due In general, CMS approves proficiency that will be maintained in the system.
to the unique nature of this statutory testing (PT) programs offered by private, In general, disclosure of information
requirement, authority to initiate this nonprofit organizations and states that from the SOR will be approved only for
system of records is granted. In meet the PT program requirements of the minimum information necessary to
addition, the general and specific CLIA the CLIA regulations. Laboratories accomplish the purpose of the
regulations for laboratories mandating performing certain non-waived testing disclosure after CMS:
proficiency testing of cytotechnologists must enroll and participate in a CMS 1. Determines that the use or
and physicians are found in 42 CFR approved PT program. PT samples are disclosure is consistent with the reason
493.801–493.807 and 493.855. General sent to laboratories by the PT programs; that the data are being collected; e.g.,
and specific CLIA requirements for CMS the results are unknown to the monitoring the registration,
approval of proficiency testing programs laboratory staff. After testing, participation, and outcome of annual
in gynecologic cytology are found at 42 laboratories return their PT sample cytology proficiency testing events for
CFR 493.901–493.905 and 493.945. results to the PT program where they are cytotechnologist and physicians who
B. Background evaluated and graded for accuracy. The evaluate gynecologic cytology
PT program sends the final scores and specimens, assure remedial actions are
Because of highly publicized articles evaluations to CMS and CMS approved taken when necessary, and develop the
originating in the Wall Street Journal, accreditation organizations where data necessary for CMS to determine the
and in Washington, DC television monitoring of laboratory performance continued or reduced frequency of
exposes, national attention focused on occurs on a continual basis. In the case testing.
clinical laboratory testing, with specific of gynecologic cytology PT, the 2. Determines that:
interest on the testing that occurred in performance of individuals, not a. The purpose for which the
cytology laboratories. Congressional laboratories, is monitored using the disclosure is to be made can only be
hearings followed. CYPERS record system. accomplished if the record is provided
Many laboratories performing testing in individually identifiable form;
on cytology specimens were not II. Collection and Maintenance of Data b. the purpose for which the
regulated and had no limit on the in the System disclosure is to be made is of sufficient
number of gynecologic specimens (Pap importance to warrant the effect and/or
A. Scope of the Data Collected
smears) that could be examined by an
The CYPERS contains each risk on the privacy of the individual that
individual in a 24-hour period.
individual’s name, Proficiency Testing additional exposure of the record might
Consequently, a number of ‘‘Pap Mills’’
Registration Number (a unique bring; and
appeared that produced Pap smear
identifier), Medical Licensure Number, c. there is a strong probability that the
results that were erroneous and life
if employed at more than one proposed use of the data would, in fact,
threatening.
laboratory: the names, location, and accomplish the stated purpose(s).
The failure of laboratories performing
3. Requires the information recipient
cytology testing to provide accurate and CLIA number of each laboratory; test
to:
reliable patient test results particularly scores; and in which testing event the
a. Establish administrative, technical,
in the area of gynecologic cytology individual has participated. CYPERS
and physical safeguards to prevent
prompted the Congress to enact the will also be able to produce user-
unauthorized use of disclosure of the
Clinical Laboratory Improvement defined reports on request by Central
record;
Amendments of 1988 (CLIA). Office staff only.
Certain cytology provisions of the b. remove or destroy at the earliest
CLIA statute require the Secretary of B. Agency Policies, Procedures, and time all individually, identifiable
Health and Human Services to Restrictions on the Routine Use information; and
The Privacy Act permits us to disclose c. agree to not use or disclose the
periodically confirm and evaluate the
information without an individual’s information for any purpose other than
proficiency of individuals involved in
consent if the information is to be used the stated purpose under which the
screening or interpreting cytological
for a purpose that is compatible with the information was disclosed.
preparations (42 U.S.C. 263a, Section
purpose(s) for which the information 4. Determines that the data are valid
353(f)(4)(b)(iv)). The Secretary has
was collected. Any such disclosure of and reliable.
delegated to the CMS the responsibility
to regulate and monitor the accuracy data is known as a ‘‘routine use.’’ The III. Proposed Routine Use Disclosures
and reliability of results of cytology government will only release CYPERS of Data in the System
preparations. The implementing information that can be associated with
an individual as provided for under A. Entities That May Receive
regulations are found at 42 CFR part 493
‘‘Section III. Entities Who May Receive Disclosures Under Routine Use
and apply to all clinical laboratories,
performing non-waived testing, Disclosures Under Routine Use.’’ Both These routine uses specify
including those individuals who identifiable and non-identifiable data circumstances, in addition to those
examine gynecologic cytology (Pap may be disclosed under a routine use. provided by statute in the Privacy Act
smears). Identifiable data includes individual of 1974, under which CMS may release
To comply with these statutory records with CYPERS information and information from the CYPERS without
provisions, a mechanism to monitor the identifiers. Non-identifiable data the consent of the individual to whom
proficiency of individuals who examine includes individual records with such information pertains. Each
gynecologic cytology preparations, a CYPERS information and masked proposed disclosure of information
record system must be established. This identifiers or CYPERS information with under these routine uses will be
system, CYPERS, is a national tracking identifiers stripped out of the file. evaluated to ensure that the disclosure
system designed to monitor the CMS will only disclose the minimum is legally permissible, including but not
enrollment and performance of all personal data necessary to achieve the limited to ensuring that the purpose of

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Federal Register / Vol. 70, No. 10 / Friday, January 14, 2005 / Notices 2639

the disclosure is compatible with the would be able to disclose information to Modernization Act of 2003, and the
purpose for which the information was the DOJ, court or adjudicatory body corresponding implementing
collected. CMS proposes to establish the involved. A determination would be regulations. OMB Circular A–130,
following routine use disclosures of made in each instance that, under the Management Of Federal Resources,
information maintained in the system: circumstances involved, the purposes Appendix III, Security of Federal
1. To agency contractors, or served by the use of the information in Automated Information Resources also
consultants that have been contracted the particular litigation is compatible applies. Federal, DHHS, and CMS
by the agency to assist in the with a purpose for which CMS collects policies and standards include but are
performance of a service related to this the information. not limited to: all pertinent NIST
system of records and that need to have publications; the DHHS Automated
B. Additional Provisions Affecting
access to the records in order to perform Information Systems Security Handbook
Routine Use Disclosures
the activity. and the CMS Information Security
CMS contemplates disclosing In addition, CMS policy will be to Handbook.
information under this routine use only prohibit release even of non-identifiable
data, except pursuant to one of the V. Effects of the New System on
in situations in which CMS may enter
routine uses, if there is a possibility that Individual Rights
into a contractual or similar agreement
with a third party to assist in an individual can be identified through CMS proposes to establish this system
accomplishing agency business implicit deduction based on small cell in accordance with the principles and
functions relating to purposes for this sizes (instances where the patient requirements of the Privacy Act and will
system of records. population is so small that individuals collect, use, and disseminate
CMS occasionally contracts out who are familiar with the enrollees information only as prescribed therein.
certain of its functions when doing so could, because of the small size, use this Data in this system will be subject to the
would contribute to effective and information to deduce the identity of authorized releases in accordance with
efficient operations. CMS must be able the beneficiary). the routine uses identified in this
to give a contractor whatever This System of Records contains system of records.
information is necessary for the Protected Health Information as defined CMS will monitor the collection and
contractor to fulfill its duties. In these by the Department of Health and Human reporting of CYPERS data. CYPERS
situations, safeguards are provided in Services’ regulation ‘‘Standards for information is submitted to CMS
the contract prohibiting the contractor Privacy of Individually Identifiable through standard systems. CMS will use
from using or disclosing the information Health Information’’ (45 CFR Parts 160 a variety of onsite and offsite edits and
for any purpose other than that and 164, 65 FR 82462 as amended by 66 audits to increase the accuracy of
described in the contract and requires FR 12434). Disclosures of Protected CYPERS data.
the contractor to return or destroy all Health Information authorized by these CMS will take precautionary
information at the completion of the routine uses may only be made if, and measures (see item IV, above) to
contract. as, permitted or required by the minimize the risks of unauthorized
2. To a Member of Congress or to a ‘‘Standards for Privacy of Individually access to the records and the potential
Congressional staff member in response Identifiable Health Information.’’ harm to individual privacy or other
to an inquiry of the Congressional Office personal or property rights of
IV. Safeguards
made at the written request of the individuals whose data are maintained
constituent about whom the record is CMS has safeguards in place for in the system. CMS will collect only
maintained. authorized users and monitors such that information necessary to perform
Individuals sometimes request the users to ensure against excessive or the system’s functions. In addition, CMS
help of a Member of Congress in unauthorized use. Personnel having will make disclosure from the proposed
resolving some issue relating to a matter access to the system have been trained system only with consent of the subject
before CMS. The Member of Congress in the Privacy Act and information individual, or his/her legal
then writes CMS, and CMS must be able security requirements. Employees who representative, or in accordance with an
to give sufficient information to be maintain records in this system are applicable exception provision of the
responsive to the inquiry. instructed not to release data until the Privacy Act.
3. To the Department of Justice (DOJ), intended recipient agrees to implement CMS, therefore, does not anticipate an
court or adjudicatory body when: appropriate management, operational unfavorable effect on individual privacy
a. The agency or any component and technical safeguards sufficient to because of maintaining this system of
thereof, or protect the confidentiality, integrity and records.
b. Any employee of the agency in his availability of the information and Dated: December 23, 2004.
or her official capacity; or information systems and to prevent Mark B. McClellan,
c. Any employee of the agency in his unauthorized access.
This system will conform to all Administrator, Centers for Medicare &
or her individual capacity where the Medicaid Services.
DOJ has agreed to represent the applicable Federal laws and regulations
employee, or and Federal, DHHS, and CMS policies SYSTEM NO. 09–70–0543
d. The United States Government; is and standards as they relate to
SYSTEM NAME:
a party to litigation or has an interest in information security and data privacy.
such litigation, and by careful review, These laws and regulations include but ‘‘Cytology Personnel Record System
CMS determines that the records are are not limited to: the Privacy Act of (CYPERS), HHS/CMS/CMSO, 09–70–
both relevant and necessary to the 1974; the Federal Information Security 0543.’’
litigation. Management Act of 2002; the Computer SECURITY CLASSIFICATION:
Whenever CMS is involved in Fraud and Abuse Act of 1986; the Level 3, Privacy Act Sensitive.
litigation, or occasionally when another Health Insurance Portability and
party is involved in litigation and CMS’s Accountability Act of 1996; the E- SYSTEM LOCATION:
policies or operations could be affected Government Act of 2002, the Clinger- HCFA Data Center, 7500 Security
by the outcome of the litigation, CMS Cohen Act of 1996; the Medicare Boulevard, North Building, First Floor,

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2640 Federal Register / Vol. 70, No. 10 / Friday, January 14, 2005 / Notices

Baltimore, Maryland 21244–1850. CMS that the purpose of the disclosure is Registration Number unique identifier,
contractors and agents at various compatible with the purpose for which Medical Licensure Number, test scores,
locations. the information was collected. In or which testing event the individual
addition, CMS policy will be to prohibit has participated. CYPERS will also be
CATEGORIES OF INDIVIDUALS COVERED BY THE
release even of non-identifiable data, able to produce user-defined reports on
SYSTEM:
except pursuant to one of the routine request by Central Office staff only.
Individual cytotechnologists and uses, if there is a possibility that an
physicians participating in CMS individual can be identified through SAFEGUARDS:
approved gynecologic cytology implicit deduction based on small cell CMS has safeguards in place for
proficiency testing programs. sizes (instances where the patient authorized users and monitors such
CATEGORIES OF RECORDS IN THE SYSTEM: population is so small that individuals users to ensure against excessive or
who are familiar with the enrollees unauthorized use. Personnel having
This system will contain each access to the system have been trained
individual’s name, Proficiency Testing could, because of the small size, use this
information to deduce the identity of in the Privacy Act and information
Registration Number (a unique security requirements. Employees who
identifier), Medical Licensure Number, the beneficiary). Be advised, this System
of Records contains Protected Health maintain records in this system are
if employed at more than one instructed not to release data until the
laboratory: the names, location, and Information as defined by the
Department of Health and Human intended recipient agrees to implement
CLIA number of each laboratory; test appropriate management, operational
scores, and in which testing event the Services’ (HHS) regulation ‘‘Standards
for Privacy of Individually Identifiable and technical safeguards sufficient to
individual has participated. CYPERS protect the confidentiality, integrity and
will also be able to produce user- Health Information’’ (45 CFR Parts 160
and 164, 65 FR 8462 as amended by 66 availability of the information and
defined reports on request by Central information systems and to prevent
Office staff only. FR 12434). Disclosures of Protected
Health Information authorized by these unauthorized access.
AUTHORITY FOR MAINTENANCE OF THE SYSTEM: routine uses may only be made if, and This system will conform to all
Section 353(f)(4)(A) of the Public as, permitted or required by the applicable Federal laws and regulations
Health Service Act (42 U.S.C. 263a), ‘‘Standards for Privacy of Individually and Federal, DHHS, and CMS policies
Section 353(f)(4)(B)(iv), 42 CFR 493.801, Identifiable Health Information.’’ and standards as they relate to
493.803, 493.807, 493.855, 42 CFR 1. To agency contractors, or information security and data privacy.
493.901, 493.903, 493.905, and 493.945. consultants that have been contracted These laws and regulations include but
by the agency to assist in the are not limited to: the Privacy Act of
PURPOSE(S) OF THE SYSTEM: 1974; the Federal Information Security
performance of a service related to this
The primary purpose of CYPERS is to system of records and that need to have Management Act of 2002; the Computer
assure CMS of the accuracy and access to the records in order to perform Fraud and Abuse Act of 1986; the
reliability of gynecologic cytology the activity. Health Insurance Portability and
testing by compliance with the CLIA 2. To a Member of Congress or to a Accountability Act of 1996; the E-
statutory requirements. This will be Congressional staff member in response Government Act of 2002, the Clinger-
accomplished by tracking and to an inquiry of the Congressional Office Cohen Act of 1996; the Medicare
monitoring the enrollment, made at the written request of the Modernization Act of 2003, and the
participation, and performance of constituent about whom the record is corresponding implementing
individual cytotechnologists and maintained. regulations. OMB Circular A–130,
physicians participating in CMS 3. To the Department of Justice (DOJ), Management Of Federal Resources,
approved gynecologic cytology court or adjudicatory body when: Appendix III, Security of Federal
proficiency testing programs. a. The agency or any component Automated Information Resources also
Information retrieved from this thereof, or applies.
system of records will be used to b. Any employee of the agency in his Federal, DHHS, and CMS policies and
support regulatory, reimbursement, and or her official capacity; or standards include but are not limited to:
policy functions performed within the c. Any employee of the agency in his all pertinent NIST publications; the
agency or by a contractor or consultant; or her individual capacity where the DHHS Automated Information Systems
support constituent requests made to a DOJ has agreed to represent the Security Handbook and the CMS
Congressional representative; and employee, or Information Security Handbook.
support litigation involving the agency. d. The United States Government; is
RETENTION AND DISPOSAL:
a party to litigation or has an interest in
ROUTINE USES OF RECORDS MAINTAINED IN THE CMS will retain identifiable CYPERS
such litigation, and by careful review,
SYSTEM, INCLUDING CATEGORIES OR USERS AND data for a total period of 10 years.
THE PURPOSES OF SUCH USES:
CMS determines that the records are
both relevant and necessary to the SYSTEM MANAGER AND ADDRESS:
These routine uses specify litigation.
circumstances, in addition to those Director, Finance, Systems and
provided by statute in the Privacy Act POLICIES AND PRACTICES FOR STORING, Budget Group, Center for Medicaid and
of 1974, under which CMS may release RETRIEVING, ACCESSING, RETAINING, AND State Operations, Centers for Medicare
information from the CYPERS DISPOSING OF RECORDS IN THE SYSTEM: and Medicaid Services, 7500 Security
Registration and Product Ordering STORAGE: Boulevard, Room S3–18–11, Baltimore,
System without the consent of the All records are stored on the magnetic Maryland 21244–1850, Telephone
individual to whom such information disk sub-system of the Windows 2000 Number: (410) 786–5401.
pertains. Each proposed disclosure of server. Director, Survey and Certification
information under these routine uses Group, Center for Medicaid and State
will be evaluated to ensure that the RETRIEVABILITY: Operations, Centers for Medicare and
disclosure is legally permissible, The CYPERS records are retrieved by Medicaid Services, 7500 Security
including but not limited to ensuring individual’s name, Proficiency Testing Boulevard, Room S2–12–25, Baltimore,

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Federal Register / Vol. 70, No. 10 / Friday, January 14, 2005 / Notices 2641

Maryland 21244–1850, Telephone SYSTEMS EXEMPTED FROM CERTAIN PROVISIONS were ages 0–12 months during the
Number: (410) 786–9493. OF THE ACT: baseline period. The original sample
None. design for NSCAW was stratified to
NOTIFICATION PROCEDURE: [FR Doc. 05–836 Filed 1–13–05; 8:45 am] include an over-sample or infants; thus,
For purpose of access, the subject BILLING CODE 4120–03–P the subset that is the subject of this data
collection is a representative sample of
individual should write to the system
infants who were the targets of CPS
manager, who will require the system DEPARTMENT OF HEALTH AND investigations during the survey’s
name, the subject individual’s name HUMAN SERVICES baseline data collection period. This
(woman’s maiden name, if applicable), group will be at the beginning of their
address, date of correspondence and Administration for Children and formal schooling as the next data
control number. Families
collection begins, and will allow for the
Proposed Information Collection identification of early risk and
RECORD ACCESS PROCEDURE:
Activity; Comment Request protective factors, as well as the
For purpose of access, use the same influence of services and service
procedures outlined in Notification Proposed Projects systems, on their functioning as they
Procedures above. Requestors should Title: Follow-up to the National enter this critical transition period.
also reasonably specify the record Survey of Child and Adolescent Well- The NSCAW is unique in that it is the
contents being sought. (These Being. only source of nationally representative,
procedures are in accordance with OMB No.: 0970–0202. firsthand information about the
Department regulation 45 CFR 5b.5 (a) Description: The Department of functioning and well-being, service
(2).) Health and Human Services intends to needs and service utilization of children
collect data on a subset of children and and families who come to the attention
CONTESTING RECORD PROCEDURES: families who have participated in the of the child welfare system. Information
National Survey of Child and is collected about children’s cognitive,
The subject individual should contact Adolescent Well-Being (NSCAW). The
the system manager named above, and social, emotional, behavioral and
NSCAW was authorized under Section
reasonably identify the record and adaptive functioning, as well as family
427 of the Personal Responsibility and
and community factors that are likely to
specify the information to be contested. Work Opportunity Reconciliation Act of
influence their functioning. Family
State the corrective action sought and 1996. The Survey began in November
service needs and service utilization
the reasons for the correction with 1999 with a national Sample of 5,501
also are addressed in the data collection.
supporting justification. (These children ages 0–14 who had been the
The data collection for the follow-up
procedures are in accordance with subject of investigation by Child
will follow the same format as that used
Department regulation 45 CFR 5b.7.) Protective Services (CPS) during the
in previous rounds of data collection,
baseline data collection period, which
extended from November 1999 through and will employ the instruments that
RECORD SOURCE CATEGORIES:
April 2000. Direct assessments and have been used with 5- to 7-year-olds in
CMS will receive CYPERS data interviews were conducted with the previous rounds. Data from NSCAW are
periodically from CMS-approved children themselves, their primary made available to the research
cytology proficiency testing programs caregivers, their caseworkers, and, for community through licensing
only. This System of Records protects school-aged children, their teachers. arrangements from the National Data
the data transmitted by CMS-approved Follow-up data collections were Archive on Child Abuse and Neglect,
cytology proficiency testing programs at conducted 12 months, 18 months and housed at Cornell University.
all stages of collection, manipulation, 36 months post-baseline. The current Respondents: Children, who are
transmissions, storage, and data collection plan involves only a clients of the child welfare system, their
maintenance, at the PT program and at subset of 1,497 children from the primary caregivers, caseworkers, and
CMS. original sample, that is, children who teachers.

ANNUAL BURDEN ESTIMATES


No. of Average
No. of Total burden
Instrument responses per burden hours
respondents hours
respondent per response

Child Interview ................................................................................................. 1,497 1 1.2 1,796


Permanent Caregiver Interview ....................................................................... 1,122 1 2.0 2,244
Foster Caregiver Interview .............................................................................. 375 1 1.5 563
Caseworker Interview ...................................................................................... 375 1 1.0 375
Teacher Questionnaire .................................................................................... 1,497 1 .75 1,123

Estimated Total Annual Burden Hours: .................................................... 6,101

In compliance with the requirements information collections described above. Office of Information Services, 370
of Section 3506(c)(2)(A) of the Copies of the proposed collection of L’Enfant Promenade, SW., Washington,
Paperwork Reduction Act of 1995, the information can be obtained and DC 20447, Attn: ACF Reports Clearance
Administration for Children and comments may be forwarded by writing Officer. E-mail address:
Families is soliciting public comment to the Administration for Children and grjohnson@acf.hhs.gov. All requests
on the specific aspects of the Families, Office of Administration,

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