Agency Information Collection Activities: Proposed Collection; Comment Request, 1723-1725 [07-108]

Download as PDF Federal Register / Vol. 72, No. 9 / Tuesday, January 16, 2007 / Notices into by the EPA and T.J.’s Enterprises, Inc. (‘‘the Settling Party’’). In response to the release or threatened release of hazardous substances including lead at or from the Site, EPA undertook response actions at the Site pursuant to Section 104 of CERCLA, 42 U.S.C. 9604. In April 1998, response actions were initiated by EPA to address the release of lead to surface and subsurface soils at the Site. Excavation of lead-contaminated soils began in December 1998, resulting in the excavation, on-Site treatment and off-Site disposal of approximately 2,650 tons of lead-contaminated material. The soils were excavated to below 1000 parts per million, a level suitable only for limited uses of the property. EPA’s response action has been completed and all costs incurred. Pursuant to Section 107(a) of CERCLA, 42 U.S.C. 9607(a), the Settling Party is responsible for response costs incurred at or in connection with the Site. The Regional Administrator of EPA, Region VII, or his designee, has determined that the total past and projected response costs of the United States at or in connection with the Site will not exceed $500,000, excluding interest. This Agreement requires the Settling Party to pay to the EPA Hazardous Substance Superfund the principal sum of $45,000 in reimbursement of Past Response Costs, and will resolve the Settling Party’s alleged civil liability for these costs. The proposed Agreement also includes a covenant not to sue the Settling Party pursuant to Section 107(a) of CERCLA, 42 U.S.C. 9607(a). Dated: December 21, 2006. John B. Askew, Regional Administrator, Environmental Protection Agency, Region VII. [FR Doc. E7–412 Filed 1–12–07; 8:45 am] DEPARTMENT OF HEALTH AND HUMAN SERVICES Interested persons may submit comments on the proposed reissuance of the general permit to EPA, Region 10 at the address below. Comments must be received by March 2, 2007. Agency Information Collection Activities: Proposed Collection; Comment Request DATES: Comments on the proposed General Permit should be sent to Director, Office of Water and Watersheds; USEPA Region 10; 1200 Sixth Avenue, OWW–130; Seattle, Washington 98101. ADDRESSES: FOR FURTHER INFORMATION CONTACT: Copies of the Fact Sheet and draft General Permit are available upon request. The Fact Sheet and draft General Permit may be found on the Region 10 Web site at http:// www.epa.gov/r10earth/ waterpermits.htm (click on draft permits, then Alaska). Requests for copies may be made to Audrey Washington at (206) 553–0523 or to Cindi Godsey at (907) 271–6561 or electronically mailed to: washington.audrey@epa.gov or godsey.cindi@epa.gov. SUPPLEMENTARY INFORMATION: Executive Order 12866 The Office of Management and Budget has exempted this action from the review requirements of Executive Order 12866 pursuant to Section 6 of that order. Regulatory Flexibility Act BILLING CODE 6560–50–P ENVIRONMENTAL PROTECTION AGENCY [FRL–8268–7] Proposed Reissuance of General NPDES Permit (GP) for Alaskan Small Suction Dredging (Permit Number AKG–37–5000) Environmental Protection Agency, (EPA). ACTION: Notice of proposed reissuance of a general permit. AGENCY: sroberts on PROD1PC70 with NOTICES expires. EPA proposes to reissue this general permit with minor changes. EPA is proposing to make this permit effective as the previous general permit expires. Dated: January 5, 2007. Michael F. Gearheard, Director, Office of Water & Watersheds, Region 10, U.S. Environmental Protection Agency. [FR Doc. E7–410 Filed 1–12–07; 8:45 am] BILLING CODE 6560–50–P 15:23 Jan 12, 2007 Jkt 211001 PO 00000 Frm 00021 Fmt 4703 Sfmt 4703 Agency for Healthcare Research and Quality Agency for Healthcare Research and Quality, Department of Health and Human Services. ACTION: Notice. AGENCY: SUMMARY: This notice announces the intention of the Agency for Healthcare Research and Quality (AHRQ) to request that the Office of Management and Budget (OMB) allow the proposed information collection project: ‘‘Improving Quality of Care in Long Term Care.’’ In accordance with the Paperwork Reduction Act of 1995, Public Law 104–13 (44 U.S.C. 3506(c)(2)(A)), AHRQ invites the public to comment on this proposed information collection. DATES: Comments on this notice must be received by February 15, 2007. ADDRESSES: Written comments should be submitted to: Doris Lefkowitz, Reports Clearance Officer, AHRQ, 540 Gaither Road, Room #5036, Rockville, MD 20850. Copies of the proposed collection plans, data collection instruments, and specific details on the estimated burden can be obtained from AHRQ’s Reports Clearance Officer. FOR FURTHER INFORMATION CONTACT: Doris Lefkowitz, AHRQ, Reports Clearance Officer, (301) 427–1477. SUPPLEMENTARY INFORMATION: Proposed Project After review of the facts presented in the notice printed above, I hereby certify pursuant to the provision of 5 U.S.C. 605(b) that this reissuance of this general permit will not have a significant impact on a substantial number of small entities. Moreover, the permit reduces a significant administrative burden on regulated sources. SUMMARY: On June 4, 2007, a general permit regulating the activities of small suction dredge mining for gold placer mining operations in the State of Alaska VerDate Aug<31>2005 1723 Improving Quality of Care in Long Term Care The proposed project will design, implement, and evaluate an intervention program to prevent injurious falls in assisted living facilities. The project involves four major activities: (1) Adapting a multifaceted, evidence-based falls prevention program to a protocol tailored to the assisted living environment; (2) implementing the pilot protocol and collecting clinical and process data pre- and post-intervention; (3) evaluating the results of the intervention; and (4) widely disseminating the protocol (revised as needed based on the evaluation), training materials, and research findings. The project design is a multicomponent falls intervention program E:\FR\FM\16JAN1.SGM 16JAN1 1724 Federal Register / Vol. 72, No. 9 / Tuesday, January 16, 2007 / Notices that will include medication review, resident assessment, environmental modification, and exercise. Its goal will be to reduce risk factors for falls, as well as fall and fracture rates, among residents of assisted living facilities. The project will adapt existing evidence-based falls prevention interventions to the assisted living setting, and collect data to track the progress and impact of the intervention program. Data collection for the falls intervention project will be approved by the University of North Carolina— Chapel Hill and Research Triangle Institute (RTI) International Institutional Review Boards. It will be conducted in accordance with the Health Insurance Portability and Accountability Act (HIPAA) Privacy rule and with the Protection of Human Research Subjects regulations, 45 CFR part 46. In addition, the identifiable data collected in this study about provider organizations and individuals will only be used for the above-stated purposes and will be kept confidential. Methods of Collection The evaluation will use several methods to examine the efficacy of the intervention, including record review, in-person surveys, and in-depth interviews. Data for this process evaluation of the implementation of the intervention will be collected at 6 and 12 months at the facility-level (e.g., fall and fracture rates, intervention adoption) and the resident-level (e.g., risk factors for falls, adherence to intervention regimens). The quantitative data will be collected using a series of questionnaires to collect information about the facility, its staff, and the participating residents. The information about residents’ cognitive, medical, and functional status, and risk for falls will be collected using resident medication records and charts, performance based physical assessments, and standard measures of activities of daily living and cognition. The in-depth interviews of residents and staff will use both open-ended questions and items with categorical response options to facilitate analysis. Items will include the degree to which the facility has changed its practice; the degree to which residents accept and adhere to the intervention; facilitators for and obstacles to implementation; report of staff and resident satisfaction; reactions and experiences related to the use of volunteers; and lessons learned. These data will be gathered through 60minute interviews with facility staff including administrators and clinical personnel, and 30 to 40 minute interviews with residents. The research staff will interview up to four staff at each intervention site and up to four residents at each site. Estimated Annual Respondent Burden The table below indicates the estimated time and cost burden to the respondents for obtaining all of the data needed to meet the study’s objectives. There will be no cost burden to the respondent other than the cost burden associated with their time to provide the required data. There will be no additional costs for capital equipment, software, computer services, etc. Time required to analyze the data and prepare it for reporting and publication is not included in these estimates. TABLE 1.—ESTIMATED RESPONDENT BURDEN Number of responses per respondent (baseline, 6 months and 12 months) Number of respondents Type of respondent Direct Caregiver Staff ........................... 20 30 Facility Staff .......................................... 260 1 Facility Administrator ............................ 4 3 Facility Residents ................................. 200 3 Total .............................................. ........................ ........................ Estimated Annual Costs to the Federal Government sroberts on PROD1PC70 with NOTICES Estimated time per respondent The total estimated one-time cost of this intervention implementation and related data collection to the federal government is $199,600. This funding will be used to support the cost of implementing the intervention, salary and fringe benefits for the research team to conduct the survey interview and indepth interviews, costs for members of the research team to travel to each site, and the incentives paid to facilities for participation in the intervention. The project proposes to work with assisted living facilities with which the research team already has established VerDate Aug<31>2005 15:23 Jan 12, 2007 Jkt 211001 Estimated total burden (hours) 0.10 hours (6 minutes). .067 hours (4 minutes). 0.25 hours (15 minutes). 0.583 hours (35 minutes). ..................... relationships and familiarity and will attempt to minimize burden to the assisted living facility staff by being flexible to schedules and requirements of care practices within the facilities. Request for Comments In accordance with the above-cited Paperwork Reduction Act legislation, comments on AHRQ’s information collection are requested with regard to any of the following: (a) Whether the proposed collection of information is necessary for the proper performance of AHRQ health care research and health care information dissemination functions, including whether the PO 00000 Frm 00022 Fmt 4703 Sfmt 4703 Average hourly rate 60 $9.00 17.3 9.00 Estimated cost burden to the respondent $540 155.70 3 25 75 350 0 0 430 .......................... 770.70 information will have practical utility; (b) the accuracy of AHRQ’s estimate of burden (including hours and ocsts) of the proposed collection(s) 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 upon the respondents, including the use of automated collection techniques or other forms of information technology. Comments submitted in response to this notice will be summarized and included in the Agency’s subsequent request for OMB approval of the proposed information collection. All E:\FR\FM\16JAN1.SGM 16JAN1 Federal Register / Vol. 72, No. 9 / Tuesday, January 16, 2007 / Notices comments will become a matter of public record. Written comments should be submitted to: Doris Lefkowitz, Reports Clearance Officer, AHRQ, 540 Gaither Road, Room #5036, Rockville, MD 20850. Copies of the proposed collection plans, data collection instruments, and specific details on the estimated burden can be obtained from AHRQ’s Reports Clearance Officer. FOR FURTHER INFORMATION CONTACT: Doris Lefkowitz, AHRQ, Reports Clearance Officer, (301) 427–1477. SUPPLEMENTARY INFORMATION: ADDRESSES: Dated: January 4, 2007. Carolyn M. Clancy, Director. [FR Doc. 07–108 Filed 1–12–07; 8:45 am] BILLING CODE 4160–90–M DEPARTMENT OF HEALTH AND HUMAN SERVICES Agency for Healthcare Research and Quality Agency Information Collection Activities; Proposed Collection; Comment Request Agency for Healthcare Research and Quality, Department of Health and Human Services. ACTION: Notice. AGENCY: SUMMARY: This notice announces the intention of the Agency for Healthcare Research and Quality (AHRQ) to request that the Office of Management and Budget (OMB) allow the proposed information collection project: ‘‘Evaluation of the Implementation and Impact of Pay-for-Quality Programs.’’ In accordance with the Paperwork Reduction Act of 1995, Public Law 104– 13 (44 U.S.C. 3506(c)(2)(A)), AHRQ invites the public to comment on this proposed information collection. This proposed information collection was previously published in the Federal Register on October 24, 2006 and allowed 60 days for public comment. No public comments were received. The purpose of this notice is to allow an additional 30 days for public comment. DATES: Comments on this notice must be received by February 15, 2007. Proposed Project ‘‘Evaluation of the Implementation and Impact of Pay-for-Quality (P4Q) Programs’’ The P4Q Evaluation is a multi-method research project designed to evaluate the implementation and impact of P4Q programs on physicians across three programs operating in health care safety net settings. The P4Q programs participating in the evaluation are offering their healthcare providers financial incentives to achieve predefined quality targets. Data collected as part of this evaluation will have direct operational relevance to payers and providers regarding the value and challenges of P4Q programs in safety net settings. The P4Q evaluation is designed to assess whether P4Q programs in such settings improve quality on the measures that are the focus of the programs and also whether the programs lead to unintended consequences. The P4Q evaluation will also seek to identify design and implementation practices that are likely to increase as well as decrease the risks of negative outcomes resulting from the implementation of P4Q programs in safety net settings. Number of respondents Type of respondent Number of responses per respondent Physicians ....................................... 216 1 Practice executives and other senior managers. 24 1 Total ......................................... ........................ ........................ sroberts on PROD1PC70 with NOTICES Estimated Costs to the Federal Government The total cost to the government for this activity is estimated to be $193,941. This funding will be used to support survey administration costs, salary and fringe benefits for the research team relating to the design and administration of the survey and informant interviews, and costs for two VerDate Aug<31>2005 17:04 Jan 12, 2007 Jkt 211001 Estimated time per respondent The evaluation will use several methods to examine P4Q programs in safety net settings, including a survey and key informant interviews. Survey data will be obtained from physicians participating in P4Q programs using a confidential mailed questionnaire. The key informant interviews will consist of 35-minute semi-structured interviews with physician organization executives, practice leaders, physicians, and other senior managers in each study setting regarding program design, implementation, and impact. The research project investigators will interview up to six informants at each site. Estimated Annual Respondent Burden The table below indicates the total time burden required to obtain all the data required to meet the study’s objectives. It does not include time required to analyze the data and prepare it for reporting and publication. Estimated annual respondent cost burden 54 14 $5,322.12 to cover costs of responding to survey. $841.35 to cover costs of participating in in-person interviews. ........................... 68 $6,163.47. In accordance with the above-cited Paperwork Reduction Act legislation, comments on AHRQ’s information Fmt 4703 Methods of Collection 0.25 hours (15 minutes). 0.58 hours (35 minutes). Request for Comments Frm 00023 Data collection under the P4Q evaluation will be approved by the Boston University’s Medical Campus Institutional Review Board. It will be conducted in accordance with the Health Insurance Protection and Portability Act (HIPAA) Privacy Rule and with the Protection of Human Subjects regulations, 45 CFR part 46. In addition, the identifiable data collected in this study about provider organizations and individuals will only be used for the above-stated purposes and will be protected in accordance with the AHRQ confidentiality statute, section 934(c) of the Public Health Service Act (42 U.S.C. 299c–3(c)). Estimated total burden (hours) members of the research team to travel to each site for the informant interviews. The project will attempt to minimize burden to physician survey respondents by distributing surveys at medical staff meetings. PO 00000 1725 Sfmt 4703 collection are requested with regard to any of the following: (a) Whether the proposed collection of information is necessary for the proper performance of AHRQ health care research and health care information dissemination functions, including whether the information will have practical utility; (b) the accuracy of AHRQ’s estimate of burden (including hours and costs) of the proposed collection(s) of E:\FR\FM\16JAN1.SGM 16JAN1

Agencies

[Federal Register Volume 72, Number 9 (Tuesday, January 16, 2007)]
[Notices]
[Pages 1723-1725]
From the Federal Register Online via the Government Printing Office [www.gpo.gov]
[FR Doc No: 07-108]


=======================================================================
-----------------------------------------------------------------------

DEPARTMENT OF HEALTH AND HUMAN SERVICES

Agency for Healthcare Research and Quality


Agency Information Collection Activities: Proposed Collection; 
Comment Request

AGENCY: Agency for Healthcare Research and Quality, Department of 
Health and Human Services.

ACTION: Notice.

-----------------------------------------------------------------------

SUMMARY: This notice announces the intention of the Agency for 
Healthcare Research and Quality (AHRQ) to request that the Office of 
Management and Budget (OMB) allow the proposed information collection 
project: ``Improving Quality of Care in Long Term Care.'' In accordance 
with the Paperwork Reduction Act of 1995, Public Law 104-13 (44 U.S.C. 
3506(c)(2)(A)), AHRQ invites the public to comment on this proposed 
information collection.

DATES: Comments on this notice must be received by February 15, 2007.

ADDRESSES: Written comments should be submitted to: Doris Lefkowitz, 
Reports Clearance Officer, AHRQ, 540 Gaither Road, Room 5036, 
Rockville, MD 20850.
    Copies of the proposed collection plans, data collection 
instruments, and specific details on the estimated burden can be 
obtained from AHRQ's Reports Clearance Officer.

FOR FURTHER INFORMATION CONTACT: Doris Lefkowitz, AHRQ, Reports 
Clearance Officer, (301) 427-1477.

SUPPLEMENTARY INFORMATION:

Proposed Project

Improving Quality of Care in Long Term Care

    The proposed project will design, implement, and evaluate an 
intervention program to prevent injurious falls in assisted living 
facilities. The project involves four major activities: (1) Adapting a 
multifaceted, evidence-based falls prevention program to a protocol 
tailored to the assisted living environment; (2) implementing the pilot 
protocol and collecting clinical and process data pre- and post-
intervention; (3) evaluating the results of the intervention; and (4) 
widely disseminating the protocol (revised as needed based on the 
evaluation), training materials, and research findings.
    The project design is a multi-component falls intervention program

[[Page 1724]]

that will include medication review, resident assessment, environmental 
modification, and exercise. Its goal will be to reduce risk factors for 
falls, as well as fall and fracture rates, among residents of assisted 
living facilities. The project will adapt existing evidence-based falls 
prevention interventions to the assisted living setting, and collect 
data to track the progress and impact of the intervention program. Data 
collection for the falls intervention project will be approved by the 
University of North Carolina--Chapel Hill and Research Triangle 
Institute (RTI) International Institutional Review Boards. It will be 
conducted in accordance with the Health Insurance Portability and 
Accountability Act (HIPAA) Privacy rule and with the Protection of 
Human Research Subjects regulations, 45 CFR part 46. In addition, the 
identifiable data collected in this study about provider organizations 
and individuals will only be used for the above-stated purposes and 
will be kept confidential.

Methods of Collection

    The evaluation will use several methods to examine the efficacy of 
the intervention, including record review, in-person surveys, and in-
depth interviews. Data for this process evaluation of the 
implementation of the intervention will be collected at 6 and 12 months 
at the facility-level (e.g., fall and fracture rates, intervention 
adoption) and the resident-level (e.g., risk factors for falls, 
adherence to intervention regimens).
    The quantitative data will be collected using a series of 
questionnaires to collect information about the facility, its staff, 
and the participating residents. The information about residents' 
cognitive, medical, and functional status, and risk for falls will be 
collected using resident medication records and charts, performance 
based physical assessments, and standard measures of activities of 
daily living and cognition.
    The in-depth interviews of residents and staff will use both open-
ended questions and items with categorical response options to 
facilitate analysis. Items will include the degree to which the 
facility has changed its practice; the degree to which residents accept 
and adhere to the intervention; facilitators for and obstacles to 
implementation; report of staff and resident satisfaction; reactions 
and experiences related to the use of volunteers; and lessons learned. 
These data will be gathered through 60-minute interviews with facility 
staff including administrators and clinical personnel, and 30 to 40 
minute interviews with residents. The research staff will interview up 
to four staff at each intervention site and up to four residents at 
each site.

Estimated Annual Respondent Burden

    The table below indicates the estimated time and cost burden to the 
respondents for obtaining all of the data needed to meet the study's 
objectives. There will be no cost burden to the respondent other than 
the cost burden associated with their time to provide the required 
data. There will be no additional costs for capital equipment, 
software, computer services, etc.
    Time required to analyze the data and prepare it for reporting and 
publication is not included in these estimates.

                                                          Table 1.--Estimated Respondent Burden
--------------------------------------------------------------------------------------------------------------------------------------------------------
                                                              Number of
                                                            responses per
                                              Number of      respondent         Estimated time per       Estimated total  Average hourly  Estimated cost
            Type of respondent               respondents    (baseline, 6            respondent           burden  (hours)       rate        burden to the
                                                            months and 12                                                                   respondent
                                                               months)
--------------------------------------------------------------------------------------------------------------------------------------------------------
Direct Caregiver Staff...................              20              30  0.10 hours (6 minutes)......             60             $9.00         $540
Facility Staff...........................             260               1  .067 hours (4 minutes)......             17.3            9.00          155.70
Facility Administrator...................               4               3  0.25 hours (15 minutes).....              3             25              75
Facility Residents.......................             200               3  0.583 hours (35 minutes)....            350              0               0
    Total................................  ..............  ..............  ............................            430    ..............          770.70
--------------------------------------------------------------------------------------------------------------------------------------------------------

Estimated Annual Costs to the Federal Government

    The total estimated one-time cost of this intervention 
implementation and related data collection to the federal government is 
$199,600. This funding will be used to support the cost of implementing 
the intervention, salary and fringe benefits for the research team to 
conduct the survey interview and in-depth interviews, costs for members 
of the research team to travel to each site, and the incentives paid to 
facilities for participation in the intervention. The project proposes 
to work with assisted living facilities with which the research team 
already has established relationships and familiarity and will attempt 
to minimize burden to the assisted living facility staff by being 
flexible to schedules and requirements of care practices within the 
facilities.

Request for Comments

    In accordance with the above-cited Paperwork Reduction Act 
legislation, comments on AHRQ's information collection are requested 
with regard to any of the following: (a) Whether the proposed 
collection of information is necessary for the proper performance of 
AHRQ health care research and health care information dissemination 
functions, including whether the information will have practical 
utility; (b) the accuracy of AHRQ's estimate of burden (including hours 
and ocsts) of the proposed collection(s) 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 upon the respondents, including the use of automated 
collection techniques or other forms of information technology.
    Comments submitted in response to this notice will be summarized 
and included in the Agency's subsequent request for OMB approval of the 
proposed information collection. All

[[Page 1725]]

comments will become a matter of public record.

    Dated: January 4, 2007.
Carolyn M. Clancy,
Director.
[FR Doc. 07-108 Filed 1-12-07; 8:45 am]
BILLING CODE 4160-90-M