Request for Public Comment: 60-Day Proposed Information Collection: Indian Health Service Forms, 30095-30096 [E9-14841]
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30095
Federal Register / Vol. 74, No. 120 / Wednesday, June 24, 2009 / Notices
Respondent agrees that she will not
participate in any PHS-supported
research until such a supervisory plan is
submitted to ORI.
FOR FURTHER INFORMATION CONTACT:
Director, Division of Investigative
Oversight, Office of Research Integrity,
1101 Wootton Parkway, Suite 750,
Rockville, MD 20852, (240) 453–8800.
John Dahlberg,
Director, Division of Investigative Oversight,
Office of Research Integrity.
[FR Doc. E9–14900 Filed 6–23–09; 8:45 am]
BILLING CODE 4150–31–P
DEPARTMENT OF HEALTH AND
HUMAN SERVICES
Indian Health Service
Request for Public Comment: 60-Day
Proposed Information Collection:
Indian Health Service Forms
Indian Health Service, HHS.
Request for Public Comment:
60-Day Proposed Information
Collection: Indian Health Service Forms
to Implement the Privacy Rule (45 CFR
Parts 160 & 164).
AGENCY:
ACTION:
SUMMARY: The Indian Health Service
(IHS), as part of its continuing effort to
reduce paperwork and respondent
burden, conducts a pre-clearance
consultation program to provide the
general public and Federal agencies
with an opportunity to comment on
proposed and/or continuing collections
of information in accordance with the
Paperwork Reduction Act of 1995
(PRA95) (44 U.S.C. 3506(c)(2)(A)). This
program helps to ensure that requested
data can be provided in the desired
format, reporting burden (time and
financial resources) is minimized,
collection instruments are clearly
understood, and the impact of collection
requirements on respondents can be
properly assessed. Currently, the IHS is
providing a 60-day advance opportunity
for public comment on a proposed
extension on collection of information
to be submitted to the Office of
Management and Budget for review.
Proposed Collection: Title: 0917–
0030, ‘‘IHS Forms to Implement the
Privacy Rule (45 CFR Parts 160 & 164)’’.
Type of Information Collection Request:
Extension, with revisions, of currently
approved information collection, 0917–
0030, ‘‘IHS Forms to Implement the
Privacy Rule (45 CFR Parts 160 & 164)’’.
Form Number(s): IHS–810, IHS–912–1,
IHS 912–2, IHS–913 and IHS–917. Need
and Use of Information Collection: This
collection of information is made
necessary by the Department of Health
and Human Services Rule entitled
‘‘Standards for Privacy of Individually
Identifiable Health Information’’
(‘‘Privacy Rule’’) (45 CFR Parts 160 and
164). The Privacy Rule implements the
privacy requirements of the
Administrative Simplification subtitle
of the Health Information Portability
and Accountability Act of 1996 and
creates national standards to protect an
individual’s personal health information
and gives patients increased access to
their medical records. 45 CFR 164.508,
522, 526 and 528 of the Rule require the
collection of information to implement
these protection standards and access
requirements. The IHS will use the
following data collection instruments to
continue the implementation of the
information collection requirements
contained in the Rule.
45 CFR 164.508: This provision
requires covered entities to obtain or
receive a valid authorization for its use
or disclosure of protected health
information for other than for treatment,
payment and healthcare operations.
Under the provision individuals may
initiate a written authorization
permitting covered entities to release
their protected health information to
entities of their choosing. The form
IHS–810, ‘‘Authorization for Use or
Disclosure of Protected Health
Information’’ will be used to document
an individual’s authorization to use or
disclose their protected health
information.
45 CFR 164.522: Section 164.522(a)(1)
requires a covered entity to permit
individuals to request that the covered
entity restrict the use and disclosure of
their protected health information. The
covered entity may or may not agree to
the restriction. The form IHS–912–1,
‘‘Request for Restriction(s)’’ will be used
to document an individual’s request for
restriction of their protected health
information and whether IHS agreed or
Number of
respondents
45 CFR section/IHS form
164.506, IHS–810 ............................................................................................
164.522(a)(1), IHS–912–1 ...............................................................................
164.522(a)(2), IHS–912–2 ...............................................................................
164.528 IHS–913 .............................................................................................
164.526, IHS–917 ............................................................................................
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16:46 Jun 23, 2009
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Sfmt 4703
disagreed with the restriction. Section
164.522(a)(2)(1) permits a covered entity
to terminate its agreement to a
restriction if the individual agrees to or
requests the termination in writing. The
form IHS–912–2, ‘‘Request for
Revocation of Restriction(s)’’ will be
used to document the agency or
individual request to terminate a
formerly agreed to restriction regarding
the use and disclosure of protected
health information.
45 CFR 164.528 and 45 CFR 5b.9(c):
This provision requires covered entities
to permit individuals to request that the
covered entity provide an accounting of
disclosures of protected health
information made by the covered entity.
The form IHS–913, ‘‘Request for an
Accounting of Disclosures’’ will be used
to document an individual’s request for
an accounting of disclosures of their
protected health information and the
agency’s handling of the request.
45 CFR 164.526: This provision
requires covered entities to permit an
individual to request that the covered
entity amend protected health
information. If the covered entity
accepts the requested amendment, in
whole or in part, the covered entity
must inform the individual that the
amendment is accepted and obtain the
individual’s identification of an
agreement to have the covered entity
notify the relevant persons with which
the amendment needs to be shared. If
the covered entity denies the requested
amendment, in whole or in part, the
covered entity must provide the
individual with a written denial. The
form IHS–917, ‘‘Request for Correction/
Amendment of Protected Health
Information’’ will be used to document
an individual’s request to amend their
protected health information and the
agency’s decision to accept or deny the
request.
Completed forms used in this
collection of information are filed in the
IRS medical, health and billing record,
a Privacy Act System of Records Notice.
Affected Public: Individuals and
households. Type of Respondents:
Individuals. Burden Hours: The table
below provides the estimated burden
hours for this information collection:
Responses
per
respondent
500,000
15,000
5,000
15,000
7,500
E:\FR\FM\24JNN1.SGM
Burden per
response*
(mins)
1
1
1
1
1
24JNN1
20
10
10
10
15
Total annual
burden
166,667
2,500
833
2,500
1,875
30096
Federal Register / Vol. 74, No. 120 / Wednesday, June 24, 2009 / Notices
Number of
respondents
45 CFR section/IHS form
Responses
per
respondent
Total Annual Burden .................................................................................
Burden per
response*
(mins)
5
Total annual
burden
174,375
*For ease of understanding, burden hours are provided in actual minutes.
The total estimated burden for this
collection of information is 174,375
hours.
There are no capital costs, operating
costs and/or maintenance costs to
respondents.
Request for Comments: Your written
comments and/or suggestions are
invited on one or more of the following
points: (a) Whether the information
collection activity is necessary to carry
out an agency function; (b) whether the
agency processes the information
collected in a useful and timely fashion;
(c) the accuracy of public burden
estimate (the estimated amount of time
needed for individual respondents to
provide the requested information); (d)
whether the methodology and
assumptions used to determine the
estimate are logical; (e) ways to enhance
the quality, utility, and clarity of the
information being collected; and (f)
ways to minimize the public burden
through the use of automated,
electronic, mechanical, or other
technological collection techniques or
other forms of information technology.
Send Comments and Requests for
Further Information: Send your written
comments and requests for more
information on the proposed collection
or requests to obtain a copy of the data
collection instrument(s) and
instructions to: Ms. Betty Gould, Acting
IHS Reports Clearance Officer, 801
Thompson Avenue, TMP, Suite 450,
Rockville, MD 20852, call non-toll free
(301) 443–7899, send via facsimile to
(301) 443–9879, or send your e-mail
requests, comments, and return address
to: betty.gould@ihs.gov.
Comment Due Date: Your comments
regarding this information collection are
best assured of having full effect if
received within 60 days of the date of
this publication.
Dated: June 17, 2009.
Robert G. McSwain,
Deputy Director for Management Operations,
Indian Health Service.
[FR Doc. E9–14841 Filed 6–23–09; 8:45 am]
BILLING CODE 4165–16–M
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DEPARTMENT OF HEALTH AND
HUMAN SERVICES
Centers for Disease Control and
Prevention
[60Day–09–09BW]
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 Maryam I. Daneshvar,
CDC Acting Reports Clearance Officer,
1600 Clifton Road, MS–D74, Atlanta,
GA 30333 or send an e-mail 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
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
Postural Analysis in Low-Seam
Mines—New—National Institute for
Occupational Safety and Health
(NIOSH), Centers for Disease Control
and Prevention (CDC).
Background and Brief Description
NIOSH, under Public Law 91–596,
sections 20 and 22 (section 20–22,
Occupational Safety and Health Act of
1970) has the responsibility to conduct
research relating to innovative methods,
techniques, and approaches dealing
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Sfmt 4703
with occupational safety and health
problems.
According to the Mining Safety and
Health Administration (MSHA) injury
database, 227 knee injuries were
reported in underground coal mining in
2007. With data from the National
Institute for Occupational Safety and
Health (NIOSH), it can be estimated that
the financial burden of knee injuries
was nearly three million dollars in 2007.
Typically, mine workers utilize
kneepads to better distribute the
pressures at the knee. The effectiveness
of these kneepads is to be investigated
in a study by NIOSH. Thus, NIOSH will
be determining the forces, stresses, and
moments at the knee while in postures
associated with low-seam mining. At
this time, the postures utilized by lowseam mine workers and their frequency
of use are unknown. Therefore, before
conducting this larger, experimental
study, the proposed field study must be
conducted.
The aim of the proposed field study
is to determine the postures
predominantly used by low-seam mine
workers such that they may complete
the various tasks associated with their
job duties. A questionnaire was
developed for each of the major job
types seen in low-seam mines with
continuous miners (continuous miner
operator, roof bolter operator, shuttle car
operator, mobile bridge operator,
mechanic, beltman, maintenance shift
worker, foreman). The questionnaire
asks basic demographic information
(e.g., time in job type, years in mining,
age). Additionally, a series of questions
are asked such that it may be
determined if a mine worker is likely to
have a knee injury, even if it is
undiagnosed. These questions were
developed with the help of a physical
therapist. A schematic of possible
postures will then be presented to the
mine workers and they will be asked to
identify the primary two postures they
utilize to complete their job duties. The
questionnaire then asks mine workers to
identify the primary postures they
utilize to complete specific tasks (e.g.,
hanging curtain, building stoppings)
that are part of their job duties. Finally,
mine workers are asked to identify those
postures that are least and most
comfortable/stressful. There is no cost to
respondents other than their time.
E:\FR\FM\24JNN1.SGM
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]]>Agencies
[Federal Register Volume 74, Number 120 (Wednesday, June 24, 2009)]
[Notices]
[Pages 30095-30096]
From the Federal Register Online via the Government Printing Office [www.gpo.gov]
[FR Doc No: E9-14841]
-----------------------------------------------------------------------
DEPARTMENT OF HEALTH AND HUMAN SERVICES
Indian Health Service
Request for Public Comment: 60-Day Proposed Information
Collection: Indian Health Service Forms
AGENCY: Indian Health Service, HHS.
ACTION: Request for Public Comment: 60-Day Proposed Information
Collection: Indian Health Service Forms to Implement the Privacy Rule
(45 CFR Parts 160 & 164).
-----------------------------------------------------------------------
SUMMARY: The Indian Health Service (IHS), as part of its continuing
effort to reduce paperwork and respondent burden, conducts a pre-
clearance consultation program to provide the general public and
Federal agencies with an opportunity to comment on proposed and/or
continuing collections of information in accordance with the Paperwork
Reduction Act of 1995 (PRA95) (44 U.S.C. 3506(c)(2)(A)). This program
helps to ensure that requested data can be provided in the desired
format, reporting burden (time and financial resources) is minimized,
collection instruments are clearly understood, and the impact of
collection requirements on respondents can be properly assessed.
Currently, the IHS is providing a 60-day advance opportunity for public
comment on a proposed extension on collection of information to be
submitted to the Office of Management and Budget for review.
Proposed Collection: Title: 0917-0030, ``IHS Forms to Implement the
Privacy Rule (45 CFR Parts 160 & 164)''. Type of Information Collection
Request: Extension, with revisions, of currently approved information
collection, 0917-0030, ``IHS Forms to Implement the Privacy Rule (45
CFR Parts 160 & 164)''. Form Number(s): IHS-810, IHS-912-1, IHS 912-2,
IHS-913 and IHS-917. Need and Use of Information Collection: This
collection of information is made necessary by the Department of Health
and Human Services Rule entitled ``Standards for Privacy of
Individually Identifiable Health Information'' (``Privacy Rule'') (45
CFR Parts 160 and 164). The Privacy Rule implements the privacy
requirements of the Administrative Simplification subtitle of the
Health Information Portability and Accountability Act of 1996 and
creates national standards to protect an individual's personal health
information and gives patients increased access to their medical
records. 45 CFR 164.508, 522, 526 and 528 of the Rule require the
collection of information to implement these protection standards and
access requirements. The IHS will use the following data collection
instruments to continue the implementation of the information
collection requirements contained in the Rule.
45 CFR 164.508: This provision requires covered entities to obtain
or receive a valid authorization for its use or disclosure of protected
health information for other than for treatment, payment and healthcare
operations. Under the provision individuals may initiate a written
authorization permitting covered entities to release their protected
health information to entities of their choosing. The form IHS-810,
``Authorization for Use or Disclosure of Protected Health Information''
will be used to document an individual's authorization to use or
disclose their protected health information.
45 CFR 164.522: Section 164.522(a)(1) requires a covered entity to
permit individuals to request that the covered entity restrict the use
and disclosure of their protected health information. The covered
entity may or may not agree to the restriction. The form IHS-912-1,
``Request for Restriction(s)'' will be used to document an individual's
request for restriction of their protected health information and
whether IHS agreed or disagreed with the restriction. Section
164.522(a)(2)(1) permits a covered entity to terminate its agreement to
a restriction if the individual agrees to or requests the termination
in writing. The form IHS-912-2, ``Request for Revocation of
Restriction(s)'' will be used to document the agency or individual
request to terminate a formerly agreed to restriction regarding the use
and disclosure of protected health information.
45 CFR 164.528 and 45 CFR 5b.9(c): This provision requires covered
entities to permit individuals to request that the covered entity
provide an accounting of disclosures of protected health information
made by the covered entity. The form IHS-913, ``Request for an
Accounting of Disclosures'' will be used to document an individual's
request for an accounting of disclosures of their protected health
information and the agency's handling of the request.
45 CFR 164.526: This provision requires covered entities to permit
an individual to request that the covered entity amend protected health
information. If the covered entity accepts the requested amendment, in
whole or in part, the covered entity must inform the individual that
the amendment is accepted and obtain the individual's identification of
an agreement to have the covered entity notify the relevant persons
with which the amendment needs to be shared. If the covered entity
denies the requested amendment, in whole or in part, the covered entity
must provide the individual with a written denial. The form IHS-917,
``Request for Correction/Amendment of Protected Health Information''
will be used to document an individual's request to amend their
protected health information and the agency's decision to accept or
deny the request.
Completed forms used in this collection of information are filed in
the IRS medical, health and billing record, a Privacy Act System of
Records Notice. Affected Public: Individuals and households. Type of
Respondents: Individuals. Burden Hours: The table below provides the
estimated burden hours for this information collection:
----------------------------------------------------------------------------------------------------------------
Burden per
45 CFR section/IHS form Number of Responses per response* Total annual
respondents respondent (mins) burden
----------------------------------------------------------------------------------------------------------------
164.506, IHS-810................................ 500,000 1 20 166,667
164.522(a)(1), IHS-912-1........................ 15,000 1 10 2,500
164.522(a)(2), IHS-912-2........................ 5,000 1 10 833
164.528 IHS-913................................. 15,000 1 10 2,500
164.526, IHS-917................................ 7,500 1 15 1,875
---------------------------------------------------------------
[[Page 30096]]
Total Annual Burden......................... .............. 5 .............. 174,375
----------------------------------------------------------------------------------------------------------------
*For ease of understanding, burden hours are provided in actual minutes.
The total estimated burden for this collection of information is
174,375 hours.
There are no capital costs, operating costs and/or maintenance
costs to respondents.
Request for Comments: Your written comments and/or suggestions are
invited on one or more of the following points: (a) Whether the
information collection activity is necessary to carry out an agency
function; (b) whether the agency processes the information collected in
a useful and timely fashion; (c) the accuracy of public burden estimate
(the estimated amount of time needed for individual respondents to
provide the requested information); (d) whether the methodology and
assumptions used to determine the estimate are logical; (e) ways to
enhance the quality, utility, and clarity of the information being
collected; and (f) ways to minimize the public burden through the use
of automated, electronic, mechanical, or other technological collection
techniques or other forms of information technology.
Send Comments and Requests for Further Information: Send your
written comments and requests for more information on the proposed
collection or requests to obtain a copy of the data collection
instrument(s) and instructions to: Ms. Betty Gould, Acting IHS Reports
Clearance Officer, 801 Thompson Avenue, TMP, Suite 450, Rockville, MD
20852, call non-toll free (301) 443-7899, send via facsimile to (301)
443-9879, or send your e-mail requests, comments, and return address
to: betty.gould@ihs.gov.
Comment Due Date: Your comments regarding this information
collection are best assured of having full effect if received within 60
days of the date of this publication.
Dated: June 17, 2009.
Robert G. McSwain,
Deputy Director for Management Operations, Indian Health Service.
[FR Doc. E9-14841 Filed 6-23-09; 8:45 am]
BILLING CODE 4165-16-M
