Agency Information Collection Activities: Submission for OMB Review; Comment Request, 34759-34760 [E9-16958]
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mstockstill on DSKH9S0YB1PROD with NOTICES
Federal Register / Vol. 74, No. 136 / Friday, July 17, 2009 / Notices
478.18, 478.34, 478.36, 478.42, QIO
Reconsiderations and Appeals; Use: In
the event that a beneficiary, provider,
physician, or other practitioner does not
agree with the initial determination of a
Quality Improvement Organization
(QIO) or a QIO subcontractor, it is
within that party’s rights to request
reconsideration. The information
collection requirements 42 CFR 478.18,
478.34, 478.36, and 478.42, contain
procedures for QIOs to use in
reconsideration of initial
determinations. The information
requirements contained in these
regulations are on QIOs to provide
information to parties requesting the
reconsideration. These parties will use
the information as guidelines for appeal
rights in instances where issues are
actively being disputed.; Form Number:
CMS–R–72 (OMB#: 0938–0443);
Frequency: Reporting—On occasion;
Affected Public: Individuals or
Households and Business or other forprofit institutions; Number of
Respondents: 2,590; Total Annual
Responses: 5,228; Total Annual Hours:
2,822. (For policy questions regarding
this collection contact Tom Kessler at
410–786–1991. For all other issues call
410–786–1326.)
3. Type of Information Collection
Request: Extension of a currently
approved collection; Title of
Information Collection: Children’s
Health Insurance Program (CHIP) Report
on Payables and Receivables; Use:
Collection of CHIP data and the
calculation of the CHIP Incurred But
Not Reported (IBNR) estimate are
pertinent to CMS’ financial audit. The
CFO auditors have reported the lack of
an estimate for CHIP IBNR payables and
receivables as a reportable condition in
the FY 2005 audit of CMS’s financial
statements. It is essential that CMS
collect the necessary data from State
agencies in FY 2006, so that CMS
continues to receive an unqualified
audit opinion on its financial
statements. Program expenditures for
the CHIP have increased since its
inception; as such, CHIP receivables and
payables may materially impact the
financial statements. The CHIP Report
on Payables and Receivables will
provide the information needed to
calculate the CHIP IBNR.; Form
Number: CMS–10180 (OMB#: 0938–
0988); Frequency: Reporting—Annually;
Affected Public: State, Local or Tribal
governments; Number of Respondents:
56; Total Annual Responses: 56; Total
Annual Hours: 336. (For policy
questions regarding this collection
contact Deborah McCleod at 410–786–
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19:20 Jul 16, 2009
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0013. For all other issues call 410–786–
1326.)
4. Type of Information Collection
Request: Extension of a currently
approved collection; Title of
Information Collection: Medicaid Report
on Payables and Receivables; Use: The
Chief Financial Officers (CFO) Act of
1990, as amended by the Government
Management Reform Act (GMRA) of
1994, requires government agencies to
produce auditable financial statements.
Because the Centers for Medicare &
Medicaid Services (CMS) fulfills its
mission through its contractors and the
States; these entities are the primary
source of information for the financial
statements. There are three basic
categories of data: expenses, payables,
and receivables. The CMS–64 is used to
collect data on Medicaid expenses. The
CMS–R–199 collects Medicaid payable
and receivable accounting data from the
States.; Form Number: CMS–R–199
(OMB#: 0938–0697); Frequency:
Reporting—Annually; Affected Public:
State, Local or Tribal governments;
Number of Respondents: 56; Total
Annual Responses: 56; Total Annual
Hours: 336. (For policy questions
regarding this collection contact
Deborah McCleod at 410–786–0013. For
all other issues call 410–786–1326.)
To obtain copies of the supporting
statement and any related forms for the
proposed paperwork collections
referenced above, access CMS’ Web Site
at https://www.cms.hhs.gov/
PaperworkReductionActof1995, or Email your request, including your
address, phone number, OMB number,
and CMS document identifier, to
Paperwork@cms.hhs.gov, or call the
Reports Clearance Office on (410) 786–
1326.
In commenting on the proposed
information collections please reference
the document identifier or OMB control
number. To be assured consideration,
comments and recommendations must
be submitted in one of the following
ways by September 15, 2009:
1. Electronically. You may submit
your comments electronically to https://
www.regulations.gov. Follow the
instructions for ‘‘Comment or
Submission’’ or ‘‘More Search Options’’
to find the information collection
document(s) accepting comments.
2. By regular mail. You may mail
written comments to the following
address: CMS, Office of Strategic
Operations and Regulatory Affairs,
Division of Regulations Development,
Attention: Document Identifier/OMB
Control Number, Room C4–26–05, 7500
Security Boulevard, Baltimore,
Maryland 21244–1850.
PO 00000
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34759
Dated: July 9, 2009.
Michelle Shortt,
Director, Regulations Development Group,
Office of Strategic Operations and Regulatory
Affairs.
[FR Doc. E9–17079 Filed 7–16–09; 8:45 am]
BILLING CODE 4120–01–P
DEPARTMENT OF HEALTH AND
HUMAN SERVICES
Health Resources and Services
Administration
Agency Information Collection
Activities: Submission for OMB
Review; Comment Request
Periodically, the Health Resources
and Services Administration (HRSA)
publishes abstracts of information
collection requests under review by the
Office of Management and Budget
(OMB), in compliance with the
Paperwork Reduction Act of 1995 (44
U.S.C. Chapter 35). To request a copy of
the clearance requests submitted to
OMB for review, e-mail
paperwork@hrsa.gov or call the HRSA
Reports Clearance Office on (301) 443–
1129.
The following request has been
submitted to the Office of Management
and Budget for review under the
Paperwork Reduction Act of 1995:
Proposed Project Title: Interim
Evaluation of the Bright Futures for
Women’s Health and Wellness
(BFWHW) Initiative, Emotional
Wellness Consumer Tools—NEW.
Purpose: The purpose of this project
is to design and implement a three-year
interim evaluation to address initial
outcomes for the BFWHW emotional
wellness tools targeted to consumers.
The project is funded by the Health
Resources and Services Administration
(HRSA), Office of Women’s Health
(OWH). The evaluation will seek to
determine (1) the acceptability of the
tools by the target audiences, (2)
strategies for ensuring their ongoing use,
and (3) the outcomes associated with
the use of these tools in three to four
selected primary care sites.
The evaluation team will work with
HRSA OWH and an Expert Committee
to identify the questions of interest for
the evaluation plan and methodology.
There will be two major components—
a descriptive/process component
focusing on the design and
implementation of the program’s
intervention and an impact component
focusing on the preliminary outcomes of
the intervention on the target audiences
and their behavioral intentions.
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Federal Register / Vol. 74, No. 136 / Friday, July 17, 2009 / Notices
written survey on site at the time of
service.
Distributors of the Consumer Tools
(e.g., healthcare providers, program
staff, and community stakeholders/
organizations) from four selected HRSAfunded program sites will respond to a
web-based written survey.
Respondents
Female consumers (adolescents
between the ages of 13 and 17, and
adults 18 and older) who receive
services from four selected HRSAfunded program sites will receive a
Female consumers (adolescents
between the ages of 13 and 17 and
adults 18 and older) who receive
services from four selected HRSAfunded program sites will be invited to
participate in a focus group.
ANNUAL BURDEN ESTIMATES
Responses
per respondent
Number of respondents
Form
Total responses
Hours per response
Total burden
hours
Survey of Consumers ......................................................
Survey of the Distributors of the Consumer Tools ..........
Consumer Focus Groups .................................................
563
40
1 64
1
1
1
563
40
64
0.25
0.25
1.5
140.75
10.0
96.0
Total ..........................................................................
667
........................
667
..........................
246.75
14
sites × 16 focus group participants per site.
Written comments and
recommendations concerning the
proposed information collection should
be sent within 30 days of this notice to
the desk officer for HRSA, either by email to OIRA_submission@omb.eop.gov
or by fax to 202–395–6974. Please direct
all correspondence to the ‘‘attention of
the desk officer for HRSA.’’
Dated: July 9, 2009.
Alexandra Huttinger,
Director, Division of Policy Review and
Coordination.
[FR Doc. E9–16958 Filed 7–16–09; 8:45 am]
BILLING CODE 4165–15–P
DEPARTMENT OF HEALTH AND
HUMAN SERVICES
National Institutes of Health
Proposed Collection; Comment
Request; NEXT Generation Health
Study
SUMMARY: 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
National Institute of Child Health and
Human Development (NICHD), the
National Institutes of Health (NIH) will
publish periodic summaries of proposed
projects to be submitted to the Office of
Management and Budget (OMB) for
review and approval.
Proposed Collection
Title: NEXT Generation Health Study.
Type of Information Collection
Request: New.
Need and Use of Information
Collection:
The goal of this research is to obtain
data on adolescent health and health
behaviors annually for four years
beginning in the 2009–2010 school year
from a national probability sample of
adolescents. This information will
enable the improvement of health
services and programs for youth. The
study will provide needed information
about the health of U.S. adolescents.
The study will collect information on
adolescent health behaviors and social
and environmental contexts for these
behaviors annually for four years
beginning in the 2009–2010 school year.
Self-report of health status, health
behaviors, and health attitudes will be
collected by in-school and online
surveys. Anthropomorphic data, genetic
information, and neighborhood
characteristics will be gathered on all
participants as well. The study will also
incorporate a School Administrator
Survey and other data files to obtain
related information on school-level
health programs and community-level
contextual data. A representative
subsample of overweight and normal
weight adolescents will be identified
and additional data on behavioral risk
factors and biological markers and risk
factors will be gathered on these
adolescents.
TABLE 1—ANNUAL BURDEN FOR AFFECTED PUBLIC: SCHOOL-AGE CHILDREN, PARENTS AND SCHOOL ADMINISTRATORS
Estimated
number of respondents
Type of respondents
Estimated
number of responses per
respondent
Average burden
hours per response
Estimated total
annual burden
hours requested
2,700
550
550
80
1
1
1
1
0.75
2.5
0.17
0.33
11, 004
1,375
94
26
mstockstill on DSKH9S0YB1PROD with NOTICES
Adolescents ...................................................................................................
Adolescents with additional assessments .....................................................
Parents ...........................................................................................................
School Administrators ....................................................................................
The estimated annualized cost to
respondents is $7,453 (Table 2). These
costs were estimated for the 2009/2010
survey year only, not the entire duration
of the project; annualized over the entire
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19:20 Jul 16, 2009
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duration of the project, these costs
would be reduced to $2,439. These
estimates were calculated using 2008
Department of Labor figures for wages of
principals in high schools (grades 9 and
PO 00000
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10) and of average wage and salaried
employees, and assuming an annual
increase of 3.75%, 50-week contract,
and 40-hour week.
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]]>Agencies
[Federal Register Volume 74, Number 136 (Friday, July 17, 2009)]
[Notices]
[Pages 34759-34760]
From the Federal Register Online via the Government Printing Office [www.gpo.gov]
[FR Doc No: E9-16958]
-----------------------------------------------------------------------
DEPARTMENT OF HEALTH AND HUMAN SERVICES
Health Resources and Services Administration
Agency Information Collection Activities: Submission for OMB
Review; Comment Request
Periodically, the Health Resources and Services Administration
(HRSA) publishes abstracts of information collection requests under
review by the Office of Management and Budget (OMB), in compliance with
the Paperwork Reduction Act of 1995 (44 U.S.C. Chapter 35). To request
a copy of the clearance requests submitted to OMB for review, e-mail
paperwork@hrsa.gov or call the HRSA Reports Clearance Office on (301)
443-1129.
The following request has been submitted to the Office of
Management and Budget for review under the Paperwork Reduction Act of
1995:
Proposed Project Title: Interim Evaluation of the Bright Futures
for Women's Health and Wellness (BFWHW) Initiative, Emotional Wellness
Consumer Tools--NEW.
Purpose: The purpose of this project is to design and implement a
three-year interim evaluation to address initial outcomes for the BFWHW
emotional wellness tools targeted to consumers. The project is funded
by the Health Resources and Services Administration (HRSA), Office of
Women's Health (OWH). The evaluation will seek to determine (1) the
acceptability of the tools by the target audiences, (2) strategies for
ensuring their ongoing use, and (3) the outcomes associated with the
use of these tools in three to four selected primary care sites.
The evaluation team will work with HRSA OWH and an Expert Committee
to identify the questions of interest for the evaluation plan and
methodology. There will be two major components--a descriptive/process
component focusing on the design and implementation of the program's
intervention and an impact component focusing on the preliminary
outcomes of the intervention on the target audiences and their
behavioral intentions.
[[Page 34760]]
Respondents
Female consumers (adolescents between the ages of 13 and 17, and
adults 18 and older) who receive services from four selected HRSA-
funded program sites will receive a written survey on site at the time
of service.
Distributors of the Consumer Tools (e.g., healthcare providers,
program staff, and community stakeholders/organizations) from four
selected HRSA-funded program sites will respond to a web-based written
survey.
Female consumers (adolescents between the ages of 13 and 17 and
adults 18 and older) who receive services from four selected HRSA-
funded program sites will be invited to participate in a focus group.
Annual Burden Estimates
----------------------------------------------------------------------------------------------------------------
Number of Responses per Total Hours per Total burden
Form respondents respondent responses response hours
----------------------------------------------------------------------------------------------------------------
Survey of Consumers............. 563 1 563 0.25 140.75
Survey of the Distributors of 40 1 40 0.25 10.0
the Consumer Tools.............
Consumer Focus Groups........... \1\ 64 1 64 1.5 96.0
-------------------------------------------------------------------------------
Total....................... 667 .............. 667 .............. 246.75
----------------------------------------------------------------------------------------------------------------
\1\ 4 sites x 16 focus group participants per site.
Written comments and recommendations concerning the proposed
information collection should be sent within 30 days of this notice to
the desk officer for HRSA, either by e-mail to OIRA_submission@omb.eop.gov or by fax to 202-395-6974. Please direct all
correspondence to the ``attention of the desk officer for HRSA.''
Dated: July 9, 2009.
Alexandra Huttinger,
Director, Division of Policy Review and Coordination.
[FR Doc. E9-16958 Filed 7-16-09; 8:45 am]
BILLING CODE 4165-15-P
