Agency Information Collection Activities: Submission for OMB Review; Comment Request, 34759-34760 [E9-16958]

Download as PDF 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– VerDate Nov<24>2008 19:20 Jul 16, 2009 Jkt 217001 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 http://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 http:// 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 Frm 00050 Fmt 4703 Sfmt 4703 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. E:\FR\FM\17JYN1.SGM 17JYN1 34760 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 VerDate Nov<24>2008 19:20 Jul 16, 2009 Jkt 217001 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 Frm 00051 Fmt 4703 Sfmt 4703 10) and of average wage and salaried employees, and assuming an annual increase of 3.75%, 50-week contract, and 40-hour week. E:\FR\FM\17JYN1.SGM 17JYN1

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]


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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