Agency Information Collection Request; 30-Day Public Comment Request, 41140-41141 [E9-19515]

Download as PDF 41140 Federal Register / Vol. 74, No. 156 / Friday, August 14, 2009 / Notices Proposed Project: Applicant Background Survey—OMB No. 0990– 0208- Extension- Assistant Secretary for Administration and Management. Abstract: The Applicant Background Survey form will be used for the next three years by the Operating Divisions (OPDIVs). The major sub-organizations within the Department of Health and Human Services (HHS), will collect and analyze data on race, sex, national origin, and disability from applicants for employment. Information will be collected by each of the personnel offices in the Department. The form will be used routinely by the OPDIVs when recruiting for all positions, including senior level positions and for selected job series where workforce analysis has shown evidence of low representation of minorities, women, or persons with disabilities. The results of the collection will assist the Department to determine if present recruitment sources yield qualified minority and female applicants and applicants with disabilities as required by EEOC MD 715. ESTIMATED ANNUALIZED BURDEN TABLE Number of respondents Type of respondent Individuals ....................................................... Seleda Perryman, Office of the Secretary, Paperwork Reduction Act Reports Clearance Officer. [FR Doc. E9–19513 Filed 8–13–09; 8:45 am] BILLING CODE 4151–17–P DEPARTMENT OF HEALTH AND HUMAN SERVICES [Document Identifier: OS–0990–; 30-Day Notice] Agency Information Collection Request; 30–Day Public Comment Request Office of the Secretary, HHS. In compliance with the requirement of section 3506(c)(2)(A) of the Paperwork Reduction Act of 1995, the Office of the Secretary (OS), Department of Health and Human Services, is publishing the following summary of a proposed collection for public comment. Interested persons are invited to send comments regarding this burden estimate or any other aspect of this collection of information, including any of the following subjects: (1) The necessity and utility of the proposed information collection for the proper performance of the agency’s functions; AGENCY: Number of responses per respondent 30,000 1 Total burden hours Average burden hours per response 2 minutes ........................................................ 1,000 public health systems approach to improve performance on two or more of seven Healthy People 2010 (HP 2010) objectives that target women and/or men in six focus areas—cancer, diabetes, heart disease and stroke, access to quality health services, educational and community-based programs, nutrition and overweight, and physical activity and fitness. The goals of the ASIST2010 program are to: (1) Provide additional support to existing public health systems/collaborative partnerships to enable them to add a gender focus to HP 2010 objectives that track the health status of women and/or men, to help improve gender outcome in the targeted population and/or geographic area; (2) improve surveillance/information systems that allow tracking of program progress on HP 2010 objectives at the grantee level; and (3) develop and implement a plan to sustain the program after OWH funding ends. The sites participating in the ASIST2010 program represent four academic medical centers, three community-based organizations, two hospitals, two state health departments, one county health department, and one foundation. (2) the accuracy of the estimated burden; (3) ways to enhance the quality, utility, and clarity of the information to be collected; and (4) the use of automated collection techniques or other forms of information technology to minimize the information collection burden. To obtain copies of the supporting statement and any related forms for the proposed paperwork collections referenced above, e-mail your request, including your address, phone number, OMB number, and OS document identifier, to Sherette.funncoleman@ hhs.gov, or call the Reports Clearance Office at (202) 690–5683. Send written comments and recommendations for the proposed information collections within 30 days of this notice directly to the OS OMB Desk Officer; faxed to OMB at 202–395–5806. Proposed Project: Evaluate the Advancing Systems Improvements to Support Targets for Healthy People 2010 (ASIST2010) Program—OMB No. 0990– NEW—Office on Women’s Health. Abstract: The Office on Women’s Health is collecting data from 13 funded grantees and clients participating in ASIST2010, a three-year, cooperative agreement program. ASIST2010 uses a ESTIMATED ANNUALIZED BURDEN HOURS Number of respondents Number of responses per respondent Avg. burden per response (in hours) Total burden (in hours) Form name Grantee Staff ..................................... mstockstill on DSKH9S0YB1PROD with NOTICES Type of respondent Grantee Telephone Interview Protocol (Round 1). Site Visit Advance Letter. Site Visit Protocol. Grantee Telephone Interview Protocol (Round 2). Site Visit Protocol ............................. 65 3 1 195 52 1 1 52 Site Visit Protocol ............................. Focus Group Advance Letter ........... Focus Group Flyer. 18 40 1 1 1 1.5 18 60 Partner Organization Staff (In-person interviews). Consumers (In-person interviews) .... Consumers (Focus groups) .............. VerDate Nov<24>2008 16:27 Aug 13, 2009 Jkt 217001 PO 00000 Frm 00033 Fmt 4703 Sfmt 4703 E:\FR\FM\14AUN1.SGM 14AUN1 41141 Federal Register / Vol. 74, No. 156 / Friday, August 14, 2009 / Notices ESTIMATED ANNUALIZED BURDEN HOURS—Continued Type of respondent Comparison Organization (Telephone Interviews). Staff Number of responses per respondent Number of respondents Form name Consumer Focus Group Discussion Guide. 10 ..................................................... Avg. burden per response (in hours) Total burden (in hours) 1 1 10 Advance Letter for Comparison Organizations ........................ ........................ ........................ 335 Comparison Organization Interview Protocol. Total ........................................... ........................................................... Seleda Perryman, Office of the Secretary, Paperwork Reduction Act Reports Clearance Officer. [FR Doc. E9–19515 Filed 8–13–09; 8:45 am] BILLING CODE 4150–33–P DEPARTMENT OF HEALTH AND HUMAN SERVICES Centers for Medicare & Medicaid Services [Document Identifier: CMS–10050, CMS– 1450(UB–04), CMS–276 and CMS–R–254] mstockstill on DSKH9S0YB1PROD with NOTICES Agency Information Collection Activities: Submission for OMB Review; Comment Request AGENCY: Centers for Medicare & Medicaid Services, HHS. In compliance with the requirement of section 3506(c)(2)(A) of the Paperwork Reduction Act of 1995, the Centers for Medicare & Medicaid Services (CMS), Department of Health and Human Services, is publishing the following summary of proposed collections for public comment. Interested persons are invited to send comments regarding this burden estimate or any other aspect of this collection of information, including any of the following subjects: (1) The necessity and utility of the proposed information collection for the proper performance of the Agency’s function; (2) the accuracy of the estimated burden; (3) ways to enhance the quality, utility, and clarity of the information to be collected; and (4) the use of automated collection techniques or other forms of information technology to minimize the information collection burden. 1. Type of Information Collection Request: Revision of the currently approved collection; Title of Information Collection: New Enrollee Survey; Use: The New Enrollee survey was developed to gather information from newly enrolled Medicare VerDate Nov<24>2008 16:27 Aug 13, 2009 Jkt 217001 beneficiaries about their Medicare knowledge and needs. CMS is seeking understanding about what types of information new enrollees need and what they know about Medicare. Included in the survey are questions regarding how well informed new enrollees are about Medicare and what information they have received about the Medicare program. Information gathered in this survey will be used only for purposes of targeting and improving communications with newly eligible Medicare beneficiaries. Form Number: CMS–10050 (OMB#: 0938– 0869); Frequency: Reporting—Quarterly; Affected Public: Individuals or Households; Number of Respondents: 1200; Total Annual Responses: 1200; Total Annual Hours: 300. (For policy questions regarding this collection contact Renee Clarke at 410–786–0006. For all other issues call 410–786–1326.) 2. Type of Information Collection Request: Extension of a currently approved collection; Title of Information Collection: Medicare Uniform Institutional Provider Bill and Supporting Regulations in 42 CFR 424.5; Use: Section 42 CFR 424.5(a)(5) requires providers of services to submit a claim for payment prior to any Medicare reimbursement. Charges billed are coded by revenue codes. The bill specifies diagnoses according to the International Classification of Diseases, Ninth Edition (ICD–9–CM) code. Inpatient procedures are identified by ICD–9–CM codes, and outpatient procedures are described using the CMS Common Procedure Coding System (HCPCS). These are standard systems of identification for all major health insurance claims payers. Submission of information on the CMS–1450 permits Medicare intermediaries to receive consistent data for proper payment. Form Numbers: CMS–1450 (UB– 04)(OMB#: 0938–0997); Frequency: Reporting—On occasion; Affected Public: Not-for-profit institutions, Business or other for-profit; Number of PO 00000 Frm 00034 Fmt 4703 Sfmt 4703 Respondents: 53,111; Total Annual Responses: 181,909,654; Total Annual Hours: 1,567,455. (For policy questions regarding this collection contact Matt Klischer at 410–786–7488. For all other issues call 410–786–1326.) 3. Type of Information Collection Request: Extension of a currently approved collection; Title of Information Collection: Prepaid Health Plan Cost Report; Use: Health Maintenance Organizations and Competitive Medical Plans (HMO/ CMPs) contracting with the Secretary under Section 1876 of the Social Security Act are required to submit a budget and enrollment forecast, four quarterly reports and a final certified cost report. Health Care Prepayment Plans (HCPPs) contracting with the Secretary under Section 1833 of the Social Security Act are required to submit a budget and enrollment forecast, mid-year report, and final cost report. An HMO/CMP is a health care delivery system that furnishes directly or arranges for the delivery of the full spectrum of health services to an enrolled population. A HCPP is a health care delivery system that furnishes directly or arranges for the delivery of certain physician and diagnostics services up to the full spectrum of nonprovider Part B health services to an enrolled population. These reports will be used to establish the reasonable cost of delivering covered services furnished to Medicare enrollees by an HMO/CMP or HCPP.; Form Numbers: CMS–276 (OMB#: 0938–0165); Frequency: Recordkeeping, Reporting—Quarterly and Annually; Affected Public: Business or other for-profit; Number of Respondents: 35; Total Annual Responses: 128; Total Annual Hours: 5,285. (For policy questions regarding this collection contact Temeshia Johnson at 410–786–8692. For all other issues call 410–786–1326.) 4. Type of Information Collection Request: Reinstatement of a currently approved collection; Title of E:\FR\FM\14AUN1.SGM 14AUN1

Agencies

DEPARTMENT OF HEALTH AND HUMAN SERVICES

[Federal Register Volume 74, Number 156 (Friday, August 14, 2009)]
[Notices]
[Pages 41140-41141]
From the Federal Register Online via the Government Printing Office [www.gpo.gov]
[FR Doc No: E9-19515]

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

DEPARTMENT OF HEALTH AND HUMAN SERVICES

[Document Identifier: OS-0990-; 30-Day Notice]

Agency Information Collection Request; 30-Day Public Comment
Request

AGENCY: Office of the Secretary, HHS.

In compliance with the requirement of section 3506(c)(2)(A) of the
Paperwork Reduction Act of 1995, the Office of the Secretary (OS),
Department of Health and Human Services, is publishing the following
summary of a proposed collection for public comment. Interested persons
are invited to send comments regarding this burden estimate or any
other aspect of this collection of information, including any of the
following subjects: (1) The necessity and utility of the proposed
information collection for the proper performance of the agency's
functions; (2) the accuracy of the estimated burden; (3) ways to
enhance the quality, utility, and clarity of the information to be
collected; and (4) the use of automated collection techniques or other
forms of information technology to minimize the information collection
burden.
To obtain copies of the supporting statement and any related forms
for the proposed paperwork collections referenced above, e-mail your
request, including your address, phone number, OMB number, and OS
document identifier, to Sherette.funncoleman@hhs.gov, or call the
Reports Clearance Office at (202) 690-5683. Send written comments and
recommendations for the proposed information collections within 30 days
of this notice directly to the OS OMB Desk Officer; faxed to OMB at
202-395-5806.
Proposed Project: Evaluate the Advancing Systems Improvements to
Support Targets for Healthy People 2010 (ASIST2010) Program--OMB No.
0990-NEW--Office on Women's Health.
Abstract: The Office on Women's Health is collecting data from 13
funded grantees and clients participating in ASIST2010, a three-year,
cooperative agreement program. ASIST2010 uses a public health systems
approach to improve performance on two or more of seven Healthy People
2010 (HP 2010) objectives that target women and/or men in six focus
areas--cancer, diabetes, heart disease and stroke, access to quality
health services, educational and community-based programs, nutrition
and overweight, and physical activity and fitness. The goals of the
ASIST2010 program are to: (1) Provide additional support to existing
public health systems/collaborative partnerships to enable them to add
a gender focus to HP 2010 objectives that track the health status of
women and/or men, to help improve gender outcome in the targeted
population and/or geographic area; (2) improve surveillance/information
systems that allow tracking of program progress on HP 2010 objectives
at the grantee level; and (3) develop and implement a plan to sustain
the program after OWH funding ends. The sites participating in the
ASIST2010 program represent four academic medical centers, three
community-based organizations, two hospitals, two state health
departments, one county health department, and one foundation.

Estimated Annualized Burden Hours
----------------------------------------------------------------------------------------------------------------
Number of Avg. burden
Type of respondent Form name Number of responses per per response Total burden
respondents respondent (in hours) (in hours)
----------------------------------------------------------------------------------------------------------------
Grantee Staff................. Grantee 65 3 1 195
Telephone
Interview
Protocol (Round
1).
Site Visit
Advance Letter.
Site Visit
Protocol.
Grantee
Telephone
Interview
Protocol (Round
2).
Partner Organization Staff (In- Site Visit 52 1 1 52
person interviews). Protocol.
Consumers (In-person Site Visit 18 1 1 18
interviews). Protocol.
Consumers (Focus groups)...... Focus Group 40 1 1.5 60
Advance Letter.
Focus Group
Flyer.

[[Page 41141]]

Consumer Focus
Group
Discussion
Guide.
Comparison Organization Staff 10.............. 1 1 10 Advance Letter
(Telephone Interviews). for Comparison
Organizations
Comparison
Organization
Interview
Protocol.
---------------------------------------------------------------
Total..................... ................ .............. .............. .............. 335
----------------------------------------------------------------------------------------------------------------

Seleda Perryman,
Office of the Secretary, Paperwork Reduction Act Reports Clearance
Officer.
[FR Doc. E9-19515 Filed 8-13-09; 8:45 am]
BILLING CODE 4150-33-P

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