Agency Forms Undergoing Paperwork Reduction Act Review, 16128-16129 [2010-7171]

Download as PDF 16128 Federal Register / Vol. 75, No. 61 / Wednesday, March 31, 2010 / Notices DEPARTMENT OF HEALTH AND HUMAN SERVICES Centers for Disease Control and Prevention [30Day–10–10AJ] Agency Forms Undergoing Paperwork Reduction Act Review The Centers for Disease Control and Prevention (CDC) publishes a list of information collection requests under review by the Office of Management and Budget (OMB) in compliance with the Paperwork Reduction Act (44 U.S.C. Chapter 35). To request a copy of these requests, call the CDC Reports Clearance Officer at (404) 639–5960 or send an email to omb@cdc.gov. Send written comments to CDC Desk Officer, Office of Management and Budget, Washington, DC or by fax to (202) 395–5806. Written comments should be received within 30 days of this notice. Proposed Project Evaluation of Childhood Obesity Prevention and Control Initiative: New York City Health Bucks Program —New—National Center for Chronic Disease Prevention and Health Promotion (NCCDPHP), Centers for Disease Control and Prevention (CDC). Background and Brief Description Childhood obesity is a major public health concern. One out of every five children is affected by overweight or obesity in the United States, making it the most prevalent nutritional disease of this population. Although increased consumption of fruits and vegetables has been found to reduce long-term obesity risk, as well as risk of heart disease and some cancers, relatively few children and adolescents consume the USDA recommended minimum standard of five servings a day of fruits and vegetables. In response to this growing public health crisis, the Division of Nutrition, Physical Activity, and Obesity (DNPAO) at the Centers for Disease Control and Prevention (CDC), is working to identify promising local programs and policies designed to prevent childhood obesity. Priority is being given to programs and policies targeting improved eating habits and physical activity levels among children in low-income communities. The New York City Health Bucks program, operated by the New York City Department of Health and Mental Hygiene (DOHMH), is one example of this type of initiative. The program operates in three high-need, underserved New York City neighborhoods: The South Bronx, North and Central Brooklyn, and East and Central Harlem. Through the program, targeted neighborhood residents are provided with $2 ‘‘Health Bucks’’ that can be redeemed at local farmers’ markets for the purchase of fresh, locally-grown fruits and vegetables. The Health Bucks program is intended to increase fresh fruit and vegetable purchases and consumption, and to increase access at the community level by attracting local farmers to these underserved areas. CDC plans to sponsor an evaluation of the NYC Health Bucks program in 2010. Information will be collected from five groups of respondents: Local community organizations involved in distributing Health Bucks to individuals (200 respondents); farmers’ market managers operating New York City farmers’ markets (90 respondents); farmers’ market vendors selling at New York City farmers’ markets (474 respondents); farmers’ market consumers at New York City farmers’ markets (2,348 respondents); and residents of neighborhoods in which the NYC Health Bucks program operates (1,000 respondents). The evaluation plan calls for local community organizations to complete a web-based questionnaire at the conclusion of the farmers’ market season. Farmers’ market managers will complete a written survey during the farmers’ market season, with in-person follow up by trained interviewers on site at farmers’ markets for managers who do not respond to the initial mailing. Farmers’ market vendors will complete a written survey administered by trained interviewers on site at farmers’ markets, and trained interviewers will also conduct written point-of-purchase intercept surveys with farmers’ market consumers. Finally, telephone interviews will be conducted with a random sample of residents in neighborhoods in which the NYC Health Bucks program operates, and in-depth information will be collected from farmers’ market consumers and vendors through focus groups. The results of the evaluation study will be used to: Assess the program’s ability to improve nutrition behaviors among targeted participants; identify factors serving as barriers and facilitators to program implementation and expected outcomes; provide feedback to the DOHMH for the purposes of program improvement; and share results with other entities interested in implementing similar programs. Information collection will be conducted in English and Spanish. There are no costs to respondents other than their time, and participation is voluntary. The total estimated annualized burden hours are 660. ESTIMATED ANNUALIZED BURDEN HOURS Number of respondents Type of respondents Form type Local Community Organizations ..................... Farmers’ Market Managers ............................. Farmers’ Market Vendors ............................... Local Community Organization Survey ......... Farmers’ Market Managers Survey ............... Farmers’ Market Vendor Survey .................... Farmers’ Market Vendor Focus Group .......... Consumer Point-of-Purchase Survey ............ Consumer Focus Group ................................. Neighborhood Resident Survey ..................... Farmers’ Market Consumers .......................... jlentini on DSKJ8SOYB1PROD with NOTICES NYC Health Bucks Neighborhood Residents VerDate Nov<24>2008 19:40 Mar 30, 2010 Jkt 220001 PO 00000 Frm 00063 Fmt 4703 Sfmt 4703 E:\FR\FM\31MRN1.SGM Number of responses per respondent 200 90 450 24 2,300 48 1,000 31MRN1 1 1 1 1 1 1 1 Average burden (in hours) 10/60 8/60 7/60 2 7/60 2 9/60 Federal Register / Vol. 75, No. 61 / Wednesday, March 31, 2010 / Notices Dated: March 22, 2010. Maryam I. Daneshvar, Acting Reports Clearance Officer, Centers for Disease Control and Prevention. [FR Doc. 2010–7171 Filed 3–30–10; 8:45 am] BILLING CODE 4163–18–P 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, HHS. 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) approve the proposed information collection project: ‘‘Studying the Implementation of a Chronic Care Toolkit and Practice Coaching In Practices Serving Vulnerable Populations.’’ In accordance with the Paperwork Reduction Act, 44 U.S.C. 3501–3520, AHRQ invites the public to comment on this proposed information collection. This proposed information collection was previously published in the Federal Register on February 1, 2010 and allowed 60 days for public comment. One comment was 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 April 30, 2010. Written comments should be submitted to: AHRQ’s OMB Desk Officer by fax at (202) 395–6974 (attention: AHRQ’s desk officer) or by email at OIRA_submission@omb.eop.gov (attention: AHRQ’s desk officer). Copies of the proposed collection plans, data collection instruments, and specific details on the estimated burden can be obtained from the AHRQ Reports Clearance Officer. jlentini on DSKJ8SOYB1PROD with NOTICES ADDRESSES: FOR FURTHER INFORMATION CONTACT: Doris Lefkowitz, AHRQ Reports Clearance Officer, (301) 427–1477, or by e-mail at doris.lefkowitz@AHRQ.hhs.gov. SUPPLEMENTARY INFORMATION: VerDate Nov<24>2008 19:40 Mar 30, 2010 Jkt 220001 Proposed Project Studying the Implementation of a Chronic Care Toolkit and Practice Coaching In Practices Serving Vulnerable Populations An important part of AHRQ’s mission is to disseminate information and tools that can support improvement in quality and safety in the U.S. health care community. This proposed information collection supports that part of AHRQ’s mission by further refining the practice coaching delivered in conjunction with a previously developed toolkit, Implementing Integrating Chronic Care and Business Strategies in the Safety Net: A Toolkit for Primary Care Practices and Clinics. AHRQ requests that the Office of Management and Budget approve, under the Paperwork Reduction Act of 1995, AHRQ’s intention to collect information needed to determine whether practice coaching is effective in facilitating adoption of the Chronic Care Model (CCM) for improving treatment and management of chronic medical conditions by primary care physicians, especially those who care for underserved populations. This project is being conducted pursuant to AHRQ’s statutory authority to conduct and support research on health care and on systems for the delivery of such care, including activities with respect to quality measurement and improvement and with respect to clinical practice, including primary care and practiceoriented research. 42 U.S.C. 299a(a)(2) and (4). This project will be conducted by AHRQ through a contract with the University of Minnesota. Although 1,500 physician practices in the U.S. and internationally have been involved in CCM quality improvement efforts, most patients still do not receive their chronic care in accordance with CCM. One factor affecting CCM implementation has been that having teams attend collaborative meetings (three two-day meetings over a ninemonth period) is burdensome, especially for under-resourced providers. An attempt to use the Internet as a virtual collaborative met with disappointing results. Another barrier to adoption of the CCM in settings that serve vulnerable populations is the scarcity of resources to implement and sustain the CCM. In 2006 AHRQ contracted with the RAND Corporation, Group Health’s MacColl Institute, and the California Health Care Safety Net Institute (SNI) to develop a toolkit that informs safety net providers on how to redesign their systems of care along the lines of the Chronic Care Model while attending to their financial PO 00000 Frm 00064 Fmt 4703 Sfmt 4703 16129 realities. The result was Implementing Integrating Chronic Care and Business Strategies in the Safety Net: A Toolkit for Primary Care Practices and Clinics. The Toolkit was piloted in two California safety net clinics. Recognizing that merely distributing the Toolkit was unlikely to foster adoption of CCM, the intervention included six months of practice coaching delivered by the MacColl Institute. Practice Coaches (PC) are health care or related professionals who help primary care practices in a variety of quality improvement and research activities. PCs made two site visits to each site and participated in weekly team meetings by phone. They also interacted with the sites through e-mail and phone contact. The lack of documentation available on coaching led to the development of a practice coaching manual, which was funded by AHRQ through a contract with the RAND Corporation. Development of the Coaching Manual entailed conducting a literature review, interviewing practice coaching experts, and incorporating evaluation results from the coaching provided in conjunction with the Toolkit. The Coaching Manual was published in the winter of 2009. The literature review and interviews revealed that there are a number of different models of practice coaching. However, knowledge is scant about how practice coaching is best performed, under what conditions practice coaching is most successful, and the costs of coaching and being coached. Pilot testing the Toolkit with a low-intensity practice coaching strategy proved insufficient to encourage practices to use the Toolkit independently. The Toolkit was subsequently streamlined based on pilot sites’ reports that the initial Toolkit was not easy to use. This project will explore the implementation of the revised Toolkit along with a more intensive practice coaching strategy, providing lessons on methods to improve chronic care in clinical practices that serve vulnerable populations. Method of Collection This project will include the following data collections: (1) Key Informant Interviews with providers, staff and practice coaches from 20 safety net practices that participate in the practice coaching intervention. These will be used to describe the process and content of practice coaching, perceived changes from the coaching intervention at the practice, provider and patient levels, factors that impeded or facilitated the coaching intervention and implementation of practice changes E:\FR\FM\31MRN1.SGM 31MRN1

Agencies

[Federal Register Volume 75, Number 61 (Wednesday, March 31, 2010)]
[Notices]
[Pages 16128-16129]
From the Federal Register Online via the Government Printing Office [www.gpo.gov]
[FR Doc No: 2010-7171]

[[Page 16128]]

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DEPARTMENT OF HEALTH AND HUMAN SERVICES

Centers for Disease Control and Prevention

[30Day-10-10AJ]

Agency Forms Undergoing Paperwork Reduction Act Review

The Centers for Disease Control and Prevention (CDC) publishes a
list of information collection requests under review by the Office of
Management and Budget (OMB) in compliance with the Paperwork Reduction
Act (44 U.S.C. Chapter 35). To request a copy of these requests, call
the CDC Reports Clearance Officer at (404) 639-5960 or send an e-mail
to omb@cdc.gov. Send written comments to CDC Desk Officer, Office of
Management and Budget, Washington, DC or by fax to (202) 395-5806.
Written comments should be received within 30 days of this notice.

Proposed Project

Evaluation of Childhood Obesity Prevention and Control Initiative:
New York City Health Bucks Program --New--National Center for Chronic
Disease Prevention and Health Promotion (NCCDPHP), Centers for Disease
Control and Prevention (CDC).

Background and Brief Description

Childhood obesity is a major public health concern. One out of
every five children is affected by overweight or obesity in the United
States, making it the most prevalent nutritional disease of this
population. Although increased consumption of fruits and vegetables has
been found to reduce long-term obesity risk, as well as risk of heart
disease and some cancers, relatively few children and adolescents
consume the USDA recommended minimum standard of five servings a day of
fruits and vegetables.
In response to this growing public health crisis, the Division of
Nutrition, Physical Activity, and Obesity (DNPAO) at the Centers for
Disease Control and Prevention (CDC), is working to identify promising
local programs and policies designed to prevent childhood obesity.
Priority is being given to programs and policies targeting improved
eating habits and physical activity levels among children in low-income
communities.
The New York City Health Bucks program, operated by the New York
City Department of Health and Mental Hygiene (DOHMH), is one example of
this type of initiative. The program operates in three high-need,
underserved New York City neighborhoods: The South Bronx, North and
Central Brooklyn, and East and Central Harlem. Through the program,
targeted neighborhood residents are provided with $2 ``Health Bucks''
that can be redeemed at local farmers' markets for the purchase of
fresh, locally-grown fruits and vegetables. The Health Bucks program is
intended to increase fresh fruit and vegetable purchases and
consumption, and to increase access at the community level by
attracting local farmers to these underserved areas.
CDC plans to sponsor an evaluation of the NYC Health Bucks program
in 2010. Information will be collected from five groups of respondents:
Local community organizations involved in distributing Health Bucks to
individuals (200 respondents); farmers' market managers operating New
York City farmers' markets (90 respondents); farmers' market vendors
selling at New York City farmers' markets (474 respondents); farmers'
market consumers at New York City farmers' markets (2,348 respondents);
and residents of neighborhoods in which the NYC Health Bucks program
operates (1,000 respondents).
The evaluation plan calls for local community organizations to
complete a web-based questionnaire at the conclusion of the farmers'
market season. Farmers' market managers will complete a written survey
during the farmers' market season, with in-person follow up by trained
interviewers on site at farmers' markets for managers who do not
respond to the initial mailing. Farmers' market vendors will complete a
written survey administered by trained interviewers on site at farmers'
markets, and trained interviewers will also conduct written point-of-
purchase intercept surveys with farmers' market consumers. Finally,
telephone interviews will be conducted with a random sample of
residents in neighborhoods in which the NYC Health Bucks program
operates, and in-depth information will be collected from farmers'
market consumers and vendors through focus groups.
The results of the evaluation study will be used to: Assess the
program's ability to improve nutrition behaviors among targeted
participants; identify factors serving as barriers and facilitators to
program implementation and expected outcomes; provide feedback to the
DOHMH for the purposes of program improvement; and share results with
other entities interested in implementing similar programs.
Information collection will be conducted in English and Spanish.
There are no costs to respondents other than their time, and
participation is voluntary. The total estimated annualized burden hours
are 660.

Estimated Annualized Burden Hours
----------------------------------------------------------------------------------------------------------------
Number of Average
Type of respondents Form type Number of responses per burden (in
respondents respondent hours)
----------------------------------------------------------------------------------------------------------------
Local Community Organizations......... Local Community 200 1 10/60
Organization Survey.
Farmers' Market Managers.............. Farmers' Market Managers 90 1 8/60
Survey.
Farmers' Market Vendors............... Farmers' Market Vendor 450 1 7/60
Survey.
Farmers' Market Vendor 24 1 2
Focus Group.
Farmers' Market Consumers............. Consumer Point-of- 2,300 1 7/60
Purchase Survey.
Consumer Focus Group.... 48 1 2
NYC Health Bucks Neighborhood Neighborhood Resident 1,000 1 9/60
Residents. Survey.
----------------------------------------------------------------------------------------------------------------

[[Page 16129]]

Dated: March 22, 2010.
Maryam I. Daneshvar,
Acting Reports Clearance Officer, Centers for Disease Control and
Prevention.
[FR Doc. 2010-7171 Filed 3-30-10; 8:45 am]
BILLING CODE 4163-18-P

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