Agency Information Collection Activities: Proposed Collection; Comment Request, 20368-20369 [2010-8895]
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20368
Federal Register / Vol. 75, No. 74 / Monday, April 19, 2010 / Notices
Medicare beneficiary), in turn, must
deliver a detailed notice to the enrollee/
beneficiary. Form Number: CMS–10066
(OMB#: 0938–1019); Frequency:
Reporting—Yearly; Affected Public:
Business or other for-profits and Notfor-profit institutions; Number of
Respondents: 6,163; Total Annual
Responses: 13,218; Total Annual Hours:
13,218. (For policy questions regarding
this collection contact Evelyn Blaemire
at 410–786–1803. For all other issues
call 410–786–1326.)
5. Type of Information Collection
Request: Revision of a currently
approved collection; Title of
Information Collection: Important
Message from Medicare (IM); Use:
Requirements that hospitals notify
beneficiaries in inpatient hospital
settings of their rights as a hospital
patient including their discharge appeal
rights are referenced in Section 1866 of
the Social Security Act (the Act). The
authority for the right to an expedited
determination is set forth at Sections
1869 and 1154 of the Act.
The hospital must deliver valid,
written notice (the IM) of a patient’s
rights as a hospital patient including the
discharge appeal rights, within 2
calendar days of admission. A follow-up
copy of the signed IM is given again as
far as possible in advance of discharge,
but no more than 2 calendar days
before. Follow-up notice is not required
if provision of the admission IM falls
within 2 calendar days of discharge. The
collection has been revised to include
documentation of the time when the
beneficiary signs the document when it
is delivered initially and as a follow-up
copy. Form Number: CMS–R–193
(OMB#: 0938–1019); Frequency:
Reporting—Yearly; Affected Public:
Business or other for-profits and Notfor-profit institutions; Number of
Respondents: 3,193; Total Annual
Responses: 13,218; Total Annual Hours:
19,680,000. (For policy questions
regarding this collection contact Evelyn
Blaemire at 410–786–1803. 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
address 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.
To be assured consideration,
comments and recommendations for the
proposed information collections must
be received by the OMB desk officer at
the address below, no later than 5 p.m.
on May 19, 2010: OMB, Office of
Information and Regulatory Affairs,
Attention: CMS Desk Officer, Fax
Number: (202) 395–6974, E-mail:
OIRA_submission@omb.eop.gov.
opportunity for public comment on
proposed collections of information, the
Substance Abuse and Mental Health
Services Administration (SAMHSA)
will publish periodic summaries of
proposed projects. To request more
information on the proposed projects or
to obtain a copy of the information
collection plans, call the SAMHSA
Reports Clearance Officer on (240) 276–
1243.
Comments are invited on: (a) Whether
the proposed collections of information
are 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.
Dated: April 9, 2010.
Michelle Shortt,
Director, Regulations Development Group,
Office of Strategic Operations and Regulatory
Affairs.
Proposed Project: Confidentiality of
Alcohol and Drug Abuse Patient
Records—(OMB No. 0930–0092)—
Revision
Statute (42 U.S.C. 290dd–2) and
regulations (42 CFR part 2) require
federally conducted, regulated, or
directly or indirectly assisted alcohol
and drug abuse programs to keep
alcohol and drug abuse patient records
confidential. Information requirements
are (1) written disclosure to patients
about Federal laws and regulations that
protect the confidentiality of each
patient, and (2) documenting ‘‘medical
personnel’’ status of recipients of a
disclosure to meet a medical emergency.
Annual burden estimates for these
requirements are summarized in the
table below:
[FR Doc. 2010–8900 Filed 4–16–10; 8:45 am]
BILLING CODE 4120–01–P
DEPARTMENT OF HEALTH AND
HUMAN SERVICES
Substance Abuse and Mental Health
Services Administration
Agency Information Collection
Activities: Proposed Collection;
Comment Request
In compliance with section
3506(c)(2)(A) of the Paperwork
Reduction Act of 1995 concerning
ANNUALIZED BURDEN ESTIMATES
Annual number
of respondents 1
Responses per
respondent
Hours per
response
Total responses
Total hour
burden
Disclosure
42 CFR 2.22 ....................................................
185
10,064
1,865,503 2
.20
373,101
wwoods2 on DSK1DXX6B1PROD with NOTICES_PART 1
Recordkeeping
42 CFR 2.51 ....................................................
10,064
2
20,128
.167
3,361
Total ..........................................................
10,064
............................
1,885,631
............................
376,462
1 The
number of publicly funded alcohol and drug facilities from SAMHSA’s 2007 National Survey of Substance Abuse Treatment Services (N–
SSATS).
2 The average number of annual treatment admissions from SAMHSA’s 2005–2007 Treatment Episode Data Set (TEDS).
Send comments to Summer King,
SAMHSA Reports Clearance Officer,
VerDate Nov<24>2008
15:04 Apr 16, 2010
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Room 7–1044, One Choke Cherry Road,
Rockville, MD 20857. Written comments
PO 00000
Frm 00044
Fmt 4703
Sfmt 4703
should be received within 60 days of
this notice.
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19APN1
Federal Register / Vol. 75, No. 74 / Monday, April 19, 2010 / Notices
Dated: April 12, 2010.
Elaine Parry,
Director, Office of Program Services.
[FR Doc. 2010–8895 Filed 4–16–10; 8:45 am]
BILLING CODE 4162–20–P
DEPARTMENT OF HEALTH AND
HUMAN SERVICES
Indian Health Service
Request for Public Comment: 30-Day
Proposed Information Collection:
Application for Participation in the IHS
Scholarship Program
Indian Health Service, HHS.
Notice.
AGENCY:
ACTION:
Note: The purpose of this second
announcement is to provide another
opportunity for public comment. The
previous Federal Register notice was
published on December 31, 2009, FR Doc.
E9–30947.
SUMMARY: In compliance with Section
3506(c)(2)(A) of the Paperwork
Reduction Act of 1995 which requires a
30-day advance opportunity for public
comment on the proposed information
collection project, the Indian Health
Service (IHS) has submitted to the
Office of Management and Budget
(OMB) a request to review and approve
the information collection listed below.
This proposed information collection
project was previously published in the
Federal Register (74 FR 36714) on July
24, 2009 and allowed 60 days for public
comment. No public comment was
received in response to the notice. The
purpose of this notice is to allow 30
days for public comment to be
submitted directly to OMB.
Proposed Collection: Title: 0917–
0006, ‘‘Application for Participation in
the IHS Scholarship Program.’’ Type of
Information Collection Request:
Previously Approved Collection (Form
changes and additions). Form
Number(s): IHS–856, 856–2 through
856–24, IHS–815, IHS–816, IHS–817,
and IHS–818. Reporting formats are
contained in an IHS Scholarship
Program application booklet. Need and
Use of Information Collection: The IHS
Number of
respondents
wwoods2 on DSK1DXX6B1PROD with NOTICES_PART 1
Data collection instrument(s)
Scholarship Application (IHS–856) .......................
Application Checklist (IHS–856–2) .......................
Faculty/Employer Evaluation (IHS–856–3) ...........
Narrative Statements (IHS–856–4) ......................
Delinquent Federal Debt (IHS–856–5) .................
Course Curriculum Verification (IHS–856–6) .......
Verification of Acceptance (IHS–856–7) ..............
Recipient’s Initial Program Progress Report
(IHS–856–8).
Notification of Academic Problem (IHS–856–9) ...
Change of Status (IHS–856–10) ..........................
Request for Approval of Deferment (IHS–856–
11).
Preferred Placement (IHS–856–12) .....................
Notice of Impending Graduation (IHS–856–13) ...
Notification of Deferment Program (IHS–856–14)
Placement Update (IHS–856–15) .........................
Annual Status Report (IHS–856–16) ....................
Extern Site Preference Request (IHS–856–17) ...
Request for Extern Travel Reimbursement (IHS–
856–18).
Lost Stipend Checks (IHS–856–19) .....................
Request for Tutorial Assistance (IHS–856–20) ....
Summer School Request (IHS–856–21) ..............
Change of Name or Address (IHS–856–22) ........
Request for Credit Validation (IHS–856–23) ........
Faculty/Advisor Evaluation (IHS–856–24) ............
Acknowledgment Card (IHS–815) ........................
Address Change Notice (IHS–816) ......................
Scholarship Program Agreement (IHS–817) ........
Health Professions Contract (IHS–818) ...............
Total ...............................................................
Responses
per
respondent
20369
Scholarship Branch needs this
information for program administration
and uses the information to solicit,
process, and award IHS Pre-graduate,
Preparatory, and/or Health Professions
Scholarship grants and monitor the
academic performance of awardees, to
place awardees at payback sites, and for
awardees to request additional program
information. The IHS Scholarship
Program is streamlining the application
to reduce the time needed by applicants
to complete and provide the information
and plans on using information
technology to make the application
electronically available on the Internet.
Affected Public: Individuals, not-forprofit institutions and State, local or
Tribal Government. Type of
Respondents: Students pursuing health
care professions.
The table below provides: Types of
data collection instruments, Estimated
number of respondents, Number of
responses per respondent, Annual
number of responses, Average burden
hour per response, and Total annual
burden hour(s).
Total annual
response
1,500
1,500
1,500
1,500
1,500
1,500
400
400
1
1
2
1
1
1
1
1
1,500
1500
3,000
1,500
1,500
1,500
400
400
50
50
50
1
1
1
50
50
50
200
200
50
200
200
125
125
1
1
1
1
1
1
1
200
200
50
200
200
125
125
50
150
75
50
30
1,500
1,500
50
175
225
1
1
1
1
1
2
1
1
1
1
50
150
75
50
30
3,000
1,500
50
175
225
17,855
Burden hour per
response*
1.00
0.13
0.83
0.75
0.13
0.70
0.13
0.13
Annual
burden
hours
(60 min) ................
(8 min) ..................
(50 min) ................
(45 min) ................
(8 min) ..................
(42 min) ................
(8 min) ..................
(8 min) ..................
1,500
200
2,500
1,125
200
1,050
53
53
0.13 (8 min) ..................
0.45 (25 min) ................
0.13 (8 min) ..................
7
21
7
0.75
0.17
0.13
0.18
0.25
0.13
0.10
(45 min) ................
(10 min) ................
(8 min) ..................
(11 min) ................
(15 min) ................
(8 min) ..................
(6 min) ..................
150
33
7
37
50
17
13
0.13 (8 min) ..................
0.13 (8 min) ..................
0.10 (6 min) ..................
0.13 (8 min) ..................
0.10 (6 min) ..................
0.83 (50 min) ................
0.03 (2 min) ..................
0.02 (1 min) ..................
0.05 (3 min) ..................
0.05 (3 min) ..................
..................................
7
20
8
7
3
2,500
50
1
9
11
9,639
* For ease of understanding, burden hours are also provided in actual minutes.
There is no direct cost to respondents
other than their time to voluntarily
complete the forms and submit them for
VerDate Nov<24>2008
15:04 Apr 16, 2010
Jkt 220001
consideration. The estimated cost in
time to respondents, as a group, is
$99,355.00 (9639 burden hours × 2009
PO 00000
Frm 00045
Fmt 4703
Sfmt 4703
GS–3 base pay rate = $10.31 per burden
hour). This total dollar amount is based
upon the number of burden hours per
E:\FR\FM\19APN1.SGM
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]]>Agencies
[Federal Register Volume 75, Number 74 (Monday, April 19, 2010)]
[Notices]
[Pages 20368-20369]
From the Federal Register Online via the Government Printing Office [www.gpo.gov]
[FR Doc No: 2010-8895]
-----------------------------------------------------------------------
DEPARTMENT OF HEALTH AND HUMAN SERVICES
Substance Abuse and Mental Health Services Administration
Agency Information Collection Activities: Proposed Collection;
Comment Request
In compliance with section 3506(c)(2)(A) of the Paperwork Reduction
Act of 1995 concerning opportunity for public comment on proposed
collections of information, the Substance Abuse and Mental Health
Services Administration (SAMHSA) will publish periodic summaries of
proposed projects. To request more information on the proposed projects
or to obtain a copy of the information collection plans, call the
SAMHSA Reports Clearance Officer on (240) 276-1243.
Comments are invited on: (a) Whether the proposed collections of
information are 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.
Proposed Project: Confidentiality of Alcohol and Drug Abuse Patient
Records--(OMB No. 0930-0092)--Revision
Statute (42 U.S.C. 290dd-2) and regulations (42 CFR part 2) require
federally conducted, regulated, or directly or indirectly assisted
alcohol and drug abuse programs to keep alcohol and drug abuse patient
records confidential. Information requirements are (1) written
disclosure to patients about Federal laws and regulations that protect
the confidentiality of each patient, and (2) documenting ``medical
personnel'' status of recipients of a disclosure to meet a medical
emergency. Annual burden estimates for these requirements are
summarized in the table below:
Annualized Burden Estimates
--------------------------------------------------------------------------------------------------------------------------------------------------------
Annual number of Responses per Hours per Total hour
respondents \1\ respondent Total responses response burden
--------------------------------------------------------------------------------------------------------------------------------------------------------
Disclosure
--------------------------------------------------------------------------------------------------------------------------------------------------------
42 CFR 2.22................................................... 10,064 185 1,865,503 \2\ .20 373,101
--------------------------------------------------------------------------------------------------------------------------------------------------------
Recordkeeping
--------------------------------------------------------------------------------------------------------------------------------------------------------
42 CFR 2.51................................................... 10,064 2 20,128 .167 3,361
-----------------------------------------------------------------------------------------
Total..................................................... 10,064 ................ 1,885,631 ................ 376,462
--------------------------------------------------------------------------------------------------------------------------------------------------------
\1\ The number of publicly funded alcohol and drug facilities from SAMHSA's 2007 National Survey of Substance Abuse Treatment Services (N-SSATS).
\2\ The average number of annual treatment admissions from SAMHSA's 2005-2007 Treatment Episode Data Set (TEDS).
Send comments to Summer King, SAMHSA Reports Clearance Officer,
Room 7-1044, One Choke Cherry Road, Rockville, MD 20857. Written
comments should be received within 60 days of this notice.
[[Page 20369]]
Dated: April 12, 2010.
Elaine Parry,
Director, Office of Program Services.
[FR Doc. 2010-8895 Filed 4-16-10; 8:45 am]
BILLING CODE 4162-20-P
