Agency Information Collection Activities: Proposed Collection; Comment Request, 29553-29555 [2010-12644]
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29553
Federal Register / Vol. 75, No. 101 / Wednesday, May 26, 2010 / Notices
Substance Abuse and Mental Health
Services Administration (SAMHSA),
and authorizes the CMHS to conduct
surveys with respect to mental health.
To monitor the prevalence of children
and youth with mental health problems,
CMHS and the National Institute of
Mental Health (NIMH), through a
reimbursable agreement with the NCHS
have funded questions on children’s
mental health on the National Health
Interview Study (NHIS).
One component of the NHIS is the
short Strengths and Difficulties
Questionnaire (short SDQ), a module
that has obtained data on the mental
health of children aged 4–17 years since
2001. As part of its mission, CMHS has
undertaken the task of improving its
methods for providing national
estimates related to child mental health,
specifically by conducting studies that
determine validity and appropriate cutpoints for measuring serious emotional
disturbance in children. To ensure that
the short SDQ is a valid measure of
child mental health, the proposed study
calibrates the short SDQ on the NHIS to
a standard psychiatric measure. Highly
trained clinical interviewers will
administer, via telephone, the Child and
Adolescent Psychiatric Assessment
(CAPA) or the Pre-School Age
Psychiatric Assessment (PAPA) to the
parents of a sample of children aged
4–17 years identified in the NHIS as
having mental health problems.
Children aged 12–17 years will also be
interviewed using the Child and
Adolescent Psychiatric Assessment
(CAPA). Clinical interviewers will also
administer these assessments to a
suitable control group of parents and
children. Approximately 460 adults and
300 children will take part in the study.
A 24-month clearance is being sought to
conduct this study.
Data collected in the follow-up
interviews will then be used to calibrate
the short SDQ as it is used in the NHIS.
Data will not be used to produce
national estimates. There is no cost to
respondents other than their time.
ESTIMATED ANNUALIZED BURDEN TABLE
Number of
respondents
Average
burden per
response in
hours
Number of
responses per
respondent
Total burden
in hours
Type of survey
Type of respondent
Calibration and Control .....................
Parents of children aged 4–8 years
Parents of children aged 9–17 years
Children, aged 12–17 .......................
50
180
150
1
1
1
1
1
45/60
50
180
113
Total ...........................................
...........................................................
380
........................
........................
343
Dated: May 20, 2010.
Maryam I. Daneshvar,
Reports Clearance Officer, Centers for Disease
Control and Prevention.
[FR Doc. 2010–12666 Filed 5–25–10; 8:45 am]
BILLING CODE 4163–18–P
DEPARTMENT OF HEALTH AND
HUMAN SERVICES
Substance Abuse and Mental Health
Services Administration
wwoods2 on DSK1DXX6B1PROD with NOTICES_PART 1
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 project or
to obtain a copy of the information
collection plans, call the SAMHSA
Reports Clearance Officer at (240) 276–
1243.
Comments are invited on (a) whether
the proposed collection of information
is necessary for the proper performance
of the functions of the agency, including
whether the information shall have
VerDate Mar<15>2010
15:16 May 25, 2010
Jkt 220001
approximately 10 States/Territories per
year to produce their own videos.
Over the next 4 years, CSAP will
conduct a process and outcome
assessment of this project. The process
assessment will focus on the
experiences associated with planning
and producing the State video. The
outcome assessment will examine the
effectiveness of the State Videos project
in meeting the core project objectives
and will capture the State’s
Proposed Project: Assessment of the
dissemination efforts. The process and
Underage Drinking Prevention
outcome assessments will encompass
Education Initiatives State Videos
State videos that will be produced in
Project—New
2010–2013 and those that were
produced in 2007 and 2009. State
The Substance Abuse and Mental
Health Services Administration’s Center contacts will be asked to update their
for Substance Abuse Prevention (CSAP) dissemination information online if
is requesting Office of Management and there have been changes in these figures
during the previous 6 months, up
Budget (OMB) approval of three new
through 2013. Additionally, data will be
data collection instruments—
collected from viewers of the State
• State Video Contacts Form;
videos using an online survey.
• Video Viewers Form; and
The information will be collected
• Dissemination Update Online Form. from the primary contact employee
This new information collection is for designated by the State that is agreeing
the assessment of the 2010–2013
to participate in the production of a
Underage Drinking Prevention
video for the State Videos project. The
Education Initiatives State Videos
viewers’ information will be collected
project. In 2007, four States participated from those who voluntarily decide to
in a pilot study to produce videos on the complete a short survey after seeing the
topic of underage drinking prevention.
video.
SAMHSA/CSAP intends to support
Based upon the success of those videos,
annual State underage drinking
10 additional States and 1 Territory
prevention videos. The information
were provided videos in 2009. From
collected will be used by SAMHSA/
2010 to 2013, CSAP will invite
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.
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Fmt 4703
Sfmt 4703
E:\FR\FM\26MYN1.SGM
26MYN1
29554
Federal Register / Vol. 75, No. 101 / Wednesday, May 26, 2010 / Notices
CSAP to help plan for these annual
video productions and provide
technical assistance to the participating
States. The collected information will
also provide a descriptive picture of the
initiative and indicate how the videos
have been received, as well as some
factors that may be associated with
successful dissemination outcomes.
The information needs to be collected
using a combination of initial telephone
interviews to collect process data,
followed by online forms to collect
outcome and dissemination data. A
survey of viewers, collected online, will
also be used to assess the effectiveness
of the State videos in increasing
awareness of the underage prevention
activities in these States. This
information collection is being
implemented under authority of Section
501(d)(4) of the Public Health Service
Act (42 USC 290aa).
State staff members will be contacted
once the video has been finalized. These
State staff members will be asked to
complete a short telephone interview
that asks questions about the process of
producing the State video. The State
Video Contacts Form includes nine
items about the State video, among
which are included the following:
• State’s objectives for the video on
underage drinking prevention.
• Targeted audiences.
• Satisfaction with technical
assistance (TA) received.
• Usefulness of preplanning
materials.
• Helpfulness of TA during different
phases of production.
• Recommendations for improving
the process.
• Recommendations for improving
the content of the video.
• Advice to other States interested in
producing a video.
If the State has disseminated the
video at the time of the initial telephone
interview, then they will also be asked
to complete the second part of the State
Video Contacts Form, which collects
information on dissemination outcomes.
The State Video Contacts Form includes
19 items about the dissemination
activities of the State’s video, among
which are included the following:
• When they disseminated the video.
• Methods of dissemination.
• Number of people who viewed the
video.
• Number of DVDs and videotapes
requested.
• Effectiveness of the dissemination
methods.
• Factors that contributed to the
effectiveness of dissemination.
• Effect of TA received.
• Effect of the video in raising
awareness about underage drinking
prevention successes in the State.
• Effect of the video in raising
awareness about underage drinking
prevention challenges in the State.
• Effectiveness of the video in
presenting State’s/Territory’s prevention
activities.
• Feedback received.
• Unintended positive outcomes.
• Effect of TA in improving the
capacity to provide effective prevention
services.
After the State staff member has
completed the State Video Contacts
Form online, he or she will be requested
to update dissemination activities
online if there have been any changes
during the past 6 months. This form
includes seven items, among which are
included the following:
• Whether there have been changes in
dissemination during the past 6 months.
• Most recent dissemination
numbers, by method.
• Facilitation factors.
• Additional feedback.
• Additional unintended positive
outcomes.
Data will also be collected from
viewers of the State videos. Each State
video will include instructions on how
to access the Video Viewers Form. The
instructions may be a unique URL, or
they may consist of instructions on each
State’s Web site on underage drinking
prevention. This information will allow
the CSAP to provide feedback to the
States on their video and to measure the
Number of
respondents
wwoods2 on DSK1DXX6B1PROD with NOTICES_PART 1
Form name
effectiveness of their video. The Video
Viewers Form includes 24 items about
the video, among which are included
the following:
• When and where they viewed the
video.
• Whom they recommended to view
the video.
• What they learned from watching
the video.
• What actions they may take because
of the video.
• Whether they plan to change
behaviors and knowledge about their
State’s activities.
The process assessment of the State
videos will be conducted using
telephone interviews with the State
points of contact. This interview should
take 10 minutes (0.167 hours). The
outcome assessment of the State videos
will be collected using an online form
that will be completed by no more than
26 respondents and will require only 1
response per respondent. It will take an
average of 10 minutes (0.167 hours) to
review the instructions, complete the
form, and submit it electronically.
Dissemination updates will be
requested from each State point of
contact every 6 months if there have
been changes during that time period.
These updates will be submitted
electronically, and it should take
approximately 5 minutes (0.083 hours)
to review the instructions, complete the
short form, and submit it electronically.
The burden estimate is based on
comments from several potential
respondents who completed the online
form, submitted it, and provided
feedback on how long it would take
them to complete it. The respondents
will be employees of the State.
A short survey will also be used to
collect data from viewers of the State
videos. An estimated 1,000 viewers will
voluntarily choose to complete this
online survey, which will take 10
minutes (0.167 hours) to review,
complete, and submit. The viewers are
expected to be pulled from the general
public.
Responses
per
respondent
Hours per
response
Total hour
burden
Process Interview ............................................................................................
Dissemination Outcome ...................................................................................
Dissemination Updates ....................................................................................
Viewers Survey ................................................................................................
26
26
26
1,000
1
1
1
1
0.167
0.167
0.083
0.167
4.34
4.34
2.16
167
Total ..........................................................................................................
1,078
........................
........................
177.84
Send comments to Summer King,
SAMHSA Reports Clearance Officer,
VerDate Mar<15>2010
15:16 May 25, 2010
Jkt 220001
Room 7–1044, One Choke Cherry Road,
Rockville, MD 20857 AND e-mail a copy
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to: summer.king@samhsa.hhs.gov.
E:\FR\FM\26MYN1.SGM
26MYN1
Federal Register / Vol. 75, No. 101 / Wednesday, May 26, 2010 / Notices
Written comments should be received
within 60 days of this notice.
Dated: May 17, 2010.
Elaine Parry,
Director, Office of Program Services.
[FR Doc. 2010–12644 Filed 5–25–10; 8:45 am]
BILLING CODE 4126–20–P
DEPARTMENT OF HEALTH AND
HUMAN SERVICES
Centers for Medicare & Medicaid
Services
[CMS–4151–NC]
RIN 0938–AQ04
Medicare Program; Medicare Coverage
Gap Discount Program Model
Manufacturer Agreement and
Announcement of the June 1, 2010
Public Meeting
wwoods2 on DSK1DXX6B1PROD with NOTICES_PART 1
AGENCY: Centers for Medicare &
Medicaid Services (CMS), HHS.
ACTION: Notice with comment period.
SUMMARY: This notice with comment
period contains a draft model agreement
for use by the Secretary and
manufacturers under the Medicare
Coverage Gap Discount Program
established by section 3301 of the
Patient Protection and Affordable Care
Act, as amended by section 1101 of the
Health Care and Education
Reconciliation Act of 2010. Under the
agreement, manufacturers of applicable
covered Part D drugs must provide
applicable discounts to applicable
Medicare beneficiaries for applicable
covered Part D drugs while in the
coverage gap beginning in 2011. It also
announces the June 1, 2010 public
meeting regarding the draft model
agreement.
DATES: Meeting Date: Tuesday, June 1,
2010, 9 a.m. to 5:30 p.m., eastern
daylight time (e.d.t.).
Meeting Registration and Request for
Special Accommodations Deadline:
Register between May 21, 2010 and June
1, 2010.
Comment Date: To be assured
consideration, comments must be
received at one of the addresses
provided below, no later than 5 p.m.
e.d.t on June 21, 2010.
ADDRESSES: Meeting Location: The
meeting will be held in the Sheraton
Baltimore City Center Hotel, 101 West
Fayette Street, Baltimore, MD 21201.
Registration and Special
Accommodations: Register and request
special accommodations at https://
cmsconference.hcmsllc.com.
Submitting Comments: In
commenting, please refer to file code
VerDate Mar<15>2010
15:16 May 25, 2010
Jkt 220001
CMS–4151–NC. Because of staff and
resource limitations, we cannot accept
comments by facsimile (FAX)
transmission.
You may submit comments in one of
four ways (please choose only one of the
ways listed):
1. Electronically. You may submit
electronic comments on this notice to
https://www.regulations.gov. Follow the
instructions ‘‘For submitting a
comment.’’
2. By regular mail. You may mail
written comments to the following
address ONLY: Centers for Medicare &
Medicaid Services, Department of
Health and Human Services, Attention:
CMS–4151–NC, P.O. Box 8013,
Baltimore, MD 21244–8013.
Please allow sufficient time for mailed
comments to be received before the
close of the comment period.
3. By express or overnight mail. You
may send written comments to the
following address ONLY: Centers for
Medicare & Medicaid Services,
Department of Health and Human
Services, Attention: CMS–4151–NC,
Mail Stop C4–26–05, 7500 Security
Boulevard, Baltimore, MD 21244–1850.
4. By hand or courier. If you prefer,
you may deliver (by hand or courier)
your written comments before the close
of the comment period to either of the
following addresses:
a. For delivery in Washington, DC—
Centers for Medicare & Medicaid
Services, Department of Health and
Human Services, Room 445–G, Hubert
H. Humphrey Building, 200
Independence Avenue, SW.,
Washington, DC 20201.
(Because access to the interior of the
Hubert H. Humphrey Building is not
readily available to persons without
Federal government identification,
commenters are encouraged to leave
their comments in the CMS drop slots
located in the main lobby of the
building. A stamp-in clock is available
for persons wishing to retain a proof of
filing by stamping in and retaining an
extra copy of the comments being filed.)
b. For delivery in Baltimore, MD—
Centers for Medicare & Medicaid
Services, Department of Health and
Human Services, 7500 Security
Boulevard, Baltimore, MD 21244–1850.
If you intend to deliver your
comments to the Baltimore address,
please call telephone number (410) 786–
9994 in advance to schedule your
arrival with one of our staff members.
Comments mailed to the addresses
indicated as appropriate for hand or
courier delivery may be delayed and
received after the comment period.
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29555
For information on viewing public
comments, see the beginning of the
SUPPLEMENTARY INFORMATION section.
FOR FURTHER INFORMATION CONTACT:
Craig Miner, for questions regarding the
model agreement, (410) 786–7937. Sonia
Eaddy, for questions regarding the
meeting registration, 410–786–5459.
SUPPLEMENTARY INFORMATION: Inspection
of Public Comments: All comments
received before the close of the
comment period are available for
viewing by the public, including any
personally identifiable or confidential
business information that is included in
a comment. We post all comments
received before the close of the
comment period on the following Web
site as soon as possible after they have
been received: https://
www.regulations.gov. Follow the search
instructions on that Web site to view
public comments.
Comments received timely will also
be available for public inspection as
they are received, generally beginning
approximately 3 weeks after publication
of a document, at the headquarters of
the Centers for Medicare & Medicaid
Services, 7500 Security Boulevard,
Baltimore, Maryland 21244, Monday
through Friday of each week from 8:30
a.m. to 4 p.m. To schedule an
appointment to view public comments,
phone 1–800–743–3951.
I. Background
Section 101 of the Medicare
Prescription Drug, Improvement and
Modernization Act of 2003 (MMA)
which was enacted on December 8, 2003
established the Voluntary Prescription
Drug Benefit Program (hereinafter
referred to as ‘‘Part D’’). The Part D
program is available for individuals who
are entitled to Medicare Part A or
enrolled in Medicare Part B. The
Centers for Medicare & Medicaid
Services (CMS) contracts with private
companies, referred to as Part D
sponsors, to administer the Part D
program via stand alone prescription
drug plans (PDPs) and prescription drug
plans offered by Medicare Advantage
Organizations (MA–PDs). The Part D
program became effective January 1,
2006.
Standard Part D prescription drug
coverage consists of coverage subject to
an annual deductible, 25 percent
coinsurance (or an actuarially
equivalent cost-sharing design) up to the
initial coverage limit (ICL), and
catastrophic coverage for individuals
that exceed the annual maximum true
out-of-pocket (TrOOP) threshold with
cost-sharing equal to the greater of a $2/
$5 copayment or coinsurance of 5
E:\FR\FM\26MYN1.SGM
26MYN1
Agencies
[Federal Register Volume 75, Number 101 (Wednesday, May 26, 2010)]
[Notices]
[Pages 29553-29555]
From the Federal Register Online via the Government Printing Office [www.gpo.gov]
[FR Doc No: 2010-12644]
-----------------------------------------------------------------------
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 project
or to obtain a copy of the information collection plans, call the
SAMHSA Reports Clearance Officer at (240) 276-1243.
Comments are invited on (a) whether the proposed collection of
information is 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: Assessment of the Underage Drinking Prevention
Education Initiatives State Videos Project--New
The Substance Abuse and Mental Health Services Administration's
Center for Substance Abuse Prevention (CSAP) is requesting Office of
Management and Budget (OMB) approval of three new data collection
instruments--
State Video Contacts Form;
Video Viewers Form; and
Dissemination Update Online Form.
This new information collection is for the assessment of the 2010-
2013 Underage Drinking Prevention Education Initiatives State Videos
project. In 2007, four States participated in a pilot study to produce
videos on the topic of underage drinking prevention. Based upon the
success of those videos, 10 additional States and 1 Territory were
provided videos in 2009. From 2010 to 2013, CSAP will invite
approximately 10 States/Territories per year to produce their own
videos.
Over the next 4 years, CSAP will conduct a process and outcome
assessment of this project. The process assessment will focus on the
experiences associated with planning and producing the State video. The
outcome assessment will examine the effectiveness of the State Videos
project in meeting the core project objectives and will capture the
State's dissemination efforts. The process and outcome assessments will
encompass State videos that will be produced in 2010-2013 and those
that were produced in 2007 and 2009. State contacts will be asked to
update their dissemination information online if there have been
changes in these figures during the previous 6 months, up through 2013.
Additionally, data will be collected from viewers of the State videos
using an online survey.
The information will be collected from the primary contact employee
designated by the State that is agreeing to participate in the
production of a video for the State Videos project. The viewers'
information will be collected from those who voluntarily decide to
complete a short survey after seeing the video.
SAMHSA/CSAP intends to support annual State underage drinking
prevention videos. The information collected will be used by SAMHSA/
[[Page 29554]]
CSAP to help plan for these annual video productions and provide
technical assistance to the participating States. The collected
information will also provide a descriptive picture of the initiative
and indicate how the videos have been received, as well as some factors
that may be associated with successful dissemination outcomes.
The information needs to be collected using a combination of
initial telephone interviews to collect process data, followed by
online forms to collect outcome and dissemination data. A survey of
viewers, collected online, will also be used to assess the
effectiveness of the State videos in increasing awareness of the
underage prevention activities in these States. This information
collection is being implemented under authority of Section 501(d)(4) of
the Public Health Service Act (42 USC 290aa).
State staff members will be contacted once the video has been
finalized. These State staff members will be asked to complete a short
telephone interview that asks questions about the process of producing
the State video. The State Video Contacts Form includes nine items
about the State video, among which are included the following:
State's objectives for the video on underage drinking
prevention.
Targeted audiences.
Satisfaction with technical assistance (TA) received.
Usefulness of preplanning materials.
Helpfulness of TA during different phases of production.
Recommendations for improving the process.
Recommendations for improving the content of the video.
Advice to other States interested in producing a video.
If the State has disseminated the video at the time of the initial
telephone interview, then they will also be asked to complete the
second part of the State Video Contacts Form, which collects
information on dissemination outcomes. The State Video Contacts Form
includes 19 items about the dissemination activities of the State's
video, among which are included the following:
When they disseminated the video.
Methods of dissemination.
Number of people who viewed the video.
Number of DVDs and videotapes requested.
Effectiveness of the dissemination methods.
Factors that contributed to the effectiveness of
dissemination.
Effect of TA received.
Effect of the video in raising awareness about underage
drinking prevention successes in the State.
Effect of the video in raising awareness about underage
drinking prevention challenges in the State.
Effectiveness of the video in presenting State's/
Territory's prevention activities.
Feedback received.
Unintended positive outcomes.
Effect of TA in improving the capacity to provide
effective prevention services.
After the State staff member has completed the State Video Contacts
Form online, he or she will be requested to update dissemination
activities online if there have been any changes during the past 6
months. This form includes seven items, among which are included the
following:
Whether there have been changes in dissemination during
the past 6 months.
Most recent dissemination numbers, by method.
Facilitation factors.
Additional feedback.
Additional unintended positive outcomes.
Data will also be collected from viewers of the State videos. Each
State video will include instructions on how to access the Video
Viewers Form. The instructions may be a unique URL, or they may consist
of instructions on each State's Web site on underage drinking
prevention. This information will allow the CSAP to provide feedback to
the States on their video and to measure the effectiveness of their
video. The Video Viewers Form includes 24 items about the video, among
which are included the following:
When and where they viewed the video.
Whom they recommended to view the video.
What they learned from watching the video.
What actions they may take because of the video.
Whether they plan to change behaviors and knowledge about
their State's activities.
The process assessment of the State videos will be conducted using
telephone interviews with the State points of contact. This interview
should take 10 minutes (0.167 hours). The outcome assessment of the
State videos will be collected using an online form that will be
completed by no more than 26 respondents and will require only 1
response per respondent. It will take an average of 10 minutes (0.167
hours) to review the instructions, complete the form, and submit it
electronically.
Dissemination updates will be requested from each State point of
contact every 6 months if there have been changes during that time
period. These updates will be submitted electronically, and it should
take approximately 5 minutes (0.083 hours) to review the instructions,
complete the short form, and submit it electronically. The burden
estimate is based on comments from several potential respondents who
completed the online form, submitted it, and provided feedback on how
long it would take them to complete it. The respondents will be
employees of the State.
A short survey will also be used to collect data from viewers of
the State videos. An estimated 1,000 viewers will voluntarily choose to
complete this online survey, which will take 10 minutes (0.167 hours)
to review, complete, and submit. The viewers are expected to be pulled
from the general public.
----------------------------------------------------------------------------------------------------------------
Number of Responses per Hours per Total hour
Form name respondents respondent response burden
----------------------------------------------------------------------------------------------------------------
Process Interview............................... 26 1 0.167 4.34
Dissemination Outcome........................... 26 1 0.167 4.34
Dissemination Updates........................... 26 1 0.083 2.16
Viewers Survey.................................. 1,000 1 0.167 167
---------------------------------------------------------------
Total....................................... 1,078 .............. .............. 177.84
----------------------------------------------------------------------------------------------------------------
Send comments to Summer King, SAMHSA Reports Clearance Officer,
Room 7-1044, One Choke Cherry Road, Rockville, MD 20857 AND e-mail a
copy to: summer.king@samhsa.hhs.gov.
[[Page 29555]]
Written comments should be received within 60 days of this notice.
Dated: May 17, 2010.
Elaine Parry,
Director, Office of Program Services.
[FR Doc. 2010-12644 Filed 5-25-10; 8:45 am]
BILLING CODE 4126-20-P