Agency Information Collection Request. 60-Day Public Comment Request, 35444 [2011-15077]

Download as PDF 35444 Federal Register / Vol. 76, No. 117 / Friday, June 17, 2011 / Notices Mary Forbes, Paperwork Reduction Act Clearance Officer, Office of the Secretary. [FR Doc. 2011–15079 Filed 6–16–11; 8:45 am] BILLING CODE 4150–33–P DEPARTMENT OF HEALTH AND HUMAN SERVICES [Document Identifier OS–0990–New; 60-Day Notice] Agency Information Collection Request. 60-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 information collection request 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 AGENCY: women and girls through sex/genderspecific approaches. To that end, OWH has established public/private partnerships to address critical women’s health issues nationwide including cooperative agreements awarded to eight community-based organizations in 2009 to design and implement innovative and gender responsive HIV prevention programs to meet the unique risks and needs of women within their communities who have currently incarcerated or recently released male partners (‘‘women partners’’). The information presented in this evaluation study is needed to determine the overarching outcomes of the set of the eight programs. The three-year study will include quantitative data collected at three time points, intervention baseline, post-intervention, and 30 day follow-up. The study will also include qualitative data collected through focus groups facilitated with program participants at each of the eight program sites, as well as interviews with one to two key intervention staff at each of the program sites. 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 on (202) 690–6162. Written comments and recommendations for the proposed information collections must be directed to the OS Paperwork Clearance Officer at the above e-mail address within 60days. Proposed Project: HIV/AIDS Prevention and Support Service for Women Partners of Incarcerated/Recently Released Men—OMB No. 0990–NewOffice of Women’s Health Abstract: The mission of the Office on Women’s Health (OWH) is to provide leadership to promote health equity for ESTIMATED ANNUALIZED BURDEN TABLE Type of respondent Baseline Survey ................................ Post Intervention Survey ................... 30 day Follow-up Survey .................. Focus Group ..................................... Staff Interview ................................... Average burden (in hours) per response 320 288 256 64 8 1 1 1 1 1 15/60 15/60 15/60 1.0 1.0 80 72 64 64 8 ........................ ........................ ........................ 288 Program Participant ......................... Program Participant ......................... Program Participant ......................... Program Participant ......................... Intervention Staff .............................. Total ........................................... ........................................................... Mary Forbes, Paperwork Reduction Act Clearance Officer Office of the Secretary. [FR Doc. 2011–15077 Filed 6–16–11; 8:45 am] BILLING CODE 4150–33–P DEPARTMENT OF HEALTH AND HUMAN SERVICES Centers for Medicare & Medicaid Services emcdonald on DSK2BSOYB1PROD with NOTICES Number of responses per respondent Number of respondents Forms [Document Identifier CMS–1856 and CMS– 1893] Agency Information Collection Activities: Submission for OMB Review; Comment Request Centers for Medicare & Medicaid Services, HHS. AGENCY: VerDate Mar<15>2010 17:39 Jun 16, 2011 Jkt 223001 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 PO 00000 Frm 00049 Fmt 4703 Sfmt 4703 Total burden hours minimize the information collection burden. 1. Type of Information Collection Request: Extension of a currently approved collection; Title of Information Collection: (CMS–1856) Request for Certification in the Medicare and/or Medicaid Program to Provide Outpatient Physical Therapy and/or Speech Pathology Services, and (CMS– 1893) Outpatient Physical Therapy— Speech Pathology Survey Report; Use: CMS–1856 is used as an application to be completed by providers of outpatient physical therapy and/or speechlanguage pathology services requesting participation in the Medicare and Medicaid programs. This form initiates the process for obtaining a decision as to whether the conditions of participation are met as a provider of outpatient physical therapy and/or E:\FR\FM\17JNN1.SGM 17JNN1

Agencies

[Federal Register Volume 76, Number 117 (Friday, June 17, 2011)]
[Notices]
[Page 35444]
From the Federal Register Online via the Government Printing Office [www.gpo.gov]
[FR Doc No: 2011-15077]


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

DEPARTMENT OF HEALTH AND HUMAN SERVICES

[Document Identifier OS-0990-New; 60-Day Notice]


Agency Information Collection Request. 60-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 information collection request 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 on (202) 690-6162. Written comments and 
recommendations for the proposed information collections must be 
directed to the OS Paperwork Clearance Officer at the above e-mail 
address within 60-days.

Proposed Project: HIV/AIDS Prevention and Support Service for Women 
Partners of Incarcerated/Recently Released Men--OMB No. 0990-New- 
Office of Women's Health

    Abstract: The mission of the Office on Women's Health (OWH) is to 
provide leadership to promote health equity for women and girls through 
sex/gender-specific approaches. To that end, OWH has established 
public/private partnerships to address critical women's health issues 
nationwide including cooperative agreements awarded to eight community-
based organizations in 2009 to design and implement innovative and 
gender responsive HIV prevention programs to meet the unique risks and 
needs of women within their communities who have currently incarcerated 
or recently released male partners (``women partners''). The 
information presented in this evaluation study is needed to determine 
the overarching outcomes of the set of the eight programs. The three-
year study will include quantitative data collected at three time 
points, intervention baseline, post-intervention, and 30 day follow-up. 
The study will also include qualitative data collected through focus 
groups facilitated with program participants at each of the eight 
program sites, as well as interviews with one to two key intervention 
staff at each of the program sites.

                                        Estimated Annualized Burden Table
----------------------------------------------------------------------------------------------------------------
                                                                     Number of    Average burden
             Forms                   Type of         Number of     responses per  (in hours) per   Total burden
                                   respondent       respondents     respondent       response          hours
----------------------------------------------------------------------------------------------------------------
Baseline Survey...............  Program                      320               1           15/60              80
                                 Participant.
Post Intervention Survey......  Program                      288               1           15/60              72
                                 Participant.
30 day Follow-up Survey.......  Program                      256               1           15/60              64
                                 Participant.
Focus Group...................  Program                       64               1             1.0              64
                                 Participant.
Staff Interview...............  Intervention                   8               1             1.0               8
                                 Staff.
                               ---------------------------------------------------------------------------------
    Total.....................  ................  ..............  ..............  ..............             288
----------------------------------------------------------------------------------------------------------------


Mary Forbes,
Paperwork Reduction Act Clearance Officer Office of the Secretary.
[FR Doc. 2011-15077 Filed 6-16-11; 8:45 am]
BILLING CODE 4150-33-P
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