Agency Information Collection Request. 60-Day Public Comment Request, 35443-35444 [2011-15079]
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35443
Federal Register / Vol. 76, No. 117 / Friday, June 17, 2011 / Notices
ESTIMATED ANNUALIZED BURDEN TABLE
Forms
Type of
respondent
Number of
respondents
Number of
responses per
respondent
Average
burden hours
per response
(in hours)
Total burden
hours
OMHA Appellant Climate Survey .................
Appellants .............................
400
1
11/60
73
Mary Forbes,
Paperwork Reduction Act Reports Clearance
Officer, Office of the Secretary.
[FR Doc. 2011–15078 Filed 6–16–11; 8:45 am]
BILLING CODE 4150–46–P
DEPARTMENT OF HEALTH AND
HUMAN SERVICES
[Document Identifier OS–0990–New]
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
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
AGENCY:
Spirit Program). The In Community
Spirit Program is an initiative
comprising three types of program
components being implemented with
women in AI/AN communities for HIV
prevention: (1) Community awareness,
(2) capacity building, and (3) prevention
education. The multisite evaluation will
provide data on the content and context
of programs and the outcomes of
program activities on participant
knowledge and behavior related to
sexual health.
The multisite evaluation is comprised
of two main activities across three
program components: (1) Surveys and
(2) key informant interviews. There are
two versions of key informant
interviews: Baseline and follow-up.
There are also two versions of the
survey: (1) Community Awareness
Version for administration with women
targeted through the community
awareness activities and (2) Prevention
Education Version to be administered to
women who receive prevention
education through the program.
The average annual respondent
burden is estimated below. The estimate
reflects the average annual number of
respondents, the average annual number
of responses, the time it will take for
each response, and the average annual
burden across 3 years of OMB clearance,
which includes 2 years of data
collection.
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
Multisite Evaluation of the In
Community Spirit Program—Prevention
of HIV/AIDS for Native/American
Indian and Alaska Native Women
Living in Rural and Frontier Indian
Country—OMB No. 0990–New—Office
on Women’s Health (OWH)
Abstract: The Office on Women’s
Health (OWH), within the Office of the
Assistant Secretary for Health, will
conduct the Multisite Evaluation of the
In Community Spirit Program—
Prevention of HIV/AIDS for Native/
American Indian and Alaska Native (AI/
AN) Women Living in Rural and
Frontier Indian Country (In Community
ESTIMATED ANNUALIZED BURDEN TABLE
Number of
responses per
respondent
per year
Number of
respondents
Average
burden per
response
(hrs)
Total burden
hours **
Type of respondent
Key Informant Interviews BL and Follow-up.
Key Informant Interviews BL and Follow-up.
HEAL Survey—Community Awareness.
HEAL Survey—Prevention Education
emcdonald on DSK2BSOYB1PROD with NOTICES
Form
Agency Provider (Administrator) ......
6
1
45/60
5
Agency Staff (Health Educators and
Support Workers).
Community Member .........................
24
1
45/60
18
900
0.5
15/60
113
Community Member .........................
1200
1.5
15/60
450
Total ...........................................
..........................................................
2130
........................
........................
586
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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
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Fmt 4703
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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]
[Pages 35443-35444]
From the Federal Register Online via the Government Printing Office [www.gpo.gov]
[FR Doc No: 2011-15079]
-----------------------------------------------------------------------
DEPARTMENT OF HEALTH AND HUMAN SERVICES
[Document Identifier OS-0990-New]
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
Multisite Evaluation of the In Community Spirit Program--Prevention
of HIV/AIDS for Native/American Indian and Alaska Native Women Living
in Rural and Frontier Indian Country--OMB No. 0990-New--Office on
Women's Health (OWH)
Abstract: The Office on Women's Health (OWH), within the Office of
the Assistant Secretary for Health, will conduct the Multisite
Evaluation of the In Community Spirit Program--Prevention of HIV/AIDS
for Native/American Indian and Alaska Native (AI/AN) Women Living in
Rural and Frontier Indian Country (In Community Spirit Program). The In
Community Spirit Program is an initiative comprising three types of
program components being implemented with women in AI/AN communities
for HIV prevention: (1) Community awareness, (2) capacity building, and
(3) prevention education. The multisite evaluation will provide data on
the content and context of programs and the outcomes of program
activities on participant knowledge and behavior related to sexual
health.
The multisite evaluation is comprised of two main activities across
three program components: (1) Surveys and (2) key informant interviews.
There are two versions of key informant interviews: Baseline and
follow-up. There are also two versions of the survey: (1) Community
Awareness Version for administration with women targeted through the
community awareness activities and (2) Prevention Education Version to
be administered to women who receive prevention education through the
program.
The average annual respondent burden is estimated below. The
estimate reflects the average annual number of respondents, the average
annual number of responses, the time it will take for each response,
and the average annual burden across 3 years of OMB clearance, which
includes 2 years of data collection.
Estimated Annualized Burden Table
----------------------------------------------------------------------------------------------------------------
Number of Average
Type of Number of responses per burden per Total burden
Form respondent respondents respondent per response hours **
year (hrs)
----------------------------------------------------------------------------------------------------------------
Key Informant Interviews BL Agency Provider 6 1 45/60 5
and Follow-up. (Administrator).
Key Informant Interviews BL Agency Staff 24 1 45/60 18
and Follow-up. (Health
Educators and
Support
Workers).
HEAL Survey--Community Community Member 900 0.5 15/60 113
Awareness.
HEAL Survey--Prevention Community Member 1200 1.5 15/60 450
Education.
---------------------------------------------------------------------------------
Total..................... ................ 2130 .............. .............. 586
----------------------------------------------------------------------------------------------------------------
[[Page 35444]]
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
