Agency Forms Undergoing Paperwork Reduction Act Review, 74066-74067 [2011-30833]
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74066
Federal Register / Vol. 76, No. 230 / Wednesday, November 30, 2011 / Notices
Dated: November 22, 2011
Daniel Holcomb,
Reports Clearance Officer, Centers for Disease
Control and Prevention.
[FR Doc. 2011–30832 Filed 11–29–11; 8:45 am]
BILLING CODE 4163–18–P
DEPARTMENT OF HEALTH AND
HUMAN SERVICES
Centers for Disease Control and
Prevention
[30-Day–12–11IR]
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 20503 or by fax to (202) 395–5806.
Written comments should be received
within 30 days of this notice.
Proposed Project
Evaluation of Core Violence and
Injury Prevention Program (Core
VIPP)—New—National Center for Injury
Prevention and Control, Centers for
Disease Control and Prevention (CDC).
Background and Brief Description
Injuries and their consequences,
including unintentional and violencerelated injuries, are the leading cause of
death for the first four decades of life,
regardless of gender, race, or
socioeconomic status. More than
179,000 individuals in the United States
die each year as a result of unintentional
injuries and violence, more than 29
million others suffer non-fatal injuries
and over one-third of all emergency
department (ED) visits each year are due
to injuries. In 2000, injuries and
violence ultimately cost the United
States $406 billion, with over $80
billion in medical costs and the
remainder lost in productivity.1 Most
events that result in injury and/or death
from injury could be prevented if
evidence-based public health strategies,
practices, and policies were used
throughout the nation.
CDC’s National Center for Injury
Prevention and Control (NCIPC) is
committed to working with their
partners to promote action that reduces
injuries, violence, and disabilities by
providing leadership in identifying
priorities, promoting tools, and
monitoring effectiveness of injury and
violence prevention and to promote
effective strategies for the prevention of
injury and violence, and their
consequences. One tool NCIPC will use
to accomplish this is the Core Violence
and Injury Prevention Program (VIPP).
This program funds state health
departments to build effective delivery
systems for dissemination,
implementation and evaluation of
evidence based/best practice programs
and policies.
Core VIPP also focuses on the
integration of unintentional injury and
violence prevention. Unintentional
injury and violence prevention have
many common risk and protective
factors for children. In an endeavor to
promote efforts to prevent child
maltreatment, a NCIPC priority, CDC is
collaborating with the Health Resources
and Services Administration (HRSA)
regarding the new Affordable Care Act
(ACA) Maternal, Infant, and Early
Childhood Home Visiting Program. The
state health departments funded by the
Core VIPP will be required to partner
with the state agency responsible for
administration of the State Home
Visiting program.
CDC requests OMB approval to collect
program evaluation data for Core VIPP
over a three-year period. Specifically,
CDC will use the Safe States Alliance
State of the States (SOTS) survey as the
template for annual evaluation surveys
and an annual follow-up telephone
interview. Both the SOTS and the
telephone interviews will be conducted
with state Violence and Injury
Prevention programs directors and staff.
This approach provides a means to
collect standardized, systematic data
from the Core VIPP grantees for program
evaluation and improvement. Topics for
data collection include: Program
evaluation, state injury and violence
prevention program (IVP) infrastructure,
IVP strategies and partners, policy
strategies, injury surveillance, quality of
surveillance, and regional network
leaders. Part of the requirement for
receiving Core VIPP funding is for State
Injury and Violence Programs (SIVPs) to
develop and maintain their own
evaluation capacity and data systems;
thus, this data collection is not expected
to entail significant burdens to
respondents.
Estimates of burden for the survey are
based on previous experience with
evaluation data collections conducted
by the evaluation staff. The State of the
States (SOTS) web-based survey
assessment will be completed by 28
Core Funded State Health Departments
(SHDs) and 22 Non-Funded SHDs,
taking 3 hours to complete. The SOTS
Financial Module will also be
completed by the 28 Core Funded and
22 Non-Funded SHD, taking 1 hour to
complete. The telephone interviews will
take 1.5 hours to conclude and will be
completed by the 28 Core Funded
States. We expect that each of the 28
Core Funded states will complete three
web-based surveys and three telephone
interviews during the first three years of
Core funding. It is anticipated that up to
22 unfunded states will complete three
web-based surveys during the first three
years of Core funding.
There are no costs to respondents
other than their time.
The total estimated annual burden
hours are 242.
ESTIMATED ANNUALIZED BURDEN HOURS
emcdonald on DSK5VPTVN1PROD with NOTICES
Type of respondent
Core VIPP funded
Core VIPP funded
Core VIPP funded
Non-funded SHD
ment and staff.
Non-funded SHD
ment and staff.
VerDate Mar<15>2010
Number of
respondents
Form name
Number of
responses per
respondent
Average
burden
per response
(in hours)
SVIP directors and staff ...
SVIP directors and staff ...
VIP directors and staff ......
Injury Program manage-
State of the States Survey (SOTS) ...............
SOTS Financial Module .................................
Telephone interview .......................................
SOTS ..............................................................
28
28
28
22
1
1
1
1
3
1
1.5
3
Injury Program manage-
SOTS Financial Module .................................
22
1
1
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74067
Federal Register / Vol. 76, No. 230 / Wednesday, November 30, 2011 / Notices
Dated: November 22, 2011.
Daniel Holcomb,
Reports Clearance Officer, Centers for Disease
Control and Prevention.
[FR Doc. 2011–30833 Filed 11–29–11; 8:45 am]
BILLING CODE 4163–18–P
Educational Messages and Materials for
the Division of Blood Disorders—New—
National Center on Birth Defects and
Developmental Disabilities (NCBDDD),
Centers for Disease Control and
Prevention (CDC).
Background and Brief Description
DEPARTMENT OF HEALTH AND
HUMAN SERVICES
Centers for Disease Control and
Prevention
[30-Day–12–11IY]
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 20503 or by fax to (202) 395–5806.
Written comments should be received
within 30 days of this notice.
Proposed Project
Formative Research to Support the
Development of Sickle Cell Disease
CDC seeks to improve the quality of
life of people living with sickle cell
disease (SCD). To accomplish this goal,
CDC aims to address the need for
educational messages and materials for
adolescents, young adults, adults, and
older adults living with SCD. CDC is
interested in understanding the
informational needs of these audiences
related to the adoption of healthy
behaviors and the prevention of
complications associated with sickle
cell disease. To develop valuable
messages and materials, CDC will
conduct formative focus groups with
people with SCD across the country.
Participants will stem from four urban
centers as well as more remote, rural
areas. Based on the findings from the
formative focus groups, CDC will
develop and test draft messages.
A total of 10 focus groups will be
conducted. Eight focus groups with
people with SCD would be held in four
cities: Atlanta, GA; Detroit, MI;
Oakland, CA; and Philadelphia, PA.
Two in-person focus groups—one with
males and one with females—will be
conducted in each city with each target
audience: adolescents aged 15–17,
young adults aged 18–25, adults aged
26–35, and older adults 36 and over. To
reach more rural participants, two
telephone focus groups will be
conducted: one with female adolescents
aged 15–17 and a second with male
older adults aged 36 and older.
The focus groups will be conducted
with eight to nine participants in each
and will last 2 hours. As part of the
focus group, participants will complete
an informed consent or adolescent
assent form before discussion begins.
The parents of the expected 27
adolescent participants (three groups of
9 each) will fill out a permission form
to provide their consent in advance of
the groups. The use of trained
moderators and a structured moderator’s
guide will ensure that consistent data
are collected across the groups. In total,
up to 90 people with SCD will
participate in the focus group data
collection. It is estimated that 120
potential participants will need to be
screened to reach the target of 90
participants. The estimated time per
response for screening and recruitment
is 12 minutes.
CDC requests OMB approval to obtain
clearance for one year. There is no cost
to respondents other than their time.
The estimated annualized burden hours
for this data collection activity are 204.
ESTIMATED ANNUALIZED BURDEN HOURS
Number of
respondents
Type of respondent
Form name
Parents of adolescents (aged 15–17) living with SCD ...........
Participant Screener and Recruitment Script.
Young adults (aged 18–25) living with SCD.
Adults (aged 26–35) living with SCD.
Older adults (aged 36+) living with SCD.
Adolescents (aged 15–17) living with SCD ............................
Number of
responses per
respondent
Average
burden per
response
(in hours)
120
1
12/60
90
1
2
Focus Group Moderator’s
Guide.
Young adults (aged 18–25) living with SCD.
Adults (aged 26–35) living with SCD.
Older adults (aged 36+) living with SCD.
Dated: November 21, 2011.
Daniel L. Holcomb,
Reports Clearance Officer, Centers for Disease
Control and Prevention.
emcdonald on DSK5VPTVN1PROD with NOTICES
[FR Doc. 2011–30841 Filed 11–29–11; 8:45 am]
BILLING CODE 4163–18–P
DEPARTMENT OF HEALTH AND
HUMAN SERVICES
Centers for Medicare & Medicaid
Services
[CMS–5505–N2]
Medicare Program; Announcement of a
New Application Deadline for the
Advance Payment Model
Centers for Medicare &
Medicaid Services (CMS), HHS.
AGENCY:
VerDate Mar<15>2010
17:30 Nov 29, 2011
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ACTION:
Notice.
This notice announces a new
application deadline for participation in
the Advance Payment Model for certain
accountable care organizations
participating in the Medicare Shared
Savings Program scheduled to begin in
2012.
SUMMARY:
Application Submission
Deadlines for the Advance Payment
Model: Applications for the
performance period beginning on April
DATES:
E:\FR\FM\30NON1.SGM
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Agencies
[Federal Register Volume 76, Number 230 (Wednesday, November 30, 2011)]
[Notices]
[Pages 74066-74067]
From the Federal Register Online via the Government Printing Office [www.gpo.gov]
[FR Doc No: 2011-30833]
-----------------------------------------------------------------------
DEPARTMENT OF HEALTH AND HUMAN SERVICES
Centers for Disease Control and Prevention
[30-Day-12-11IR]
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 20503 or by fax to (202) 395-
5806. Written comments should be received within 30 days of this
notice.
Proposed Project
Evaluation of Core Violence and Injury Prevention Program (Core
VIPP)--New--National Center for Injury Prevention and Control, Centers
for Disease Control and Prevention (CDC).
Background and Brief Description
Injuries and their consequences, including unintentional and
violence-related injuries, are the leading cause of death for the first
four decades of life, regardless of gender, race, or socioeconomic
status. More than 179,000 individuals in the United States die each
year as a result of unintentional injuries and violence, more than 29
million others suffer non-fatal injuries and over one-third of all
emergency department (ED) visits each year are due to injuries. In
2000, injuries and violence ultimately cost the United States $406
billion, with over $80 billion in medical costs and the remainder lost
in productivity.\1\ Most events that result in injury and/or death from
injury could be prevented if evidence-based public health strategies,
practices, and policies were used throughout the nation.
CDC's National Center for Injury Prevention and Control (NCIPC) is
committed to working with their partners to promote action that reduces
injuries, violence, and disabilities by providing leadership in
identifying priorities, promoting tools, and monitoring effectiveness
of injury and violence prevention and to promote effective strategies
for the prevention of injury and violence, and their consequences. One
tool NCIPC will use to accomplish this is the Core Violence and Injury
Prevention Program (VIPP). This program funds state health departments
to build effective delivery systems for dissemination, implementation
and evaluation of evidence based/best practice programs and policies.
Core VIPP also focuses on the integration of unintentional injury
and violence prevention. Unintentional injury and violence prevention
have many common risk and protective factors for children. In an
endeavor to promote efforts to prevent child maltreatment, a NCIPC
priority, CDC is collaborating with the Health Resources and Services
Administration (HRSA) regarding the new Affordable Care Act (ACA)
Maternal, Infant, and Early Childhood Home Visiting Program. The state
health departments funded by the Core VIPP will be required to partner
with the state agency responsible for administration of the State Home
Visiting program.
CDC requests OMB approval to collect program evaluation data for
Core VIPP over a three-year period. Specifically, CDC will use the Safe
States Alliance State of the States (SOTS) survey as the template for
annual evaluation surveys and an annual follow-up telephone interview.
Both the SOTS and the telephone interviews will be conducted with state
Violence and Injury Prevention programs directors and staff. This
approach provides a means to collect standardized, systematic data from
the Core VIPP grantees for program evaluation and improvement. Topics
for data collection include: Program evaluation, state injury and
violence prevention program (IVP) infrastructure, IVP strategies and
partners, policy strategies, injury surveillance, quality of
surveillance, and regional network leaders. Part of the requirement for
receiving Core VIPP funding is for State Injury and Violence Programs
(SIVPs) to develop and maintain their own evaluation capacity and data
systems; thus, this data collection is not expected to entail
significant burdens to respondents.
Estimates of burden for the survey are based on previous experience
with evaluation data collections conducted by the evaluation staff. The
State of the States (SOTS) web-based survey assessment will be
completed by 28 Core Funded State Health Departments (SHDs) and 22 Non-
Funded SHDs, taking 3 hours to complete. The SOTS Financial Module will
also be completed by the 28 Core Funded and 22 Non-Funded SHD, taking 1
hour to complete. The telephone interviews will take 1.5 hours to
conclude and will be completed by the 28 Core Funded States. We expect
that each of the 28 Core Funded states will complete three web-based
surveys and three telephone interviews during the first three years of
Core funding. It is anticipated that up to 22 unfunded states will
complete three web-based surveys during the first three years of Core
funding.
There are no costs to respondents other than their time.
The total estimated annual burden hours are 242.
Estimated Annualized Burden Hours
----------------------------------------------------------------------------------------------------------------
Average
Number of Number of burden per
Type of respondent Form name respondents responses per response (in
respondent hours)
----------------------------------------------------------------------------------------------------------------
Core VIPP funded SVIP directors and State of the States 28 1 3
staff. Survey (SOTS).
Core VIPP funded SVIP directors and SOTS Financial Module... 28 1 1
staff.
Core VIPP funded VIP directors and Telephone interview..... 28 1 1.5
staff.
Non-funded SHD Injury Program SOTS.................... 22 1 3
management and staff.
Non-funded SHD Injury Program SOTS Financial Module... 22 1 1
management and staff.
----------------------------------------------------------------------------------------------------------------
[[Page 74067]]
Dated: November 22, 2011.
Daniel Holcomb,
Reports Clearance Officer, Centers for Disease Control and Prevention.
[FR Doc. 2011-30833 Filed 11-29-11; 8:45 am]
BILLING CODE 4163-18-P