Agency Forms Undergoing Paperwork Reduction Act Review, 78925-78926 [2011-32497]
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78925
Federal Register / Vol. 76, No. 244 / Tuesday, December 20, 2011 / Notices
in each MSA to identify venues and
clinics appropriate for data collection.
Surveys will be administered by trained,
local interviewers. There is no cost to
respondents other than their time. The
total annual burden hours are 1,704.
ESTIMATE OF ANNUALIZED BURDEN TABLE
Number of
respondents
Data collection form
Respondent
Project orientation ...........................................
Clinic Staff Script—Provision of Patient Loads
Clinic Staff Script—Approaching Clients ........
Clinic Screener ................................................
Clinic Survey ...................................................
Community Screener ......................................
Community Survey ..........................................
Community Screener ......................................
Community Survey ..........................................
Clinic staff .......................................................
Clinic staff .......................................................
Clinic staff .......................................................
HIV-positive individuals screened ..................
Eligible HIV-positive individuals .....................
Injection drug users screened ........................
Eligible injection drug users ...........................
High-risk heterosexual individuals screened
Eligible high-risk heterosexual individuals .....
Dated: December 14, 2011.
Daniel Holcomb,
Reports Clearance Officer, Centers for Disease
Control and Prevention.
[FR Doc. 2011–32495 Filed 12–19–11; 8:45 am]
BILLING CODE 4163–18–P
DEPARTMENT OF HEALTH AND
HUMAN SERVICES
Centers for Disease Control and
Prevention
[30Day-12–11AN]
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.
jlentini on DSK4TPTVN1PROD with NOTICES
Proposed Project
Asthma Education Study: Making
Health Care Providers Better Asthma
Educators—New-National Center for
Environmental Health (NCEH) and
Agency for Toxic Substances and
Disease Registry (ATSDR)/Centers for
Disease Control and Prevention (CDC).
Background and Brief Description
The Department of Health and Human
Services (HHS), Centers for Disease
Control and Prevention (CDC) reports
that 17.5 million non-institutionalized
adults have asthma. In addition, 7.1
million children in this country have
VerDate Mar<15>2010
16:28 Dec 19, 2011
Jkt 226001
the disorder. Asthma accounts for 17
million health care visits and more than
3,400 deaths per year. All of these data
are for the United States. Except for a
few cases linked to occupational
exposures, the causes of asthma remain
unknown, and there exists no cure. In
the absence of means to eliminate the
disorder, treatment to minimize the
frequency and intensity of asthmatic
attacks is of paramount importance.
Several tools are available, including the
use of corticosteroids and control of
exposure to allergens and irritants,
collectively known as ‘‘triggers.’’ Thus,
treatment of asthma is important and
patients must take action at appropriate
times. From this, it follows that the
education provided by health care
providers to asthmatic patients forms a
critical link in efforts to control asthma.
CDC and the National Institutes of
Health recommend the use of written
asthma action plans to guide patient
self-management of the disorder. Some
states have also developed tools. In the
case of Minnesota, this is an interactive
program on the Internet.
Anecdotal evidence suggests that
there is substantial variability in the use
of available tools for developing written
asthma action plans. Similarly, patient
education appears to vary in type and
amount. Some causes of this are
suspected: Billing codes for asthma
education are not universally present
and the degree of health literacy among
patients varies and is likely not
universally sufficient. Nevertheless, in
large part, the factors influencing
asthma education by health care
providers are unknown. To help address
this situation, the Air Pollution and
Respiratory Health Branch of CDC
wishes to conduct a study to identify
barriers to, and facilitators of, asthma
education among health care providers
consistent with National Asthma
Education and Prevention Program
PO 00000
Frm 00044
Fmt 4703
Sfmt 4703
40
600
1,100
1,400
1,200
750
600
750
600
Number of
responses per
respondent
1
1
1
1
1
1
1
1
1
Average
burden per
response
(in hours)
30/60
5/60
5/60
5/60
40/60
5/60
25/60
5/60
25/60
(NAEPP)/National Heart, Lung, and
Blood Institute Expert Panel Report 3:
Guidelines for the Diagnosis and
Management of Asthma.
Close to 25 million Americans
currently suffer with asthma, with 12
million experiencing an asthma ‘‘attack’’
in 2009, costing the nation $56 billion
and individuals on average over $3,200
annually in direct and indirect costs.
Improved self-management education,
consistent with the NIH/NAEPP
guidelines, for enhancing education of
persons with asthma in the areas of
correct medication adherence and
avoidance of environmental triggers of
asthma attacks, is central to reducing
the health burden and financial burden
on individuals and the nation. This
research is an important step in
improving the education individuals
with asthma (or parents of children with
asthma) receive at their initial diagnosis
encounter with the medical system. As
such it is expected to improve proper
medication adherence and avoidance of
environmental triggers of an asthma
attack and in turn to be of use to the
government in reducing both the
medical and financial burden of asthma
on the nation. In this aspect, this
research is directly in line with both the
mission of the CDC National Asthma
Control Program, its funder, which
seeks to achieve reductions in deaths
and hospitalizations and increases in
self-management education for
individuals with asthma and that
Program’s Government Performance and
Results Act Performance Measure:
Increase the proportion of those with
current asthma who report they have
received self–management training for
asthma in populations served by CDC
funded state asthma control programs.
The research project is also in alignment
with Healthy People 2020 objectives
including reducing asthma deaths
(objective RD–1), reducing
E:\FR\FM\20DEN1.SGM
20DEN1
78926
Federal Register / Vol. 76, No. 244 / Tuesday, December 20, 2011 / Notices
hospitalizations for asthma (objective
RD–2), reducing hospital emergency
department visits for asthma (objective
RD–3), reducing activity limitations
among persons with asthma (objective
RD–4), reducing the number of school or
work days missed by persons with
asthma because of asthma (objective
RD–5), increasing the proportion of
persons with asthma who receive formal
patient education (objective RD–6), and
increasing the proportion of persons
with asthma who receive appropriate
asthma care according to the NAEPP
guidelines (objective RD–7). There are
no costs to the respondents other than
their time. The total estimated annual
burden hours are 40 hours total.
ESTIMATED ANNUALIZED BURDEN HOURS
Number of
respondents
Type of respondent
Form name
Physician and Nurse .......................................
Physician .........................................................
Nurse ..............................................................
Screener .........................................................
Interview .........................................................
Focus Group ...................................................
Dated: December 14, 2011.
Daniel Holcomb,
Reports Clearance Officer, Centers for Disease
Control and Prevention.
[FR Doc. 2011–32497 Filed 12–19–11; 8:45 am]
BILLING CODE 4163–18–P
DEPARTMENT OF HEALTH AND
HUMAN SERVICES
Centers for Medicare & Medicaid
Services
[CMS–1598–NC]
Medicare and Medicaid Programs;
Announcement of Application From
Hospital Requesting Waiver for Organ
Procurement Service Area
Centers for Medicare &
Medicaid Services (CMS), HHS.
ACTION: Notice with comment period.
AGENCY:
This notice with comment
period announces a waiver request from
Pioneer Community Hospital to
participate in an Organ Procurement
Organization (OPO) outside of its
designated OPO. The request was made
in accordance with section 1138(a)(2) of
the Social Security Act (the Act) which
provides that a hospital may obtain a
waiver from the Secretary under certain
conditions. This notice solicits
comments from OPOs and the general
public for our consideration in
determining whether we should grant
the requested waiver.
DATES: Comment Date: To be assured
consideration, comments must be
received at one of the addresses
provided below, no later than 5 p.m. on
February 21, 2012.
ADDRESSES: In commenting, please refer
to file code CMS–1598–NC. Because of
staff and resource limitations, we cannot
accept comments by facsimile (FAX)
transmission.
jlentini on DSK4TPTVN1PROD with NOTICES
SUMMARY:
VerDate Mar<15>2010
16:28 Dec 19, 2011
Jkt 226001
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 regulation
to https://www.regulations.gov. Follow
the ‘‘Submit a comment’’ instructions.
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–1598–NC, P.O. Box 8010,
Baltimore, MD 21244–8010.
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–1598–NC,
Mail Stop C4–26–05, 7500 Security
Boulevard, Baltimore, MD 21244–1850.
4. By hand or courier. Alternatively,
you may deliver (by hand or courier)
your written comments only to the
following addresses prior to the close of
the comment period:
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
PO 00000
Frm 00045
Fmt 4703
Sfmt 4703
48
24
24
Number of
responses per
respondent
1
1
1
Average
burden per
response
(in hours)
5/60
30/60
1
Human Services, 7500 Security
Boulevard, Baltimore, MD 21244–1850.
If you intend to deliver your
comments to the Baltimore address, call
telephone number (410) 786–9994 in
advance to schedule your arrival with
one of our staff members.
Submission of comments on
paperwork requirements. You may
submit comments on this document’s
paperwork requirements by following
the instructions at the end of the
‘‘Collection of Information
Requirements’’ section in this
document.
Comments erroneously mailed to the
addresses indicated as appropriate for
hand or courier delivery may be delayed
and received after the comment period.
For information on viewing public
comments, see the beginning of the
SUPPLEMENTARY INFORMATION section.
FOR FURTHER INFORMATION CONTACT:
Kwana Johnson, (410) 786–3171.
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
E:\FR\FM\20DEN1.SGM
20DEN1
]]>Agencies
[Federal Register Volume 76, Number 244 (Tuesday, December 20, 2011)]
[Notices]
[Pages 78925-78926]
From the Federal Register Online via the Government Printing Office [www.gpo.gov]
[FR Doc No: 2011-32497]
-----------------------------------------------------------------------
DEPARTMENT OF HEALTH AND HUMAN SERVICES
Centers for Disease Control and Prevention
[30Day-12-11AN]
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
Asthma Education Study: Making Health Care Providers Better Asthma
Educators--New-National Center for Environmental Health (NCEH) and
Agency for Toxic Substances and Disease Registry (ATSDR)/Centers for
Disease Control and Prevention (CDC).
Background and Brief Description
The Department of Health and Human Services (HHS), Centers for
Disease Control and Prevention (CDC) reports that 17.5 million non-
institutionalized adults have asthma. In addition, 7.1 million children
in this country have the disorder. Asthma accounts for 17 million
health care visits and more than 3,400 deaths per year. All of these
data are for the United States. Except for a few cases linked to
occupational exposures, the causes of asthma remain unknown, and there
exists no cure. In the absence of means to eliminate the disorder,
treatment to minimize the frequency and intensity of asthmatic attacks
is of paramount importance. Several tools are available, including the
use of corticosteroids and control of exposure to allergens and
irritants, collectively known as ``triggers.'' Thus, treatment of
asthma is important and patients must take action at appropriate times.
From this, it follows that the education provided by health care
providers to asthmatic patients forms a critical link in efforts to
control asthma. CDC and the National Institutes of Health recommend the
use of written asthma action plans to guide patient self-management of
the disorder. Some states have also developed tools. In the case of
Minnesota, this is an interactive program on the Internet.
Anecdotal evidence suggests that there is substantial variability
in the use of available tools for developing written asthma action
plans. Similarly, patient education appears to vary in type and amount.
Some causes of this are suspected: Billing codes for asthma education
are not universally present and the degree of health literacy among
patients varies and is likely not universally sufficient. Nevertheless,
in large part, the factors influencing asthma education by health care
providers are unknown. To help address this situation, the Air
Pollution and Respiratory Health Branch of CDC wishes to conduct a
study to identify barriers to, and facilitators of, asthma education
among health care providers consistent with National Asthma Education
and Prevention Program (NAEPP)/National Heart, Lung, and Blood
Institute Expert Panel Report 3: Guidelines for the Diagnosis and
Management of Asthma.
Close to 25 million Americans currently suffer with asthma, with 12
million experiencing an asthma ``attack'' in 2009, costing the nation
$56 billion and individuals on average over $3,200 annually in direct
and indirect costs. Improved self-management education, consistent with
the NIH/NAEPP guidelines, for enhancing education of persons with
asthma in the areas of correct medication adherence and avoidance of
environmental triggers of asthma attacks, is central to reducing the
health burden and financial burden on individuals and the nation. This
research is an important step in improving the education individuals
with asthma (or parents of children with asthma) receive at their
initial diagnosis encounter with the medical system. As such it is
expected to improve proper medication adherence and avoidance of
environmental triggers of an asthma attack and in turn to be of use to
the government in reducing both the medical and financial burden of
asthma on the nation. In this aspect, this research is directly in line
with both the mission of the CDC National Asthma Control Program, its
funder, which seeks to achieve reductions in deaths and
hospitalizations and increases in self-management education for
individuals with asthma and that Program's Government Performance and
Results Act Performance Measure: Increase the proportion of those with
current asthma who report they have received self-management training
for asthma in populations served by CDC funded state asthma control
programs. The research project is also in alignment with Healthy People
2020 objectives including reducing asthma deaths (objective RD-1),
reducing
[[Page 78926]]
hospitalizations for asthma (objective RD-2), reducing hospital
emergency department visits for asthma (objective RD-3), reducing
activity limitations among persons with asthma (objective RD-4),
reducing the number of school or work days missed by persons with
asthma because of asthma (objective RD-5), increasing the proportion of
persons with asthma who receive formal patient education (objective RD-
6), and increasing the proportion of persons with asthma who receive
appropriate asthma care according to the NAEPP guidelines (objective
RD-7). There are no costs to the respondents other than their time. The
total estimated annual burden hours are 40 hours total.
Estimated Annualized Burden Hours
----------------------------------------------------------------------------------------------------------------
Average
Number of Number of burden per
Type of respondent Form name respondents responses per response (in
respondent hours)
----------------------------------------------------------------------------------------------------------------
Physician and Nurse................... Screener................ 48 1 5/60
Physician............................. Interview............... 24 1 30/60
Nurse................................. Focus Group............. 24 1 1
----------------------------------------------------------------------------------------------------------------
Dated: December 14, 2011.
Daniel Holcomb,
Reports Clearance Officer, Centers for Disease Control and Prevention.
[FR Doc. 2011-32497 Filed 12-19-11; 8:45 am]
BILLING CODE 4163-18-P
