Agency Forms Undergoing Paperwork Reduction Act Review, 34951-34952 [2012-14207]

Download as PDF 34951 Federal Register / Vol. 77, No. 113 / Tuesday, June 12, 2012 / Notices NIOSH gives notice as required by 42 CFR 83.12(e) of a decision to evaluate a petition to designate a class of employees from the Medina Facility in San Antonio, Texas, to be included in the Special Exposure Cohort under the Energy Employees Occupational Illness Compensation Program Act of 2000. The initial proposed definition for the class being evaluated, subject to revision as warranted by the evaluation, is as follows: Facility: Medina Facility. Location: San Antonio, Texas. Job Titles and/or Job Duties: Workers potentially exposed to radioactive materials while working at the Medina facility. Period of Employment: January 1, 1958 to December 31, 1966. FOR FURTHER INFORMATION CONTACT: Stuart L. Hinnefeld, Director, Division of Compensation Analysis and Support, National Institute for Occupational Safety and Health, 4676 Columbia Parkway, MS C–46, Cincinnati, OH 45226, Telephone 877–222–7570. Information requests can also be submitted by email to DCAS@CDC.GOV. SUMMARY: John Howard, Director, National Institute for Occupational Safety and Health. [FR Doc. 2012–14223 Filed 6–11–12; 8:45 am] BILLING CODE 4163–19–P DEPARTMENT OF HEALTH AND HUMAN SERVICES Centers for Disease Control and Prevention [30-Day–12–12DO] 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) 639–7570 or send an email to omb@cdc.gov. Send written comments to CDC Desk Officer, Office of Management and Budget, Washington, DC or by fax to (202) 395–5806. Written comments should be received within 30 days of this notice. Proposed Project National Healthy Worksite Program— New—National Center for Chronic Disease Prevention and Health Promotion (NCCDPHP), Centers for Disease Control and Prevention (CDC). Background and Brief Description The Centers for Disease Control and Prevention (CDC) is establishing the National Healthy Worksite Program (NHWP), a comprehensive workplace health promotion program to address physical activity, nutrition, and tobacco use in the workplace. Participating worksites will create high quality workplace health programs by implementing programs, policies, and environmental supports that assist employees in adopting healthy behaviors. The NHWP will provide assistance to an estimated 100 small, mid-size, and large employers to create and expand sustainable workplace programs aimed at achieving three primary goals: (1) To reduce the risk of chronic disease among employees and their families through science-based workplace health interventions and promising practices; (2) to promote sustainable and replicable workplace health activities such as establishing a worksite committee, having senior leadership support, and forming community partnerships and health coalitions, and (3) to promote peer-topeer business mentoring that encourages employers to be active leaders and role models in their communities around health. Over a three-year period, the National Healthy Worksite Program will engage and recruit groups of up to 15 employers in seven selected communities, lead them through the process of building a comprehensive workplace health program, and collect evaluation information. The NHWP will also provide workplace health program training to worksites that are not participating in the NHWP. CDC may increase the number of NHWP sites that receive assistance, if funding becomes available. CDC plans to collect information needed to select the initial group of participating NHWP worksites; to describe implementation and costs of workplace health promotion programs at these sites over the initial two-year period of support; to examine the effects of workplace health programs on employee access and opportunity to engage in activities that support a healthy lifestyle; and to quantify reductions in individual health risks and improvements in productivity. The NHWP will also assess the value of community-based training for community participants (employers not selected as participating employers). In addition, for up to one year after the two-year implementation period, CDC will collect information needed to assess program sustainability. Participation in the NHWP is voluntary for both worksites and employees at those sites. During the development phase of the proposed information collection, CDC received comments from a variety of interested parties, and a number of instruments were revised to improve clarity. There are no costs to participants other than their time, with the exception of an inkind contribution for large employers. CDC will use the information collected to support the implementation efforts of employers participating in the NHWP; inform future program efforts at CDC and other Federal agencies; and develop tools, resources, and guidance to support broader workplace health efforts. OMB approval is requested for three years. The total estimated annualized burden hours are 15,530. ESTIMATED ANNUALIZED BURDEN HOURS Number of respondents srobinson on DSK4SPTVN1PROD with NOTICES Type of respondent Form name Interested Employer .............................................. Participating Employer .......................................... Employer Phone Interview Guide ............ Organizational Assessment ..................... Employee Eligibility File ........................... Employer Information Form ..................... Health Screening Site Interview Form ..... Discussion Guide for Steering Committee Members. VerDate Mar<15>2010 22:42 Jun 11, 2012 Jkt 226001 PO 00000 Frm 00019 Fmt 4703 Sfmt 4703 E:\FR\FM\12JNN1.SGM 69 66 33 33 33 100 12JNN1 Number of responses per respondent 1 2 4 1 2 1 Average burden per response (in hours) 20/60 30/60 15/60 30/60 30/60 30/60 34952 Federal Register / Vol. 77, No. 113 / Tuesday, June 12, 2012 / Notices ESTIMATED ANNUALIZED BURDEN HOURS—Continued Type of respondent Community Participant .......................................... Employee ............................................................... Employee: Wellness Challenge Log/Program Participant. Kimberly Lane, Deputy Director, Office of Scientific Integrity, Office of the Associate Director for Science, Office of the Director, Centers for Disease Control and Prevention. [FR Doc. 2012–14207 Filed 6–11–12; 8:45 am] BILLING CODE 4163–18–P DEPARTMENT OF HEALTH AND HUMAN SERVICES Centers for Disease Control and Prevention srobinson on DSK4SPTVN1PROD with NOTICES Proposed Data Collections Submitted for Public Comment and Recommendations In compliance with the requirement of Section 3506(c)(2)(A) of the Paperwork Reduction Act of 1995 for opportunity for public comment on proposed data collection projects, the Centers for Disease Control and Prevention (CDC) will publish periodic summaries of proposed projects. To request more information on the proposed projects or to obtain a copy of the data collection plans and instruments, call 404–639–7570 or send comments to Kimberly S. Lane, at 1600 Clifton Road, MS D74, Atlanta, GA 30333 or send an email to omb@cdc.gov. 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 22:42 Jun 11, 2012 Discussion Guide for Wellness Committee Members. Employer Follow-Up Survey .................... Community Participant Engagement Feedback Survey. Worksite Health Training Survey Parts I– III. Worksite Health Training Survey Part IV Health Screening Consent/Contact Form All Employee Survey ............................... Health Assessment .................................. Success Story Consent Form .................. Satisfaction Survey .................................. Lower Your Weight by Eight Challenge Log. Step into Health Challenge Log .............. Mix it Up Challenge Log .......................... Quench Your Thirst Challenge Log ......... Feel Fit with Fiber Challenge Log ........... Maintain Don’t Gain Challenge Log ........ Nutrition and Physical Activity Tracking Log/Lifestyle Tracker. 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. Written comments should be received within 60 days of this notice. Proposed Project [60-Day 12–12MW] VerDate Mar<15>2010 Number of respondents Form name Jkt 226001 Hepatitis Testing and Linkage to Care Monitoring & Evaluation System— New—National Center for HIV/AIDS, Viral Hepatitis, STD and TB Prevention (NCHHSTP), Centers for Disease Control and Prevention (CDC). Background and Brief Description The National Center for HIV/AIDS, Viral Hepatitis, STD, and TB Prevention (NCHHSTP), Centers for Disease Control and Prevention is requesting a threeyear OMB approval for establishing a Hepatitis Testing and Linkage to Care (HEPTLC) Monitoring and Evaluation System to collect standardized, nonidentifying, client-level and test-level hepatitis testing information from funded testing sites at multiple settings. Grantees will be required to use this web-based HEPTLC software application to collect and report testing and linkage to care activities. The HEPTLC data collection and reporting system will enable CDC to PO 00000 Frm 00020 Fmt 4703 Sfmt 4703 Number of responses per respondent Average burden per response (in hours) 166 1 30/60 33 35 1 1 15/60 10/60 100 1 10/60 100 5,000 5,000 5,000 67 2,000 2,000 1 1 2 2 1 4 1 10/60 10/60 5/60 15/60 10/60 15/60 1 2,000 2,000 2,000 2,000 2,000 2,000 1 1 1 1 1 1 30/60 30/60 30/60 30/60 1 30/60 receive standardized, non-identifying information from funded grantees, including: (1) Information about test sites that provide HEPTLC services and laboratories that provide lab testing; (2) Information about testing participants, including demographics, risk characteristics, vaccination history, etc. (3) Information related to diagnostic test results; and (4) Information about post-test follow-ups, including notification of test result, post-testcounseling, linkage to care and preventive services, and case report to surveillance authorities. CDC will use HEPTLC data for the following purposes: (1) Monitor the implementation activities of the HEPTLC initiative, as well as evaluate the progress and performance made by the grantees. Findings will further inform strategic planning and program improvement; (2) Inform recommendations and strategies of increasing early identification of infected persons and linkage to care, based on participant characteristics and linkage to care among those persons who are infected; (3) Identify best practices and gaps in implementing HEPTLC in various testing settings, and guide CDC in providing technical assistance to the grantees; (4) Produce standardized and specialized reports that will inform grantees, CDC Project Officers, HHS, and other stakeholders of the process, outcome and accountability measures; (5)Assess public health prevention funds and resources allocations with respect to prioritized E:\FR\FM\12JNN1.SGM 12JNN1

Agencies

[Federal Register Volume 77, Number 113 (Tuesday, June 12, 2012)]
[Notices]
[Pages 34951-34952]
From the Federal Register Online via the Government Printing Office [www.gpo.gov]
[FR Doc No: 2012-14207]

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

DEPARTMENT OF HEALTH AND HUMAN SERVICES

Centers for Disease Control and Prevention

[30-Day-12-12DO]

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) 639-7570 or send an email to
omb@cdc.gov. Send written comments to CDC Desk Officer, Office of
Management and Budget, Washington, DC or by fax to (202) 395-5806.
Written comments should be received within 30 days of this notice.

Proposed Project

National Healthy Worksite Program--New--National Center for Chronic
Disease Prevention and Health Promotion (NCCDPHP), Centers for Disease
Control and Prevention (CDC).

Background and Brief Description

The Centers for Disease Control and Prevention (CDC) is
establishing the National Healthy Worksite Program (NHWP), a
comprehensive workplace health promotion program to address physical
activity, nutrition, and tobacco use in the workplace. Participating
worksites will create high quality workplace health programs by
implementing programs, policies, and environmental supports that assist
employees in adopting healthy behaviors. The NHWP will provide
assistance to an estimated 100 small, mid-size, and large employers to
create and expand sustainable workplace programs aimed at achieving
three primary goals: (1) To reduce the risk of chronic disease among
employees and their families through science-based workplace health
interventions and promising practices; (2) to promote sustainable and
replicable workplace health activities such as establishing a worksite
committee, having senior leadership support, and forming community
partnerships and health coalitions, and (3) to promote peer-to-peer
business mentoring that encourages employers to be active leaders and
role models in their communities around health.
Over a three-year period, the National Healthy Worksite Program
will engage and recruit groups of up to 15 employers in seven selected
communities, lead them through the process of building a comprehensive
workplace health program, and collect evaluation information. The NHWP
will also provide workplace health program training to worksites that
are not participating in the NHWP. CDC may increase the number of NHWP
sites that receive assistance, if funding becomes available.
CDC plans to collect information needed to select the initial group
of participating NHWP worksites; to describe implementation and costs
of workplace health promotion programs at these sites over the initial
two-year period of support; to examine the effects of workplace health
programs on employee access and opportunity to engage in activities
that support a healthy lifestyle; and to quantify reductions in
individual health risks and improvements in productivity. The NHWP will
also assess the value of community-based training for community
participants (employers not selected as participating employers). In
addition, for up to one year after the two-year implementation period,
CDC will collect information needed to assess program sustainability.
Participation in the NHWP is voluntary for both worksites and
employees at those sites. During the development phase of the proposed
information collection, CDC received comments from a variety of
interested parties, and a number of instruments were revised to improve
clarity. There are no costs to participants other than their time, with
the exception of an in-kind contribution for large employers.
CDC will use the information collected to support the
implementation efforts of employers participating in the NHWP; inform
future program efforts at CDC and other Federal agencies; and develop
tools, resources, and guidance to support broader workplace health
efforts.
OMB approval is requested for three years. The total estimated
annualized burden hours are 15,530.

Estimated Annualized Burden Hours
----------------------------------------------------------------------------------------------------------------
Number of Average burden
Type of respondent Form name Number of responses per per response
respondents respondent (in hours)
----------------------------------------------------------------------------------------------------------------
Interested Employer................... Employer Phone Interview 69 1 20/60
Guide.
Participating Employer................ Organizational 66 2 30/60
Assessment.
Employee Eligibility 33 4 15/60
File.
Employer Information 33 1 30/60
Form.
Health Screening Site 33 2 30/60
Interview Form.
Discussion Guide for 100 1 30/60
Steering Committee
Members.

[[Page 34952]]

Discussion Guide for 166 1 30/60
Wellness Committee
Members.
Employer Follow-Up 33 1 15/60
Survey.
Community Participant................. Community Participant 35 1 10/60
Engagement Feedback
Survey.
Worksite Health Training 100 1 10/60
Survey Parts I-III.
Worksite Health Training 100 1 10/60
Survey Part IV.
Employee.............................. Health Screening Consent/ 5,000 1 10/60
Contact Form.
All Employee Survey..... 5,000 2 5/60
Health Assessment....... 5,000 2 15/60
Success Story Consent 67 1 10/60
Form.
Satisfaction Survey..... 2,000 4 15/60
Employee: Wellness Challenge Log/ Lower Your Weight by 2,000 1 1
Program Participant. Eight Challenge Log.
Step into Health 2,000 1 30/60
Challenge Log.
Mix it Up Challenge Log. 2,000 1 30/60
Quench Your Thirst 2,000 1 30/60
Challenge Log.
Feel Fit with Fiber 2,000 1 30/60
Challenge Log.
Maintain Don't Gain 2,000 1 1
Challenge Log.
Nutrition and Physical 2,000 1 30/60
Activity Tracking Log/
Lifestyle Tracker.
----------------------------------------------------------------------------------------------------------------

Kimberly Lane,
Deputy Director, Office of Scientific Integrity, Office of the
Associate Director for Science, Office of the Director, Centers for
Disease Control and Prevention.
[FR Doc. 2012-14207 Filed 6-11-12; 8:45 am]
BILLING CODE 4163-18-P

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