Agency Information Collection Activities: Proposed Collection: Comment Request, 2411-2412 [2013-00364]

Download as PDF 2411 Federal Register / Vol. 78, No. 8 / Friday, January 11, 2013 / Notices Estimated Total Annual Burden Hours: 8,204. In compliance with the requirements of Section 506(c)(2)(A) of the Paperwork Reduction Act of 1995, the Administration for Children and Families is soliciting public comment on the specific aspects of the information collection described above. Copies of the proposed collection of information can be obtained and comments may be forwarded by writing to the Administration for Children and Families, Office of Planning, Research and Evaluation, 370 L’Enfant Promenade SW., Washington, DC 20447, Attn: ACF Reports Clearance Officer. Email address: infocollection@acf.hhs.gov. All requests should be identified by the title of the information collection. The Department specifically requests comments 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 practical utility; (b) the accuracy of the agency’s estimate of the burden of the proposed collection of information; (c) 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. Consideration will be given to comments and suggestions submitted within 60 days of this publication. Robert Sargis, Reports Clearance Officer. [FR Doc. 2013–00416 Filed 1–10–13; 8:45 am] BILLING CODE 4184–01–P DEPARTMENT OF HEALTH AND HUMAN SERVICES Health Resources and Services Administration Agency Information Collection Activities: Proposed Collection: Comment Request ACTION: Notice. In compliance with the requirement for opportunity for public comment on proposed data collection SUMMARY: projects (section 3506(c)(2)(A) of Title 44, United States Code, as amended by the Paperwork Reduction Act of 1995, Pub. L. 104–13), the Health Resources and Services Administration (HRSA) publishes periodic summaries of proposed projects being developed for submission to the Office of Management and Budget (OMB) under the Paperwork Reduction Act of 1995. To request more information on the proposed project or to obtain a copy of the data collection plans and draft instruments, email paperwork@hrsa.gov or call the HRSA Reports Clearance Officer at (301) 443– 1984. HRSA especially requests comments on: (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. Information Collection Request Title: Patient Survey-Health Centers (OMB No. 0915–xxxx) NEW. The Health Center program supports Health Centers (HCs), Migrant Health Centers (MHCs), Health Care for the Homeless (HCH) programs, and Public Housing Primary Care (PHPC) programs. Health Centers (HCs) receive grants from HRSA to provide primary and preventive health care services to medically underserved populations. The proposed Patient Survey will collect nationally in-depth information about HC patients, their health status, the reasons they seek care at the HCs, their diagnoses, the services they utilize at HCs and elsewhere, the quality of those services, and their satisfaction with the care they receive, through personal interviews of a stratified random sample of HC patients. Prior to the national study, a cognitive pre-test will be conducted to refine and test the survey instrument in different languages, and to test the survey sampling methodologies and procedures. The pre-test will include cognitive interviews to ensure that the questions are being understood as was intended. Interviews conducted in the pre-test and the national study are estimated to take approximately 1 hour and 15 minutes each. The Patient Survey builds on previous periodic Patient User-Visit Surveys, which were conducted to learn about the process and outcomes of care in HCs and MHCs, HCHs, and PHPCs. The original questionnaires were derived from the National Health Interview Survey (NHIS) and the National Ambulatory Medical Care Survey (NAMCS) conducted by the National Center for Health Statistics (NCHS). Conformance with the NHIS and NAMCS allowed comparisons between these NCHS surveys and the previous HC and HCH User-Visit Surveys. The new Patient Survey was developed using a questionnaire methodology similar to that used in the past and will also potentially allow some longitudinal comparisons for HCs and HCHs with the previous User-Visit survey data, including monitoring of processes and outcomes over time. In addition, this survey will be conducted in languages not used during previous surveys (which were conducted in English and Spanish) to include patients from different racial and ethnic backgrounds, including Chinese (Mandarin and Cantonese), Korean, and Vietnamese. With the exception of Spanish speakers, other racial and ethnic subgroups were not able to participate in the previous surveys. Burden Statement: Burden in this context means the time expended by persons to generate, maintain, retain, disclose or provide the information requested. This includes the time needed to review instructions, to develop, acquire, install and utilize technology and systems for the purpose of collecting, validating and verifying information, processing and maintaining information, and disclosing and providing information, to train personnel and to be able to respond to a collection of information, to search data sources, to complete and review the collection of information, and to transmit or otherwise disclose the information. The total annual burden hours estimated for this Information Collection Request are summarized in the table below. The annual estimate of burden is as follows: mstockstill on DSK4VPTVN1PROD with SURVEY PRETEST Grantee/Site Recruitment .................................................... VerDate Mar<15>2010 16:38 Jan 10, 2013 Jkt 229001 Number of responses per respondent Number of respondents Form name PO 00000 Frm 00049 2 Fmt 4703 Sfmt 4703 Average burden per response (in hours) Total responses 3 E:\FR\FM\11JAN1.SGM 6 11JAN1 3.00 Total burden hours 18.00 2412 Federal Register / Vol. 78, No. 8 / Friday, January 11, 2013 / Notices SURVEY PRETEST—Continued Number of respondents Form name Number of responses per respondent Total responses Average burden per response (in hours) Total burden hours Patient Recruitment (At clinic) ............................................. Patient Survey (Administered at clinic) ................................ Patient Recruitment (Through local advertisements/flyers/ word-of-mouth) ................................................................. Patient Survey (Administered following local advertising) ... 21 16 1 1 21 16 .17 1.25 3.57 20.00 71 55 1 1 71 55 .08 1.25 5.68 68.75 Total Pretest ................................................................. ........................ ........................ ........................ ........................ 116.00 Total responses Average burden per response (in hours) NATIONAL STUDY Number of respondents Form name Number of responses per respondent Total burden hours Grantee/Site Recruitment and Training ............................... Patient Recruitment ............................................................. Patient Survey ...................................................................... 165 9,207 6,600 3 1 1 495 9,207 6,600 3.75 .17 1.25 1,856.25 1,565.19 8,250.00 Total National Study ..................................................... ........................ ........................ ........................ ........................ 11,671.44 Addresses: Submit your comments to paperwork@hrsa.gov or mail the HRSA Reports Clearance Officer, Room 10–29, Parklawn Building, 5600 Fishers Lane, Rockville, MD 20857. Deadline: Comments on this Information Collection Request must be received within 60 days of this notice. Dated: January 3, 2013. Bahar Niakan, Director, Division of Policy and Information Coordination. [FR Doc. 2013–00364 Filed 1–10–13; 8:45 am] BILLING CODE 4165–15–P DEPARTMENT OF HEALTH AND HUMAN SERVICES Indian Health Service Request for Public Comment: 30-Day Proposed Information Collection: Indian Health Service Forms To Implement the Privacy Rule Indian Health Service, HHS. Notice. AGENCY: ACTION: In compliance with Section 3507(a)(1)(D) of the Paperwork Reduction Act of 1995 which requires 30 days for public comment on proposed information collection projects, the Indian Health Service (IHS) is publishing for comment a summary of a proposed information collection to be submitted to the Office of Management and Budget (0MB) for review. This proposed information collection project was previously published in the Federal Register (77 FR 60219) on October 2, mstockstill on DSK4VPTVN1PROD with SUMMARY: VerDate Mar<15>2010 16:38 Jan 10, 2013 Jkt 229001 2012, and allowed 60 days for public comment, as required by 3506(c)(2)(A). No public comment was received in response to the notice. The purpose of this notice is to allow 30 days for public comment to be submitted directly to OMB. Proposed Collection: Title: 0917– 0030, ‘‘IHS Forms to Implement the Privacy Rule (45 CFR parts 160 & 164).’’ Type of Information Collection Request: Extension, without revisions, of currently approved information collection, 0917–0030, ‘‘IHS Forms to Implement the Privacy Rule (45 CFR parts 160 & 164).’’ Form Number(s): IHS–810, IHS–912–1, IHS–912–2, IHS– 913 and IHS–917. Need and Use of Information Collection: This collection of information is made necessary by the Department of Health and Human Services Rule entitled ‘‘Standards for Privacy of Individually Identifiable Health Information’’ (Privacy Rule) (45 CFR parts 160 and 164). The Privacy Rule implements the privacy requirements of the Administrative Simplification subtitle of the Health Insurance Portability and Accountability Act of 1996, creates national standards to protect individuals’ personal health information, and gives patients increased access to their medical records. 45 CFR 164.508, 164.522, 164.526 and 164.528 of the Rule require the collection of information to implement these protection standards and access requirements. The IHS will continue to use the following data collection instruments to meet the PO 00000 Frm 00050 Fmt 4703 Sfmt 4703 information collection requirements contained in the Rule. 45 CFR 164.508: This provision requires covered entities to obtain or receive a valid authorization for its use or disclosure of protected health information for other than for treatment, payment and healthcare operations. Under the provision individuals may initiate a written authorization permitting covered entities to release their protected health information to entities of their choosing. The form IHS–810, ‘‘Authorization for Use or Disclosure of Protected Health Information,’’ is used to document an individual’s authorization to use or disclose their protected health information. 45 CFR 164.522: Section 164.522(a)(1) requires a covered entity to permit individuals to request that the covered entity restrict the use and disclosure of their protected health information. The covered entity may or may not agree to the restriction. The form IHS–912–1, ‘‘Request for Restrictions(s),’’ is used to document an individual’s request for restriction of their protected health information, and whether IHS agreed or disagreed with the restriction. Section 164.522(a)(2) permits a covered entity to terminate its agreement to a restriction if the individual agrees to or requests the termination in writing. The form IHS–912–2, ‘‘Request for Revocation of Restriction(s),’’ is used to document the agency or individual request to terminate a formerly agreed to restriction regarding the use and E:\FR\FM\11JAN1.SGM 11JAN1

Agencies

[Federal Register Volume 78, Number 8 (Friday, January 11, 2013)]
[Notices]
[Pages 2411-2412]
From the Federal Register Online via the Government Printing Office [www.gpo.gov]
[FR Doc No: 2013-00364]


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DEPARTMENT OF HEALTH AND HUMAN SERVICES

Health Resources and Services Administration


Agency Information Collection Activities: Proposed Collection: 
Comment Request

ACTION: Notice.

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SUMMARY: In compliance with the requirement for opportunity for public 
comment on proposed data collection projects (section 3506(c)(2)(A) of 
Title 44, United States Code, as amended by the Paperwork Reduction Act 
of 1995, Pub. L. 104-13), the Health Resources and Services 
Administration (HRSA) publishes periodic summaries of proposed projects 
being developed for submission to the Office of Management and Budget 
(OMB) under the Paperwork Reduction Act of 1995. To request more 
information on the proposed project or to obtain a copy of the data 
collection plans and draft instruments, email paperwork@hrsa.gov or 
call the HRSA Reports Clearance Officer at (301) 443-1984.
    HRSA especially requests comments on: (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.
    Information Collection Request Title: Patient Survey-Health Centers 
(OMB No. 0915-xxxx) NEW.
    The Health Center program supports Health Centers (HCs), Migrant 
Health Centers (MHCs), Health Care for the Homeless (HCH) programs, and 
Public Housing Primary Care (PHPC) programs. Health Centers (HCs) 
receive grants from HRSA to provide primary and preventive health care 
services to medically underserved populations.
    The proposed Patient Survey will collect nationally in-depth 
information about HC patients, their health status, the reasons they 
seek care at the HCs, their diagnoses, the services they utilize at HCs 
and elsewhere, the quality of those services, and their satisfaction 
with the care they receive, through personal interviews of a stratified 
random sample of HC patients. Prior to the national study, a cognitive 
pre-test will be conducted to refine and test the survey instrument in 
different languages, and to test the survey sampling methodologies and 
procedures. The pre-test will include cognitive interviews to ensure 
that the questions are being understood as was intended. Interviews 
conducted in the pre-test and the national study are estimated to take 
approximately 1 hour and 15 minutes each.
    The Patient Survey builds on previous periodic Patient User-Visit 
Surveys, which were conducted to learn about the process and outcomes 
of care in HCs and MHCs, HCHs, and PHPCs. The original questionnaires 
were derived from the National Health Interview Survey (NHIS) and the 
National Ambulatory Medical Care Survey (NAMCS) conducted by the 
National Center for Health Statistics (NCHS). Conformance with the NHIS 
and NAMCS allowed comparisons between these NCHS surveys and the 
previous HC and HCH User-Visit Surveys. The new Patient Survey was 
developed using a questionnaire methodology similar to that used in the 
past and will also potentially allow some longitudinal comparisons for 
HCs and HCHs with the previous User-Visit survey data, including 
monitoring of processes and outcomes over time. In addition, this 
survey will be conducted in languages not used during previous surveys 
(which were conducted in English and Spanish) to include patients from 
different racial and ethnic backgrounds, including Chinese (Mandarin 
and Cantonese), Korean, and Vietnamese. With the exception of Spanish 
speakers, other racial and ethnic subgroups were not able to 
participate in the previous surveys.
    Burden Statement: Burden in this context means the time expended by 
persons to generate, maintain, retain, disclose or provide the 
information requested. This includes the time needed to review 
instructions, to develop, acquire, install and utilize technology and 
systems for the purpose of collecting, validating and verifying 
information, processing and maintaining information, and disclosing and 
providing information, to train personnel and to be able to respond to 
a collection of information, to search data sources, to complete and 
review the collection of information, and to transmit or otherwise 
disclose the information. The total annual burden hours estimated for 
this Information Collection Request are summarized in the table below.
    The annual estimate of burden is as follows:

                                                 Survey Pretest
----------------------------------------------------------------------------------------------------------------
                                                     Number of                    Average burden
            Form name                Number of     responses per       Total       per response    Total  burden
                                    respondents     respondent       responses      (in hours)         hours
----------------------------------------------------------------------------------------------------------------
Grantee/Site Recruitment........               2               3               6            3.00           18.00

[[Page 2412]]

 
Patient Recruitment (At clinic).              21               1              21             .17            3.57
Patient Survey (Administered at               16               1              16            1.25           20.00
 clinic)........................
Patient Recruitment (Through                  71               1              71             .08            5.68
 local advertisements/flyers/
 word-of-mouth).................
Patient Survey (Administered                  55               1              55            1.25           68.75
 following local advertising)...
                                 -------------------------------------------------------------------------------
    Total Pretest...............  ..............  ..............  ..............  ..............          116.00
----------------------------------------------------------------------------------------------------------------


                                                 National Study
----------------------------------------------------------------------------------------------------------------
                                                     Number of                    Average burden
            Form name                Number of     responses per       Total       per response    Total  burden
                                    respondents     respondent       responses      (in hours)         hours
----------------------------------------------------------------------------------------------------------------
Grantee/Site Recruitment and                 165               3             495            3.75        1,856.25
 Training.......................
Patient Recruitment.............           9,207               1           9,207             .17        1,565.19
Patient Survey..................           6,600               1           6,600            1.25        8,250.00
                                 -------------------------------------------------------------------------------
    Total National Study........  ..............  ..............  ..............  ..............       11,671.44
----------------------------------------------------------------------------------------------------------------

    Addresses: Submit your comments to paperwork@hrsa.gov or mail the 
HRSA Reports Clearance Officer, Room 10-29, Parklawn Building, 5600 
Fishers Lane, Rockville, MD 20857.
    Deadline: Comments on this Information Collection Request must be 
received within 60 days of this notice.

    Dated: January 3, 2013.
Bahar Niakan,
Director, Division of Policy and Information Coordination.
[FR Doc. 2013-00364 Filed 1-10-13; 8:45 am]
BILLING CODE 4165-15-P