Submission for OMB Review; Comment Request, 13680-13681 [2013-04307]
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13680
Federal Register / Vol. 78, No. 40 / Thursday, February 28, 2013 / Notices
care hospital participating in the
Medicare program, in order to construct
an occupational mix adjustment to the
wage index, for application beginning
October 1, 2004 (the FY 2005 wage
index). The purpose of the occupational
mix adjustment is to control for the
effect of hospitals’ employment choices
on the wage index. Form Number:
CMS–10079 (OMB#: 0938–0907);
Frequency: Reporting—Yearly,
Biennially and Occasionally ; Affected
Public: Private Sector—Business or
other for-profits and Not-for-profit
institutions; Number of Respondents:
3,500; Total Annual Responses: 3,500;
Total Annual Hours: 1,680,000. (For
policy questions regarding this
collection contact Geri Mondowney at
410–786–1172. For all other issues call
410–786–1326.)
2. Type of Information Collection
Request: Reinstatement without change
of a previously approved collection;
Title of Information Collection: Health
Insurance Reform: Electronic Security
Standards; Use: This information
collection corresponds to existing
regulations establishing standards for
the security of electronic protected
health information to be implemented
by health plans, health care
clearinghouses and certain health care
providers, as required under Title II,
subtitle F, sections 261 through 264 of
the Health Insurance Portability and
Accountability Act of 1996 (HIPAA),
Public Law 104–191. The use of the
security standards improves Federal
health programs, private health
programs, and the effectiveness and
efficiency of the health care industry in
general by establishing a level of
protection for certain electronic health
information. This information collection
request does not propose any changes to
this information collection related to
future modifications of the underlying
HIPAA security standards. Form
Number: CMS–10149 (OCN: 0938–
0949); Frequency: Occasionally;
Affected Public: Business or other forprofit, Not-for-profit institutions,
Federal Government, and State, Local or
Tribal Government; Number of
Respondents: 135,560; Total Annual
Responses: 285,560; Total Annual
Hours: 536,743. (For policy questions
regarding this collection contact
William Parham at 410–786–4669. For
all other issues call 410–786–1326.)
To obtain copies of the supporting
statement and any related forms for the
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19:12 Feb 27, 2013
Jkt 229001
proposed paperwork collections
referenced above, access CMS Web site
address at https://www.cms.hhs.gov/
PaperworkReductionActof1995, or
Email your request, including your
address, phone number, OMB number,
and CMS document identifier, to
Paperwork@cms.hhs.gov, or call the
Reports Clearance Office on (410) 786–
1326.
To be assured consideration,
comments and recommendations for the
proposed information collections must
be received by the OMB desk officer at
the address below, no later than 5 p.m.
on April 1, 2013. OMB, Office of
Information and Regulatory Affairs,
Attention: CMS Desk Officer, Fax
Number: (202) 395–6974, Email:
OIRA_submission@omb.eop.gov.
Dated: February 22, 2013.
Martique Jones,
Deputy Director, Regulations Development
Group, Office of Strategic Operations and
Regulatory Affairs.
[FR Doc. 2013–04548 Filed 2–27–13; 8:45 am]
BILLING CODE 4120–01–P
DEPARTMENT OF HEALTH AND
HUMAN SERVICES
Administration for Children and
Families
Submission for OMB Review;
Comment Request
Title: Parents and Children
Together—Discussion Guide.
OMB No.: 0970–0403.
Description: The Office of Planning,
Research, and Evaluation (OPRE),
Administration for Children and
Families (ACF), U.S. Department of
Health and Human Services (HHS), is
proposing data collection activity as
part of the Parents and Children
Together (PACT) Evaluation.
The PACT project is a formative
evaluation whose overall objective is to
document and provide initial
assessment of selected Responsible
Fatherhood and Healthy Marriage grant
programs that were authorized under
the 2010 Claims Resolution Act. This
information will be critical to informing
decisions related to future investments
in this kind of programming as well as
the design and operation of such
services.
To meet the objective of the study,
PACT is utilizing three major,
interrelated evaluation strategies:
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(a) Impact evaluation;
(b) Implementation evaluation; and
(c) Qualitative evaluation.
To collect data for these strategies,
four instruments have been approved todate, and 14 new instruments are
proposed through this ICR:
(1) Selecting Study Grantees
(discussions with program and
partner organization staff)—
APPROVED April 20, 2012
(2) Introductory Script (for RE program
staff to discuss with program
applicants)—APPROVED October
31, 2012
(3) Baseline Survey (for RF study
participants)—APPROVED October
31, 2012
(4) Introductory Script (for HM program
staff to discuss with program
applicants)
(5) Baseline Survey (for HM study
participants)
(6) RF study Management Information
System (MIS)—APPROVED October
31, 2012
(7) HM study Management Information
System (MIS)
(8) Semi-structured interview topic
guide (for program staff)
(9) On-line survey (for program staff)
(10) Telephone interview guide (for
program staff at referral
organizations)
(11) On-line Working Alliance Inventory
(for program staff and participants)
(12) Focus group discussion guide (for
program participants)
(13) Telephone interview guide (for
program dropouts)
(14) In-person, in-depth interview guide
(for program participants)
(15) Telephone check-in guide (for
program participants)
(16) Semi-structured interview topic
guide (for program staff)
(17) Focus group discussion guide (for
program participants)
(18) Questionnaire (for program
participants in focus groups)
Respondents: Program applicants,
program participants, program staff, and
staff at referral agencies. Specific
respondents per instrument are noted in
the burden tables below.
Annual Burden Estimates
New instruments submitted for
approval are included in the table
below.
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28FEN1
13681
Federal Register / Vol. 78, No. 40 / Thursday, February 28, 2013 / Notices
Annual
number of
respondents
Instrument respondent
Number of
responses per
respondent
Average
burden per
response
(hours)
Total annual
burden hours
IMPACT
Healthy Marriage Grantee Impact Evaluation
(4) Introductory script Program staff ................................................................
Program applicants ..........................................................................................
(5) Baseline survey Study participants ............................................................
30
4,210
4,000
70.2
1
1
0.167
0.167
0.5
351
702
2,000
3,400
0.033
3,400
Healthy Marriage Grantee Implementation Evaluation—MIS
(7) HM Study MIS Program staff .....................................................................
30
Responsible Fatherhood and Healthy Marriage Grantee Implementation Evaluation—Additional Implementation Data Collection
Instruments
(8) Semi-structured interview topic guide Program staff .................................
(9) On-line survey Program staff .....................................................................
(10) Telephone interviews (with staff at referral organizations):
Program staff at referral organizations .....................................................
(11) On-line Working Alliance Inventory:
(1) Program staff ......................................................................................
(2) Program Participants ...........................................................................
(12) Focus group guide Program participants .................................................
(13) Telephone interviews Program participants (program dropouts) .............
250
250
2
2
1.03
0.5
517
250
50
1
0.5
25
50
1,000
600
150
20
1
1
1
0.167
0.167
1.5
0.25
167
167
900
38
3
4
2
0.167
192
21
Responsible Fatherhood Grantee Qualitative Evaluation
(14) Guide for in-person, in-depth interviews Study participants ....................
(15) Check-in call guide Study participants .....................................................
32
32
IMPLEMENTATION/QUALITATIVE ONLY
Responsible Fatherhood Grantee Implementation Evaluation—Grantees With a Focus on Hispanic Populations
42
20
20
1
1
1
1.5
1.5
0.333
63
30
7
Total ...................................................................................................
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(16) Semi-structured interview topic guide Program staff ...............................
(17) Focus group guide Program participants .................................................
(18) Questionnaires Program participants in focus groups .............................
........................
........................
........................
8,830
Additional Information: Copies of the
proposed collection may be obtained by
writing to the Administration for
Children and Families, Office of
Planning, Research, and Evaluation, 370
L’Enfant Promenade SW., Washington,
DC 20447, Attn: OPRE Reports
Clearance Officer. All requests should
be identified by the title of the
information collection. Email address:
OPREinfocollection@acf.hhs.gov.
In compliance with the requirements
of Section 3506(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: OPRE Reports Clearance Officer.
Email address: OPREinfocollection@acf.
hhs.gov. All requests should be
VerDate Mar<15>2010
19:12 Feb 27, 2013
Jkt 229001
identified by the title of the information
collection.
OMB Comment: OMB is required to
make a decision concerning the
collection of information between 30
and 60 days after publication of this
document in the Federal Register.
Therefore, a comment is best assured of
having its full effect if OMB receives it
within 30 days of publication. Written
comments and recommendations for the
proposed information collection should
be sent directly to the following: Office
of Management and Budget, Paperwork
Reduction Project, Fax: 202–395–6974,
Attn: Desk Officer for the
Administration for Children and
Families.
Steven M. Hanmer,
Reports Clearance Officer.
[FR Doc. 2013–04307 Filed 2–27–13; 8:45 am]
BILLING CODE 4184–37–M
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DEPARTMENT OF HEALTH AND
HUMAN SERVICES
Food and Drug Administration
[Docket No. FDA–2013–N–0134]
Agency Information Collection
Activities; Proposed Collection;
Comment Request; Mammography
Quality Standards Act Requirements
AGENCY:
Food and Drug Administration,
HHS.
ACTION:
Notice.
The Food and Drug
Administration (FDA) is announcing an
opportunity for public comment on the
proposed collection of certain
information by the Agency. Under the
Paperwork Reduction Act of 1995 (the
PRA), Federal Agencies are required to
publish notice in the Federal Register
concerning each proposed collection of
information, including each proposed
extension of an existing collection of
information, and to allow 60 days for
public comment in response to the
notice. This notice solicits comments on
SUMMARY:
E:\FR\FM\28FEN1.SGM
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]]>Agencies
[Federal Register Volume 78, Number 40 (Thursday, February 28, 2013)]
[Notices]
[Pages 13680-13681]
From the Federal Register Online via the Government Printing Office [www.gpo.gov]
[FR Doc No: 2013-04307]
-----------------------------------------------------------------------
DEPARTMENT OF HEALTH AND HUMAN SERVICES
Administration for Children and Families
Submission for OMB Review; Comment Request
Title: Parents and Children Together--Discussion Guide.
OMB No.: 0970-0403.
Description: The Office of Planning, Research, and Evaluation
(OPRE), Administration for Children and Families (ACF), U.S. Department
of Health and Human Services (HHS), is proposing data collection
activity as part of the Parents and Children Together (PACT)
Evaluation.
The PACT project is a formative evaluation whose overall objective
is to document and provide initial assessment of selected Responsible
Fatherhood and Healthy Marriage grant programs that were authorized
under the 2010 Claims Resolution Act. This information will be critical
to informing decisions related to future investments in this kind of
programming as well as the design and operation of such services.
To meet the objective of the study, PACT is utilizing three major,
interrelated evaluation strategies:
(a) Impact evaluation;
(b) Implementation evaluation; and
(c) Qualitative evaluation.
To collect data for these strategies, four instruments have been
approved to-date, and 14 new instruments are proposed through this ICR:
(1) Selecting Study Grantees (discussions with program and partner
organization staff)--APPROVED April 20, 2012
(2) Introductory Script (for RE program staff to discuss with program
applicants)--APPROVED October 31, 2012
(3) Baseline Survey (for RF study participants)--APPROVED October 31,
2012
(4) Introductory Script (for HM program staff to discuss with program
applicants)
(5) Baseline Survey (for HM study participants)
(6) RF study Management Information System (MIS)--APPROVED October 31,
2012
(7) HM study Management Information System (MIS)
(8) Semi-structured interview topic guide (for program staff)
(9) On-line survey (for program staff)
(10) Telephone interview guide (for program staff at referral
organizations)
(11) On-line Working Alliance Inventory (for program staff and
participants)
(12) Focus group discussion guide (for program participants)
(13) Telephone interview guide (for program dropouts)
(14) In-person, in-depth interview guide (for program participants)
(15) Telephone check-in guide (for program participants)
(16) Semi-structured interview topic guide (for program staff)
(17) Focus group discussion guide (for program participants)
(18) Questionnaire (for program participants in focus groups)
Respondents: Program applicants, program participants, program
staff, and staff at referral agencies. Specific respondents per
instrument are noted in the burden tables below.
Annual Burden Estimates
New instruments submitted for approval are included in the table
below.
[[Page 13681]]
----------------------------------------------------------------------------------------------------------------
Average
Annual number Number of burden per Total annual
Instrument respondent of responses per response burden hours
respondents respondent (hours)
----------------------------------------------------------------------------------------------------------------
IMPACT
Healthy Marriage Grantee Impact Evaluation
----------------------------------------------------------------------------------------------------------------
(4) Introductory script Program staff........... 30 70.2 0.167 351
Program applicants.............................. 4,210 1 0.167 702
(5) Baseline survey Study participants.......... 4,000 1 0.5 2,000
----------------------------------------------------------------------------------------------------------------
Healthy Marriage Grantee Implementation Evaluation--MIS
----------------------------------------------------------------------------------------------------------------
(7) HM Study MIS Program staff.................. 30 3,400 0.033 3,400
----------------------------------------------------------------------------------------------------------------
Responsible Fatherhood and Healthy Marriage Grantee Implementation Evaluation--Additional Implementation Data
Collection Instruments
----------------------------------------------------------------------------------------------------------------
(8) Semi-structured interview topic guide 250 2 1.03 517
Program staff..................................
(9) On-line survey Program staff................ 250 2 0.5 250
(10) Telephone interviews (with staff at
referral organizations):
Program staff at referral organizations..... 50 1 0.5 25
(11) On-line Working Alliance Inventory:
(1) Program staff........................... 50 20 0.167 167
(2) Program Participants.................... 1,000 1 0.167 167
(12) Focus group guide Program participants..... 600 1 1.5 900
(13) Telephone interviews Program participants 150 1 0.25 38
(program dropouts).............................
----------------------------------------------------------------------------------------------------------------
Responsible Fatherhood Grantee Qualitative Evaluation
----------------------------------------------------------------------------------------------------------------
(14) Guide for in-person, in-depth interviews 32 3 2 192
Study participants.............................
(15) Check-in call guide Study participants..... 32 4 0.167 21
----------------------------------------------------------------------------------------------------------------
IMPLEMENTATION/QUALITATIVE ONLY
Responsible Fatherhood Grantee Implementation Evaluation--Grantees With a Focus on Hispanic Populations
----------------------------------------------------------------------------------------------------------------
(16) Semi-structured interview topic guide 42 1 1.5 63
Program staff..................................
(17) Focus group guide Program participants..... 20 1 1.5 30
(18) Questionnaires Program participants in 20 1 0.333 7
focus groups...................................
---------------------------------------------------------------
Total................................... .............. .............. .............. 8,830
----------------------------------------------------------------------------------------------------------------
Additional Information: Copies of the proposed collection may be
obtained by writing to the Administration for Children and Families,
Office of Planning, Research, and Evaluation, 370 L'Enfant Promenade
SW., Washington, DC 20447, Attn: OPRE Reports Clearance Officer. All
requests should be identified by the title of the information
collection. Email address: OPREinfocollection@acf.hhs.gov.
In compliance with the requirements of Section 3506(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: OPRE Reports Clearance Officer. Email
address: OPREinfocollection@acf.hhs.gov. All requests should be
identified by the title of the information collection.
OMB Comment: OMB is required to make a decision concerning the
collection of information between 30 and 60 days after publication of
this document in the Federal Register. Therefore, a comment is best
assured of having its full effect if OMB receives it within 30 days of
publication. Written comments and recommendations for the proposed
information collection should be sent directly to the following: Office
of Management and Budget, Paperwork Reduction Project, Fax: 202-395-
6974, Attn: Desk Officer for the Administration for Children and
Families.
Steven M. Hanmer,
Reports Clearance Officer.
[FR Doc. 2013-04307 Filed 2-27-13; 8:45 am]
BILLING CODE 4184-37-M
