Agency Forms Undergoing Paperwork Reduction Act Review, 26033-26034 [2013-10435]
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26033
Federal Register / Vol. 78, No. 86 / Friday, May 3, 2013 / Notices
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 Intimate Partner and Sexual
Violence Survey (OMB No. 0920–0822,
exp. 11/30/2013)—Revision—National
Center for Injury Prevention and Control
(NCIPC), Centers for Disease Control
and Prevention (CDC).
Background and Brief Description
The health burden of Intimate Partner
Violence (IPV), Sexual Violence (SV)
and stalking are substantial. To address
this important public health problem, in
2010, CDC implemented the National
Intimate Partner and Sexual Violence
Survey (NISVS) which produces
national and state level estimates of
Intimate Partner Violence (IPV), Sexual
Violence (SV) and stalking on an annual
basis.
The National Intimate Partner and
Sexual Violence Survey (NISVS) is an
ongoing, nationally representative
survey that assesses experiences of
intimate partner violence, sexual
violence and stalking among adult
women and men in the United States. It
measures lifetime victimization for
these types of violence as well as
victimization in the 12 months prior to
taking the survey.
CDC proposes an additional 3 years of
data collection for this revision request,
which is currently approved under
OMB# 0920–0822—expiration date: 11/
30/2013. The proposed revision to the
National Intimate Partner and Sexual
Violence Survey (NISVS) involves
testing a newly revised data collection
instrument during the calendar year of
2013. The changes to the instrument are
Number of
responses
Type of respondent
Form name
Households .....................................................
Screened ........................................................
Surveyed ........................................................
Ron A. Otten,
Director, Office of Scientific Integrity, Office
of the Associate Director for Science, Office
of the Director, Centers for Disease Control
and Prevention.
[FR Doc. 2013–10424 Filed 5–2–13; 8:45 am]
BILLING CODE 4163–18–P
DEPARTMENT OF HEALTH AND
HUMAN SERVICES
Centers for Disease Control and
Prevention
[30Day–13–13PX]
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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 (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 20503 or by fax to (202) 395–5806.
Written comments should be received
within 30 days of this notice.
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Proposed Project
Generic Clearance for the Collection
of Qualitative Feedback on Agency
Service Delivery—NEW—Epidemiology
and Analysis Program Office, Office of
Surveillance and Laboratory Services,
Centers for Disease Control and
Prevention (CDC).
As part of a Federal Government-wide
effort to streamline the process to seek
feedback from the public on service
delivery, the CDC has submitted a
Generic Information Collection Request
(Generic ICR): ‘‘Generic Clearance for
the Collection of Qualitative Feedback
on Agency Service Delivery’’ to OMB for
approval under the Paperwork
Reduction Act (PRA) (44 U.S.C. 3501 et.
seq.).
To request additional information,
please contact Kimberly S. Lane,
Centers for Disease Control and
Prevention, 1600 Clifton Road, MS–D74,
Atlanta, GA 30333 or send an email to
omb@cdc.gov.
SUPPLEMENTARY INFORMATION:
Title: Generic Clearance for the
Collection of Qualitative Feedback on
Agency Service Delivery.
Abstract: The information collection
activity will garner qualitative customer
and stakeholder feedback in an efficient,
timely manner, in accordance with the
PO 00000
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twofold: first, the current NISVS survey
instrument has been shortened in efforts
to decrease the burden on respondents
and to develop a core instrument that
will be administered on an annual basis.
Second, topic specific modules contain
questions to produce data that are
needed on a regular basis but are not
needed annually. The overarching
purpose of the information collected has
not changed.
A total of 44,896 eligible households
will be screened annually; out of the
households screened, approximately
35,696 will not consent or agree to
participate and 9,200 will complete the
survey each year. The survey will be
conducted among English and/or
Spanish speaking male and female
adults (18 years and older) living in the
United States.
There are no costs to respondents
other than their time. The total
estimated annual burden hours are
6,078.
Number of
responses per
respondent
44,896
9,200
1
1
Average
burden per
response
(in hours)
3/60
25/60
Administration’s commitment to
improving service delivery. By
qualitative feedback we mean
information that provides useful
insights on perceptions and opinions,
but are not statistical surveys that yield
quantitative results that can be
generalized to the population of study.
This feedback will provide insights into
customer or stakeholder perceptions,
experiences and expectations, provide
an early warning of issues with service,
or focus attention on areas where
communication, training or changes in
operations might improve delivery of
products or services. These collections
will allow for ongoing, collaborative and
actionable communications between the
Agency and its customers and
stakeholders. It will also allow feedback
to contribute directly to the
improvement of program management.
Feedback collected under this generic
clearance will provide useful
information, but it will not yield data
that can be generalized to the overall
population. This type of generic
clearance for qualitative information
will not be used for quantitative
information collections that are
designed to yield reliably actionable
results, such as monitoring trends over
time or documenting program
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Federal Register / Vol. 78, No. 86 / Friday, May 3, 2013 / Notices
performance. Such data uses require
more rigorous designs that address: the
target population to which
generalizations will be made, the
sampling frame, the sample design
(including stratification and clustering),
the precision requirements or power
calculations that justify the proposed
sample size, the expected response rate,
methods for assessing potential nonresponse bias, the protocols for data
collection, and any testing procedures
that were or will be undertaken prior
fielding the study. Depending on the
degree of influence the results are likely
to have, such collections may still be
eligible for submission for other generic
mechanisms that are designed to yield
quantitative results.
The Agency received no comments in
response to the 60-day notice published
in the Federal Register on December 22,
2010 (75 FR 80542, pages 80542–80543).
Number of
respondents
Type of collection
Online surveys .................................................................................................
In person interviews .........................................................................................
Focus groups ...................................................................................................
Ron A. Otten,
Director, Office of Scientific Integrity, Office
of the Associate Director for Science, Office
of the Director, Centers for Disease Control
and Prevention.
[FR Doc. 2013–10435 Filed 5–2–13; 8:45 am]
BILLING CODE 4163–18–P
DEPARTMENT OF HEALTH AND
HUMAN SERVICES
Centers for Medicare & Medicaid
Services
[Document Identifiers: CMS–276, CMS–339,
and CMS–R–282]
Agency Information Collection
Activities: Submission for OMB
Review; Comment Request
Centers for Medicare &
Medicaid Services, HHS.
In compliance with the requirement
of section 3506(c)(2)(A) of the
Paperwork Reduction Act of 1995, the
Centers for Medicare & Medicaid
Services (CMS), Department of Health
and Human Services, is publishing the
following summary of proposed
collections for public comment.
Interested persons are invited to send
comments regarding this burden
estimate or any other aspect of this
collection of information, including any
of the following subjects: (1) The
necessity and utility of the proposed
information collection for the proper
performance of the Agency’s function;
(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.
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Annual
frequency
per response
20,000
120
120
1. Type of Information Collection
Request: Reinstatement with change of a
previously approved collection; Title:
Prepaid Health Plan Cost Report; Use:
Health Maintenance Organizations and
Competitive Medical Plans contracting
with the Secretary under section 1876 of
the Social Security Act are required to
submit a budget and enrollment
forecast, semi-annual interim report,
interim final cost report, and a final
certified cost report in accordance with
42 CFR 417.572 through 417.576. Health
Care Prepayment Plans contracting with
the Secretary under section 1833 of the
Social Security Act are required to
submit a budget and enrollment
forecast, semi-annual interim report,
and final cost report in accordance with
42 CFR 417.808 and 417.810. CMS is
requesting approval for the
reinstatement with change of form
CMS–276. The Cost Report outlines the
provisions for implementing sections
1876(h) and 1833(a)(1)(A) of the Act.
The purposes of the revisions are to
implement certain changes associated
with the Affordable Care Act, clarify
instructions, and update outdated issues
within the Cost Report and the Budget
Report. Form Number: CMS–276 (OCN
0938–0165); Frequency: Yearly; Affected
Public: Private Sector—Business or
other for-profits and not-for-profit
institutions; Number of Respondents:
77; Total Annual Responses: 106; Total
Annual Hours: 4,372. (For policy
questions regarding this collection
contact Temeshia Johnson at 410–786–
8692. For all other issues call 410–786–
1326.)
2. Type of Information Collection
Request: Reinstatement with change of a
previously approved collection; Title of
Information Collection: Medicare
Provider Cost Report Reimbursement
Questionnaire; Use: The purpose of
PO 00000
This is a new collection of
information. Respondents will be
screened and selected from Individuals
and Households, Businesses,
Organizations, and/or State, Local or
Tribal Government. Below we provide
CDC’s projected annualized estimate for
the next three years. There is no cost to
respondents other than their time. The
estimated annualized burden hours for
this data collection activity are 13,933.
1
1
1
Average
number of
activities
Hours per
response
2
2
2
20/60
60/60
90/60
form CMS–339 is to assist the provider
in preparing an acceptable cost report
and to minimize subsequent contact
between the provider and its Medicare
Administrative Contractor (MAC). The
form provides the basic data necessary
to support the information in the cost
report.
Exhibit 1 of form CMS–339 contains
a series of reimbursement-oriented
questions which serve to update
information on the operations of the
provider. It is arranged topically
regarding financial activities such as
independent audits, provider
organization and operation, etc. The
MAC is responsible for the settlement of
the Medicare cost report and must
determine the reasonableness and the
accuracy of the reimbursement claimed.
This process includes performing both a
desk review of the cost report and an
analysis leading to a decision to settle
the cost report with or without further
audit. The form provides essential
information to enable the MAC to make
the audit or no audit decision, scope of
the audit if one is necessary, and to
update the provider documentation (i.e.,
documentation to support the financial
profile of the provider). If the
information is not collected, the MAC
will have to go onsite to each provider
to get this information. Consequently, it
is far less burdensome and extremely
cost effective to capture this information
through the form CMS–339.
Exhibit 2 of form CMS–339 is a listing
of bad debts pertaining to uncollectible
Medicare deductible and coinsurance
amounts. Preparation of the listing is a
convenient way for providers to supply
the MAC with information needed to
determine the allowability of the bad
debts for reimbursement. Some items
required to determine allowability that
are included on this exhibit are patient’s
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]]>Agencies
[Federal Register Volume 78, Number 86 (Friday, May 3, 2013)]
[Notices]
[Pages 26033-26034]
From the Federal Register Online via the Government Printing Office [www.gpo.gov]
[FR Doc No: 2013-10435]
-----------------------------------------------------------------------
DEPARTMENT OF HEALTH AND HUMAN SERVICES
Centers for Disease Control and Prevention
[30Day-13-13PX]
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
(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
20503 or by fax to (202) 395-5806. Written comments should be received
within 30 days of this notice.
Proposed Project
Generic Clearance for the Collection of Qualitative Feedback on
Agency Service Delivery--NEW--Epidemiology and Analysis Program Office,
Office of Surveillance and Laboratory Services, Centers for Disease
Control and Prevention (CDC).
As part of a Federal Government-wide effort to streamline the
process to seek feedback from the public on service delivery, the CDC
has submitted a Generic Information Collection Request (Generic ICR):
``Generic Clearance for the Collection of Qualitative Feedback on
Agency Service Delivery'' to OMB for approval under the Paperwork
Reduction Act (PRA) (44 U.S.C. 3501 et. seq.).
To request additional information, please contact Kimberly S. Lane,
Centers for Disease Control and Prevention, 1600 Clifton Road, MS-D74,
Atlanta, GA 30333 or send an email to omb@cdc.gov.
SUPPLEMENTARY INFORMATION:
Title: Generic Clearance for the Collection of Qualitative Feedback
on Agency Service Delivery.
Abstract: The information collection activity will garner
qualitative customer and stakeholder feedback in an efficient, timely
manner, in accordance with the Administration's commitment to improving
service delivery. By qualitative feedback we mean information that
provides useful insights on perceptions and opinions, but are not
statistical surveys that yield quantitative results that can be
generalized to the population of study. This feedback will provide
insights into customer or stakeholder perceptions, experiences and
expectations, provide an early warning of issues with service, or focus
attention on areas where communication, training or changes in
operations might improve delivery of products or services. These
collections will allow for ongoing, collaborative and actionable
communications between the Agency and its customers and stakeholders.
It will also allow feedback to contribute directly to the improvement
of program management.
Feedback collected under this generic clearance will provide useful
information, but it will not yield data that can be generalized to the
overall population. This type of generic clearance for qualitative
information will not be used for quantitative information collections
that are designed to yield reliably actionable results, such as
monitoring trends over time or documenting program
[[Page 26034]]
performance. Such data uses require more rigorous designs that address:
the target population to which generalizations will be made, the
sampling frame, the sample design (including stratification and
clustering), the precision requirements or power calculations that
justify the proposed sample size, the expected response rate, methods
for assessing potential non-response bias, the protocols for data
collection, and any testing procedures that were or will be undertaken
prior fielding the study. Depending on the degree of influence the
results are likely to have, such collections may still be eligible for
submission for other generic mechanisms that are designed to yield
quantitative results.
The Agency received no comments in response to the 60-day notice
published in the Federal Register on December 22, 2010 (75 FR 80542,
pages 80542-80543).
This is a new collection of information. Respondents will be
screened and selected from Individuals and Households, Businesses,
Organizations, and/or State, Local or Tribal Government. Below we
provide CDC's projected annualized estimate for the next three years.
There is no cost to respondents other than their time. The estimated
annualized burden hours for this data collection activity are 13,933.
----------------------------------------------------------------------------------------------------------------
Annual
Type of collection Number of frequency per Average number Hours per
respondents response of activities response
----------------------------------------------------------------------------------------------------------------
Online surveys.................................. 20,000 1 2 20/60
In person interviews............................ 120 1 2 60/60
Focus groups.................................... 120 1 2 90/60
----------------------------------------------------------------------------------------------------------------
Ron A. Otten,
Director, Office of Scientific Integrity, Office of the Associate
Director for Science, Office of the Director, Centers for Disease
Control and Prevention.
[FR Doc. 2013-10435 Filed 5-2-13; 8:45 am]
BILLING CODE 4163-18-P
