Agency Information Collection Activities; Proposed Collection: Comment Request, 27241-27242 [2013-11090]
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27241
Federal Register / Vol. 78, No. 90 / Thursday, May 9, 2013 / Notices
estimated to take approximately up to 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
CHCs, 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
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 time-trend
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 ICR are
summarized in the table below.
The annual estimate of burden is as
follows:
comparisons for HCs with the previous
User-Visit survey data, including
monitoring of processes and outcomes
over time. In addition, this wave of the
survey will be conducted in languages
not used in previous surveys (English
and Spanish only), and will include
patients from the fastest growing U.S.
population segment, Asian Americans
and Pacific Islanders. Languages that
will be used in the proposed survey
include Chinese (Mandarin and
Cantonese), Korean, Vietnamese,
Spanish, and English. With the
exception of Spanish speakers, other
racial and ethnic subgroups were not
able to participate in previous surveys
in their own languages.
Burden Statement: Burden in this
context means the time expended by
persons to generate, maintain, retain,
Responses
per
respondent
Number of
respondents
Form name
Total
responses
Average burden
per response
(in hours)
Total
burden
hours
Grantee/Site Recruitment ..................................................
Patient Recruitment (At clinic) ...........................................
Patient Survey (Administered at clinic) ..............................
Patient Recruitment (Through local advertisements/flyers/
word-of-mouth) ...............................................................
Patient Survey (Administered following local advertising)
2
21
15
3
1
1
6
21
15
3.0
0.17
1.25
18.00
3.57
18.75
71
54
1
1
71
54
0.08
1.25
5.68
67.50
Total Pretest ...............................................................
69
........................
........................
..........................
113.50
Submit your comments to
the desk officer for HRSA, either by
email to
OIRA_submission@omb.eop.gov or by
fax to 202–395–5806. Please direct all
correspondence to the ‘‘attention of the
desk officer for HRSA.’’
Deadline: Comments on this ICR
should be received within 30 days of
this notice.
ADDRESSES:
Dated: May 3, 2013.
Bahar Niakan,
Director, Division of Policy and Information
Coordination.
[FR Doc. 2013–11088 Filed 5–8–13; 8:45 am]
BILLING CODE 4165–15–P
DEPARTMENT OF HEALTH AND
HUMAN SERVICES
mstockstill on DSK4VPTVN1PROD with NOTICES
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
projects (Section 3506(c)(2)(A) of Title
SUMMARY:
VerDate Mar<15>2010
17:18 May 08, 2013
Jkt 229001
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
Information Collection 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:
Countermeasures Injury Compensation
Program (OMB No. 0915–0334)—
Revision
Abstract: This is a revision to the
request for OMB approval of the
PO 00000
Frm 00064
Fmt 4703
Sfmt 4703
information collection requirements for
the Countermeasures Injury
Compensation Program (CICP or
Program). The CICP, within the Health
Resources and Services Administration
(HRSA), administers the compensation
program specified by the Public
Readiness and Emergency Preparedness
Act (PREP Act). The CICP provides
compensation to eligible individuals
(requesters) who suffer serious injuries
directly caused by a covered
countermeasure administered or used
pursuant to a PREP Act Declaration, or
to their estates and/or survivors. A
declaration is issued by the Secretary of
the Department of Health and Humans
Services (Secretary). The purpose of a
declaration is to identify a disease,
health condition, or a threat to health
that is currently, or may in the future
constitute, a public health emergency.
In addition, the Secretary, through a
declaration, may recommend and
encourage the development,
manufacturing, distribution, dispensing,
and administration or use of one or
more covered countermeasures to treat,
prevent, or diagnose the disease,
condition, or threat specified in the
declaration.
To determine whether a requester is
eligible for Program benefits
(compensation) for the injury, the CICP
E:\FR\FM\09MYN1.SGM
09MYN1
27242
Federal Register / Vol. 78, No. 90 / Thursday, May 9, 2013 / Notices
must review the Request for Benefits
Package, which includes the Request for
Benefits Form and Authorization for
Use or Disclosure of Health Information
Form(s), as well as the injured
countermeasure recipient’s medical
records and supporting documentation.
A requester who is an injured
countermeasure recipient may be
eligible to receive benefits for
unreimbursed medical expenses and/or
lost employment income. The estate of
a deceased countermeasure recipient
may also be eligible to receive medical
benefits and/or benefits for lost
employment income accrued prior to
the injured countermeasure recipient’s
death. If death was the result of the
administration or use of the
countermeasure, certain survivor(s) of
deceased eligible countermeasure
recipients may be eligible to receive a
death benefit, but not unreimbursed
medical expenses or lost employment
income benefits (42 CFR § 110.33). The
death benefit is calculated using either
the ‘‘standard calculation’’ or the
‘‘alternative calculation.’’ The ‘‘standard
calculation’’ is based on the death
benefit available under the Public Safety
Officers’ Benefits (PSOB) Program (42
CFR § 110.82(b)). The ‘‘alternative
calculation’’ is based on the deceased
countermeasure recipient’s income and
is only available to the recipient’s
dependent(s) who is (are) younger than
age 18.
Approval is requested for the required
continued information collection via the
Request for Benefits Package, which has
been updated to include all categories of
potentially eligible requesters, including
adult children, so that the CICP may
continue to accept and process requests
for benefits. The Request for Benefits
Form and Instructions have been
revised to remove the request for a
social security number, update the CICP
Web site address, and add a new
category of eligible requesters, adult
children. This new category was added
because the CICP is generally required
to use the same categories of survivors
in order of priority for benefits as
established and defined by the PSOB
Program (42 CFR § 110.11(b)). This new
category of survivors was added under
the PSOB Program.
Approval is requested for new
mechanisms of medical documentation
and supporting documentation
collection. During the eligibility review,
the CICP would like to provide
requesters with the opportunity to
supplement their case files with
additional medical records and
supporting documentation before a final
Program decision is made. The CICP
would ask requesters to complete and
sign a form indicating whether they
intend to submit additional
documentation prior to the final
determination of their case.
Number of
respondents
Form name
Request for Benefits Form and Supporting Documentation ............................................................
Authorization for Use or Disclosure of Health Information Form ...................................................
Additional Documentation and Certification ...........
Benefits Package and Supporting Documentation
Number of
responses per
respondent
Approval is requested for a benefits
documentation package the CICP plans
to send to requesters who may be
eligible for compensation, which
includes certification forms and
instructions outlining the
documentation needed to determine the
types and amounts of benefits. This
documentation is required under 42
CFR § 110.61–110.63 of the CICP’s
implementing regulations to enable the
Program to determine the types and
amounts of benefits the requester may
be eligible to receive.
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:
Average
burden per
response
(in hours)
Total responses
100
1
100
100
30
30
1
1
1
100
30
30
2
*.75
.125
200
22.5
3.75
260
Total ................................................................
11
Total burden
hours
1,100
4
260
13.875
1,326.25
*45 min.
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.
mstockstill on DSK4VPTVN1PROD with NOTICES
ADDRESSES:
Dated: May 3, 2013.
Bahar Niakan,
Director, Division of Policy and Information
Coordination.
[FR Doc. 2013–11090 Filed 5–8–13; 8:45 am]
17:18 May 08, 2013
Office of Inspector General
[Docket Number: OIG–1300–N]
Updated Special Advisory Bulletin on
the Effect of Exclusion From
Participation in Federal Health Care
Programs
Office of Inspector General
(OIG), HHS.
AGENCY:
ACTION:
BILLING CODE 4165–15–P
VerDate Mar<15>2010
DEPARTMENT OF HEALTH AND
HUMAN SERVICES
Jkt 229001
PO 00000
Notice.
Frm 00065
Fmt 4703
Sfmt 4703
This notice announces the
release of an updated Special Advisory
Bulletin on the effect of exclusion from
participation in Federal health care
programs by OIG. The updated Special
Advisory Bulletin describes the scope
and effect of the legal prohibition on
payment by Federal health care
programs for items or services furnished
(1) by an excluded person or (2) at the
medical direction or on the prescription
of an excluded person. For purposes of
OIG exclusion, payment by a Federal
health care program includes amounts
based on a cost report, fee schedule,
SUMMARY:
E:\FR\FM\09MYN1.SGM
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]]>Agencies
[Federal Register Volume 78, Number 90 (Thursday, May 9, 2013)]
[Notices]
[Pages 27241-27242]
From the Federal Register Online via the Government Printing Office [www.gpo.gov]
[FR Doc No: 2013-11090]
-----------------------------------------------------------------------
DEPARTMENT OF HEALTH AND HUMAN SERVICES
Health Resources and Services Administration
Agency Information Collection Activities; Proposed Collection:
Comment Request
ACTION: Notice.
-----------------------------------------------------------------------
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 Information Collection 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: Countermeasures Injury
Compensation Program (OMB No. 0915-0334)--Revision
Abstract: This is a revision to the request for OMB approval of the
information collection requirements for the Countermeasures Injury
Compensation Program (CICP or Program). The CICP, within the Health
Resources and Services Administration (HRSA), administers the
compensation program specified by the Public Readiness and Emergency
Preparedness Act (PREP Act). The CICP provides compensation to eligible
individuals (requesters) who suffer serious injuries directly caused by
a covered countermeasure administered or used pursuant to a PREP Act
Declaration, or to their estates and/or survivors. A declaration is
issued by the Secretary of the Department of Health and Humans Services
(Secretary). The purpose of a declaration is to identify a disease,
health condition, or a threat to health that is currently, or may in
the future constitute, a public health emergency. In addition, the
Secretary, through a declaration, may recommend and encourage the
development, manufacturing, distribution, dispensing, and
administration or use of one or more covered countermeasures to treat,
prevent, or diagnose the disease, condition, or threat specified in the
declaration.
To determine whether a requester is eligible for Program benefits
(compensation) for the injury, the CICP
[[Page 27242]]
must review the Request for Benefits Package, which includes the
Request for Benefits Form and Authorization for Use or Disclosure of
Health Information Form(s), as well as the injured countermeasure
recipient's medical records and supporting documentation.
A requester who is an injured countermeasure recipient may be
eligible to receive benefits for unreimbursed medical expenses and/or
lost employment income. The estate of a deceased countermeasure
recipient may also be eligible to receive medical benefits and/or
benefits for lost employment income accrued prior to the injured
countermeasure recipient's death. If death was the result of the
administration or use of the countermeasure, certain survivor(s) of
deceased eligible countermeasure recipients may be eligible to receive
a death benefit, but not unreimbursed medical expenses or lost
employment income benefits (42 CFR Sec. 110.33). The death benefit is
calculated using either the ``standard calculation'' or the
``alternative calculation.'' The ``standard calculation'' is based on
the death benefit available under the Public Safety Officers' Benefits
(PSOB) Program (42 CFR Sec. 110.82(b)). The ``alternative
calculation'' is based on the deceased countermeasure recipient's
income and is only available to the recipient's dependent(s) who is
(are) younger than age 18.
Approval is requested for the required continued information
collection via the Request for Benefits Package, which has been updated
to include all categories of potentially eligible requesters, including
adult children, so that the CICP may continue to accept and process
requests for benefits. The Request for Benefits Form and Instructions
have been revised to remove the request for a social security number,
update the CICP Web site address, and add a new category of eligible
requesters, adult children. This new category was added because the
CICP is generally required to use the same categories of survivors in
order of priority for benefits as established and defined by the PSOB
Program (42 CFR Sec. 110.11(b)). This new category of survivors was
added under the PSOB Program.
Approval is requested for new mechanisms of medical documentation
and supporting documentation collection. During the eligibility review,
the CICP would like to provide requesters with the opportunity to
supplement their case files with additional medical records and
supporting documentation before a final Program decision is made. The
CICP would ask requesters to complete and sign a form indicating
whether they intend to submit additional documentation prior to the
final determination of their case.
Approval is requested for a benefits documentation package the CICP
plans to send to requesters who may be eligible for compensation, which
includes certification forms and instructions outlining the
documentation needed to determine the types and amounts of benefits.
This documentation is required under 42 CFR Sec. 110.61-110.63 of the
CICP's implementing regulations to enable the Program to determine the
types and amounts of benefits the requester may be eligible to receive.
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:
--------------------------------------------------------------------------------------------------------------------------------------------------------
Number of Average burden
Form name Number of responses per Total responses per response Total burden
respondents respondent (in hours) hours
--------------------------------------------------------------------------------------------------------------------------------------------------------
Request for Benefits Form and Supporting Documentation............ 100 1 100 11 1,100
Authorization for Use or Disclosure of Health Information Form.... 100 1 100 2 200
Additional Documentation and Certification........................ 30 1 30 *.75 22.5
Benefits Package and Supporting Documentation..................... 30 1 30 .125 3.75
-------------------------------------------------------------------------------------
Total......................................................... 260 4 260 13.875 1,326.25
--------------------------------------------------------------------------------------------------------------------------------------------------------
*45 min.
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: May 3, 2013.
Bahar Niakan,
Director, Division of Policy and Information Coordination.
[FR Doc. 2013-11090 Filed 5-8-13; 8:45 am]
BILLING CODE 4165-15-P
