Agency Information Collection Activities; Proposed Collection; Public Comment Request, 41407-41408 [2013-16602]
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41407
Federal Register / Vol. 78, No. 132 / Wednesday, July 10, 2013 / Notices
hours estimated for this ICR are
summarized in the table below.
TOTAL ESTIMATED ANNUALIZED BURDEN—HOURS
Number of
respondents
Type of application form
Number of
responses per
respondent
Total
responses
Average
burden per
response
(in hours)
Total burden
hours
Form 1A: General Information Worksheet ...........................
Form 1B: BPHC Funding Request Summary ......................
Form 1C: Documents on File ..............................................
Form 2: Staffing Profile ........................................................
Form 3: Income Analysis .....................................................
Form 4: Community Characteristics ....................................
Form 5A: Services Provided ................................................
Form 5B: Service Sites ........................................................
Form 5C: Other Activities/Locations ....................................
Form 6A: Current Board Member Characteristics ...............
Form 6B: Request for Waiver of Governance Requirements ................................................................................
Form 8: Health Center Agreements ....................................
Form 9: Need for Assistance Worksheet ............................
Form 10: Annual Emergency Preparedness Report ...........
Form 12: Organization Contacts ..........................................
Clinical Performance Measures ...........................................
Financial Performance Measures ........................................
Checklist for Adding a New Service Delivery Site ..............
Checklist for Deleting Existing Service Delivery Site ..........
Checklist for Adding New Service .......................................
Checklist for Deleting Existing Service ................................
Checklist for Replacing Existing Service Delivery Site .......
Proposal Cover Page ...........................................................
Project Cover Page ..............................................................
Equipment List .....................................................................
Other Requirements for Sites ..............................................
Checklist for Adding a New Target Population ...................
Increased Demand for Services ..........................................
Funding Sources ..................................................................
Project Qualification Criteria ................................................
Implementation Plan ............................................................
Project Work Plan ................................................................
Verification Checklist ............................................................
EHR Readiness Checklist ....................................................
Look Alike Budget ................................................................
O&E Supplemental ..............................................................
O&E Progress Report ..........................................................
1,700
400
650
1,600
1,600
650
1,600
1,600
1,600
1,600
1
1
1
1
1
1
1
1
1
1
1,700
400
650
1,600
1,600
650
1,600
1,600
1,600
1,600
2.0
1.0
1.0
2.0
3.0
1.0
1.0
1.0
0.5
1.0
3,400
400
650
3,200
4,800
650
1,600
1,600
800
1,600
150
250
650
1,600
1,600
1,600
1,600
700
700
700
700
700
400
400
400
400
50
1,200
400
400
400
100
200
50
100
1,200
1,200
1
1
1
1
1
1
1
1
1
1
1
1
1
1
1
1
1
1
1
1
1
1
1
1
1
1
1
150
250
650
1,600
1,600
1,600
1,600
700
700
700
700
700
400
400
400
400
50
1,200
400
400
400
100
200
50
100
1,200
1,200
1.0
1.0
5.0
1.0
0.5
2
1
2.0
2.0
2.0
2.0
2.0
1.0
1.0
1.0
0.5
1.0
1
0.5
1.0
3.0
4.0
0.5
0.5
1.0
1.0
1.0
150
250
3,250
1,600
800
3,200
1,600
1,400
1,400
1,400
1,400
1,400
400
400
400
200
50
1,200
200
400
1,200
400
100
25
100
1,200
1,200
Total ..............................................................................
30,850
........................
30,850
........................
44,025
Dated: July 3, 2013.
Bahar Niakan,
Director, Division of Policy and Information
Coordination.
[FR Doc. 2013–16604 Filed 7–9–13; 8:45 am]
BILLING CODE 4165–15–P
DEPARTMENT OF HEALTH AND
HUMAN SERVICES
TKELLEY on DSK3SPTVN1PROD with NOTICES
Health Resources and Services
Administration
Agency Information Collection
Activities; Proposed Collection; Public
Comment Request
Health Resources and Services
Administration, HHS.
ACTION: Notice.
AGENCY:
VerDate Mar<15>2010
17:42 Jul 09, 2013
Jkt 229001
In compliance with the
requirement for opportunity for public
comment on proposed data collection
projects (Section 3506(c)(2)(A) of the
Paperwork Reduction Act of 1995), the
Health Resources and Services
Administration (HRSA) announces
plans to submit an Information
Collection Request (ICR), described
below, to the Office of Management and
Budget (OMB). Prior to submitting the
ICR to OMB, HRSA seeks comments
from the public regarding the burden
estimate, below, or any other aspect of
the ICR.
SUMMARY:
Comments on this Information
Collection Request must be received
within 60 days of this notice.
DATES:
Information Collection Clearance
Officer, Room 10–29, Parklawn
Building, 5600 Fishers Lane, Rockville,
MD 20857.
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.
FOR FURTHER INFORMATION CONTACT:
When
submitting comments or requesting
information, please include the
information request collection title for
reference.
SUPPLEMENTARY INFORMATION:
Submit your comments to
paperwork@hrsa.gov or mail the HRSA
ADDRESSES:
PO 00000
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41408
Federal Register / Vol. 78, No. 132 / Wednesday, July 10, 2013 / Notices
Information Collection Request Title:
The Division of Independent Review
Grant Reviewer Recruitment Form
OMB No. 0915–0295 Revision
Abstract: HRSA’s Division of
Independent Review (DIR) is
responsible for administering the review
of eligible grant applications submitted
to HRSA. DIR ensures that the objective
review process is independent, efficient,
effective, economical, and complies
with the applicable statutes, regulations,
and policies. Applications are reviewed
by subject experts knowledgeable in
health and public health disciplines for
which support is requested. Review
findings are advisory to HRSA programs
responsible for making award decisions.
This announcement is a request for
comments on the proposed information
collection system, the Reviewer
Recruitment Module (RRM). HRSA
utilizes an existing web-based data
collection form and database to gather
critical reviewer information. The
existing on-line Grant Reviewer
Recruitment Form uses standardized
categories of information in drop down
menu format for data such as: Degree,
specialty, occupation, work setting, and
in select instances affiliations with
organizations and institutions that serve
special populations. Some program
regulations require that application
objective review panels contain
consumers of health services. Other
demographic data may be voluntarily
provided by a potential reviewer.
Defined data elements help HRSA find
and select expert grant reviewers for
objective review committees. The webbased system also permits reviewers to
access and update their information at
will and as needed. HRSA maintains a
roster of approximately 9,000 qualified
individuals who have actively served on
HRSA objective review committees. The
updated RRM simplifies reviewer
application entry using: A user-friendly
Graphical User Interface (GUI) with
fewer data drop down menu choices,
and a search engine that supports key
word queries in the actual resume text.
The RRM will be 508 compliant and
accessible by the general public via a
link on the HRSA internet site, or by
keying the RRM URL into their browser.
The RRM will be accessible using any
of the commonly used internet
browsers.
Need and Proposed Use of the
Information: HRSA currently utilizes a
web-based data collection Grant
Reviewer Recruitment Form to collect
information from individuals who wish
to volunteer as objective review
committee participants for the agency’s
discretionary and competitive grant or
cooperative agreement funding
opportunities. The RRM will replace the
original with a revised web-based
application that is easier and much less
burdensome to use for potential
reviewers. RRM will also provide HRSA
with more robust, efficient, and effective
search and communication functionality
with which to identify and contact
qualified potential grant reviewers. The
RRM will have an enhanced search and
reporting capability to help DIR ensure
that HRSA’s reviewer pool has the
necessary skills and diversity to meet
our ever-evolving need for qualified
reviewers. If DIR identifies either an
expertise or demographic that is
underrepresented in the RRM pool, DIR
can recruit specifically to address those
needs. Expertise is always the primary
determinant in selecting potential
reviewers for any specific grant review;
no reviewer is required to provide
demographic information to join the
reviewer pool or be selected as a
reviewer for any competition.
Likely Respondents: All HRSA
reviewers must possess the technical
Number of
respondents
Form name
Responses
per
respondent
skill and ability to access the internet on
a secure desktop laptop, or touch pad,
and either a land line or VOIP capability
in order to participate in HRSA
objective review committees. The
reviewer expertise and experience
needed varies with each competitive
grant program but is consistent with the
HRSA mission to address the
availability and delivery of quality
health care to all Americans. Generally,
our reviewers are current or retired
professionals with backgrounds in
health care; health service delivery;
education and career development in
relevant professions; and health center
facilities’ financing, planning,
construction, and management. Certain
HRSA programs require by legislation
the inclusion of consumers of specific
health care services in the objective
review committee. In these instances
consumers of those specified services
are qualified per se to be considered for
certain objective reviews.
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.
Total Estimated Annualized burden
hours:
Total
responses
Average
burden per
response
(in hours)
Total burden
hours
5,000
250
1
1
5,000
250
.333
.166
1,665
42
Total ..............................................................................
TKELLEY on DSK3SPTVN1PROD with NOTICES
New reviewer .......................................................................
Updating reviewer information .............................................
5,250
........................
........................
........................
1,707
HRSA specifically 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
VerDate Mar<15>2010
17:42 Jul 09, 2013
Jkt 229001
or other forms of information
technology to minimize the information
collection burden.
PO 00000
Dated: July 3, 2013.
Bahar Niakan,
Director, Division of Policy and Information
Coordination.
[FR Doc. 2013–16602 Filed 7–9–13; 8:45 am]
BILLING CODE 4165–15–P
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Fmt 4703
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]]>Agencies
[Federal Register Volume 78, Number 132 (Wednesday, July 10, 2013)]
[Notices]
[Pages 41407-41408]
From the Federal Register Online via the Government Printing Office [www.gpo.gov]
[FR Doc No: 2013-16602]
-----------------------------------------------------------------------
DEPARTMENT OF HEALTH AND HUMAN SERVICES
Health Resources and Services Administration
Agency Information Collection Activities; Proposed Collection;
Public Comment Request
AGENCY: Health Resources and Services Administration, HHS.
ACTION: Notice.
-----------------------------------------------------------------------
SUMMARY: In compliance with the requirement for opportunity for public
comment on proposed data collection projects (Section 3506(c)(2)(A) of
the Paperwork Reduction Act of 1995), the Health Resources and Services
Administration (HRSA) announces plans to submit an Information
Collection Request (ICR), described below, to the Office of Management
and Budget (OMB). Prior to submitting the ICR to OMB, HRSA seeks
comments from the public regarding the burden estimate, below, or any
other aspect of the ICR.
DATES: Comments on this Information Collection Request must be received
within 60 days of this notice.
ADDRESSES: Submit your comments to paperwork@hrsa.gov or mail the HRSA
Information Collection Clearance Officer, Room 10-29, Parklawn
Building, 5600 Fishers Lane, Rockville, MD 20857.
FOR FURTHER INFORMATION CONTACT: 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.
SUPPLEMENTARY INFORMATION: When submitting comments or requesting
information, please include the information request collection title
for reference.
[[Page 41408]]
Information Collection Request Title: The Division of Independent
Review Grant Reviewer Recruitment Form
OMB No. 0915-0295 Revision
Abstract: HRSA's Division of Independent Review (DIR) is
responsible for administering the review of eligible grant applications
submitted to HRSA. DIR ensures that the objective review process is
independent, efficient, effective, economical, and complies with the
applicable statutes, regulations, and policies. Applications are
reviewed by subject experts knowledgeable in health and public health
disciplines for which support is requested. Review findings are
advisory to HRSA programs responsible for making award decisions.
This announcement is a request for comments on the proposed
information collection system, the Reviewer Recruitment Module (RRM).
HRSA utilizes an existing web-based data collection form and database
to gather critical reviewer information. The existing on-line Grant
Reviewer Recruitment Form uses standardized categories of information
in drop down menu format for data such as: Degree, specialty,
occupation, work setting, and in select instances affiliations with
organizations and institutions that serve special populations. Some
program regulations require that application objective review panels
contain consumers of health services. Other demographic data may be
voluntarily provided by a potential reviewer. Defined data elements
help HRSA find and select expert grant reviewers for objective review
committees. The web-based system also permits reviewers to access and
update their information at will and as needed. HRSA maintains a roster
of approximately 9,000 qualified individuals who have actively served
on HRSA objective review committees. The updated RRM simplifies
reviewer application entry using: A user-friendly Graphical User
Interface (GUI) with fewer data drop down menu choices, and a search
engine that supports key word queries in the actual resume text. The
RRM will be 508 compliant and accessible by the general public via a
link on the HRSA internet site, or by keying the RRM URL into their
browser. The RRM will be accessible using any of the commonly used
internet browsers.
Need and Proposed Use of the Information: HRSA currently utilizes a
web-based data collection Grant Reviewer Recruitment Form to collect
information from individuals who wish to volunteer as objective review
committee participants for the agency's discretionary and competitive
grant or cooperative agreement funding opportunities. The RRM will
replace the original with a revised web-based application that is
easier and much less burdensome to use for potential reviewers. RRM
will also provide HRSA with more robust, efficient, and effective
search and communication functionality with which to identify and
contact qualified potential grant reviewers. The RRM will have an
enhanced search and reporting capability to help DIR ensure that HRSA's
reviewer pool has the necessary skills and diversity to meet our ever-
evolving need for qualified reviewers. If DIR identifies either an
expertise or demographic that is underrepresented in the RRM pool, DIR
can recruit specifically to address those needs. Expertise is always
the primary determinant in selecting potential reviewers for any
specific grant review; no reviewer is required to provide demographic
information to join the reviewer pool or be selected as a reviewer for
any competition.
Likely Respondents: All HRSA reviewers must possess the technical
skill and ability to access the internet on a secure desktop laptop, or
touch pad, and either a land line or VOIP capability in order to
participate in HRSA objective review committees. The reviewer expertise
and experience needed varies with each competitive grant program but is
consistent with the HRSA mission to address the availability and
delivery of quality health care to all Americans. Generally, our
reviewers are current or retired professionals with backgrounds in
health care; health service delivery; education and career development
in relevant professions; and health center facilities' financing,
planning, construction, and management. Certain HRSA programs require
by legislation the inclusion of consumers of specific health care
services in the objective review committee. In these instances
consumers of those specified services are qualified per se to be
considered for certain objective reviews.
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.
Total Estimated Annualized burden hours:
----------------------------------------------------------------------------------------------------------------
Average
Number of Responses per Total burden per Total burden
Form name respondents respondent responses response (in hours
hours)
----------------------------------------------------------------------------------------------------------------
New reviewer.................... 5,000 1 5,000 .333 1,665
Updating reviewer information... 250 1 250 .166 42
-------------------------------------------------------------------------------
Total....................... 5,250 .............. .............. .............. 1,707
----------------------------------------------------------------------------------------------------------------
HRSA specifically 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.
Dated: July 3, 2013.
Bahar Niakan,
Director, Division of Policy and Information Coordination.
[FR Doc. 2013-16602 Filed 7-9-13; 8:45 am]
BILLING CODE 4165-15-P
