Agency Information Collection Activities: Submission to OMB for Review and Approval; Public Comment Request, 25598-25599 [2014-10191]
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25598
Federal Register / Vol. 79, No. 86 / Monday, May 5, 2014 / Notices
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IV. Paperwork Reduction Act of 1995
This draft guidance refers to
previously approved collections of
information found in FDA regulations.
These collections of information are
subject to review by the Office of
Management and Budget (OMB) under
the Paperwork Reduction Act of 1995
(44 U.S.C. 3501–3520). The collections
of information in 21 CFR 1040.10 and
1040.11 have been approved under
OMB control number 0910–0025.
V. Comments
Interested persons may submit to the
Division of Dockets Management (see
ADDRESSES), either electronic or written
comments regarding this document. It is
only necessary to send one set of
comments. Identify comments with the
docket number found in brackets in the
heading of this document. Received
comments may be seen in the Division
of Dockets Management between 9 a.m.
and 4 p.m., Monday through Friday.
Dated: April 30, 2014.
Leslie Kux,
Assistant Commissioner for Policy.
[FR Doc. 2014–10189 Filed 5–2–14; 8:45 am]
BILLING CODE 4160–01–P
DEPARTMENT OF HEALTH AND
HUMAN SERVICES
Health Resources and Services
Administration
Agency Information Collection
Activities: Submission to OMB for
Review and Approval; Public Comment
Request
Health Resources and Services
Administration, HHS.
ACTION: Notice.
AGENCY:
In compliance with Section
3507(a)(1)(D) of the Paperwork
Reduction Act of 1995, the Health
Resources and Services Administration
(HRSA) has submitted an Information
Collection Request (ICR) to the Office of
Management and Budget (OMB) for
review and approval. Comments
submitted during the first public review
emcdonald on DSK67QTVN1PROD with NOTICES
SUMMARY:
VerDate Mar<15>2010
17:56 May 02, 2014
Jkt 232001
of this ICR will be provided to OMB.
OMB will accept further comments from
the public during the review and
approval period.
DATES: Comments on this ICR should be
received no later than June 4, 2014.
ADDRESSES: Submit your comments,
including the Information Collection
Request Title, to the desk officer for
HRSA, either by email to OIRA_
submission@omb.eop.gov or by fax to
202–395–5806.
FOR FURTHER INFORMATION CONTACT: To
request a copy of the clearance requests
submitted to OMB for review, email the
HRSA Information Collection Clearance
Officer at paperwork@hrsa.gov or call
(301) 443–1984.
SUPPLEMENTARY INFORMATION:
Information Collection Request Title:
Patient Survey-Health Centers OMB No.
0915–0368—New.
Abstract: HRSA’s Health Center
Program awards grants to provide
primary and preventive health care
services to medically underserved and
vulnerable populations. The proposed
Health Center Patient Survey (HCPS)
will collect national, in-depth
information about health center
patients, their health status, the reasons
they seek care at the health centers,
their diagnoses, the services they utilize
at health centers and elsewhere, the
quality of those services, and their
satisfaction with the care they receive
through personal interviews of a
stratified random sample of health
center patients. Interviews conducted in
the national study are estimated to take
approximately 1 hour and 15 minutes
each.
The HCPS builds on previous
periodic Patient User-Visit Surveys
which were conducted to learn about
the process and outcomes of care in
health centers reaching goals under the
Health Center Program. 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 Patient UserVisit Surveys. The new HCPS was
developed using a questionnaire
methodology similar to that used in the
past, and will also potentially allow
some time-trend comparisons for health
centers with the previous Patient UserVisit Survey data, including monitoring
of processes and outcomes over time. In
addition, this survey will be conducted
in languages not used during previous
PO 00000
Frm 00038
Fmt 4703
Sfmt 4703
surveys (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.
Need and Proposed Use of the
Information: The HCPS is unique in its
effort to capture national, person-level
data from patients of all types of Health
Center Program grantees. The data
collected from the HCPS will be used to:
• Gather nationally representative
data about the patients of the programs
and the services they obtain;
• enable comparisons of care received
by health center patients with care
received by the general population, as
measured by NHIS and other national
surveys;
• assess how well HRSA-supported
health centers are currently able to meet
health care needs;
• identify areas for improvement and
guide planning decisions; and
• complement data that are not
routinely collected from other Bureau of
Primary Health Care data sources.
The specific priorities for analysis
will be comparisons of health center
patients with patients served in other
primary care settings with respect to:
• Access to care;
• health disparities;
• health conditions;
• quality of care;
• care coordination; and
• patient experience.
Comparisons will be made with
results from national surveys and with
results from the 2009 Patient Survey.
Likely Respondents: Health center
patients.
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 ICR are
summarized in the table below.
E:\FR\FM\05MYN1.SGM
05MYN1
25599
Federal Register / Vol. 79, No. 86 / Monday, May 5, 2014 / Notices
TOTAL ESTIMATED ANNUALIZED BURDEN—HOURS
Number of
respondents
Form name
Number of
responses per
respondent
Total
responses
Average
burden per
response
(in hours)
Total burden
hours
Patient Screening .................................................................
Patient Survey ......................................................................
6,996
6,600
1
1
6,996
6,600
.17
1.25
1,189
8,250
Total National Study .....................................................
6,996
1
13,596
1.42
9,439
Dated: April 25, 2014.
Jackie Painter,
Deputy Director, Division of Policy and
Information Coordination.
[FR Doc. 2014–10191 Filed 5–2–14; 8:45 am]
BILLING CODE 4165–15–P
DEPARTMENT OF HEALTH AND
HUMAN SERVICES
Health Resources and Services
Administration
Methodology for Designation of
Frontier and Remote Areas
Health Resources and Services
Administration, HHS.
ACTION: Final response.
AGENCY:
The Office of Rural Health
Policy (ORHP) in the Health Resources
and Services Administration (HRSA)
published a 60-day public notice in the
Federal Register on November 5, 2012
(Federal Register volume 77, number
214, 66471–66476) describing a
methodology for designating U.S.
frontier areas. The Frontier and Remote
Area (FAR) Codes methodology was
developed in a collaborative project
between ORHP and the Economic
Research Service (ERS) in the U.S.
Department of Agriculture (USDA). This
notice responds to the comments
received during this 60-day public
notice.
ADDRESSES: Further information on the
Frontier and Remote Area (FAR) Codes
is available at https://www.ers.usda.gov/
data-products/frontier-and-remote-areacodes.aspx.
FOR FURTHER INFORMATION CONTACT:
Questions can be directed to Steven
Hirsch via phone at (301) 443–7322;
email to shirsch@hrsa.gov; or mailed to
Office of Rural Health Policy, Health
Resources and Services Administration,
5600 Fishers Lane, Parklawn Building,
17–W–55 Rockville, Maryland 20857; or
fax to (301) 443–2803.
emcdonald on DSK67QTVN1PROD with NOTICES
SUMMARY:
Background
This project was intended to create a
definition of frontier based on easily
explained concepts of remoteness and
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17:56 May 02, 2014
Jkt 232001
population sparseness. The goal was to
create a statistical delineation that will
be useful in a wide variety of research
and policy contexts and adjustable to
the circumstances in which it is
applied. FAR areas are defined in
relation to the time it takes to travel by
car to the edges of nearby Urban Areas.
Four levels are necessary because rural
areas experience degrees of remoteness
at higher or lower population levels that
affect access to different types of goods
and services.
The four FAR Levels are defined as
follows (travel times are calculated oneway by the fastest paved road route):
(1) Frontier Level 1 areas are 60
minutes or greater from Census Bureau
defined Urban Areas of 50,000 or more
population;
(2) Frontier Level 2 areas are 60
minutes or greater from Urban Areas of
50,000 or more people and 45 minutes
or greater from Urban Areas of 25,000–
49,999;
(3) Frontier Level 3 areas are 60
minutes or greater from Urban Areas of
50,000 or more people; 45 minutes or
greater from Urban Areas of 25,000–
49,999; and 30 minutes or greater from
Urban Areas of 10,000–24,999; and
(4) Frontier Level 4 areas are 60
minutes or greater from Urban Areas of
50,000 or more people; 45 minutes or
greater from Urban Areas of 25,000–
49,999; 30 minutes or greater from
Urban Areas of 10,000–24,999; and 15
minutes or greater from Urban Areas of
2,500–9,999.
Comments on the FAR Codes and
HRSA Response
The ORHP received twenty-six
responses to the request for comments.
Many of the comments received dealt
with similar concerns over either the
details of the proposed methodology or
the potential use of the FAR codes in
directing resources.
Several commenters noted that the
data used to assign FAR codes were
from the 2000 Census rather than the
more recent 2010 Census. When ORHP
and USDA began the process of
developing the methodology in 2008,
only Census 2000 data were available.
As stated in the initial Federal Register
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Frm 00039
Fmt 4703
Sfmt 4703
notice, the FAR codes will be updated
for all 50 states using Census 2010 data.
There were also commenters who
believed that decennial updates to FAR
codes would be too infrequent to be
current. ORHP will examine the
possibility of using American
Community Survey data to update FAR
codes in the future.
In particular, HRSA sought public
comments on:
1. The use of a population threshold
of 50,000 as the central place from
which to measure in defining FAR
areas;
2. The use of 60 minutes travel time
from the central place;
3. Whether the 50 percent population
threshold for assigning frontier status to
a ZIP code/census tract is the
appropriate level for the four standard
provided levels;
4. Other ways of representing urban
and rural areas;
5. Alternatives to using grid cells for
measuring remoteness;
6. Applicability of the FAR
methodology to island populations; and
7. Need for a Census tract and county
version of the FAR.
Comment: On the use of a population
threshold of 50,000 as the central place
from which to measure, there was no
consensus of views expressed and many
commenters did not address the issue.
Comments received correctly pointed
out that there are some states (such as
Alaska, Wyoming, or New Mexico)
which have few urban areas with
populations of over 50,000.
One commenter noted that,
‘‘Population size is not necessarily a
reliable measure of the goods and
services that will be available or other
important factors.’’ Another commenter
also believed that there are great
differences between urban areas of only
50,000 people and urban areas with
hundreds of thousands or millions of
inhabitants. There were also comments
received that concurred with the use of
the population threshold of 50,000 as
appropriate for the purpose.
Response: No comment received
suggested a threshold other than 50,000.
The population threshold of 50,000 also
forms the core for both the Urbanized
E:\FR\FM\05MYN1.SGM
05MYN1
Agencies
[Federal Register Volume 79, Number 86 (Monday, May 5, 2014)]
[Notices]
[Pages 25598-25599]
From the Federal Register Online via the Government Printing Office [www.gpo.gov]
[FR Doc No: 2014-10191]
-----------------------------------------------------------------------
DEPARTMENT OF HEALTH AND HUMAN SERVICES
Health Resources and Services Administration
Agency Information Collection Activities: Submission to OMB for
Review and Approval; Public Comment Request
AGENCY: Health Resources and Services Administration, HHS.
ACTION: Notice.
-----------------------------------------------------------------------
SUMMARY: In compliance with Section 3507(a)(1)(D) of the Paperwork
Reduction Act of 1995, the Health Resources and Services Administration
(HRSA) has submitted an Information Collection Request (ICR) to the
Office of Management and Budget (OMB) for review and approval. Comments
submitted during the first public review of this ICR will be provided
to OMB. OMB will accept further comments from the public during the
review and approval period.
DATES: Comments on this ICR should be received no later than June 4,
2014.
ADDRESSES: Submit your comments, including the Information Collection
Request Title, to the desk officer for HRSA, either by email to OIRA_submission@omb.eop.gov or by fax to 202-395-5806.
FOR FURTHER INFORMATION CONTACT: To request a copy of the clearance
requests submitted to OMB for review, email the HRSA Information
Collection Clearance Officer at paperwork@hrsa.gov or call (301) 443-
1984.
SUPPLEMENTARY INFORMATION:
Information Collection Request Title: Patient Survey-Health Centers
OMB No. 0915-0368--New.
Abstract: HRSA's Health Center Program awards grants to provide
primary and preventive health care services to medically underserved
and vulnerable populations. The proposed Health Center Patient Survey
(HCPS) will collect national, in-depth information about health center
patients, their health status, the reasons they seek care at the health
centers, their diagnoses, the services they utilize at health centers
and elsewhere, the quality of those services, and their satisfaction
with the care they receive through personal interviews of a stratified
random sample of health center patients. Interviews conducted in the
national study are estimated to take approximately 1 hour and 15
minutes each.
The HCPS builds on previous periodic Patient User-Visit Surveys
which were conducted to learn about the process and outcomes of care in
health centers reaching goals under the Health Center Program. 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 Patient User-Visit Surveys. The new HCPS
was developed using a questionnaire methodology similar to that used in
the past, and will also potentially allow some time-trend comparisons
for health centers with the previous Patient 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 (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.
Need and Proposed Use of the Information: The HCPS is unique in its
effort to capture national, person-level data from patients of all
types of Health Center Program grantees. The data collected from the
HCPS will be used to:
Gather nationally representative data about the patients
of the programs and the services they obtain;
enable comparisons of care received by health center
patients with care received by the general population, as measured by
NHIS and other national surveys;
assess how well HRSA-supported health centers are
currently able to meet health care needs;
identify areas for improvement and guide planning
decisions; and
complement data that are not routinely collected from
other Bureau of Primary Health Care data sources.
The specific priorities for analysis will be comparisons of health
center patients with patients served in other primary care settings
with respect to:
Access to care;
health disparities;
health conditions;
quality of care;
care coordination; and
patient experience.
Comparisons will be made with results from national surveys and
with results from the 2009 Patient Survey.
Likely Respondents: Health center patients.
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 ICR are summarized in the table below.
[[Page 25599]]
Total Estimated Annualized Burden--Hours
----------------------------------------------------------------------------------------------------------------
Number of Average burden
Form name Number of responses per Total per response Total burden
respondents respondent responses (in hours) hours
----------------------------------------------------------------------------------------------------------------
Patient Screening............... 6,996 1 6,996 .17 1,189
Patient Survey.................. 6,600 1 6,600 1.25 8,250
-------------------------------------------------------------------------------
Total National Study........ 6,996 1 13,596 1.42 9,439
----------------------------------------------------------------------------------------------------------------
Dated: April 25, 2014.
Jackie Painter,
Deputy Director, Division of Policy and Information Coordination.
[FR Doc. 2014-10191 Filed 5-2-14; 8:45 am]
BILLING CODE 4165-15-P