Proposed Data Collections Submitted for Public Comment and Recommendations, 44174-44176 [2014-17898]
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44174
Federal Register / Vol. 79, No. 146 / Wednesday, July 30, 2014 / Notices
EXHIBIT 1—ESTIMATED ANNUALIZED BURDEN HOURS FOR CCQM–PC SURVEY PILOT TEST BY ENTITY
CCQM–PC survey ...........................................................................................
MHI–LV: 1 Physician/administrator ...................................................................
MHI–LV: Non-physician clinician .....................................................................
4,500
30
30
1
1
1
0.42
2.33
2.08
1,890
70
62
Total ..........................................................................................................
........................
........................
........................
2,022
1 The
instructions for completing the MHI–LV recommend that a physician/administrator and a non-physician clinician each fill out the index
separately. So, even though it is one form as reproduced in Appendix B, we have two rows in the table to describe the burden of the two individuals. There are a series of questions on the first two pages of the index which simply require administrative information and would only need to
be completed once. We assume that the administrator would complete these and so the time required for the administrator to complete the MHI–
LV is longer than that required for the clinician.
Exhibit 2 shows the estimated
annualized cost burden associated with
the pilot survey administration. The
total cost burden is estimated to be
$51,228 for the one-time survey pilot.
EXHIBIT 2—ESTIMATED ANNUALIZED COST BURDEN FOR CCQM–PC SURVEY PILOT TEST BY ENTITY
Survey Respondents ...................................................................................................................
Physician/Administrator ...............................................................................................................
Non-physician Clinician ...............................................................................................................
1,890
70
62
1 $22.33
3 45.71
$42,204
6,190
2,834
Total Overall .........................................................................................................................
2,022
n/a
51,228
1 Average
2 Average
3 Average
wage for civilian workers, https://www.bls.gov/news.release/ocwage.htm.
wage for family and general practitioners, https://www.bls.gov/news.release/ocwage.htm.
wage for nurse practitioners, https://www.bls.gov/news.release/ocwage.htm.
Request for Comments
In accordance with the Paperwork
Reduction Act, comments on AHRQ’s
information collection are requested
with regard to any of the following: (a)
Whether the proposed collection of
information is necessary for the proper
performance of AHRQ health care
research and health care information
dissemination functions, including
whether the information will have
practical utility; (b) the accuracy of
AHRQ’s estimate of burden (including
hours and costs) of the proposed
collection(s) of information; (c) ways to
enhance the quality, utility, and clarity
of the information to be collected; and
(d) ways to minimize the burden of the
collection of information upon the
respondents, including the use of
automated collection techniques or
other forms of information technology.
Comments submitted in response to
this notice will be summarized and
included in the Agency’s subsequent
request for OMB approval of the
proposed information collection. All
comments will become a matter of
public record.
mstockstill on DSK4VPTVN1PROD with NOTICES
2 88.43
Dated: July 24, 2014.
Richard Kronick,
AHRQ Director.
[FR Doc. 2014–17936 Filed 7–29–14; 8:45 am]
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DEPARTMENT OF HEALTH AND
HUMAN SERVICES
Centers for Disease Control and
Prevention
[60Day–14–0963]
Proposed Data Collections Submitted
for Public Comment and
Recommendations
The Centers for Disease Control and
Prevention (CDC), as part of its
continuing effort to reduce public
burden, invites the general public and
other Federal agencies to take this
opportunity to comment on proposed
and/or continuing information
collections, as required by the
Paperwork Reduction Act of 1995. To
request more information on the below
proposed project or to obtain a copy of
the information collection plan and
instruments, call 404–639–7570 or send
comments to Leroy Richardson, 1600
Clifton Road, MS–D74, Atlanta, GA
30333 or send an email to omb@cdc.gov.
Comments submitted in response to
this notice will be summarized and/or
included in the request for Office of
Management and Budget (OMB)
approval. Comments are invited on: (a)
Whether the proposed collection of
information is necessary for the proper
performance of the functions of the
agency, including whether the
information shall have practical utility;
(b) the accuracy of the agency’s estimate
of the burden of the proposed collection
of information; (c) ways to enhance the
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Sfmt 4703
quality, utility, and clarity of the
information to be collected; (d) ways to
minimize the burden of the collection of
information on respondents, including
through the use of automated collection
techniques or other forms of information
technology; and (e) estimates of capital
or start-up costs and costs of operation,
maintenance, and purchase of services
to provide information. Burden means
the total time, effort, or financial
resources expended by persons to
generate, maintain, retain, disclose or
provide information to or for a Federal
agency. 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. Written comments should
be received within 60 days of this
notice.
Proposed Project
Colorectal Cancer Control Program
Indirect/Non-Medical Cost Study (OMB
No. 0920–0963, exp. 4/30/2014)—
Reinstatement with Change—National
Center for Chronic Disease Prevention
and Health Promotion (NCCDPHP),
Centers for Disease Control and
Prevention (CDC).
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Federal Register / Vol. 79, No. 146 / Wednesday, July 30, 2014 / Notices
Background and Brief Description
In 2013 the Centers for Disease
Control and Prevention (CDC) received
Office of Management and Budget
(OMB) approval to conduct a study to
measure the time and costs incurred by
patients screened for colorectal cancer
(CRC) with colonoscopy or fecal
immunochemical test (FIT) (OMB No.
0920–0963, exp. 4/30/2014).
Information has been collected from
patients screened through the Colorectal
Cancer Control Program (CRCCP),
however, the target number of
respondents was not achieved during
the initial approval period. CDC
requests OMB approval to reinstate the
information collection for one year in
order to meet recruitment goals and
complete the data analysis as outlined
in the original approval.
Changes described in this
Reinstatement request include a
reduction in the number of respondents
and a corresponding reduction in the
total estimated burden hours. There are
minor modifications to the data
collection instruments to clarify intent
but these modifications do not change
the estimated burden per response.
Colorectal Cancer (CRC) is the second
leading cause of cancer-related deaths in
the United States, following lung
cancer. Based on scientific evidence
which indicates that regular screening is
effective in reducing CRC incidence and
mortality, regular CRC screening is now
recommended for average-risk persons.
Screening tests that may be used alone
or in combination include fecal occult
blood testing (FOBT), fecal
immunochemical testing (FIT), flexible
sigmoidoscopy, and/or colonoscopy.
While screening rates have increased
over the past decade, screening
prevalence is still lower than desirable,
particularly among individuals with low
socioeconomic status. The indirect and
non-medical costs associated with CRC
screening, such as travel costs, may act
as barriers to screening. Understanding
CDC plans to conduct the information
collection in partnership with providers
in four states (Alabama, Arizona,
Georgia, and Pennsylvania). Each
participating provider will make patient
navigators available to assist patients
with coordinating the screening process
and completing the questionnaires.
Providers will be reimbursed for patient
navigator time and administrative
expense associated with data collection.
The target number of responses for the
overall study will result in 300
completed Colonoscopy Questionnaires
and 290 completed FIT Questionnaires.
During the initial approval period CDC
collected approximately 50% of the
target number of completed
questionnaires. To complete the study
CDC plans to collect an additional 150
Colonoscopy Questionnaires and an
additional 177 FIT Questionnaires.
This information collection will be
used to produce estimates of the
personal costs incurred by patients who
undergo CRC screening by FIT or
colonoscopy, and to improve
understanding of these costs as potential
barriers to participation. Study findings
will be disseminated through reports,
presentations, and publications. Results
will also be used by participating sites,
CDC, and other federal agencies to
improve delivery of CRC screening
services and to increase screening rates
among low-income adults over 50 years
of age who have no health insurance or
inadequate health insurance for CRC
screening.
OMB approval is requested for one
year. Each respondent will have the
option of completing a hardcopy
questionnaire or an on-line
questionnaire. No identifiable
information will be collected by CDC or
CDC’s data collection contractor.
Participation is voluntary and there are
no costs to respondents other than their
time.
these costs may provide insights that
can be used to reduce such barriers and
increase participation.
In 2005, CDC established a four-year
demonstration program at five sites to
screen low-income individuals aged 50–
64 years who had no health insurance
or inadequate health insurance for CRC.
In 2009, by applying lessons learned
from the demonstration program, CDC
designed and initiated the larger
population-based Colorectal Cancer
Control Program (CRCCP) at 29 sites.
The goals of the expanded program are
to reduce health disparities in CRC
screening, incidence and mortality by
promoting CRC screening for the eligible
population and providing CRC
screening to low-income adults over 50
years of age who have no health
insurance or inadequate health
insurance for CRC screening.
To date there has been no
comprehensive assessment of all the
costs associated with CRC screening,
especially indirect and non-medical
costs, incurred by the low-income
population served by the CRCCP. CDC
proposes to address this gap by
collecting information from a subset of
patients enrolled in the program. Those
who undergo screening by FIT or
colonoscopy will be asked to complete
a specialized questionnaire about the
time and personal expense associated
with their screening. Patients who
undergo fecal immunochemical testing
will be asked to complete the FIT
questionnaire, which is estimated to
take about 10 minutes. Patients who
undergo colonoscopy will be asked to
complete the Colonoscopy
questionnaire, which includes
additional questions about the
preparation and recovery associated
with this procedure. The estimated
burden per response for the
Colonoscopy questionnaire is 25
minutes. Demographic information will
be collected from all patients who
participate in the study.
ESTIMATED ANNUALIZED BURDEN HOURS
Number of
respondents
Number of
responses per
respondent
Average
burden per
response
(in hours)
Total burden
(in hours)
Form type
Patients Served by the Colorectal
Cancer Control Program.
FIT questionnaire .............................
177
1
10/60
30
Colonoscopy questionnaire ..............
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Type of respondent
150
1
25/60
63
...........................................................
........................
........................
........................
93
Total ...........................................
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44176
Federal Register / Vol. 79, No. 146 / Wednesday, July 30, 2014 / Notices
Leroy Richardson,
Chief, Information Collection Review Office,
Office of Scientific Integrity, Office of the
Associate Director for Science, Office of the
Director, Centers for Disease Control and
Prevention.
[FR Doc. 2014–17898 Filed 7–29–14; 8:45 am]
BILLING CODE 4163–18–P
DEPARTMENT OF HEALTH AND
HUMAN SERVICES
Centers for Medicare & Medicaid
Services
[Document Identifiers: CMS–10433]
Emergency Clearance: Public
Information Collection Requirements
Submitted to the Office of Management
and Budget (OMB)
Centers for Medicare &
Medicaid Services, HHS.
ACTION: Notice.
AGENCY:
The Centers for Medicare &
Medicaid Services (CMS) is announcing
an opportunity for the public to
comment on CMS’ intention to collect
information from the public. 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. Interested persons are
invited to send comments regarding our
burden estimates or any other aspect of
this collection of information, including
any of the following subjects: The
necessity and utility of the proposed
information collection for the proper
performance of the agency’s functions;
the accuracy of the estimated burden;
ways to enhance the quality, utility, and
clarity of the information to be
collected; and the use of automated
collection techniques or other forms of
information technology to minimize the
information collection burden.
We are, however, requesting an
emergency review of the information
collection referenced below. In
compliance with the requirement of
section 3506(c)(2)(A) of the Paperwork
Reduction Act of 1995, we have
submitted to the Office of Management
and Budget (OMB) the following
requirements for emergency review.
This is necessary to ensure compliance
with an initiative of the Administration.
We are requesting an emergency review
under 5 CFR Part 1320(a)(2)(i) because
public harm is reasonably likely to
result if the normal clearance
procedures are followed. We are seeking
emergency approval for modifications to
the information collection request (ICR)
currently approved under Office of
mstockstill on DSK4VPTVN1PROD with NOTICES
SUMMARY:
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Management and Budget (OMB) control
number 0938–1187 to include account
registration elements associated with
submitting data through the Amazon
Cloud EDGE Server or the On-Premise
EDGE server. As a result of contractor
changes and technical design changes to
our distributed data collection (DDC)
approach for implementing the risk
adjustment and reinsurance programs,
we must change the data elements that
issuers will submit as part of the DDC
information collection requirements.
These modifications will permit us to
register EDGE servers with the
appropriate issuer accounts, permitting
CMS to make risk adjustment and
reinsurance payments to issuers.
DATES: Comments must be received by
August 27, 2014.
ADDRESSES: When commenting, please
reference the document identifier or
OMB control number. To be assured
consideration, comments and
recommendations must be submitted in
any one of the following ways:
1. Electronically. You may send your
comments electronically to https://www.
regulations.gov. Follow the instructions
for ‘‘Comment or Submission’’ or ‘‘More
Search Options’’ to find the information
collection document(s) that are
accepting comments.
2. By regular mail. You may mail
written comments to the following
address: CMS, Office of Strategic
Operations and Regulatory Affairs,
Division of Regulations Development,
Attention: CMS–10433/OMB Control
Number 0938–1187, Room C4–26–05,
7500 Security Boulevard, Baltimore,
Maryland 21244–1850.
To obtain copies of a supporting
statement and any related forms for the
proposed collection(s) summarized in
this notice, you may make your request
using one of following:
1. Access CMS’ Web site address at
https://www.cms.hhs.gov/Paperwork
ReductionActof1995.
2. Email your request, including your
address, phone number, OMB number,
and CMS document identifier, to
Paperwork@cms.hhs.gov.
3. Call the Reports Clearance Office at
(410) 786–1326.
FOR FURTHER INFORMATION CONTACT:
Reports Clearance Office at (410) 786–
1326.
SUPPLEMENTARY INFORMATION:
Contents
This notice sets out a summary of the
use and burden associated with the
following information collections. More
detailed information can be found in
each collection’s supporting statement
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and associated materials (see
ADDRESSES).
CMS–10433 Initial Plan Data
Collection To Support Qualified Health
Plan (QHP) Certification and Other
Financial Management and Exchange
Operations
Under the PRA (44 U.S.C. 3501–
3520), federal agencies must obtain
approval from the Office of Management
and Budget (OMB) for each collection of
information they conduct or sponsor.
The term ‘‘collection of information’’ is
defined in 44 U.S.C. 3502(3) and 5 CFR
1320.3(c) and includes agency requests
or requirements that members of the
public submit reports, keep records, or
provide information to a third party. In
compliance with the requirement of
section 3506(c)(2)(A) of the Paperwork
Reduction Act of 1995, we have
submitted to the Office of Management
and Budget (OMB) the following
requirements for emergency review.
This is necessary to ensure compliance
with an initiative of the Administration.
We are requesting an emergency review
under 5 CFR Part 1320(a)(2)(i) because
public harm is reasonably likely to
result if the normal clearance
procedures are followed.
Information Collection
1. Type of Information Collection
Request: Revision of a currently
approved information collection; Title
of Information Collection: Initial Plan
Data Collection to Support Qualified
Health Plan (QHP) Certification and
Other Financial Management and
Exchange Operations; Use: As required
by the CMS–9989–F, Patient Protection
and Affordable Care Act; Establishment
of Exchanges and Qualified Health
Plans; Exchange Standards for
Employers (77 FR 18310) (Exchange
Establishment Rule), each Exchange
must assume responsibilities related to
the certification and offering of
Qualified Health Plans (QHPs). In
addition to data collection for the
certification of QHPs, the reinsurance
and risk adjustment programs outlined
by the Affordable Care Act, detailed in
45 CFR part 153, as established by
CMS–9975–F, Patient Protection and
Affordable Care Act; Standards for
Reinsurance, Risk Corridors, and Risk
Adjustment (77 FR 17220), have general
information reporting requirements that
apply to issuers, group health plans,
third party administrators, and plan
offerings outside of the Exchanges.
Subsequent regulations for these
programs including the final HHS
Notice of Benefit and Payment
Parameters for 2014 and the Program
Integrity: Exchange, Premium
E:\FR\FM\30JYN1.SGM
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]]>Agencies
[Federal Register Volume 79, Number 146 (Wednesday, July 30, 2014)]
[Notices]
[Pages 44174-44176]
From the Federal Register Online via the Government Printing Office [www.gpo.gov]
[FR Doc No: 2014-17898]
-----------------------------------------------------------------------
DEPARTMENT OF HEALTH AND HUMAN SERVICES
Centers for Disease Control and Prevention
[60Day-14-0963]
Proposed Data Collections Submitted for Public Comment and
Recommendations
The Centers for Disease Control and Prevention (CDC), as part of
its continuing effort to reduce public burden, invites the general
public and other Federal agencies to take this opportunity to comment
on proposed and/or continuing information collections, as required by
the Paperwork Reduction Act of 1995. To request more information on the
below proposed project or to obtain a copy of the information
collection plan and instruments, call 404-639-7570 or send comments to
Leroy Richardson, 1600 Clifton Road, MS-D74, Atlanta, GA 30333 or send
an email to omb@cdc.gov.
Comments submitted in response to this notice will be summarized
and/or included in the request for Office of Management and Budget
(OMB) approval. Comments are invited on: (a) Whether the proposed
collection of information is necessary for the proper performance of
the functions of the agency, including whether the information shall
have practical utility; (b) the accuracy of the agency's estimate of
the burden of the proposed collection of information; (c) ways to
enhance the quality, utility, and clarity of the information to be
collected; (d) ways to minimize the burden of the collection of
information on respondents, including through the use of automated
collection techniques or other forms of information technology; and (e)
estimates of capital or start-up costs and costs of operation,
maintenance, and purchase of services to provide information. Burden
means the total time, effort, or financial resources expended by
persons to generate, maintain, retain, disclose or provide information
to or for a Federal agency. 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. Written comments should be received within 60
days of this notice.
Proposed Project
Colorectal Cancer Control Program Indirect/Non-Medical Cost Study
(OMB No. 0920-0963, exp. 4/30/2014)--Reinstatement with Change--
National Center for Chronic Disease Prevention and Health Promotion
(NCCDPHP), Centers for Disease Control and Prevention (CDC).
[[Page 44175]]
Background and Brief Description
In 2013 the Centers for Disease Control and Prevention (CDC)
received Office of Management and Budget (OMB) approval to conduct a
study to measure the time and costs incurred by patients screened for
colorectal cancer (CRC) with colonoscopy or fecal immunochemical test
(FIT) (OMB No. 0920-0963, exp. 4/30/2014). Information has been
collected from patients screened through the Colorectal Cancer Control
Program (CRCCP), however, the target number of respondents was not
achieved during the initial approval period. CDC requests OMB approval
to reinstate the information collection for one year in order to meet
recruitment goals and complete the data analysis as outlined in the
original approval.
Changes described in this Reinstatement request include a reduction
in the number of respondents and a corresponding reduction in the total
estimated burden hours. There are minor modifications to the data
collection instruments to clarify intent but these modifications do not
change the estimated burden per response.
Colorectal Cancer (CRC) is the second leading cause of cancer-
related deaths in the United States, following lung cancer. Based on
scientific evidence which indicates that regular screening is effective
in reducing CRC incidence and mortality, regular CRC screening is now
recommended for average-risk persons. Screening tests that may be used
alone or in combination include fecal occult blood testing (FOBT),
fecal immunochemical testing (FIT), flexible sigmoidoscopy, and/or
colonoscopy.
While screening rates have increased over the past decade,
screening prevalence is still lower than desirable, particularly among
individuals with low socioeconomic status. The indirect and non-medical
costs associated with CRC screening, such as travel costs, may act as
barriers to screening. Understanding these costs may provide insights
that can be used to reduce such barriers and increase participation.
In 2005, CDC established a four-year demonstration program at five
sites to screen low-income individuals aged 50-64 years who had no
health insurance or inadequate health insurance for CRC. In 2009, by
applying lessons learned from the demonstration program, CDC designed
and initiated the larger population-based Colorectal Cancer Control
Program (CRCCP) at 29 sites. The goals of the expanded program are to
reduce health disparities in CRC screening, incidence and mortality by
promoting CRC screening for the eligible population and providing CRC
screening to low-income adults over 50 years of age who have no health
insurance or inadequate health insurance for CRC screening.
To date there has been no comprehensive assessment of all the costs
associated with CRC screening, especially indirect and non-medical
costs, incurred by the low-income population served by the CRCCP. CDC
proposes to address this gap by collecting information from a subset of
patients enrolled in the program. Those who undergo screening by FIT or
colonoscopy will be asked to complete a specialized questionnaire about
the time and personal expense associated with their screening. Patients
who undergo fecal immunochemical testing will be asked to complete the
FIT questionnaire, which is estimated to take about 10 minutes.
Patients who undergo colonoscopy will be asked to complete the
Colonoscopy questionnaire, which includes additional questions about
the preparation and recovery associated with this procedure. The
estimated burden per response for the Colonoscopy questionnaire is 25
minutes. Demographic information will be collected from all patients
who participate in the study.
CDC plans to conduct the information collection in partnership with
providers in four states (Alabama, Arizona, Georgia, and Pennsylvania).
Each participating provider will make patient navigators available to
assist patients with coordinating the screening process and completing
the questionnaires. Providers will be reimbursed for patient navigator
time and administrative expense associated with data collection. The
target number of responses for the overall study will result in 300
completed Colonoscopy Questionnaires and 290 completed FIT
Questionnaires. During the initial approval period CDC collected
approximately 50% of the target number of completed questionnaires. To
complete the study CDC plans to collect an additional 150 Colonoscopy
Questionnaires and an additional 177 FIT Questionnaires.
This information collection will be used to produce estimates of
the personal costs incurred by patients who undergo CRC screening by
FIT or colonoscopy, and to improve understanding of these costs as
potential barriers to participation. Study findings will be
disseminated through reports, presentations, and publications. Results
will also be used by participating sites, CDC, and other federal
agencies to improve delivery of CRC screening services and to increase
screening rates among low-income adults over 50 years of age who have
no health insurance or inadequate health insurance for CRC screening.
OMB approval is requested for one year. Each respondent will have
the option of completing a hardcopy questionnaire or an on-line
questionnaire. No identifiable information will be collected by CDC or
CDC's data collection contractor. Participation is voluntary and there
are no costs to respondents other than their time.
Estimated Annualized Burden Hours
----------------------------------------------------------------------------------------------------------------
Number of Average burden
Type of respondent Form type Number of responses per per response Total burden
respondents respondent (in hours) (in hours)
----------------------------------------------------------------------------------------------------------------
Patients Served by the FIT 177 1 10/60 30
Colorectal Cancer Control questionnaire.
Program.
Colonoscopy 150 1 25/60 63
questionnaire.
---------------------------------------------------------------
Total..................... ................ .............. .............. .............. 93
----------------------------------------------------------------------------------------------------------------
[[Page 44176]]
Leroy Richardson,
Chief, Information Collection Review Office, Office of Scientific
Integrity, Office of the Associate Director for Science, Office of the
Director, Centers for Disease Control and Prevention.
[FR Doc. 2014-17898 Filed 7-29-14; 8:45 am]
BILLING CODE 4163-18-P
