Submission for OMB Review; Comment Request, 78410-78411 [2014-30245]

Download as PDF mstockstill on DSK4VPTVN1PROD with NOTICES 78410 Federal Register / Vol. 79, No. 249 / Tuesday, December 30, 2014 / Notices specific individual. All data collected is voluntarily given by the individual. At any time during the case resolution process, individuals may object to the collection of PHI and PII via verbal or written notice. Individuals are informed that without PII/PHI the authorized user of the system may not be able to assist in case resolution, and that answers to questions/concerns would be generalities regarding the topic at hand. Affected Public: Individuals or households. Annual Burden Hours: 63,500. Number of Respondents: 254,000. Responses per Respondent: 1. Annual Responses: 254,000. Average Burden per Response: 15 minutes. Frequency: On Occasion. The Defense Health Agency (DHA) Communications Division designed the ART as a secure, (Department of Defense Information Assurance Certification and Accreditation Process-certified with a Privacy Impact Assessment on file with the DHA Privacy and Civil Liberties Office) web-based system to track, refer, reflect, and report workload associated with resolution of beneficiary and/or provider inquiries. The ART is also the primary means by which DHA-Great Lakes staff capture medical authorization determinations and claims assistance information for remotely located service members, line of duty care, and for care under the Transitional Care for Service-related Conditions benefit. Users are comprised of MHS customer service personnel, to include Beneficiary Counseling and Assistance Coordinators, Debt Collection Assistance Officers, DHA-Great Lakes staff, personnel, family support, recruiting command, case managers, and others who serve in a customer service support role. Only individuals with a valid need-to-know demonstrated by assigned official Government duties are granted access to the ART. These individuals must satisfy all personnel security criteria with special protection measures or restricted distribution as established by the data owner. ART data reflects the customer service mission within the MHS: It helps customer service staff users prioritize and manage their case workload; it allows users to track beneficiary inquiry workload and resolution, of which a major component is educating beneficiaries on their TRICARE benefits. PHI and PII entered into the system is received from individuals via a verbal or written exchange and is only collected to facilitate beneficiary case resolution. Authorized users may use the PII/PHI to obtain and verify TRICARE eligibility, VerDate Sep<11>2014 21:42 Dec 29, 2014 Jkt 235001 treatment, payment, and other healthcare operations information for a specific individual. All data collected is voluntarily given by the individual. At any time during the case resolution process, individuals may object to the collection of PHI and PII via verbal or written notice. Individuals are informed that without PII/PHI the authorized user of the system may not be able to assist in case resolution, and that answers to questions/concerns would be generalities regarding the topic at hand. Dated: December 22, 2014. Aaron Siegel, Alternate OSD Federal Register Liaison Officer, Department of Defense. [FR Doc. 2014–30418 Filed 12–29–14; 8:45 am] BILLING CODE 5001–06–P DEPARTMENT OF DEFENSE Office of the Secretary [Docket ID DoD–2013–HA–0107] Submission for OMB Review; Comment Request ACTION: Notice. The Department of Defense has submitted to OMB for clearance, the following proposal for collection of information under the provisions of the Paperwork Reduction Act. DATES: Consideration will be given to all comments received by January 29, 2015. FOR FURTHER INFORMATION CONTACT: Fred Licari, 571–372–0493. SUPPLEMENTARY INFORMATION: Title, Associated Form and OMB Number: Patient Centered Medical Home (PCMH) Staff Satisfaction Survey; 0720–TBD. Type of Request: New. Number of Respondents: 3,105. Responses per Respondent: 2. Annual Responses: 6,210. Average Burden per Response: 10 minutes. Annual Burden Hours: 1,035. Needs and Uses: The information collection requirement is necessary to measure satisfaction among staff at direct care military treatment facilities (MTFs) that have been identified as current or potential future PCMHs. The survey will ask staff members what new PCMH processes are or are not working well at the clinic. It will also ask about teamwork among staff at the clinic, the overall clinic environment, and what available resources are assisting them in their provision of quality patient centered care. Eligible staff include: Physicians, nurse practitioners, physician assistants, registered nurses, SUMMARY: PO 00000 Frm 00030 Fmt 4703 Sfmt 4703 licensed practical nurses, corpsmen, and administrative staff. Over the next 5–7 years, the DoD will make a significant investment in this primary care transformation. By fielding a survey focused on primary care staff satisfaction, the MHS will be able to monitor our investment in PCMH and study how it affects our people. The goals of this survey effort are to assess staff satisfaction, attitudes and perceptions regarding the implementation of the Patient Centered Medical Home. Respondents will be all military, federal (GS/NSPS) and contracted medical professionals and support staff who work in PCMH clinics. The survey will be administered via a MHS/DoD platform that will capture response data. The survey will be administered via an online tool on a bi-annual basis to medical professionals and support staff. The population sample will receive a pre-notification, and reminder notifications to encourage participation. Affected Public: Individuals and households; MTF contractor providers and support staff. Frequency: Bi-annual. Respondent’s Obligation: Voluntary. OMB Desk Officer: Mr. Josh Brammer. Written comments and recommendations on the proposed information collection should be sent to Mr. Josh Brammer at the Office of Management and Budget, Desk Officer for DoD, Room 10236, New Executive Office Building, Washington, DC 20503. You may also submit comments, identified by docket number and title, by the following method: • Federal eRulemaking Portal: https:// www.regulations.gov. Follow the instructions for submitting comments. Instructions: All submissions received must include the agency name, docket number and title for this Federal Register document. The general policy for comments and other submissions from members of the public is to make these submissions available for public viewing on the Internet at https:// www.regulations.gov as they are received without change, including any personal identifiers or contact information. DOD Clearance Officer: Mr. Frederick Licari. Written requests for copies of the information collection proposal should be sent to Mr. Licari at WHS/ESD Directives Division, Information Collections Program, 4800 Mark Center Drive, East Tower, Suite 02G09, Alexandria, VA 22350–3100. E:\FR\FM\30DEN1.SGM 30DEN1 Federal Register / Vol. 79, No. 249 / Tuesday, December 30, 2014 / Notices Dated: December 19, 2014. Aaron Siegel, Alternate OSD Federal Register Liaison Officer, Department of Defense. members of the public is to make these submissions available for public viewing on the Internet at https:// www.regulations.gov as they are received without change, including any personal identifiers or contact information. [FR Doc. 2014–30245 Filed 12–29–14; 8:45 am] BILLING CODE 5001–06–P Ms. Cindy Allard, Chief, OSD/JS Privacy Office, Freedom of Information Directorate, Washington Headquarters Service, 1155 Defense Pentagon, Washington, DC 20301–1155, or by phone at (571) 372–0461. SUPPLEMENTARY INFORMATION: The Office of the Secretary of Defense notices for systems of records subject to the Privacy Act of 1974 (5 U.S.C. 552a), as amended, have been published in the Federal Register and are available from the address in FOR FURTHER INFORMATION CONTACT or at the Defense Privacy and Civil Liberties Office Web site at https:// dpcld.defense.gov/. The proposed system report, as required by 5 U.S.C. 552a(r) of the Privacy Act of 1974, as amended, was submitted on December 16, 2014, to the House Committee on Oversight and Government Reform, the Senate Committee on Governmental Affairs, and the Office of Management and Budget (OMB) pursuant to paragraph 4c of Appendix I to OMB Circular No. A– 130, ‘‘Federal Agency Responsibilities for Maintaining Records About Individuals,’’ dated February 8, 1996 (February 20, 1996, 61 FR 6427). FOR FURTHER INFORMATION CONTACT: DEPARTMENT OF DEFENSE Office of the Secretary [Docket ID DoD–2014–OS–0159] Privacy Act of 1974; System of Records Office of the Secretary of Defense, DoD. ACTION: Notice to alter a System of Records. AGENCY: The Office of the Secretary of Defense proposes to alter a system of records, DPR 40 DoD, entitled ‘‘Wounded Warrior Care and Recovery Transition Coordination Program System Solution’’ in its inventory of record systems subject to the Privacy Act of 1974, as amended. This system is used to improve the timeliness, efficacy, and transparency of the care, management, and transition of recovering Service Members or eligible family members and caregivers receiving support (as defined in DoD Instruction 1300.24). Contact information is used by case managers to facilitate the uniformity and effectiveness of care and/or transition from active duty to temporary or permanent retirement for eligible individuals. These records are also used as a management tool for statistical analysis, tracking, reporting, evaluating program effectiveness and conducting research. SUMMARY: Dated: December 22, 2014. Aaron Siegel, Alternate OSD Federal Register Liaison Officer, Department of Defense. DPR 40 DoD Comments will be accepted on or before January 29, 2015. This proposed action will be effective the date following the end of the comment period unless comments are received which result in a contrary determination. SYSTEM NAME: You may submit comments, identified by docket number and title, by any of the following methods: * Federal Rulemaking Portal: https:// www.regulations.gov. Follow the instructions for submitting comments. * Mail: Federal Docket Management System Office, 4800 Mark Center Drive, East Tower, 2nd Floor, Suite 02G09, Alexandria, VA 22350–3100. Instructions: All submissions received must include the agency name and docket number for this Federal Register document. The general policy for comments and other submissions from * DATES: mstockstill on DSK4VPTVN1PROD with NOTICES ADDRESSES: VerDate Sep<11>2014 21:42 Dec 29, 2014 Jkt 235001 Wounded Warrior Care and Recovery Transition Coordination Program System Solution (September 27, 2010, 75 FR 59236). CHANGES: * * * * SYSTEM NAME: Delete entry and replace with ‘‘Recovery Coordination Program Support Solution.’’ SYSTEM LOCATION: Delete entry and replace with ‘‘Defense Information Systems Agency (DISA), Defense Enterprise Computing Center (DECC), Mechanicsburg Building 308, Naval Support Activity (NSA), 5450 Carlisle Pike, Mechanicsburg, PA 17050–0975.’’ PO 00000 Frm 00031 Fmt 4703 Sfmt 4703 78411 CATEGORIES OF INDIVIDUALS COVERED BY THE SYSTEM: Delete entry and replace with ‘‘Recovering Service members (RSMs) who have been wounded, injured or have an illness, and their spouses, dependents, and caregivers. RSMs may be undergoing medical treatment, recuperation or therapy; or may be assigned to a temporary disability retired or permanent disability retired list pending Military Department disability evaluation system proceedings.’’ CATEGORIES OF RECORDS IN THE SYSTEM: Delete entry and replace with ‘‘Name; rank/grade; Social Security Number (SSN) and truncated SSN; Department of Defense identification number (DoD ID); date of birth; current address; home telephone number; Service, component, service separation information including Permanent Duty Retirement List (PDRL), Temporary Duty Retirement List (TDRL), medical separation, limited injury and illnessspecific medical information, and other personnel management data specifically awards, Military Occupational Specialty (MOS), time in service, education information, end active obligated service date, demobilization date, separation date, retirement date, temporary disability retirement list date, permanent disability retirement; and spouse, dependents and/or primary caregiver name, address, and telephone number (home, cell and/or work).’’ * * * * * PURPOSE(S): Delete entry and replace with ‘‘To improve the timeliness, efficacy, and transparency of the care, management, and transition of recovering Service Members or eligible family members and caregivers receiving support (as defined in DoD Instruction 1300.24). Contact information is used by case managers to facilitate the uniformity and effectiveness of care and/or transition from active duty to temporary or permanent retirement for eligible individuals. These records are also used as a management tool for statistical analysis, tracking, reporting, evaluating program effectiveness and conducting research.’’ ROUTINE USES OF RECORDS MAINTAINED IN THE SYSTEM, INCLUDING CATEGORIES OF USERS AND THE PURPOSES OF SUCH USES: Delete entry and replace with ‘‘In addition to those disclosures generally permitted under 5 U.S.C. 552a(b) of the Privacy Act of 1974, as amended, these records may specifically be disclosed outside the DoD as a routine use E:\FR\FM\30DEN1.SGM 30DEN1

Agencies

[Federal Register Volume 79, Number 249 (Tuesday, December 30, 2014)]
[Notices]
[Pages 78410-78411]
From the Federal Register Online via the Government Printing Office [www.gpo.gov]
[FR Doc No: 2014-30245]


-----------------------------------------------------------------------

DEPARTMENT OF DEFENSE

Office of the Secretary

[Docket ID DoD-2013-HA-0107]


Submission for OMB Review; Comment Request

ACTION: Notice.

-----------------------------------------------------------------------

SUMMARY: The Department of Defense has submitted to OMB for clearance, 
the following proposal for collection of information under the 
provisions of the Paperwork Reduction Act.

DATES: Consideration will be given to all comments received by January 
29, 2015.

FOR FURTHER INFORMATION CONTACT: Fred Licari, 571-372-0493.

SUPPLEMENTARY INFORMATION:
    Title, Associated Form and OMB Number: Patient Centered Medical 
Home (PCMH) Staff Satisfaction Survey; 0720-TBD.
    Type of Request: New.
    Number of Respondents: 3,105.
    Responses per Respondent: 2.
    Annual Responses: 6,210.
    Average Burden per Response: 10 minutes.
    Annual Burden Hours: 1,035.
    Needs and Uses: The information collection requirement is necessary 
to measure satisfaction among staff at direct care military treatment 
facilities (MTFs) that have been identified as current or potential 
future PCMHs. The survey will ask staff members what new PCMH processes 
are or are not working well at the clinic. It will also ask about 
teamwork among staff at the clinic, the overall clinic environment, and 
what available resources are assisting them in their provision of 
quality patient centered care. Eligible staff include: Physicians, 
nurse practitioners, physician assistants, registered nurses, licensed 
practical nurses, corpsmen, and administrative staff. Over the next 5-7 
years, the DoD will make a significant investment in this primary care 
transformation. By fielding a survey focused on primary care staff 
satisfaction, the MHS will be able to monitor our investment in PCMH 
and study how it affects our people. The goals of this survey effort 
are to assess staff satisfaction, attitudes and perceptions regarding 
the implementation of the Patient Centered Medical Home. Respondents 
will be all military, federal (GS/NSPS) and contracted medical 
professionals and support staff who work in PCMH clinics. The survey 
will be administered via a MHS/DoD platform that will capture response 
data. The survey will be administered via an online tool on a bi-annual 
basis to medical professionals and support staff. The population sample 
will receive a pre-notification, and reminder notifications to 
encourage participation.
    Affected Public: Individuals and households; MTF contractor 
providers and support staff.
    Frequency: Bi-annual.
    Respondent's Obligation: Voluntary.
    OMB Desk Officer: Mr. Josh Brammer.
    Written comments and recommendations on the proposed information 
collection should be sent to Mr. Josh Brammer at the Office of 
Management and Budget, Desk Officer for DoD, Room 10236, New Executive 
Office Building, Washington, DC 20503.
    You may also submit comments, identified by docket number and 
title, by the following method:
     Federal eRulemaking Portal: https://www.regulations.gov. 
Follow the instructions for submitting comments.
    Instructions: All submissions received must include the agency 
name, docket number and title for this Federal Register document. The 
general policy for comments and other submissions from members of the 
public is to make these submissions available for public viewing on the 
Internet at https://www.regulations.gov as they are received without 
change, including any personal identifiers or contact information.
    DOD Clearance Officer: Mr. Frederick Licari.
    Written requests for copies of the information collection proposal 
should be sent to Mr. Licari at WHS/ESD Directives Division, 
Information Collections Program, 4800 Mark Center Drive, East Tower, 
Suite 02G09, Alexandria, VA 22350-3100.


[[Page 78411]]


    Dated: December 19, 2014.
Aaron Siegel,
Alternate OSD Federal Register Liaison Officer, Department of Defense.
[FR Doc. 2014-30245 Filed 12-29-14; 8:45 am]
BILLING CODE 5001-06-P

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