Proposed Collection; Comment Request, 78409-78410 [2014-30418]
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78409
Federal Register / Vol. 79, No. 249 / Tuesday, December 30, 2014 / Notices
and beneficiary recruitment, member
training, program structure and
processes, program modifications
specific to FGP, scope and reach of the
various projects, and observed outcomes
for members and beneficiaries.
Potential sites for inclusion in the
study have been drawn from existing
and former grantees implementing two
national models, Jumpstart and Reading
Partners.
Interview and focus group data will
be collected via taped and written
responses to telephone conversations.
Data analysis will focus on identifying
and understanding factors associated
the process (opportunity costs, benefits,
obstacles and preparation) related to the
decision to use a model approach to
tutoring and educational interventions.
Current Action:
CNCS seeks public comment on a new
data collection instrument developed
for this project. The case study
interview and focus group data
collection instrument is being designed
by the contractor for this project.
Type of Review: New.
Agency: Corporation for National and
Community Service.
Title: Foster Grandparent Case Study.
OMB Number: None.
Agency Number: None.
Affected Public: Selected FGP
grantees.
Total Respondents: Interviews 80—
Focus Group Participants 60.
Frequency: One time.
Average Time Per Response: 60 to 90
minutes.
Respondent category
Number
Focus Group Participants ........................................................................................................................
Interview Participants ...............................................................................................................................
Estimated Total Burden Hours: 170.
Total Burden Cost (capital/startup):
None.
Total Burden Cost (operating/
maintenance): None.
Comments submitted in response to
this notice will be summarized and/or
included in the request for Office of
Management and Budget approval of the
information collection request; they will
also become a matter of public record.
Dated: December 19, 2014.
Mary Hyde,
Office of Research and Evaluation.
[FR Doc. 2014–30340 Filed 12–29–14; 8:45 am]
BILLING CODE 6050–28–P
DEPARTMENT OF DEFENSE
Office of the Secretary
[Docket ID: DoD–2014–HA–0161]
Proposed Collection; Comment
Request
Office of the Assistant
Secretary of Defense for Health Affairs,
DoD.
ACTION: Notice.
AGENCY:
In compliance with the
Paperwork Reduction Act of 1995, the
Office of the Assistant Secretary of
Defense for Health Affairs announces a
proposed public information collection
and seeks public comment on the
provisions thereof. 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 information collection; (c)
ways to enhance the quality, utility, and
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SUMMARY:
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21:42 Dec 29, 2014
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clarity of the information to be
collected; and (d) ways to minimize the
burden of the information collection on
respondents, including through the use
of automated collection techniques or
other forms of information technology.
DATES: Consideration will be given to all
comments received by March 2, 2015.
ADDRESSES: You may submit comments,
identified by docket number and title,
by any of the following methods:
• Federal eRulemaking Portal: https://
www.regulations.gov. Follow the
instructions for submitting comments.
• Mail: Federal Docket Management
System Office, 4800 Mark Center Drive,
East Tower, Suite 02G09, Alexandria,
VA 22350–3100.
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.
Any associated form(s) for this
collection may be located within this
same electronic docket and downloaded
for review/testing. Follow the
instructions at https://
www.regulations.gov for submitting
comments. Please submit comments on
any given form identified by docket
number, form number, and title.
FOR FURTHER INFORMATION CONTACT: To
request more information on this
proposed information collection or to
obtain a copy of the proposal and
associated collection instruments,
please write to the Defense Health
Agency (DHA), Communications
Division, ATTN: Lennya Bonivento,
PO 00000
Frm 00029
Fmt 4703
Sfmt 4703
60
80
Time
(minutes)
90
60
Total hours
90
80
7700 Arlington Boulevard, Suite 5101,
Falls Church, VA 22042–5101, or call
DHA Communications Division, at 703–
681–1770.
SUPPLEMENTARY INFORMATION:
Title; Associated Form; and OMB
Number: Assistance Reporting Tool
(ART), OMB Control Number 0720–
TBD.
Needs and Uses: The ART is a secure
web-based system that captures
feedback on and authorization related to
TRICARE benefits. Users are comprised
of Military Health System (MHS)
customer service personnel, to include
Beneficiary Counseling and Assistance
Coordinators, Debt Collection
Assistance Officers, personnel, family
support, recruiting command, case
managers, and others who serve in a
customer service support role. 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. 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. Personal health
information (PHI) and personally
identifiable information (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,
treatment, payment, and other
healthcare operations information for a
E:\FR\FM\30DEN1.SGM
30DEN1
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
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]]>Agencies
[Federal Register Volume 79, Number 249 (Tuesday, December 30, 2014)]
[Notices]
[Pages 78409-78410]
From the Federal Register Online via the Government Printing Office [www.gpo.gov]
[FR Doc No: 2014-30418]
=======================================================================
-----------------------------------------------------------------------
DEPARTMENT OF DEFENSE
Office of the Secretary
[Docket ID: DoD-2014-HA-0161]
Proposed Collection; Comment Request
AGENCY: Office of the Assistant Secretary of Defense for Health
Affairs, DoD.
ACTION: Notice.
-----------------------------------------------------------------------
SUMMARY: In compliance with the Paperwork Reduction Act of 1995, the
Office of the Assistant Secretary of Defense for Health Affairs
announces a proposed public information collection and seeks public
comment on the provisions thereof. 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 information collection;
(c) ways to enhance the quality, utility, and clarity of the
information to be collected; and (d) ways to minimize the burden of the
information collection on respondents, including through the use of
automated collection techniques or other forms of information
technology.
DATES: Consideration will be given to all comments received by March 2,
2015.
ADDRESSES: You may submit comments, identified by docket number and
title, by any of the following methods:
Federal eRulemaking Portal: https://www.regulations.gov.
Follow the instructions for submitting comments.
Mail: Federal Docket Management System Office, 4800 Mark
Center Drive, East Tower, Suite 02G09, Alexandria, VA 22350-3100.
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.
Any associated form(s) for this collection may be located within
this same electronic docket and downloaded for review/testing. Follow
the instructions at https://www.regulations.gov for submitting comments.
Please submit comments on any given form identified by docket number,
form number, and title.
FOR FURTHER INFORMATION CONTACT: To request more information on this
proposed information collection or to obtain a copy of the proposal and
associated collection instruments, please write to the Defense Health
Agency (DHA), Communications Division, ATTN: Lennya Bonivento, 7700
Arlington Boulevard, Suite 5101, Falls Church, VA 22042-5101, or call
DHA Communications Division, at 703-681-1770.
SUPPLEMENTARY INFORMATION:
Title; Associated Form; and OMB Number: Assistance Reporting Tool
(ART), OMB Control Number 0720-TBD.
Needs and Uses: The ART is a secure web-based system that captures
feedback on and authorization related to TRICARE benefits. Users are
comprised of Military Health System (MHS) customer service personnel,
to include Beneficiary Counseling and Assistance Coordinators, Debt
Collection Assistance Officers, personnel, family support, recruiting
command, case managers, and others who serve in a customer service
support role. 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. 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. Personal health
information (PHI) and personally identifiable information (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, treatment, payment, and other healthcare
operations information for a
[[Page 78410]]
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, 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
