Proposed Data Collection Submitted for Public Comment and Recommendations, 46282-46284 [2015-19042]
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46282
Federal Register / Vol. 80, No. 149 / Tuesday, August 4, 2015 / Notices
proposed project or to obtain a copy of
the information collection plan and
instruments, contact the Information
Collection Review Office, Centers for
Disease Control and Prevention, 1600
Clifton Road NE., MS–D74, Atlanta,
Georgia 30329; phone: 404–639–7570;
Email: omb@cdc.gov.
DEPARTMENT OF HEALTH AND
HUMAN SERVICES
Centers for Disease Control and
Prevention
[60-Day–15–1006; Docket No. CDC–2015–
0061]
Proposed Data Collection Submitted
for Public Comment and
Recommendations
Centers for Disease Control and
Prevention (CDC), Department of Health
and Human Services (HHS).
ACTION: Notice with comment period.
AGENCY:
The Centers for Disease
Control and Prevention (CDC), as part of
its continuing efforts to reduce public
burden and maximize the utility of
government information, 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. This notice invites
comment on a proposed information
collection extension for the CDC Work@
Health® Program: Phase 2 Training and
Technical Assistance Evaluation. The
Work@Health® Program is a
comprehensive workplace training
program designed to improve employer
knowledge and skills related to
effective, science-based workplace
health programs, and support the
adoption of these programs in the
workplace.
DATES: Written comments must be
received on or before October 5, 2015.
ADDRESSES: You may submit comments,
identified by Docket No. CDC–2015–
0061 by any of the following methods:
Federal eRulemaking Portal:
Regulation.gov. Follow the instructions
for submitting comments.
Mail: Leroy A. Richardson,
Information Collection Review Office,
Centers for Disease Control and
Prevention, 1600 Clifton Road NE., MS–
D74, Atlanta, Georgia 30329.
Instructions: All submissions received
must include the agency name and
Docket Number. All relevant comments
received will be posted without change
to Regulations.gov, including any
personal information provided. For
access to the docket to read background
documents or comments received, go to
Regulations.gov.
tkelley on DSK3SPTVN1PROD with NOTICES
SUMMARY:
Please note: All public comment should be
submitted through the Federal eRulemaking
portal (Regulations.gov) or by U.S. mail to the
address listed above.
FOR FURTHER INFORMATION CONTACT:
To
request more information on the
VerDate Sep<11>2014
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Jkt 235001
Under the
Paperwork Reduction Act of 1995 (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. In addition, the PRA also
requires Federal agencies to provide a
60-day notice in the Federal Register
concerning each proposed collection of
information, including each new
proposed collection, each proposed
extension of existing collection of
information, and each reinstatement of
previously approved information
collection before submitting the
collection to OMB for approval. To
comply with this requirement, we are
publishing this notice of a proposed
data collection as described below.
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.
SUPPLEMENTARY INFORMATION:
PO 00000
Frm 00049
Fmt 4703
Sfmt 4703
Proposed Project
CDC Work@Health® Program: Phase 2
Training and Technical Assistance
Evaluation (OMB No. 0920–1006, exp.
date 1/31/2016)—Extension—National
Center for Chronic Disease Prevention
and Health Promotion (NCCDPHP),
Centers for Disease Control and
Prevention (CDC).
Background and Brief Description
In the United States, chronic diseases,
such as heart disease, obesity, and
diabetes are among the leading causes of
death and disability. Although chronic
diseases are among the most common
and costly health problems, they are
also among the most preventable.
Adopting healthy behaviors—such as
eating nutritious foods, being physically
active and avoiding tobacco use—can
prevent the devastating effects and
reduce the rates of these diseases.
Employers are recognizing the role
they can play in creating healthy work
environments and providing employees
with opportunities to make healthy
lifestyle choices. To support these
efforts, the Centers for Disease Control
and Prevention (CDC) developed the
Work@Health® Program, a
comprehensive worksite health training
program which includes the
development of a worksite health
training curriculum and delivery of
training to employers nationwide to
improve the health of workers and their
families. The Work@Health® Program is
authorized by the Public Health Service
Act and funded through the Prevention
and Public Health Fund of the Patient
Protection and Affordable Care Act
(ACA). The Work@Health® curriculum
uses a problem-solving approach to
improve employer knowledge and skills
related to effective, science-based
workplace health programs, and support
the adoption of these programs in the
workplace. Topics covered in the
Work@Health® curriculum include
principles, strategies, and tools for
leadership engagement; how to make a
business case for workplace health
programs; how to assess the needs of
organizations and individual
employees; how to plan, implement,
and evaluate sustainable workplace
health programs; and how to partner
with community organizations for
additional support.
CDC began the full-scale
implementation and evaluation of the
Work@Health® Program in Winter/
Spring 2014 (Work@Health® Program:
Phase 2 Training and Technical
Assistance Evaluation, OMB No. 0920–
1006, exp. date 1/31/2016). During the
initial two-year clearance period, the
E:\FR\FM\04AUN1.SGM
04AUN1
46283
Federal Register / Vol. 80, No. 149 / Tuesday, August 4, 2015 / Notices
target number of trainees was 1,200.
Information was collected from trainees
and employers to support program
recruitment, implementation, and
evaluation.
CDC is requesting OMB approval to
extend information collection for three
years. There are no changes to
information collection methods or
instruments. The target number of new
trainees is 1,200. There are minor
changes to the burden table as a result
of annualizing responses over a threeyear period instead of a two-year period.
The expansion of the Work@Health®
program will foster the creation of farreaching networks to help develop a
sustainable worksite wellness network.
CDC will offer training in four models
(formats): (1) A ‘‘Hands-on’’ instructorled workshop model; (2) a self-paced
‘‘Online’’ model; (3) a combination or
‘‘Blended’’ model; and (4) a ‘‘Train-theTrainer’’ model designed to prepare
qualified individuals to train other
employers using the Work@Health®
curricula. Employers who complete the
Hands-on, Online, and Blended model
trainings will be invited to participate in
peer learning networks and receive
technical assistance from coaches to
support their efforts to implement or
enhance their workplace health
case studies. Outcome evaluation will
therefore include a descriptive
component as well as statistical models
to assess the extent to which the
program affected the target outcomes.
Employers will be recruited to
participate in the Work@Health®
training and evaluation scheduled to
begin in the Winter of 2016. The
training models will be evaluated by
assessing the participating employers’
changes in readiness to develop or
enhance a worksite health program;
environmental elements of the physical
worksite such as facilities; aggregate
employee participation in programs and
community partnership activities; and
elements of worksite structure,
practices, and policies related to health
and safety. CDC will also assess
trainees’ knowledge, attitudes, and
behaviors related to worksite health and
their reaction to the Work@Health®
training, including their satisfaction
with the training and opinions about
whether it met their needs. CDC will not
collect individual-level health data for
this project.
Participation is voluntary and there
are no costs to respondents other than
their time.
programs. Technical assistance will also
be provided to the individuals who
complete the Train-the-Trainer model to
help prepare them to provide the Work@
Health® training to employers. Training
graduates may be eligible for advanced
technical assistance and training from
CDC at a later date, through the
expanded Work@Health® Advance
Program.
To be eligible for the Hands-on,
Online, and Blended model trainings,
employers must have a minimum of 20
employees, a valid business license, and
have been in business for at least one
year. In addition, they must offer health
insurance to their employees and have
at least minimal workplace health
program knowledge and experience.
Applicants for the Train-the-Trainer
model must have previous knowledge,
training and experience with workplace
health programs and an interest in
becoming instructors for the Work@
Health® program. They may be referred
by employers, health departments,
business coalitions, trade associations,
or other organizations.
CDC will collect a combination of
qualitative and quantitative data
elements for analysis. These analyses
will be supplemented with interview
data collected for approximately six
ESTIMATED ANNUALIZED BURDEN HOURS
Number of
responses per
respondent
Form name
Interested Employer ..........................
Employers Participating in Work@
Health®.
Employer Application Form ..............
CDC Worksite Health Scorecard .....
400
320
1
1
20/60
30/60
133
160
Organizational Assessment .............
Employer Follow-up Survey .............
Case Study Interviews with Senior
Leadership.
Case Study Interviews with Employees.
Trainee KAB Survey ........................
320
160
2
1
1
1
15/60
15/60
1
80
40
2
4
1
1
4
640
1
20/60
213
Trainee Reaction Survey—HandsOn Model.
Trainee Reaction Survey—Online
Model.
Trainee Reaction Survey—Blended
Model.
Trainee Technical Assistance Survey.
Case Study Interviews with Selected Trainees.
Trainee Focus Group Discussion
Guide.
Train-the-Trainer Application Form ..
100
1
15/60
25
120
1
15/60
30
100
1
15/60
25
640
1
15/60
160
10
1
1
10
7
1
1.5
14
120
1
30/60
60
Train-the-Trainer Participant Survey
80
1
20/60
27
Trainee Reaction Survey—Trainthe-Trainer Model.
Train-the-Trainer Trainee Technical
Assistance Survey.
40
1
15/60
10
80
1
15/60
20
tkelley on DSK3SPTVN1PROD with NOTICES
Trainees Participating in the Work@
Health® Program (Hands-on, Online, Blended models).
Interested Train-the-Trainer Participants.
Trainees Participating in the Work@
Health® Program (Train-the-Trainer model).
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Number of
respondents
Avg. burden
per response
(in hrs.)
Type of
respondent
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04AUN1
Total burden
(in hrs.)
46284
Federal Register / Vol. 80, No. 149 / Tuesday, August 4, 2015 / Notices
ESTIMATED ANNUALIZED BURDEN HOURS—Continued
Number of
responses per
respondent
Form name
Trainees participating in the Work@
Health® Program Wave 2.
Work@Health® Instructors/Coaches
Wave 2 Trainee Reaction Survey ....
200
1
15/60
50
Instructor/Coach Group Discussion
Guide.
..........................................................
7
1
30/60
4
........................
........................
........................
1,064
Total ...........................................
Leroy A. 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. 2015–19042 Filed 8–3–15; 8:45 am]
BILLING CODE 4163–18–P
DEPARTMENT OF HEALTH AND
HUMAN SERVICES
Centers for Medicare & Medicaid
Services
[Document Identifier CMS–224–14]
Agency Information Collection
Activities: Submission for OMB
Review; Comment Request
ACTION:
Notice.
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
(PRA), federal agencies are required to
publish notice in the Federal Register
concerning each proposed collection of
information, including each proposed
extension or reinstatement of an existing
collection of information, and to allow
a second opportunity for public
comment on the notice. Interested
persons are invited to send comments
regarding the burden estimate or any
other aspect of this collection of
information, including any of the
following subjects: (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.
DATES: Comments on the collection(s) of
information must be received by the
OMB desk officer by September 3, 2015.
ADDRESSES: When commenting on the
proposed information collections,
tkelley on DSK3SPTVN1PROD with NOTICES
SUMMARY:
VerDate Sep<11>2014
18:45 Aug 03, 2015
Jkt 235001
Number of
respondents
Avg. burden
per response
(in hrs.)
Type of
respondent
please reference the document identifier
or OMB control number. To be assured
consideration, comments and
recommendations must be received by
the OMB desk officer via one of the
following transmissions: OMB, Office of
Information and Regulatory Affairs,
Attention: CMS Desk Officer, Fax
Number: (202) 395–5806 or, Email:
OIRA_submission@omb.eop.gov.
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: Under the
Paperwork Reduction Act of 1995 (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. Section
3506(c)(2)(A) of the PRA (44 U.S.C.
3506(c)(2)(A)) requires federal agencies
to publish a 30-day notice in the
Federal Register concerning each
proposed collection of information,
including each proposed extension or
reinstatement of an existing collection
of information, before submitting the
collection to OMB for approval. To
comply with this requirement, CMS is
publishing this notice that summarizes
the following proposed collection(s) of
information for public comment:
1. Type of Information Collection
Request: New collection (Request for a
new OMB control number); Title of
PO 00000
Frm 00051
Fmt 4703
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Total burden
(in hrs.)
Information Collection: Federally
Qualified Health Center Cost Report
Form; Use: Providers of services
participating in the Medicare program
are required under sections 1815(a) and
1861(v)(1)(A) of the Act (42 U.S.C.
1395g) to submit annual information to
achieve settlement of costs for health
care services rendered to Medicare
beneficiaries. In addition, regulations at
42 CFR 413.20 and 413.24 require
adequate cost data and cost reports from
providers on an annual basis. The form
CMS–224–14 cost report is needed to
determine a provider’s reasonable costs
incurred in furnishing medical services
to Medicare beneficiaries and
reimbursement due to or from a
provider. Form Number: CMS–224–14
(OMB control number 0938—New);
Frequency: Yearly; Affected Public:
Private sector—For-profit and Not-forprofit institutions; Number of
Respondents: 1,296; Total Annual
Responses: 1,296; Total Annual Hours:
75,168. (For policy questions regarding
this collection contact Julie Stankivic at
410–786–5725).
Dated: July 30, 2015.
William N. Parham, III,
Director, Paperwork Reduction Staff, Office
of Strategic Operations and Regulatory
Affairs.
[FR Doc. 2015–19075 Filed 8–3–15; 8:45 am]
BILLING CODE 4120–01–P
DEPARTMENT OF HEALTH AND
HUMAN SERVICES
Administration for Children and
Families
Submission for OMB Review;
Comment Request
Title: Initial Medical Exam Form and
Initial Dental Exam Form.
OMB No.: 0970–NEW.
Description: The Administration for
Children and Families’ Office of Refugee
Resettlement (ORR) places
unaccompanied minors in their custody
in licensed care provider facilities until
reunification with a qualified sponsor.
Care provider facilities are required to
provide children with services such as
E:\FR\FM\04AUN1.SGM
04AUN1
]]>Agencies
[Federal Register Volume 80, Number 149 (Tuesday, August 4, 2015)]
[Notices]
[Pages 46282-46284]
From the Federal Register Online via the Government Publishing Office [www.gpo.gov]
[FR Doc No: 2015-19042]
[[Page 46282]]
-----------------------------------------------------------------------
DEPARTMENT OF HEALTH AND HUMAN SERVICES
Centers for Disease Control and Prevention
[60-Day-15-1006; Docket No. CDC-2015-0061]
Proposed Data Collection Submitted for Public Comment and
Recommendations
AGENCY: Centers for Disease Control and Prevention (CDC), Department of
Health and Human Services (HHS).
ACTION: Notice with comment period.
-----------------------------------------------------------------------
SUMMARY: The Centers for Disease Control and Prevention (CDC), as part
of its continuing efforts to reduce public burden and maximize the
utility of government information, 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. This notice invites comment on a proposed
information collection extension for the CDC Work@Health[supreg]
Program: Phase 2 Training and Technical Assistance Evaluation. The
Work@Health[supreg] Program is a comprehensive workplace training
program designed to improve employer knowledge and skills related to
effective, science-based workplace health programs, and support the
adoption of these programs in the workplace.
DATES: Written comments must be received on or before October 5, 2015.
ADDRESSES: You may submit comments, identified by Docket No. CDC-2015-
0061 by any of the following methods:
Federal eRulemaking Portal: Regulation.gov. Follow the instructions
for submitting comments.
Mail: Leroy A. Richardson, Information Collection Review Office,
Centers for Disease Control and Prevention, 1600 Clifton Road NE., MS-
D74, Atlanta, Georgia 30329.
Instructions: All submissions received must include the agency name
and Docket Number. All relevant comments received will be posted
without change to Regulations.gov, including any personal information
provided. For access to the docket to read background documents or
comments received, go to Regulations.gov.
Please note: All public comment should be submitted through the
Federal eRulemaking portal (Regulations.gov) or by U.S. mail to the
address listed above.
FOR FURTHER INFORMATION CONTACT: To request more information on the
proposed project or to obtain a copy of the information collection plan
and instruments, contact the Information Collection Review Office,
Centers for Disease Control and Prevention, 1600 Clifton Road NE., MS-
D74, Atlanta, Georgia 30329; phone: 404-639-7570; Email: omb@cdc.gov.
SUPPLEMENTARY INFORMATION: Under the Paperwork Reduction Act of 1995
(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. In addition, the PRA also requires
Federal agencies to provide a 60-day notice in the Federal Register
concerning each proposed collection of information, including each new
proposed collection, each proposed extension of existing collection of
information, and each reinstatement of previously approved information
collection before submitting the collection to OMB for approval. To
comply with this requirement, we are publishing this notice of a
proposed data collection as described below.
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.
Proposed Project
CDC Work@Health[supreg] Program: Phase 2 Training and Technical
Assistance Evaluation (OMB No. 0920-1006, exp. date 1/31/2016)--
Extension--National Center for Chronic Disease Prevention and Health
Promotion (NCCDPHP), Centers for Disease Control and Prevention (CDC).
Background and Brief Description
In the United States, chronic diseases, such as heart disease,
obesity, and diabetes are among the leading causes of death and
disability. Although chronic diseases are among the most common and
costly health problems, they are also among the most preventable.
Adopting healthy behaviors--such as eating nutritious foods, being
physically active and avoiding tobacco use--can prevent the devastating
effects and reduce the rates of these diseases.
Employers are recognizing the role they can play in creating
healthy work environments and providing employees with opportunities to
make healthy lifestyle choices. To support these efforts, the Centers
for Disease Control and Prevention (CDC) developed the
Work@Health[supreg] Program, a comprehensive worksite health training
program which includes the development of a worksite health training
curriculum and delivery of training to employers nationwide to improve
the health of workers and their families. The Work@Health[supreg]
Program is authorized by the Public Health Service Act and funded
through the Prevention and Public Health Fund of the Patient Protection
and Affordable Care Act (ACA). The Work@Health[supreg] curriculum uses
a problem-solving approach to improve employer knowledge and skills
related to effective, science-based workplace health programs, and
support the adoption of these programs in the workplace. Topics covered
in the Work@Health[supreg] curriculum include principles, strategies,
and tools for leadership engagement; how to make a business case for
workplace health programs; how to assess the needs of organizations and
individual employees; how to plan, implement, and evaluate sustainable
workplace health programs; and how to partner with community
organizations for additional support.
CDC began the full-scale implementation and evaluation of the
Work@Health[supreg] Program in Winter/Spring 2014 (Work@Health[supreg]
Program: Phase 2 Training and Technical Assistance Evaluation, OMB No.
0920-1006, exp. date 1/31/2016). During the initial two-year clearance
period, the
[[Page 46283]]
target number of trainees was 1,200. Information was collected from
trainees and employers to support program recruitment, implementation,
and evaluation.
CDC is requesting OMB approval to extend information collection for
three years. There are no changes to information collection methods or
instruments. The target number of new trainees is 1,200. There are
minor changes to the burden table as a result of annualizing responses
over a three-year period instead of a two-year period. The expansion of
the Work@Health[supreg] program will foster the creation of far-
reaching networks to help develop a sustainable worksite wellness
network.
CDC will offer training in four models (formats): (1) A ``Hands-
on'' instructor-led workshop model; (2) a self-paced ``Online'' model;
(3) a combination or ``Blended'' model; and (4) a ``Train-the-Trainer''
model designed to prepare qualified individuals to train other
employers using the Work@Health[supreg] curricula. Employers who
complete the Hands-on, Online, and Blended model trainings will be
invited to participate in peer learning networks and receive technical
assistance from coaches to support their efforts to implement or
enhance their workplace health programs. Technical assistance will also
be provided to the individuals who complete the Train-the-Trainer model
to help prepare them to provide the Work@Health[supreg] training to
employers. Training graduates may be eligible for advanced technical
assistance and training from CDC at a later date, through the expanded
Work@Health[supreg] Advance Program.
To be eligible for the Hands-on, Online, and Blended model
trainings, employers must have a minimum of 20 employees, a valid
business license, and have been in business for at least one year. In
addition, they must offer health insurance to their employees and have
at least minimal workplace health program knowledge and experience.
Applicants for the Train-the-Trainer model must have previous
knowledge, training and experience with workplace health programs and
an interest in becoming instructors for the Work@Health[supreg]
program. They may be referred by employers, health departments,
business coalitions, trade associations, or other organizations.
CDC will collect a combination of qualitative and quantitative data
elements for analysis. These analyses will be supplemented with
interview data collected for approximately six case studies. Outcome
evaluation will therefore include a descriptive component as well as
statistical models to assess the extent to which the program affected
the target outcomes. Employers will be recruited to participate in the
Work@Health[supreg] training and evaluation scheduled to begin in the
Winter of 2016. The training models will be evaluated by assessing the
participating employers' changes in readiness to develop or enhance a
worksite health program; environmental elements of the physical
worksite such as facilities; aggregate employee participation in
programs and community partnership activities; and elements of worksite
structure, practices, and policies related to health and safety. CDC
will also assess trainees' knowledge, attitudes, and behaviors related
to worksite health and their reaction to the Work@Health[supreg]
training, including their satisfaction with the training and opinions
about whether it met their needs. CDC will not collect individual-level
health data for this project.
Participation is voluntary and there are no costs to respondents
other than their time.
Estimated Annualized Burden Hours
----------------------------------------------------------------------------------------------------------------
Number of Avg. burden
Type of respondent Form name Number of responses per per response Total burden
respondents respondent (in hrs.) (in hrs.)
----------------------------------------------------------------------------------------------------------------
Interested Employer........... Employer 400 1 20/60 133
Application
Form.
Employers Participating in CDC Worksite 320 1 30/60 160
Work@Health[supreg]. Health
Scorecard.
Organizational 320 1 15/60 80
Assessment.
Employer Follow- 160 1 15/60 40
up Survey.
Case Study 2 1 1 2
Interviews with
Senior
Leadership.
Case Study 4 1 1 4
Interviews with
Employees.
Trainees Participating in the Trainee KAB 640 1 20/60 213
Work@Health[supreg] Program Survey.
(Hands-on, Online, Blended
models).
Trainee Reaction 100 1 15/60 25
Survey--Hands-
On Model.
Trainee Reaction 120 1 15/60 30
Survey--Online
Model.
Trainee Reaction 100 1 15/60 25
Survey--Blended
Model.
Trainee 640 1 15/60 160
Technical
Assistance
Survey.
Case Study 10 1 1 10
Interviews with
Selected
Trainees.
Trainee Focus 7 1 1.5 14
Group
Discussion
Guide.
Interested Train-the-Trainer Train-the- 120 1 30/60 60
Participants. Trainer
Application
Form.
Trainees Participating in the Train-the- 80 1 20/60 27
Work@Health[supreg] Program Trainer
(Train-the-Trainer model). Participant
Survey.
Trainee Reaction 40 1 15/60 10
Survey--Train-
the-Trainer
Model.
Train-the- 80 1 15/60 20
Trainer Trainee
Technical
Assistance
Survey.
[[Page 46284]]
Trainees participating in the Wave 2 Trainee 200 1 15/60 50
Work@Health[supreg] Program Reaction Survey.
Wave 2.
Work@Health[supreg] Instructor/Coach 7 1 30/60 4
Instructors/Coaches. Group
Discussion
Guide.
Total..................... ................ .............. .............. .............. 1,064
----------------------------------------------------------------------------------------------------------------
Leroy A. 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. 2015-19042 Filed 8-3-15; 8:45 am]
BILLING CODE 4163-18-P
