Agency Information Collection Activities: Proposed Collection; Comment Request, 61212-61213 [2015-25809]
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61212
Federal Register / Vol. 80, No. 196 / Friday, October 9, 2015 / Notices
CDC requests OMB approval to revise
information collection for the NQDW as
follows.
The ASQ will become an additional
respondent providing data to the NQDW
using the NQDW Intake Questionnaire,
NQDW (ASQ) Seven-Month Follow-up
Questionnaire, and NQDW Quitline
Services Survey. This increases the
number of participating Quitlines from
53 to 54.
Five questions will be added to the
NQDW Intake Questionnaire to collect
information about pregnancy, insurance
status, type of health insurance, mental
health, and language of service. The
estimated burden per response for a
complete intake interview is 10
minutes. The complete intake interview
is only administered to callers who
request information or assistance for
themselves. A short version of the
intake interview will be administered to
any caller who contacts a quitline on
behalf of another person. The short
version of the intake interview consists
of a subset of four questions. The
estimated burden per response for these
callers is one minute.
The Seven-Month Follow-up
Questionnaire will be discontinued for
all callers except those who receive
services through the ASQ.
Individual-level data (intake and 7month follow-up) are submitted to CDC
electronically through a secure FTP
server or via U.S. mail. The burden table
for the NQDW includes allocations for
the caller intake and follow-up
interviews, and an allocation for
quitlines to prepare and submit the deidentified aggregate files.
The information collected in the
NQDW will be used to determine the
role Quitlines play in promoting tobacco
use cessation, measure the number of
tobacco users being served by state
quitlines, determine reach of Quitlines
to high-risk populations (e.g., racial and
ethnic minorities and the medically
underserved), measure the number
using each state quitline who quit,
determine whether some combinations
of services contribute to higher quit
rates than others, and improve the
timeliness, access to, and quality of data
collected by quitlines.
OMB approval is requested for three
years. During this period there is a net
reduction in total estimated annualized
burden hours due to adjustments in the
estimated number of Quitline callers.
There are no costs to respondents other
than their time. The total estimated
annualized burden hours are 80,708.
ESTIMATED ANNUALIZED BURDEN HOURS
Form name
Quitline callers who contact the quitline for
help for themselves.
NQDW Intake Questionnaire (English-complete).
ASQ Intake Questionnaire (Chinese, Korean,
or Vietnamese-complete).
ASQ Seven-Month Follow-up Questionnaire
NQDW Intake Questionnaire (English-subset).
ASQ Intake Questionnaire (Chinese, Korean,
or Vietnamese-subset).
Submission of NQDW Intake Questionnaire
Electronic Data File to CDC.
Submission of NQDW (ASQ) Seven-Month
Follow-up Electronic Data File to CDC.
NQDW Quitline Services Survey ...................
Caller who contacts the Quitline on behalf of
someone else.
Tobacco Control Manager or their Designee/
Quitline Service Provider.
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. 2015–25734 Filed 10–8–15; 8:45 am]
BILLING CODE 4163–18–P
DEPARTMENT OF HEALTH AND
HUMAN SERVICES
Centers for Medicare & Medicaid
Services
tkelley on DSK3SPTVN1PROD with NOTICES
[Document Identifiers: CMS–10079]
Agency Information Collection
Activities: Proposed Collection;
Comment Request
Centers for Medicare &
Medicaid Services, Department of
Health and Human Services.
ACTION: Notice.
AGENCY:
VerDate Sep<11>2014
17:44 Oct 08, 2015
Jkt 238001
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 (including each proposed
extension or reinstatement of an existing
collection of information) and to allow
60 days for public comment on the
proposed action. 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: (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
SUMMARY:
PO 00000
Frm 00058
Fmt 4703
Sfmt 4703
Number of
responses per
respondent
Number of
respondents
Type of respondents
Average
burden per
response
(in hrs.)
478,638
1
10/60
803
1
10/60
659
26,007
1
1
7/60
1/60
116
1
1/60
54
4
1
1
1
1
54
4
20/60
be collected; and (4) the use of
automated collection techniques or
other forms of information technology to
minimize the information collection
burden.
Comments must be received by
December 8, 2015.
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
DATES:
E:\FR\FM\09OCN1.SGM
09OCN1
61213
Federal Register / Vol. 80, No. 196 / Friday, October 9, 2015 / Notices
Operations and Regulatory Affairs,
Division of Regulations Development,
Attention: Document Identifier/OMB
Control Number ll, 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/
PaperworkReductionActof1995.
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
and associated materials (see
ADDRESSES).
CMS–10079 Hospital Wage Index
Occupational Mix Survey and
Supporting Regulations in 42 CFR,
Section 412.64
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.
Section 3506(c)(2)(A) of the PRA
requires federal agencies to publish a
60-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.
Dated: October 6, 2015.
William N. Parham, III,
Director, Paperwork Reduction Staff, Office
of Strategic Operations and Regulatory
Affairs.
Information Collection
1. Type of Information Collection
Request: Extension of a currently
approved collection; Title of
Information Collection: Hospital Wage
Index Occupational Mix Survey and
Supporting Regulations in 42 CFR,
Section 412.64; Use: Section 304(c) of
Public Law 106–554 amended section
1886(d) (3) (E) of the Social Security Act
to require CMS to collect data every
three years on the occupational mix of
employees for each short-term, acute
care hospital participating in the
Medicare program, in order to construct
an occupational mix adjustment to the
wage index, for application beginning
October 1, 2004 (the FY 2005 wage
index). The purpose of the occupational
mix adjustment is to control for the
effect of hospitals’ employment choices
on the wage index. For example,
hospitals may choose to employ
different combinations of registered
nurses, licensed practical nurses,
nursing aides, and medical assistants for
the purpose of providing nursing care to
their patients. The varying labor costs
associated with these choices reflect
hospital management decisions rather
than geographic differences in the costs
of labor. The FY 2016 survey will
provide for the collection of hospitalspecific wages and hours data for
calendar year 2016 (that is, payroll
periods ending between January 1, 2016
and December 31, 2016). The 2016
Medicare occupational mix survey will
be applied beginning with the FY 2019
wage index. Form Number: CMS–10079
(OMB control number: 0938–0907);
Frequency: Yearly; Affected Public:
Private sector (Business or other forprofits and Not-for-profit institutions),
State, Local and Tribal Governments;
Number of Respondents: 3,400; Total
Annual Responses: 3,400; Total Annual
Hours: 1,632,000. (For policy questions
regarding this collection contact Noel
Manlove at 410–786–5161.
[FR Doc. 2015–25809 Filed 10–8–15; 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: Title IV–E Plan for Foster Care,
Adoption Assistance, and, Optional,
Guardianship Assistance Programs.
OMB No.: 0970–0433.
Description: A title IV–E plan is
required by section 471, part IV–E of the
Social Security Act (the Act) for each
public child welfare agency requesting
Federal funding for foster care, adoption
assistance and guardianship assistance
under the Act. Section 479B of the Act
provides for an Indian tribe, tribal
organization or tribal consortium (Tribe)
to operate a title IV–E program in the
same manner as a State with minimal
exceptions. The Tribe must have an
approved title IV–E Plan. The title IV–
E plan provides assurances the
programs will be administered in
conformity with the specific
requirements stipulated in title IV–E.
The plan must include all applicable
State or Tribal statutory, regulatory, or
policy references and citations for each
requirement as well as supporting
documentation. A title IV–E agency may
use the pre-print format prepared by the
Children’s Bureau of the Administration
for Children and Families or a different
format, on the condition that the format
used includes all of the title IV–E plan
requirements of the law.
Respondents: Title IV–E agencies
administering or supervising the
administration of the title IV–E
programs.
ANNUAL BURDEN ESTIMATES
tkelley on DSK3SPTVN1PROD with NOTICES
Instrument
Number of
respondents
Number of
responses per
respondent
Average
burden hours
per response
Total burden
hours
Title IV–E Plan ...........................................................................................
17
1
16
272
Estimated Total Annual Burden
Hours: 272.
VerDate Sep<11>2014
17:44 Oct 08, 2015
Jkt 238001
Additional Information
Copies of the proposed collection may
be obtained by writing to the
PO 00000
Frm 00059
Fmt 4703
Sfmt 4703
Administration for Children and
Families, Office of Planning, Research
and Evaluation, 370 L’Enfant
E:\FR\FM\09OCN1.SGM
09OCN1
Agencies
[Federal Register Volume 80, Number 196 (Friday, October 9, 2015)]
[Notices]
[Pages 61212-61213]
From the Federal Register Online via the Government Publishing Office [www.gpo.gov]
[FR Doc No: 2015-25809]
-----------------------------------------------------------------------
DEPARTMENT OF HEALTH AND HUMAN SERVICES
Centers for Medicare & Medicaid Services
[Document Identifiers: CMS-10079]
Agency Information Collection Activities: Proposed Collection;
Comment Request
AGENCY: Centers for Medicare & Medicaid Services, Department of Health
and Human Services.
ACTION: Notice.
-----------------------------------------------------------------------
SUMMARY: 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 (including each proposed extension or reinstatement of an
existing collection of information) and to allow 60 days for public
comment on the proposed action. 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: (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 must be received by December 8, 2015.
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
[[Page 61213]]
Operations and Regulatory Affairs, Division of Regulations Development,
Attention: Document Identifier/OMB Control Number __, 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/PaperworkReductionActof1995.
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 and associated
materials (see ADDRESSES).
CMS-10079 Hospital Wage Index Occupational Mix Survey and Supporting
Regulations in 42 CFR, Section 412.64
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. Section 3506(c)(2)(A) of the PRA requires federal agencies
to publish a 60-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.
Information Collection
1. Type of Information Collection Request: Extension of a currently
approved collection; Title of Information Collection: Hospital Wage
Index Occupational Mix Survey and Supporting Regulations in 42 CFR,
Section 412.64; Use: Section 304(c) of Public Law 106-554 amended
section 1886(d) (3) (E) of the Social Security Act to require CMS to
collect data every three years on the occupational mix of employees for
each short-term, acute care hospital participating in the Medicare
program, in order to construct an occupational mix adjustment to the
wage index, for application beginning October 1, 2004 (the FY 2005 wage
index). The purpose of the occupational mix adjustment is to control
for the effect of hospitals' employment choices on the wage index. For
example, hospitals may choose to employ different combinations of
registered nurses, licensed practical nurses, nursing aides, and
medical assistants for the purpose of providing nursing care to their
patients. The varying labor costs associated with these choices reflect
hospital management decisions rather than geographic differences in the
costs of labor. The FY 2016 survey will provide for the collection of
hospital-specific wages and hours data for calendar year 2016 (that is,
payroll periods ending between January 1, 2016 and December 31, 2016).
The 2016 Medicare occupational mix survey will be applied beginning
with the FY 2019 wage index. Form Number: CMS-10079 (OMB control
number: 0938-0907); Frequency: Yearly; Affected Public: Private sector
(Business or other for-profits and Not-for-profit institutions), State,
Local and Tribal Governments; Number of Respondents: 3,400; Total
Annual Responses: 3,400; Total Annual Hours: 1,632,000. (For policy
questions regarding this collection contact Noel Manlove at 410-786-
5161.
Dated: October 6, 2015.
William N. Parham, III,
Director, Paperwork Reduction Staff, Office of Strategic Operations and
Regulatory Affairs.
[FR Doc. 2015-25809 Filed 10-8-15; 8:45 am]
BILLING CODE 4120-01-P