Submission for OMB Review; Comment Request, 80772-80773 [2015-32565]

Download as PDF 80772 Federal Register / Vol. 80, No. 248 / Monday, December 28, 2015 / Notices (nursing, physical therapy, occupational therapy, and speech-language therapy) that is ordered by a physician. The CMS has developed a list of clinical elements within a suggested electronic clinical template that would allow electronic health record vendors to create prompts to assist physicians when documenting the HH face-to-face encounter for Medicare purposes. Once completed by the physician, the resulting progress note or clinic note would be part of the medical record. The primary users of these new clinical templates will be physicians and/or allowed nonphysician practitioners (NPPs). The templates will help users to capture the necessary information needed to complete the face-to-face encounter documentation. This will help physicians and/or allowed NPPs comply with Medicare policy requirements, thereby reducing the possibility of a home health claim not being paid because of failure to meet Medicare requirements. It should be noted that this information collection request has been revised with non-substantive changes since the publication of the 60day (80 FR 48320) notice. Form Number: CMS–10564 (OMB control number: 0938–New); Frequency: Occasionally; Affected Public: Private sector (Business or other For-profit and Not-for-profit institutions); Number of Respondents: 2,926,420; Total Annual Responses: 2,926,420; Total Annual Hours: 1,220,317. (For policy questions regarding this collection contact Kristal Vines at 410–786–0119). Dated: December 21, 2015. William N. Parham, III, Director, Paperwork Reduction Staff, Office of Strategic Operations and Regulatory Affairs. [FR Doc. 2015–32435 Filed 12–24–15; 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: Annual Survey of Refugees (Form ORR–9). OMB No.: 0970–0033. Description: The Annual Survey of Refugees collects information on the social and economic characteristics of a random sample of refugees, Amerasians, and entrants who arrived in the United States in the five years prior to the date of the survey. The survey focuses on employment and other training, labor participation, and welfare utilization rates. From the responses, the Office of Refugee Resettlement reports on the economic adjustment of refugees to the American economy. Respondents: Refugees, Amerasians and entrants ANNUAL BURDEN ESTIMATES Number of respondents Instrument mstockstill on DSK4VPTVN1PROD with NOTICES ORR–9 Annual Survey of Refugees ............................................................... Request for Participation Letter ....................................................................... Estimated Total Annual Burden Hours: 1,340. Additional Information: Copies of the proposed collection may be obtained by writing to the Administration for Children and Families, Office of Planning, Research and Evaluation, 330 C Street SW., Washington, DC 20201. Attention Reports Clearance Officer. All requests should be identified by the title of the information collection. Email address: infocollection@acf.hhs.gov. OMB Comment: OMB is required to make a decision concerning the collection of information between 30 and 60 days after publication of this document in the Federal Register. Therefore, a comment is best assured of having its full effect if OMB receives it within 30 days of publication. Written comments and recommendations for the proposed information collection should be sent directly to the following: Office of Management and Budget, Paperwork Reduction Project, Email: OIRA_ SUBMISSION@OMB.EOP.GOV, Attn: VerDate Sep<11>2014 13:31 Dec 24, 2015 Jkt 238001 2,000 2,000 Desk Officer for the Administration for Children and Families. Robert Sargis, Reports Clearance Officer. [FR Doc. 2015–32604 Filed 12–24–15; 8:45 am] BILLING CODE 4184–01–P DEPARTMENT OF HEALTH AND HUMAN SERVICES Administration for Children and Families Submission for OMB Review; Comment Request Title: Head Start Eligibility Verification. OMB No.: 0970–0374. Description: The Office of Head Start (OHS) within the Administration for Children and Families, United States Department of Health and Human Services, proposes to renew, with changes, its authority for record keeping requirements associated with Head Start eligibility verification. OHS revised the PO 00000 Frm 00028 Fmt 4703 Sfmt 4703 Number of responses per respondent 1 1 Average burden hours per response 0.62 0.05 Total burden hours 1240 100 Head Start Eligibility Verification form to reflect changes in the eligibility final rule published on February 10, 2015 (80 FR 7368). OHS initially developed the form to help programs determine eligibility. However, Head Start programs are not required to use this specific form. Programs may either adopt the form or design a new form to meet the eligibility requirements. The Office of Head Start published a final rule on eligibility under the authority granted to the Secretary of Health and Human Services under the Head Start Act (Act) at sections 644(c), 645(a)(1)(A), and 645A(c). The final rule clarifies Head Start’s eligibility procedures and enrollment requirements, and reinforces Head Start’s overall mission to support lowincome families and early learning. A program must maintain records as specified in sections 1305.4(d)(2), 1305.4(l), and 1305.4(h) through (j) of the final rule. Respondents: Head Start and Early Head Start program grant recipients. E:\FR\FM\28DEN1.SGM 28DEN1 80773 Federal Register / Vol. 80, No. 248 / Monday, December 28, 2015 / Notices ANNUAL BURDEN ESTIMATES Number of respondents Instruments Number of responses per respondent Average burden hours per response Total burden hours § 1305.4(l) Eligibility determination records (sample form) ............................. § 1305.4(d)(2) ................................................................................................... § 1305.4(h),(i), and (j) ...................................................................................... § 1305.4(l) Other Record Keeping ................................................................... 1,600 20 1,600 1,600 478 1 1 1 .10 2 15 15 76,480 40 24,000 24,000 Estimated Total Annual Burden Hours ..................................................... ........................ ........................ ........................ 124,520 Additional Information Copies of the proposed collection may be obtained by writing to the Administration for Children and Families, Office of Planning, Research and Evaluation, 370 L’Enfant Promenade SW., Washington, DC 20447, Attn: ACF Reports Clearance Officer. All requests should be identified by the title of the information collection. Email address: infocollection@acf.hhs.gov. OMB Comment OMB is required to make a decision concerning the collection of information between 30 and 60 days after publication of this document in the Federal Register. Therefore, a comment is best assured of having its full effect if OMB receives it within 30 days of publication. Written comments and recommendations for the proposed information collection should be sent directly to the following: Office of Management and Budget, Paperwork Reduction Project, Fax: 202–395–7285, Email: OIRA_SUBMISSION@ OMB.EOP.GOV. Attn: Desk Officer for the Administration for Children and Families. Robert Sargis, Reports Clearance Officer. [FR Doc. 2015–32565 Filed 12–24–15; 8:45 am] BILLING CODE 4184–01–P DEPARTMENT OF HEALTH AND HUMAN SERVICES Administration for Children and Families Submission for OMB Review; Comment Request Title: Refugee Microenterprise and Refugee Home-Based Child Care Microenterprise Development. OMB No.: 0970. Description: New data collection tool for refugee microenterprise and Refugee Home-Based Child Care Microenterprise Program. Respondents: Refugee Microenterprise Development Grantees and Refugee Home-Based Child Care Microenterprise Development. ANNUAL BURDEN ESTIMATES Number of respondents Instrument Number of responses per respondent Average burden hours per response Total burden hours Refugee Microenterprise Development ........................................................... Refugee Home-Based Child Care Microenterprise Development ................... 22 23 8 7 4 4 88 92 Total Burden ............................................................................................. ........................ ........................ ........................ 180 Estimated Total Annual Burden Hours: (180 hours × $30 per hour) $4,500 per year. Explanation mstockstill on DSK4VPTVN1PROD with NOTICES The Refugee Microenterprise Development Program • Currently, there are twenty two grantees (respondents) in the program and the semi-annual progress, which includes the data and information required, is submitted twice per year. • The request covers one form (Form I. attached) which includes eight data points. Based on experience (the information was provided by technical assistance service provider in the past), it takes about two hours per respondent per six months (i.e., four hours per year per grantee (respondent) or 88 hours per year for all respondents) to complete the form. VerDate Sep<11>2014 13:31 Dec 24, 2015 Jkt 238001 • No survey will be undertaken since the collection of this data (information) is part of the implementation process of the project and its collection and reporting does not constitute a separate and additional cost to the grantees (respondents). The cost is covered by the grant the grantee receives. The grantees have Down Home database which captures and stores the data required for reporting. The grantee uploads the semi-annual report in Grant Solution where it is stored. ORR derives the data it requires for reporting and management decision from Grant Solution. The Refugee Home-Based Child Care Microenterprise Development Group • Currently, there are twenty three grantees (respondents) in the program and the semi-annual progress. PO 00000 Frm 00029 Fmt 4703 Sfmt 4703 • The request covers one form (Form II. attached) which includes seven data points. It takes about two hours per respondent per six months (i.e., four hours per year grantee (respondent) or 92 hours per year for all respondents) to complete the form. • The collection of this data (information) is part of the process and its collection and reporting does not include separate and additional cost to the grantees (respondents). The cost is covered by the grant the grantee receives. The grantees have database which captures and stores the data required for reporting. The grantee uploads the data required in Grant Solution where it is stored. ORR derives the data it requires for reporting and management decision from Grant Solution. E:\FR\FM\28DEN1.SGM 28DEN1

Agencies

[Federal Register Volume 80, Number 248 (Monday, December 28, 2015)]
[Notices]
[Pages 80772-80773]
From the Federal Register Online via the Government Publishing Office [www.gpo.gov]
[FR Doc No: 2015-32565]


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DEPARTMENT OF HEALTH AND HUMAN SERVICES

Administration for Children and Families


Submission for OMB Review; Comment Request

    Title: Head Start Eligibility Verification.
    OMB No.: 0970-0374.
    Description: The Office of Head Start (OHS) within the 
Administration for Children and Families, United States Department of 
Health and Human Services, proposes to renew, with changes, its 
authority for record keeping requirements associated with Head Start 
eligibility verification. OHS revised the Head Start Eligibility 
Verification form to reflect changes in the eligibility final rule 
published on February 10, 2015 (80 FR 7368). OHS initially developed 
the form to help programs determine eligibility. However, Head Start 
programs are not required to use this specific form. Programs may 
either adopt the form or design a new form to meet the eligibility 
requirements.
    The Office of Head Start published a final rule on eligibility 
under the authority granted to the Secretary of Health and Human 
Services under the Head Start Act (Act) at sections 644(c), 
645(a)(1)(A), and 645A(c). The final rule clarifies Head Start's 
eligibility procedures and enrollment requirements, and reinforces Head 
Start's overall mission to support low-income families and early 
learning. A program must maintain records as specified in sections 
1305.4(d)(2), 1305.4(l), and 1305.4(h) through (j) of the final rule.
    Respondents: Head Start and Early Head Start program grant 
recipients.

[[Page 80773]]



                                             Annual Burden Estimates
----------------------------------------------------------------------------------------------------------------
                                                                     Number of    Average burden
                   Instruments                       Number of     responses per     hours per     Total burden
                                                    respondents     respondent       response          hours
----------------------------------------------------------------------------------------------------------------
Sec.   1305.4(l) Eligibility determination                 1,600             478             .10          76,480
 records (sample form)..........................
Sec.   1305.4(d)(2).............................              20               1               2              40
Sec.   1305.4(h),(i), and (j)...................           1,600               1              15          24,000
Sec.   1305.4(l) Other Record Keeping...........           1,600               1              15          24,000
                                                 ---------------------------------------------------------------
    Estimated Total Annual Burden Hours.........  ..............  ..............  ..............         124,520
----------------------------------------------------------------------------------------------------------------

Additional Information

    Copies of the proposed collection may be obtained by writing to the 
Administration for Children and Families, Office of Planning, Research 
and Evaluation, 370 L'Enfant Promenade SW., Washington, DC 20447, Attn: 
ACF Reports Clearance Officer. All requests should be identified by the 
title of the information collection. Email address: 
infocollection@acf.hhs.gov.

OMB Comment

    OMB is required to make a decision concerning the collection of 
information between 30 and 60 days after publication of this document 
in the Federal Register. Therefore, a comment is best assured of having 
its full effect if OMB receives it within 30 days of publication. 
Written comments and recommendations for the proposed information 
collection should be sent directly to the following: Office of 
Management and Budget, Paperwork Reduction Project, Fax: 202-395-7285, 
Email: OIRA_SUBMISSION@OMB.EOP.GOV.
    Attn: Desk Officer for the Administration for Children and 
Families.

Robert Sargis,
Reports Clearance Officer.
[FR Doc. 2015-32565 Filed 12-24-15; 8:45 am]
 BILLING CODE 4184-01-P