Agency Information Collection Activities: Proposed Collection; Comment Request, 92-93 [2015-32965]
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Federal Register / Vol. 81, No. 1 / Monday, January 4, 2016 / Notices
Background and Brief Description
In January 2015, CDC launched a new
phase of funding for its autism spectrum
disorder (ASD) surveillance program
through a new cooperative agreement:
‘‘Enhancing Public Health Surveillance
of Autism Spectrum Disorder and Other
Developmental Disabilities through the
Autism and Developmental Disabilities
Monitoring (ADDM) Network’’ under
the Funding Opportunity
Announcement (FOA) DD15–1501.
Through this cooperative agreement,
funding is provided to enhance tracking
at eight existing sites and to launch two
new sites. Awards were made to state/
local health departments and/or their
designated representatives, including
Colorado Department of Public Health
and Environment, Johns Hopkins
University, Rutgers University,
University of Arizona, University of
Arkansas for Medical Sciences,
University of North Carolina at Chapel
Hill, University of Minnesota,
University of Wisconsin-Madison,
Vanderbilt University, and Washington
University in St. Louis. Four sites
received funding to carry out
Component A, which focuses on
surveillance of ASD and either cerebral
palsy or intellectual disability among 8year-olds. Six sites received funding to
carry out both Component A as well as
Component B, which focuses on
surveillance of ASD among 4-year-olds.
In addition to the sites funded under the
cooperative agreement, CDC also
administers a site in Atlanta, Georgia,
commonly known as the Metropolitan
Atlanta Developmental Disabilities
Surveillance Program (MADDSP).
CDC seeks to request OMB approval
to collect performance monitoring and
program evaluation information from all
sites participating in the Autism and
Developmental Disabilities Monitoring
Network (including the site
administered by CDC). Over the course
of the four-year funding cycle, each site
will provide feedback via site-specific
interviews, a Checklist, Worksheets, and
Performance Measures at six month and
two-year intervals. The interviews will
occur on pre-established individual site
calls that CDC conducts monthly with
each grantee. The Worksheets and
Performance Measures will be
submitted to CDC by completing a
Microsoft Excel-based data collection
tool and emailing the information to a
designated CDC contact. By conducting
brief telephone interviews and
developing a user-friendly data
collection tool in Microsoft Excel, CDC
anticipates that the reporting and
tracking burden for awardees will be
reduced due to: (1) Use of preestablished meeting time to conduct
interviews, (2) awardees’ familiarity
with the software, which reduces
training burden; and (3) the
compatibility of the templates with
other record keeping processes that are
already in place for many awardees.
CDC staff and contractors will be
responsible for converting each
awardee’s submissions into a secure
Microsoft Excel spreadsheet for
reporting and analysis. CDC anticipates
that respondent burden will be slightly
higher at the initial six-month
submission and will also be slightly
higher for sites completing Component
A&B compared to just Component A.
The information to be collected will
help CDC and awardees assure
compliance with cooperative agreement
requirements, support program
evaluation efforts, and obtain
information needed to respond to
inquiries about program activities and
program impact from Congress and
other stakeholders.
OMB approval is requested for three
years. Participation is required as a
condition of cooperative agreement
funding. There are no costs to
respondents other than their time. The
total estimated burden hours are 122.
ESTIMATED ANNUALIZED BURDEN HOURS
Form name
Component A only (initial six-month submission) ...................
Interview .................................
Worksheets ............................
Performance Measure ............
Interview .................................
Worksheets ............................
Performance Measures ..........
Interview .................................
Worksheets ............................
Performance Measures ..........
Interview .................................
Worksheets ............................
Performance Measures ..........
Component A&B (initial six-month submission) ......................
Component A only (subsequent six-month and two-year
submissions).
Component A&B (subsequent six-month and two-year submissions).
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.
tkelley on DSK3SPTVN1PROD with NOTICES
[FR Doc. 2015–33092 Filed 12–31–15; 8:45 am]
DEPARTMENT OF HEALTH AND
HUMAN SERVICES
Centers for Medicare & Medicaid
Services
[Document Identifier: CMS–359/360]
Agency Information Collection
Activities: Proposed Collection;
Comment Request
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Centers for Medicare &
Medicaid Services.
ACTION: Notice.
AGENCY:
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Number of
responses per
respondent
Number of
respondents
Type of respondents
5
5
5
6
6
6
5
5
5
6
6
6
1
1
1
1
1
1
5
5
5
5
5
5
Average
burden per
response
(in hours)
3/60
90/60
30/60
3/60
120/60
42/60
3/60
60/60
18/60
3/60
90/60
30/60
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
SUMMARY:
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04JAN1
Federal Register / Vol. 81, No. 1 / Monday, January 4, 2016 / Notices
tkelley on DSK3SPTVN1PROD with NOTICES
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
March 4, 2016.
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 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
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each collection’s supporting statement
and associated materials (see
ADDRESSES).
CMS–359/360 Comprehensive
Outpatient Rehabilitation Facility
(CORF) Eligibility and Survey Forms
and Supporting Regulations
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.
1. Type of Information Collection
Request: Extension of a currently
approved information collection; Title
of Information Collection:
Comprehensive Outpatient
Rehabilitation Facility (CORF)
Eligibility and Survey Forms and
Supporting Regulations; Use: The form
CMS–359 is used as the application for
health care providers seeking to
participate in the Medicare program as
a Comprehensive Outpatient
Rehabilitation Facility (CORF). This
form initiates the process for facilities to
become certified as a CORF and it
provides the CMS Regional Office State
Survey Agency staff identifying
information regarding the applicant that
is stored in the Automated Survey
Processing Environment (ASPEN)
system.
The form CMS–360 is a survey tool
used by the State Survey Agencies to
record information in order to
determine a provider’s compliance with
the CORF Conditions of Participation
(CoPs) and to report this information to
the Federal government. The form
includes basic information on the CoP
requirements, check boxes to indicate
the level of compliance, and a section
for recording notes. We have the
responsibility and authority for
certification decisions which are based
on provider compliance with the CoPs
and this form supports this process.
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93
Form Number: CMS–359/360 (OMB
Control Number: 0938–0267);
Frequency: Occasionally; Affected
Public: Private Sector (Business or other
for-profits); Number of Respondents: 50;
Number of Responses: 50; Total Annual
Hours: 123.
(For questions regarding this collection
contact James Cowher (410) 786–1948.)
Dated: December 28, 2015.
William N. Parham, III,
Director, Paperwork Reduction Staff, Office
of Strategic Operations and Regulatory
Affairs.
[FR Doc. 2015–32965 Filed 12–31–15; 8:45 am]
BILLING CODE 4120–01–P
DEPARTMENT OF HEALTH AND
HUMAN SERVICES
Administration for Children and
Families
Proposed Information Collection
Activity; Comment Request
Administration for Children
and Families; HHS.
AGENCY:
ACTION:
Notice.
Proposed Projects
Title: ACF Performance Progress
Reports—Program Indicators.
OMB No.: 0970–0406.
Description: The Office of Grants
Management (OGM), in the
Administration for Children and
Families (ACF) is proposing the
continued collection of program
performance data for ACF’s
discretionary grantees. The form
developed by OGM was created from
the basic template of the OMB-approved
reporting format of the Program
Performance Report. OGM uses this data
to ensure grantees are proceeding in a
satisfactory manner in meeting the
approved goals and objectives of the
project, and if funding should be
continued for another budget period.
The requirement for grantees to report
on performance is OMB grants policy.
Specific citations are contained in 45
CFR part 75 Uniform Administrative
Requirements, Cost Principles, and
Audit Requirements for HHS Awards.
Respondents: All ACF Discretionary
Grantees. State governments, Native
American Tribal governments, Native
American Tribal Organizations, Local
Governments, and Nonprofits with or
without 501(c)(3) status with the IRS.
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]]>Agencies
[Federal Register Volume 81, Number 1 (Monday, January 4, 2016)]
[Notices]
[Pages 92-93]
From the Federal Register Online via the Government Publishing Office [www.gpo.gov]
[FR Doc No: 2015-32965]
-----------------------------------------------------------------------
DEPARTMENT OF HEALTH AND HUMAN SERVICES
Centers for Medicare & Medicaid Services
[Document Identifier: CMS-359/360]
Agency Information Collection Activities: Proposed Collection;
Comment Request
AGENCY: Centers for Medicare & Medicaid 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
[[Page 93]]
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 March 4, 2016.
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 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-359/360 Comprehensive Outpatient Rehabilitation Facility (CORF)
Eligibility and Survey Forms and Supporting Regulations
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.
1. Type of Information Collection Request: Extension of a currently
approved information collection; Title of Information Collection:
Comprehensive Outpatient Rehabilitation Facility (CORF) Eligibility and
Survey Forms and Supporting Regulations; Use: The form CMS-359 is used
as the application for health care providers seeking to participate in
the Medicare program as a Comprehensive Outpatient Rehabilitation
Facility (CORF). This form initiates the process for facilities to
become certified as a CORF and it provides the CMS Regional Office
State Survey Agency staff identifying information regarding the
applicant that is stored in the Automated Survey Processing Environment
(ASPEN) system.
The form CMS-360 is a survey tool used by the State Survey Agencies
to record information in order to determine a provider's compliance
with the CORF Conditions of Participation (CoPs) and to report this
information to the Federal government. The form includes basic
information on the CoP requirements, check boxes to indicate the level
of compliance, and a section for recording notes. We have the
responsibility and authority for certification decisions which are
based on provider compliance with the CoPs and this form supports this
process. Form Number: CMS-359/360 (OMB Control Number: 0938-0267);
Frequency: Occasionally; Affected Public: Private Sector (Business or
other for-profits); Number of Respondents: 50; Number of Responses: 50;
Total Annual Hours: 123.
(For questions regarding this collection contact James Cowher (410)
786-1948.)
Dated: December 28, 2015.
William N. Parham, III,
Director, Paperwork Reduction Staff, Office of Strategic Operations and
Regulatory Affairs.
[FR Doc. 2015-32965 Filed 12-31-15; 8:45 am]
BILLING CODE 4120-01-P
