Agency Forms Undergoing Paperwork Reduction Act Review, 11801-11803 [2016-05073]
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11801
Federal Register / Vol. 81, No. 44 / Monday, March 7, 2016 / Notices
survey will collect information about
SDVCs satisfaction with CDC efforts to
support them; process, program and
strategy implementation factors that
affect their ability to meet the
requirements of the Funding
Opportunity Announcement; prevention
knowledge and use of the public health
approach; and sustainability of
prevention activities and successes.
Participation in the information
collection is required as a condition of
funding. There are no costs to
respondents other than their time.
ESTIMATED ANNUALIZED BURDEN HOURS
Number of
respondents
Average
burden per
response
(in hours)
Number of
responses per
respondent
Total burden
(in hours)
Type of respondents
Form name
State Domestic Violence Coalition Executive
Director.
State Domestic Violence Coalition Project Coordinator.
Coordinated Community Response Project
Coordinator.
State Domestic Violence Coalition Empowerment Evaluator.
DELTA FOCUS Survey .....
10
1
1
10
DELTA FOCUS Survey .....
20
1
1
20
DELTA FOCUS Survey .....
19
1
1
19
DELTA FOCUS Survey .....
10
1
1
10
Total ..........................................................
............................................
........................
........................
........................
59
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. 2016–04939 Filed 3–4–16; 8:45 am]
BILLING CODE 4163–18–P
DEPARTMENT OF HEALTH AND
HUMAN SERVICES
Centers for Disease Control and
Prevention
[30Day–16–15BEZ]
asabaliauskas on DSK3SPTVN1PROD with NOTICES
Agency Forms Undergoing Paperwork
Reduction Act Review
The Centers for Disease Control and
Prevention (CDC) has submitted the
following information collection request
to the Office of Management and Budget
(OMB) for review and approval in
accordance with the Paperwork
Reduction Act of 1995. The notice for
the proposed information collection is
published to obtain comments from the
public and affected agencies.
Written comments and suggestions
from the public and affected agencies
concerning the proposed collection of
information are encouraged. Your
comments should address any of the
following: (a) Evaluate whether the
proposed collection of information is
necessary for the proper performance of
the functions of the agency, including
whether the information will have
practical utility; (b) Evaluate the
accuracy of the agencies estimate of the
burden of the proposed collection of
information, including the validity of
the methodology and assumptions used;
(c) Enhance the quality, utility, and
VerDate Sep<11>2014
18:37 Mar 04, 2016
Jkt 238001
clarity of the information to be
collected; (d) Minimize the burden of
the collection of information on those
who are to respond, including through
the use of appropriate automated,
electronic, mechanical, or other
technological collection techniques or
other forms of information technology,
e.g., permitting electronic submission of
responses; and (e) Assess information
collection costs.
To request additional information on
the proposed project or to obtain a copy
of the information collection plan and
instruments, call (404) 639–7570 or
send an email to omb@cdc.gov. Direct
written comments and/or suggestions
regarding the items contained in this
notice to the Attention: CDC Desk
Officer, Office of Management and
Budget, Washington, DC 20503 or by fax
to (202) 395–5806. Written comments
should be received within 30 days of
this notice.
Proposed Project
Improving Fetal Alcohol Spectrum
Disorders Prevention and Practice
through Practice and Implementation
Centers and National Partnerships—
New—National Center on Birth Defects
and Developmental Disabilities
(NCBDDD), Centers for Disease Control
and Prevention (CDC).
Background and Brief Description
The National Center on Birth Defects
and Developmental Disabilities seeks to
collect training evaluation data from
healthcare practitioners and staff in
health systems where FASD-related
practice and systems changes are
implemented, and from grantees of
Practice and Implementation Centers
and national partner organizations
PO 00000
Frm 00064
Fmt 4703
Sfmt 4703
related to prevention, identification, and
treatment of fetal alcohol spectrum
disorders (FASDs).
Prenatal exposure to alcohol is a
leading preventable cause of birth
defects and developmental disabilities.
The term ‘‘fetal alcohol spectrum
disorders’’ describes the full continuum
of effects that can occur in an individual
exposed to alcohol in utero. These
effects include physical, mental,
behavioral, and learning disabilities. All
of these have lifelong implications.
The purpose of this program is to
expand previous efforts from FASD
training programs and shift the
perspective from individual training for
practicing healthcare professionals to
one that capitalizes on prevention
opportunities and the ability to impact
health care practice at the systems level.
Since 2002, CDC funded FASD
Regional Training Centers (RTCs) to
provide education and training to
healthcare professionals and students
about FASD prevention, identification,
and treatment. In July 2013, CDC
convened an expert review panel to
evaluate the effectiveness of the RTC
program overall and to make
recommendations about the program.
The panel highlighted several
accomplishments of the RTCs and
proposed several changes for future
programming: (1) The panel identified a
need for more comprehensive coverage
nationally with discipline-specific
trainings, increased use of technology,
greater collaboration with medical
societies, and stronger linkages with
national partner organizations to
increase the reach of training
opportunities, and (2) The panel
suggested that the training centers focus
on demonstrable practice change and
E:\FR\FM\07MRN1.SGM
07MRN1
11802
Federal Register / Vol. 81, No. 44 / Monday, March 7, 2016 / Notices
sustainability and place a stronger
emphasis on primary prevention of
FASDs. In addition, it was
recommended that future initiatives
have stronger evaluation components.
Based on the recommendations of the
expert review panel, CDC is placing
increased focus on prevention,
demonstrating practice change,
achieving national coverage, and
strengthening partnerships between
FASD Practice and Implementation
Centers, or PICs (the newly redesigned
RTCs), and medical societies and
national partner organizations. The
National Organization on Fetal Alcohol
Syndrome (NOFAS) also participates in
this project as a resource to the PICS
and national partners. The PICs and
national partners are asked to closely
collaborate in discipline-specific
workgroups (DSWs) and identify
strategies that will increase the reach of
the program on a national level. While
a major focus of the grantees’ work will
be national, regional approaches will be
used to develop new content and ‘‘test
out’’ feasibility and acceptability of
materials, especially among healthcare
providers and medical societies. In
addition, CDC is placing a stronger
emphasis on evaluation, with both
individual DSW/NOFAS evaluations
and a cross-site evaluation.
CDC requests OMB approval to collect
program evaluation information from (1)
healthcare practitioners from disciplines
targeted by each DSW, including
training participants, (2) health system
staff, and (3) cooperative agreement
grantees over a three-year period.
• Healthcare practitioners will
complete surveys to provide
information on whether project
trainings impacted their knowledge and
practice behavior regarding FASD
identification, prevention, and
treatment. The information will be used
to improve future trainings and assess
whether knowledge and practice
changes occurred. Some participants
will also complete qualitative key
informant interviews to gain additional
information on practice change.
• Health system employees will be
interviewed or complete surveys as part
of projects to assess healthcare systems
change, including high impact
evaluation studies and DSW systems
change projects. The high impact
evaluation studies will be primarily
qualitative assessments of two to three
specific grantee efforts that seem likely
to result in achievement of program
objectives. The DSW systems change
projects will employ online surveys to
assess systems change in selected health
systems across the U.S.
• Grantees will complete program
evaluation forms to track perceptions of
DSW collaboration and perceptions of
key successes and challenges
encountered by the DSW.
It is estimated that 29,573
respondents will participate in the
evaluation each year, for a total
estimated burden of 3790 hours
annually. There are no costs to
respondents other than their time.
ESTIMATED ANNUALIZED BURDEN HOURS
Type of
respondents
Form name
Project Grantee Staff ......................................
DSW Project Staff ...........................................
DSW Report ...................................................
High Impact Study: Discipline Specific
Workgroup Discussion Guide for Project
Staff.
High Impact Study: Key Informant Interview—Health Care System Staff.
FASD Core Training Survey—Pre-Test .........
FASD Core Training Survey—Post-Test .......
FASD Core Training Survey—6 Month Follow-Up.
Pre-Training Survey for Nursing ....................
Post-Training Survey for Nursing ...................
Six Month Follow-Up Training Survey for
Nursing.
Nursing DSW Polling Questions ....................
Key Informant Interviews with Champions ....
Brief Questionnaire for Nursing Organization
Memberships.
Friends & Members of the Network Survey ..
Healthcare Organization Utilization Survey ...
OBGYN SBI Knowledge & Agency ................
Health Care System Staff ...............................
FASD Core Training Participants ...................
FASD Core Training Participants ...................
FASD Core Training Participants ...................
Nurses .............................................................
Nurses .............................................................
Nurses .............................................................
Nurses .............................................................
Nurses .............................................................
Nurses .............................................................
Nurses .............................................................
Healthcare Organization Representatives ......
Physicians and students in allied health professions.
Physicians .......................................................
Students in allied health professions ..............
asabaliauskas on DSK3SPTVN1PROD with NOTICES
Physicians .......................................................
Physicians and students in allied health professions.
Physicians and students in allied health professions.
Physicians .......................................................
Residency Directors, Training Coordinators,
Clinical Directors, Physicians.
Residency Directors, Training Coordinators,
Clinical Directors, Physicians.
VerDate Sep<11>2014
18:37 Mar 04, 2016
Jkt 238001
Number of
respondents
OBGYN BI–MI Proficiency Rating Scale—
Provider Skills Training Baseline.
OBGYN BI–MI Proficiency Rating Scale—
Standardized Patient Version.
OBGYN BI–MI Proficiency Rating Scale—
Provider Follow Up (3m & 6m).
OBGYN Telecom Training Satisfaction Survey.
OBGYN Avatar Training Satisfaction Survey
OBGYN FASD–SBI Training Event Evaluation.
OBGYN Qualitative Key Informant Interview—Pre-Training.
OBGYN Qualitative Key Informant Interview—Post-Training.
PO 00000
Frm 00065
Fmt 4703
Sfmt 4703
E:\FR\FM\07MRN1.SGM
Number
responses per
respondent
Average
burden per
response
(in hours)
90
10
2
2
10/60
60/60
10
2
60/60
4013
4013
4013
1
1
1
9/60
5/60
6/60
667
550
440
1
1
1
9/60
9/60
9/60
417
14
2,934
1
2
1
5/60
45/60
10/60
34
234
600
2
1
1
10/60
30/60
2/60
600
1
3/60
600
1
3/60
600
2
3/60
480
1
5/60
120
1
5/60
124
1
2/60
34
1
25/60
34
1
25/60
07MRN1
11803
Federal Register / Vol. 81, No. 44 / Monday, March 7, 2016 / Notices
ESTIMATED ANNUALIZED BURDEN HOURS—Continued
Type of
respondents
Form name
Certified Medical Assistants and students ......
Students ..........................................................
Medical Assistant—Pre-Test Survey .............
Medical Assistant—Pre-Test Survey (Academic).
Medical Assistant—Post-Test Survey ............
Medical Assistant—Post-Test Survey (Academic).
Medical Assistant Follow Up Survey .............
Medical Assistant Follow Up Survey (Academic).
Medical Assistants Change in Practice Survey.
Survey of Pediatricians—Baseline and Follow Up.
AAP Post-Training Evaluation Survey ...........
AAP Pre-Training Evaluation Survey .............
AAP Three Month Follow Up Evaluation Survey.
AAP Six Month Follow Up Evaluation Survey
FASD Toolkit User Survey .............................
FASD Toolkit Evaluation Focus Group/Guided Interview.
Pediatric FASD Regional Education and
Awareness Liaisons Work Plan.
Pediatric FASD Regional Liaison/Champion
Training Session Evaluation.
Family Medicine Evaluation Questions Addendum for Practice or Individual Provider.
Social Work and Family Physicians Pre-training Survey.
Certified Medical Assistants and students ......
Students ..........................................................
Certified Medical Assistants and students ......
Students ..........................................................
Certified Medical Assistants and students ......
Physicians .......................................................
Physicians .......................................................
Physicians .......................................................
Physicians .......................................................
Physicians .......................................................
Physicians .......................................................
Physicians .......................................................
Physicians .......................................................
Physicians .......................................................
Physicians .......................................................
Practicing family physicians, family physician
faculty, residents, social workers, social
work students.
Practicing family physicians, family physician
faculty, residents, social workers, social
work students.
Practicing family physicians, family physician
faculty, residents, social workers, social
work students.
NOFAS webinar attendees .............................
NOFAS webinar attendees .............................
NOFAS training participants ...........................
NOFAS training participants ...........................
Systems change project participants ..............
Systems change project participants ..............
Systems change project participants ..............
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. 2016–05073 Filed 3–4–16; 8:45 am]
asabaliauskas on DSK3SPTVN1PROD with NOTICES
BILLING CODE 4163–18–P
Number of
respondents
1
1
10/60
10/60
334
67
1
1
10/60
10/60
200
17
1
1
10/60
10/60
250
1
15/60
534
2
10/60
120
120
120
1
1
1
7/60
7/60
2/60
120
50
10
1
1
1
5/60
15/60
30/60
10
1
20/60
10
1
4/60
62
1
8/60
1167
1
8/60
Social Work and Family Physicians Posttraining Survey.
1167
1
5/60
Social Work and Family Physicians 6-Month
Follow Up Survey.
1167
1
8/60
NOFAS Webinar Survey ................................
NOFAS Three Month Follow-Up Webinar
Questionnaire.
NOFAS Pre-Test Survey ................................
NOFAS Post-Test Survey ..............................
Clinical Process Improvement Survey ...........
TCU Organizational Readiness Survey .........
Organizational Readiness to Change Assessment.
601
601
1
1
2/60
2/60
551
551
246
246
220
1
1
2
2
2
3/60
3/60
10/60
10/60
10/60
DEPARTMENT OF HEALTH AND
HUMAN SERVICES
Administration for Community Living
Agency Information Collection
Activities; Proposed Collection;
Comment Request; Evidence-Based
Falls Prevention Program Standardized
Data Collection
Administration for Community
Living (ACL), HHS.
ACTION: Notice.
The Administration for
Community Living (ACL),
Administration on Aging (AoA) is
announcing an opportunity for public
comment on the proposed collection of
SUMMARY:
18:37 Mar 04, 2016
Jkt 238001
Average
burden per
response
(in hours)
334
67
AGENCY:
VerDate Sep<11>2014
Number
responses per
respondent
PO 00000
Frm 00066
Fmt 4703
Sfmt 4703
certain information. 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 of an existing collection of
information, and to allow 60 days for
public comment in response to the
notice. This notice solicits comments on
the information collection requirements
relating to the Chronic Disease SelfManagement Education Program.
Submit written or electronic
comments on the collection of
information.
DATES:
Submit electronic
comments on the collection of
ADDRESSES:
E:\FR\FM\07MRN1.SGM
07MRN1
Agencies
[Federal Register Volume 81, Number 44 (Monday, March 7, 2016)]
[Notices]
[Pages 11801-11803]
From the Federal Register Online via the Government Publishing Office [www.gpo.gov]
[FR Doc No: 2016-05073]
-----------------------------------------------------------------------
DEPARTMENT OF HEALTH AND HUMAN SERVICES
Centers for Disease Control and Prevention
[30Day-16-15BEZ]
Agency Forms Undergoing Paperwork Reduction Act Review
The Centers for Disease Control and Prevention (CDC) has submitted
the following information collection request to the Office of
Management and Budget (OMB) for review and approval in accordance with
the Paperwork Reduction Act of 1995. The notice for the proposed
information collection is published to obtain comments from the public
and affected agencies.
Written comments and suggestions from the public and affected
agencies concerning the proposed collection of information are
encouraged. Your comments should address any of the following: (a)
Evaluate whether the proposed collection of information is necessary
for the proper performance of the functions of the agency, including
whether the information will have practical utility; (b) Evaluate the
accuracy of the agencies estimate of the burden of the proposed
collection of information, including the validity of the methodology
and assumptions used; (c) Enhance the quality, utility, and clarity of
the information to be collected; (d) Minimize the burden of the
collection of information on those who are to respond, including
through the use of appropriate automated, electronic, mechanical, or
other technological collection techniques or other forms of information
technology, e.g., permitting electronic submission of responses; and
(e) Assess information collection costs.
To request additional information on the proposed project or to
obtain a copy of the information collection plan and instruments, call
(404) 639-7570 or send an email to omb@cdc.gov. Direct written comments
and/or suggestions regarding the items contained in this notice to the
Attention: CDC Desk Officer, Office of Management and Budget,
Washington, DC 20503 or by fax to (202) 395-5806. Written comments
should be received within 30 days of this notice.
Proposed Project
Improving Fetal Alcohol Spectrum Disorders Prevention and Practice
through Practice and Implementation Centers and National Partnerships--
New--National Center on Birth Defects and Developmental Disabilities
(NCBDDD), Centers for Disease Control and Prevention (CDC).
Background and Brief Description
The National Center on Birth Defects and Developmental Disabilities
seeks to collect training evaluation data from healthcare practitioners
and staff in health systems where FASD-related practice and systems
changes are implemented, and from grantees of Practice and
Implementation Centers and national partner organizations related to
prevention, identification, and treatment of fetal alcohol spectrum
disorders (FASDs).
Prenatal exposure to alcohol is a leading preventable cause of
birth defects and developmental disabilities. The term ``fetal alcohol
spectrum disorders'' describes the full continuum of effects that can
occur in an individual exposed to alcohol in utero. These effects
include physical, mental, behavioral, and learning disabilities. All of
these have lifelong implications.
The purpose of this program is to expand previous efforts from FASD
training programs and shift the perspective from individual training
for practicing healthcare professionals to one that capitalizes on
prevention opportunities and the ability to impact health care practice
at the systems level.
Since 2002, CDC funded FASD Regional Training Centers (RTCs) to
provide education and training to healthcare professionals and students
about FASD prevention, identification, and treatment. In July 2013, CDC
convened an expert review panel to evaluate the effectiveness of the
RTC program overall and to make recommendations about the program.
The panel highlighted several accomplishments of the RTCs and
proposed several changes for future programming: (1) The panel
identified a need for more comprehensive coverage nationally with
discipline-specific trainings, increased use of technology, greater
collaboration with medical societies, and stronger linkages with
national partner organizations to increase the reach of training
opportunities, and (2) The panel suggested that the training centers
focus on demonstrable practice change and
[[Page 11802]]
sustainability and place a stronger emphasis on primary prevention of
FASDs. In addition, it was recommended that future initiatives have
stronger evaluation components.
Based on the recommendations of the expert review panel, CDC is
placing increased focus on prevention, demonstrating practice change,
achieving national coverage, and strengthening partnerships between
FASD Practice and Implementation Centers, or PICs (the newly redesigned
RTCs), and medical societies and national partner organizations. The
National Organization on Fetal Alcohol Syndrome (NOFAS) also
participates in this project as a resource to the PICS and national
partners. The PICs and national partners are asked to closely
collaborate in discipline-specific workgroups (DSWs) and identify
strategies that will increase the reach of the program on a national
level. While a major focus of the grantees' work will be national,
regional approaches will be used to develop new content and ``test
out'' feasibility and acceptability of materials, especially among
healthcare providers and medical societies. In addition, CDC is placing
a stronger emphasis on evaluation, with both individual DSW/NOFAS
evaluations and a cross-site evaluation.
CDC requests OMB approval to collect program evaluation information
from (1) healthcare practitioners from disciplines targeted by each
DSW, including training participants, (2) health system staff, and (3)
cooperative agreement grantees over a three-year period.
Healthcare practitioners will complete surveys to provide
information on whether project trainings impacted their knowledge and
practice behavior regarding FASD identification, prevention, and
treatment. The information will be used to improve future trainings and
assess whether knowledge and practice changes occurred. Some
participants will also complete qualitative key informant interviews to
gain additional information on practice change.
Health system employees will be interviewed or complete
surveys as part of projects to assess healthcare systems change,
including high impact evaluation studies and DSW systems change
projects. The high impact evaluation studies will be primarily
qualitative assessments of two to three specific grantee efforts that
seem likely to result in achievement of program objectives. The DSW
systems change projects will employ online surveys to assess systems
change in selected health systems across the U.S.
Grantees will complete program evaluation forms to track
perceptions of DSW collaboration and perceptions of key successes and
challenges encountered by the DSW.
It is estimated that 29,573 respondents will participate in the
evaluation each year, for a total estimated burden of 3790 hours
annually. There are no costs to respondents other than their time.
Estimated Annualized Burden Hours
----------------------------------------------------------------------------------------------------------------
Number Average burden
Type of respondents Form name Number of responses per per response
respondents respondent (in hours)
----------------------------------------------------------------------------------------------------------------
Project Grantee Staff................. DSW Report.............. 90 2 10/60
DSW Project Staff..................... High Impact Study: 10 2 60/60
Discipline Specific
Workgroup Discussion
Guide for Project Staff.
Health Care System Staff.............. High Impact Study: Key 10 2 60/60
Informant Interview--
Health Care System
Staff.
FASD Core Training Participants....... FASD Core Training 4013 1 9/60
Survey--Pre-Test.
FASD Core Training Participants....... FASD Core Training 4013 1 5/60
Survey--Post-Test.
FASD Core Training Participants....... FASD Core Training 4013 1 6/60
Survey--6 Month Follow-
Up.
Nurses................................ Pre-Training Survey for 667 1 9/60
Nursing.
Nurses................................ Post-Training Survey for 550 1 9/60
Nursing.
Nurses................................ Six Month Follow-Up 440 1 9/60
Training Survey for
Nursing.
Nurses................................ Nursing DSW Polling 417 1 5/60
Questions.
Nurses................................ Key Informant Interviews 14 2 45/60
with Champions.
Nurses................................ Brief Questionnaire for 2,934 1 10/60
Nursing Organization
Memberships.
Nurses................................ Friends & Members of the 34 2 10/60
Network Survey.
Healthcare Organization Healthcare Organization 234 1 30/60
Representatives. Utilization Survey.
Physicians and students in allied OBGYN SBI Knowledge & 600 1 2/60
health professions. Agency.
Physicians............................ OBGYN BI-MI Proficiency 600 1 3/60
Rating Scale--Provider
Skills Training
Baseline.
Students in allied health professions. OBGYN BI-MI Proficiency 600 1 3/60
Rating Scale--
Standardized Patient
Version.
Physicians............................ OBGYN BI-MI Proficiency 600 2 3/60
Rating Scale--Provider
Follow Up (3m & 6m).
Physicians and students in allied OBGYN Telecom Training 480 1 5/60
health professions. Satisfaction Survey.
Physicians and students in allied OBGYN Avatar Training 120 1 5/60
health professions. Satisfaction Survey.
Physicians............................ OBGYN FASD-SBI Training 124 1 2/60
Event Evaluation.
Residency Directors, Training OBGYN Qualitative Key 34 1 25/60
Coordinators, Clinical Directors, Informant Interview--
Physicians. Pre-Training.
Residency Directors, Training OBGYN Qualitative Key 34 1 25/60
Coordinators, Clinical Directors, Informant Interview--
Physicians. Post-Training.
[[Page 11803]]
Certified Medical Assistants and Medical Assistant--Pre- 334 1 10/60
students. Test Survey.
Students.............................. Medical Assistant--Pre- 67 1 10/60
Test Survey (Academic).
Certified Medical Assistants and Medical Assistant--Post- 334 1 10/60
students. Test Survey.
Students.............................. Medical Assistant--Post- 67 1 10/60
Test Survey (Academic).
Certified Medical Assistants and Medical Assistant Follow 200 1 10/60
students. Up Survey.
Students.............................. Medical Assistant Follow 17 1 10/60
Up Survey (Academic).
Certified Medical Assistants and Medical Assistants 250 1 15/60
students. Change in Practice
Survey.
Physicians............................ Survey of Pediatricians-- 534 2 10/60
Baseline and Follow Up.
Physicians............................ AAP Post-Training 120 1 7/60
Evaluation Survey.
Physicians............................ AAP Pre-Training 120 1 7/60
Evaluation Survey.
Physicians............................ AAP Three Month Follow 120 1 2/60
Up Evaluation Survey.
Physicians............................ AAP Six Month Follow Up 120 1 5/60
Evaluation Survey.
Physicians............................ FASD Toolkit User Survey 50 1 15/60
Physicians............................ FASD Toolkit Evaluation 10 1 30/60
Focus Group/Guided
Interview.
Physicians............................ Pediatric FASD Regional 10 1 20/60
Education and Awareness
Liaisons Work Plan.
Physicians............................ Pediatric FASD Regional 10 1 4/60
Liaison/Champion
Training Session
Evaluation.
Physicians............................ Family Medicine 62 1 8/60
Evaluation Questions
Addendum for Practice
or Individual Provider.
Practicing family physicians, family Social Work and Family 1167 1 8/60
physician faculty, residents, social Physicians Pre-training
workers, social work students. Survey.
Practicing family physicians, family Social Work and Family 1167 1 5/60
physician faculty, residents, social Physicians Post-
workers, social work students. training Survey.
Practicing family physicians, family Social Work and Family 1167 1 8/60
physician faculty, residents, social Physicians 6-Month
workers, social work students. Follow Up Survey.
NOFAS webinar attendees............... NOFAS Webinar Survey.... 601 1 2/60
NOFAS webinar attendees............... NOFAS Three Month Follow- 601 1 2/60
Up Webinar
Questionnaire.
NOFAS training participants........... NOFAS Pre-Test Survey... 551 1 3/60
NOFAS training participants........... NOFAS Post-Test Survey.. 551 1 3/60
Systems change project participants... Clinical Process 246 2 10/60
Improvement Survey.
Systems change project participants... TCU Organizational 246 2 10/60
Readiness Survey.
Systems change project participants... Organizational Readiness 220 2 10/60
to Change Assessment.
----------------------------------------------------------------------------------------------------------------
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. 2016-05073 Filed 3-4-16; 8:45 am]
BILLING CODE 4163-18-P