Agency Forms Undergoing Paperwork Reduction Act Review, 41541-41543 [2016-15116]
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41541
Federal Register / Vol. 81, No. 123 / Monday, June 27, 2016 / Notices
Cohort’’ (the ‘‘Cohort’’). In brief,
EEOICPA authorizes HHS to designate
such classes of employees for addition
to the Cohort when NIOSH lacks
sufficient information to estimate with
sufficient accuracy the radiation doses
of the employees, and if HHS also finds
that the health of members of the class
may have been endangered by the
radiation dose the class potentially
incurred. HHS must also obtain the
advice of the Advisory Board on
Radiation and Worker Health (the
‘‘Board’’) in establishing such findings.
On May 28, 2004, HHS issued a rule
that established procedures for adding
such classes to the Cohort (42 CFR part
83). The rule was amended on July 10,
2007.
The HHS rule authorizes a variety of
respondents to submit petitions.
Petitioners are required to provide the
information specified in the rule to
qualify their petitions for a complete
evaluation by HHS and the Board. HHS
has developed two forms to assist the
petitioners in providing this required
information efficiently and completely.
Form A is a one-page form to be used
by EEOICPA claimants for whom
NIOSH has attempted to conduct dose
reconstructions and has determined that
available information is not sufficient to
complete the dose reconstruction. Form
B, accompanied by separate
instructions, is intended for all other
petitioners. Forms A and B can be
submitted electronically as well as in
hard copy. Respondent/petitioners
should be aware that HHS is not
requiring respondents to use the forms.
Respondents can choose to submit
petitions as letters or in other formats,
but petitions must meet the
informational requirements stated in the
rule. NIOSH expects, however, that all
petitioners for whom Form A would be
appropriate will actually use the form,
since NIOSH will provide it to them
upon determining that their dose
reconstruction cannot be completed and
encourage them to submit the petition.
NIOSH expects the large majority of
petitioners for whom Form B would be
appropriate will also use the form, since
it provides a simple, organized format
for addressing the informational
requirements of a petition.
NIOSH will use the information
obtained through the petition for the
following purposes: (a) Identify the
petitioner(s), obtain their contact
information, and establish that the
petitioner(s) is qualified and intends to
petition HHS; (b) establish an initial
definition of the class of employees
being proposed to be considered for
addition to the Cohort; (c) determine
whether there is justification to require
HHS to evaluate whether or not to
designate the proposed class as an
addition to the Cohort (such an
evaluation involves potentially
extensive data collection, analysis, and
related deliberations by NIOSH, the
Board, and HHS); and, (d) target an
evaluation by HHS to examine relevant
potential limitations of radiation
monitoring and/or dosimetry-relevant
records and to examine the potential for
related radiation exposures that might
have endangered the health of members
of the class.
Finally, under the rule, petitioners
may contest the proposed decision of
the Secretary to add or deny adding
classes of employees to the cohort by
submitting evidence that the proposed
decision relies on a record of either
factual or procedural errors in the
implementation of these procedures.
NIOSH estimates that the time to
prepare and submit such a challenge is
5 hours. Because of the uniqueness of
this submission, NIOSH is not providing
a form. The submission will typically be
in the form of a letter to the Secretary.
The estimated annual Burden Hours
are 41. There are no costs to
respondents unless a respondent/
petitioner chooses to purchase the
services of an expert in dose
reconstruction, an option provided for
under the rule.
ESTIMATED ANNUALIZED BURDEN HOURS
Number of
responses per
respondent
Number of
respondents
Average
burden per
response
(in hours)
Type of respondents
Form name
Petitioners ................................................................................
Form A 42 CFR 83.9 .............
Form B 42 CFR 83.9 .............
42 CFR 83.9 ..........................
2
5
1
1
1
1
3/60
5
6
42 CFR 83.18 ........................
2
1
5
Authorization Form 42 CFR
83.7.
3
1
3/60
Petitioners using a submission format other than Form B (as
permitted by rule).
Petitioners Appealing final HHS decision (no specific form is
required).
Claimant authorizing a party to submit petition on his/her behalf.
Jeffrey M. Zirger,
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.
DEPARTMENT OF HEALTH AND
HUMAN SERVICES
[FR Doc. 2016–15087 Filed 6–24–16; 8:45 am]
[30Day–16–16LL]
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BILLING CODE 4163–18–P
Centers for Disease Control and
Prevention
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
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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
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Federal Register / Vol. 81, No. 123 / Monday, June 27, 2016 / Notices
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. Written
comments and/or suggestions regarding
the items contained in this notice
should be directed 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
Evaluation of Enhancing HIV
Prevention Communication and
Mobilization Efforts through Strategic
Partnerships—New—National Center for
HIV/AIDS, Viral Hepatitis, STD, and TB
Prevention (NCHHSTP), Centers for
Disease Control and Prevention (CDC).
Background and Brief Description
In an effort to refocus attention on
domestic HIV and AIDS, CDC launched
the Act Against AIDS (AAA) initiative
in 2009 with the White House and the
U.S. Department of Health and Human
Services. AAA is a multifaceted national
communication initiative that supports
reduction of HIV incidence in the U.S.
through multiple, concurrent
communication and education
campaigns for a variety of audiences
including, the general public,
populations most affected by HIV and
health care providers. All campaigns
support the comprehensive HIV
prevention efforts of CDC and the
National HIV/AIDS Strategy.
Within this context, the CDC’s
Division of HIV/AIDS Prevention
(DHAP) is implementing various
partnership activities to increase HIV
awareness among the general public,
reduce new HIV infections among
disproportionately impacted
populations, and improve health
outcomes for people living with HIV
and AIDS in United States and its
territories. For example, DHAP is
funding the ‘‘Enhancing HIV Prevention
Communication and Mobilization
Efforts through Strategic Partnerships’’
program. Partners funded under the
partnership program will (1) support the
dissemination of Act Against AIDS
(AAA) campaign materials, messaging,
and other CDC resources that support
HIV prevention and (2) implement
national engagement efforts focusing on
HIV prevention and awareness. Partners
represent civil, media, and LGBTfocused organizations.
In addition, DHAP will continue to
support the Business Responds to AIDS
(BRTA) program. Founded in 1992, the
purpose of the BRTA program is to
engage and support the private sector in
promoting HIV education, awareness,
and policies in the workplace. This
partnership between CDC, business,
labor, and the public health sector aims
to encourage businesses to implement
HIV/AIDS policies and education
programs in the workplace with the
overarching goal of increasing public
understanding of, involvement in, and
support for HIV prevention. Other
partnership efforts serve the same
purpose: To increase HIV awareness
among the general public, reduce new
HIV infections among
disproportionately impacted
populations, and improve health
outcomes for people living with HIV
and AIDS in the United States and its
territories.
The project will evaluate the extent to
which activities implemented by
partners meet the initiative’s goals for
disseminating, communicating, and
engaging the public in HIV prevention
and education activities. We will collect
information from partners on their
activities for disseminating HIV
messages through materials distribution
at national and local events, media and
advertising, HIV testing facilitation, and
formation and coordination of strategic
partnerships; barriers and facilitators to
implementation of these activities, and
factors that may help contextualize their
progress towards meeting the initiative’s
goals; and their involvement in
promoting HIV education, awareness,
and policies in their organization. We
will collect this information through
these five sources: (a) Metrics Database:
Partners will be required to report
quarterly data to CDC and CDC’s
evaluation contractor through a metrics
database. (b) Biannual key informant
interviews: The point of contacts from
some partner organizations will be
interviewed twice yearly via telephone.
(c) Interim Progress Reports: Partners
will complete a standardized progress
report on a biannual basis via a userfriendly electronic form. The progress
reports will gather information on key
successes, facilitators and barriers, and
major achievements. (d) Partner Survey:
Partners will complete a brief online
survey to assess their involvement in
promoting HIV education, awareness,
and policies in their organization. (e)
Partnerships Activities Form: Partners
may be asked to complete a brief
electronic form to provide information
on each partner activity that they
complete. The form will collect
information on information such as the
type of event, the audience, and key
highlights; the number of HIV tests
administered (if any) and the number of
preliminary positives; the number and
type of materials distributed. This
information will allow CDC to know
what partners are doing to advance HIV
prevention and education, and how
CDC can alter their partnership efforts to
facilitate HIV prevention and education
in the future. The organization (and not
the individual) will be the unit of
analysis. As such, no personally
individually identifiable information
will be collected.
There is no cost to participants other
than their time. The total estimated
annualized burden hours are 5,083.
ESTIMATED ANNUALIZED BURDEN HOURS
Number of
respondents
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Type of respondent
Form name
*6Partner Organization ...................................
Partner Organization .......................................
Partner Organization .......................................
Partner Organization .......................................
Partner Organization .......................................
Metrics Database ...........................................
Key Informant Interview Guide ......................
Interim Progress Report .................................
Partner Survey & Screener ............................
Partnership Activities Form ............................
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50
25
25
300
500
27JNN1
Number of
responses per
respondent
4
2
2
1
4
Average
burden per
response
(in hours)
18
1
8
40/60
25/60
41543
Federal Register / Vol. 81, No. 123 / Monday, June 27, 2016 / Notices
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. 2016–15116 Filed 6–24–16; 8:45 am]
BILLING CODE 4163–18–P
DEPARTMENT OF HEALTH AND
HUMAN SERVICES
Administration for Children and
Families
Submission for OMB Review;
Comment Request
Title: ACF–OGM–PPR-Form B—
Program Indicators.
OMB No.: 0970–0406.
Description: The Office of Grants
Management (OGM), in the
Administration for Children and
families (ACF) is proposing the
collection of program performance data
for ACF’s discretionary grantees. To
collect this data OGM has developed a
form from the basic template of the
OMB-approved reporting format of the
Program Performance Report. OGM will
use this data to determine if 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: (1) 2
CFR 215 Uniform Administrative
Requirements, cost Principles, and
Audit Requirements for Federal Awards
and (2) 45 CFR 75, Uniform
Administrative Requirements, Cost
Principles, and Audit Requirements for
Department of Health and Human
Services 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.
ANNUAL BURDEN ESTIMATES
Instrument
Number of
respondents
Number of
responses per
respondent
Average
burden hours
per response
Total burden
hours
ACF–OGM–PPR–B .........................................................................................
6000
1
1
6000
Estimated Total Annual Burden
Hours: 6000.
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, Email: OIRA_
SUBMISSION@OMB.EOP.GOV, Attn:
Desk Officer for the Administration for
Children and Families.
Robert Sargis,
Reports Clearance Officer.
[FR Doc. 2016–15094 Filed 6–24–16; 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: National Medical Support
Notice
OMB No.: 0970–0222
Description: The National Medical
Support Notice (NMSN) is a two-part
document that requires information
from State child support enforcement
agencies, employers, and health plan
administrators to assist in enforcing
health care coverage provisions in a
child support order. The Department of
Health and Human Services (DHHS),
Administration for Children and
Families (ACF) developed and
maintains part A of the NMSN, which
is sent to an obligor’s employer for
completion; the Department of Labor
(DOL) developed and maintains part B
of the NMSN, which is provided to
health care administrators following
completion of part A.
DOL revised part B to conform with
changes to the currently approved part
A and is seeking a three-year approval
from OMB. To avoid burdening the
State child support enforcement
agencies with potential reprogramming
at varying times due to future changes
in part A or B, ACF is resubmitting an
unchanged information collection
package and requesting an extension to
the current OMB approval of NMSN
part A to synchronize the expiration
date with NMSN part B.
Respondents: State child support
enforcement agencies, employers, and
health plan administrators.
ANNUAL BURDEN ESTIMATES
mstockstill on DSK3G9T082PROD with NOTICES
Instrument
Number of
respondents
Number of
responses per
respondent
Average
burden hours
per response
Total
burden hours
National Medical Support Notice–Part A .........................................................
54
76,499
.17 hours
702,261
Estimated Total Annual Burden
Hours: 702,261.
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proposed collection may be obtained by
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Children and Families, Office of
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Agencies
[Federal Register Volume 81, Number 123 (Monday, June 27, 2016)]
[Notices]
[Pages 41541-41543]
From the Federal Register Online via the Government Publishing Office [www.gpo.gov]
[FR Doc No: 2016-15116]
-----------------------------------------------------------------------
DEPARTMENT OF HEALTH AND HUMAN SERVICES
Centers for Disease Control and Prevention
[30Day-16-16LL]
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
[[Page 41542]]
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. Written comments and/or
suggestions regarding the items contained in this notice should be
directed 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
Evaluation of Enhancing HIV Prevention Communication and
Mobilization Efforts through Strategic Partnerships--New--National
Center for HIV/AIDS, Viral Hepatitis, STD, and TB Prevention (NCHHSTP),
Centers for Disease Control and Prevention (CDC).
Background and Brief Description
In an effort to refocus attention on domestic HIV and AIDS, CDC
launched the Act Against AIDS (AAA) initiative in 2009 with the White
House and the U.S. Department of Health and Human Services. AAA is a
multifaceted national communication initiative that supports reduction
of HIV incidence in the U.S. through multiple, concurrent communication
and education campaigns for a variety of audiences including, the
general public, populations most affected by HIV and health care
providers. All campaigns support the comprehensive HIV prevention
efforts of CDC and the National HIV/AIDS Strategy.
Within this context, the CDC's Division of HIV/AIDS Prevention
(DHAP) is implementing various partnership activities to increase HIV
awareness among the general public, reduce new HIV infections among
disproportionately impacted populations, and improve health outcomes
for people living with HIV and AIDS in United States and its
territories. For example, DHAP is funding the ``Enhancing HIV
Prevention Communication and Mobilization Efforts through Strategic
Partnerships'' program. Partners funded under the partnership program
will (1) support the dissemination of Act Against AIDS (AAA) campaign
materials, messaging, and other CDC resources that support HIV
prevention and (2) implement national engagement efforts focusing on
HIV prevention and awareness. Partners represent civil, media, and
LGBT-focused organizations.
In addition, DHAP will continue to support the Business Responds to
AIDS (BRTA) program. Founded in 1992, the purpose of the BRTA program
is to engage and support the private sector in promoting HIV education,
awareness, and policies in the workplace. This partnership between CDC,
business, labor, and the public health sector aims to encourage
businesses to implement HIV/AIDS policies and education programs in the
workplace with the overarching goal of increasing public understanding
of, involvement in, and support for HIV prevention. Other partnership
efforts serve the same purpose: To increase HIV awareness among the
general public, reduce new HIV infections among disproportionately
impacted populations, and improve health outcomes for people living
with HIV and AIDS in the United States and its territories.
The project will evaluate the extent to which activities
implemented by partners meet the initiative's goals for disseminating,
communicating, and engaging the public in HIV prevention and education
activities. We will collect information from partners on their
activities for disseminating HIV messages through materials
distribution at national and local events, media and advertising, HIV
testing facilitation, and formation and coordination of strategic
partnerships; barriers and facilitators to implementation of these
activities, and factors that may help contextualize their progress
towards meeting the initiative's goals; and their involvement in
promoting HIV education, awareness, and policies in their organization.
We will collect this information through these five sources: (a)
Metrics Database: Partners will be required to report quarterly data to
CDC and CDC's evaluation contractor through a metrics database. (b)
Biannual key informant interviews: The point of contacts from some
partner organizations will be interviewed twice yearly via telephone.
(c) Interim Progress Reports: Partners will complete a standardized
progress report on a biannual basis via a user-friendly electronic
form. The progress reports will gather information on key successes,
facilitators and barriers, and major achievements. (d) Partner Survey:
Partners will complete a brief online survey to assess their
involvement in promoting HIV education, awareness, and policies in
their organization. (e) Partnerships Activities Form: Partners may be
asked to complete a brief electronic form to provide information on
each partner activity that they complete. The form will collect
information on information such as the type of event, the audience, and
key highlights; the number of HIV tests administered (if any) and the
number of preliminary positives; the number and type of materials
distributed. This information will allow CDC to know what partners are
doing to advance HIV prevention and education, and how CDC can alter
their partnership efforts to facilitate HIV prevention and education in
the future. The organization (and not the individual) will be the unit
of analysis. As such, no personally individually identifiable
information will be collected.
There is no cost to participants other than their time. The total
estimated annualized burden hours are 5,083.
Estimated Annualized Burden Hours
----------------------------------------------------------------------------------------------------------------
Number of Average burden
Type of respondent Form name Number of responses per per response
respondents respondent (in hours)
----------------------------------------------------------------------------------------------------------------
*6Partner Organization............. Metrics Database........... 50 4 18
Partner Organization............... Key Informant Interview 25 2 1
Guide.
Partner Organization............... Interim Progress Report.... 25 2 8
Partner Organization............... Partner Survey & Screener.. 300 1 40/60
Partner Organization............... Partnership Activities Form 500 4 25/60
----------------------------------------------------------------------------------------------------------------
[[Page 41543]]
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. 2016-15116 Filed 6-24-16; 8:45 am]
BILLING CODE 4163-18-P