Agency Information Collection Activities: Proposed Collection: Comment Request, 43215-43216 [2016-15710]

Download as PDF Federal Register / Vol. 81, No. 127 / Friday, July 1, 2016 / Notices asabaliauskas on DSK3SPTVN1PROD with NOTICES No. 126/Wednesday, July 1, 2015/ Notices 37637). The lists also include automatic facility HPSAs, designated as a result of the Health Care Safety Net Amendments of 2002 (Pub. L. 107–251), not subject to update requirements. Each list of designated HPSAs (primary medical care, mental health, and dental) is arranged by state. Within each state, the list is presented by county. If only a portion (or portions) of a county is (are) designated, or if the county is part of a larger designated service area, or if a population group residing in the county or a facility located in the county has been designated, the name of the service area, population group, or facility involved is listed under the county name. Counties that have a whole county geographic HPSA are indicated by the ‘‘Entire county HPSA’’ notation following the county name. Further details on the snapshot of HPSAs listed can be found on the HRSA Web site: http://www.hrsa.gov/ shortage/. In addition to the specific listings included in this notice, all Indian Tribes that meet the definition of such Tribes in the Indian Health Care Improvement Act of 1976, 25 U.S.C. 1603(d), are automatically designated as population groups with primary medical care and dental health professional shortages. The Health Care Safety Net Amendments of 2002 also made the following entities eligible for automatic facility HPSA designations: All federally qualified health centers (FQHCs) and rural health clinics that offer services regardless of ability to pay. These entities include: FQHCs funded under section 330 of the PHS Act, FQHC LookAlikes, and Tribal and urban Indian clinics operating under the Indian SelfDetermination and Education Act of 1975 (25 U.S.C. 450) or the Indian Health Care Improvement Act. Many, but not all, of these entities are included on this listing. Exclusion from this list does not exclude them from HPSA designation; any facilities eligible for automatic designation will be included in the HRSA Data Warehouse list of HPSAs as they are identified. Future Updates of Lists of Designated HPSAs The lists of HPSAs at http:// www.hrsa.gov/shortage/ consist of all those that were designated as of May 13, 2016. It should be noted that HPSAs are currently updated on an ongoing basis based on the identification of new areas, population groups, facilities, and sites that meet the eligibility criteria or that no longer meet eligibility criteria and/or are being replaced by another type of designation. As such, additional HPSAs VerDate Sep<11>2014 19:05 Jun 30, 2016 Jkt 238001 may have been designated by letter since that date. The appropriate agencies and individuals have been or will be notified of these actions by letter. These newly designated HPSAs will be included in the next publication of the HPSA list and are currently included in the daily updates posted on the HRSA Web site at http:// www.hrsa.gov/shortage/find.html. Any designated HPSA listed on the HRSA Web site is subject to withdrawal from designation if new information received and confirmed by HRSA indicates that the relevant data for the area involved have significantly changed since its designation. The effective date of such a withdrawal will be the next publication of a notice regarding this list in the Federal Register. All requests for new designations, updates, or withdrawals should be based on the relevant criteria in regulations published at 42 CFR part 5. Electronic Access Address The complete list of HPSAs designated as of May 13, 2016, are available on the HRSA Web site at http://www.hrsa.gov/shortage/. Frequently updated information on HPSAs is also available at http:// datawarehouse.hrsa.gov. Dated: June 24, 2016. James Macrae, Acting Administrator. [FR Doc. 2016–15678 Filed 6–30–16; 8:45 am] BILLING CODE 4165–15–P DEPARTMENT OF HEALTH AND HUMAN SERVICES Health Resources and Services Administration Agency Information Collection Activities: Proposed Collection: Comment Request Health Resources and Services Administration, HHS. ACTION: Notice. AGENCY: In compliance with the requirement for opportunity for public comment on proposed data collection projects (Section 3506(c)(2)(A) of Title 44, United States Code, as amended by the Paperwork Reduction Act of 1995, Pub. L. 104–13), the Health Resources and Services Administration (HRSA) publishes periodic summaries of proposed projects being developed for submission to the Office of Management and Budget (OMB) under the Paperwork Reduction Act of 1995. To request more information on the proposed project or SUMMARY: PO 00000 Frm 00034 Fmt 4703 Sfmt 4703 43215 to obtain a copy of the data collection plans and draft instruments, email paperwork@hrsa.gov or call the HRSA Information Collection Clearance Officer at (301) 443–1984. DATES: Comments on this ICR should be received no later than August 30, 2016. ADDRESSES: Submit your comments to paperwork@hrsa.gov or by mail to the HRSA Reports Clearance Officer, 14N39, 5600 Fishers Lane, Rockville, MD 20857. FOR FURTHER INFORMATION CONTACT: To request more information on the proposed project or to obtain a copy of the data collection plans and draft instruments, email paperwork@hrsa.gov or call the HRSA Information Collection Clearance Officer at (301) 443–1984. SUPPLEMENTARY INFORMATION: When submitting comments or requesting information, please include the information request collection title for reference. Information Collection Request Title: Countermeasures Injury Compensation Program. OMB No. 0915–0334—Extension. Abstract: This is an extension request for OMB approval of the information collection requirements for the Countermeasures Injury Compensation Program (CICP or Program). CICP, within the Division of Injury Compensation Programs (DICP), Healthcare Systems Bureau, HRSA, administers the compensation program specified by the Public Readiness and Emergency Preparedness Act of 2005 (PREP Act). CICP provides compensation to eligible individuals who suffer serious injuries directly caused by a covered countermeasure administered or used pursuant to a PREP Act Declaration, or to their estates and/or to certain survivors. A declaration is issued by the Secretary of the Department of Health and Humans Services (Secretary). The purpose of a declaration is to identify a disease, health condition, or a threat to health that is currently, or may in the future constitute, a public health emergency. In addition, the Secretary, through a declaration, may recommend and encourage the development, manufacturing, distribution, dispensing, and administration or use of one or more covered countermeasures to treat, prevent, or diagnose the disease, condition, or threat specified in the declaration. To determine whether a requester is eligible for Program benefits (compensation) for the injury, CICP must review the Request for Benefits Package, which includes the Request for Benefits Form and Authorization for E:\FR\FM\01JYN1.SGM 01JYN1 43216 Federal Register / Vol. 81, No. 127 / Friday, July 1, 2016 / Notices Use or Disclosure of Health Information Form(s), as well as the injured countermeasure recipient’s medical records and supporting documentation. A requester who is an injured countermeasure recipient may be eligible to receive benefits for unreimbursed medical expenses and/or lost employment income. The estate of a deceased countermeasure recipient may also be eligible to receive medical benefits and/or benefits for lost employment income accrued prior to the injured countermeasure recipient’s death. If death was the result of the administration or use of the countermeasure, certain survivor(s) of deceased eligible countermeasure recipients may be eligible to receive a death benefit, but not unreimbursed medical expenses or lost employment income benefits. 42 CFR 110.33. The death benefit is calculated using either the ‘‘standard calculation’’ or the ‘‘alternative calculation.’’ The ‘‘standard calculation’’ is based on the death benefit available under the Public Safety Officers’ Benefits (PSOB) Program. 42 CFR 110.82(b). The ‘‘alternative calculation’’ is based on the deceased countermeasure recipient’s income and is only available to the recipient’s dependent(s) younger than age 18 at the time of the countermeasure recipient’s death. Continued approval is requested for the required information collection via the Request for Benefits Package (RFB) and for continued use of CICP’s mechanisms of medical documentation and supporting documentation collection. During the eligibility review, CICP provides requesters with the opportunity to supplement their Requests for Benefits with additional medical records and supporting documentation before a final Program decision is made. CICP asks requesters to complete and sign a form indicating whether they intend to submit additional documentation prior to the final determination of their case. In addition, approval is requested for the continued use of a benefits documentation package that CICP sends to requesters who may be eligible for compensation, which includes certification forms and instructions outlining the documentation needed to determine the types and amounts of benefits. This documentation is required under 42 CFR 110.61–110.63 of CICP’s implementing regulation to enable the Program to determine the types and amounts of benefits the requester may be eligible to receive. Likely Respondents: Members of the public who believe they have sustained serious physical injuries or deaths as the direct result of the administration or use of a covered countermeasure for a disease, condition, or threat that the Secretary determines either constitutes a current Number of respondents Form name Number of responses per respondent public health emergency, or there is a credible risk that the disease, condition, or threat may in the future constitute such an emergency. Persons who may be eligible to receive benefits from the CICP are: (1) Injured countermeasure recipients, as described in § 110.3(n). (2) Survivors, as described in §§ 110.3(cc) and 110.11. (3) Estates of deceased injured countermeasure recipients, as described in § 110.10(a)(3). Burden Statement: Burden in this context means the time expended by persons to generate, maintain, retain, disclose or provide the information requested. This includes the time needed to review instructions; to develop, acquire, install and utilize technology and systems for the purpose of collecting, validating and verifying information, processing and maintaining information, and disclosing and providing information; to train personnel and to be able to respond to a collection of information; to search data sources; to complete and review the collection of information; and to transmit or otherwise disclose the information. The total annual burden hours estimated for this Information Collection Request are summarized in the table below. The annual estimate of burden is as follows: Total responses Average burden per response (in hours) Total burden hours Request for Benefits Form and Supporting Documentation Authorization for Use or Disclosure of Health Information Form ................................................................................. Additional Documentation and Certification ......................... Benefits Package and Supporting Documentation .............. 100 1 100 11 1,100 100 30 30 1 1 1 100 30 30 2 .75 .125 200 22.5 3.75 Total .............................................................................. 100 ........................ 100 ........................ 1,326.25 asabaliauskas on DSK3SPTVN1PROD with NOTICES * The number 100 represents an estimate of individuals applying for Program benefits. The 4 documents are required of the same 100 individuals or subset of the 100 individuals. HRSA especially requests comments on: (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. Jason E. Bennett, Director, Division of the Executive Secretariat. [FR Doc. 2016–15710 Filed 6–30–16; 8:45 am] BILLING CODE 4165–15–P VerDate Sep<11>2014 19:05 Jun 30, 2016 Jkt 238001 DEPARTMENT OF HEALTH AND HUMAN SERVICES National Institutes of Health Office of the Director; Notice of Charter Renewal In accordance with Title 41 of the U.S. Code of Federal Regulations, Section 102–3.65(a), notice is hereby given that the Charter for the Office of AIDS Research Advisory Council was renewed for an additional two-year period on June 27, 2016. It is determined that the Office of AIDS Research Advisory Council is in PO 00000 Frm 00035 Fmt 4703 Sfmt 4703 the public interest in connection with the performance of duties imposed on the National Institutes of Health by law, and that these duties can best be performed through the advice and counsel of this group. Inquiries may be directed to Jennifer Spaeth, Director, Office of Federal Advisory Committee Policy, Office of the Director, National Institutes of Health, 6701 Democracy Boulevard, Suite 1000, Bethesda, Maryland 20892 (Mail code 4875), Telephone (301) 496– 2123, or spaethj@od.nih.gov. E:\FR\FM\01JYN1.SGM 01JYN1

Agencies

[Federal Register Volume 81, Number 127 (Friday, July 1, 2016)]
[Notices]
[Pages 43215-43216]
From the Federal Register Online via the Government Publishing Office [www.gpo.gov]
[FR Doc No: 2016-15710]


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DEPARTMENT OF HEALTH AND HUMAN SERVICES

Health Resources and Services Administration


Agency Information Collection Activities: Proposed Collection: 
Comment Request

AGENCY: Health Resources and Services Administration, HHS.

ACTION: Notice.

-----------------------------------------------------------------------

SUMMARY: In compliance with the requirement for opportunity for public 
comment on proposed data collection projects (Section 3506(c)(2)(A) of 
Title 44, United States Code, as amended by the Paperwork Reduction Act 
of 1995, Pub. L. 104-13), the Health Resources and Services 
Administration (HRSA) publishes periodic summaries of proposed projects 
being developed for submission to the Office of Management and Budget 
(OMB) under the Paperwork Reduction Act of 1995. To request more 
information on the proposed project or to obtain a copy of the data 
collection plans and draft instruments, email paperwork@hrsa.gov or 
call the HRSA Information Collection Clearance Officer at (301) 443-
1984.

DATES: Comments on this ICR should be received no later than August 30, 
2016.

ADDRESSES: Submit your comments to paperwork@hrsa.gov or by mail to the 
HRSA Reports Clearance Officer, 14N39, 5600 Fishers Lane, Rockville, MD 
20857.

FOR FURTHER INFORMATION CONTACT: To request more information on the 
proposed project or to obtain a copy of the data collection plans and 
draft instruments, email paperwork@hrsa.gov or call the HRSA 
Information Collection Clearance Officer at (301) 443-1984.

SUPPLEMENTARY INFORMATION: When submitting comments or requesting 
information, please include the information request collection title 
for reference.
    Information Collection Request Title: Countermeasures Injury 
Compensation Program.
    OMB No. 0915-0334--Extension.
    Abstract: This is an extension request for OMB approval of the 
information collection requirements for the Countermeasures Injury 
Compensation Program (CICP or Program). CICP, within the Division of 
Injury Compensation Programs (DICP), Healthcare Systems Bureau, HRSA, 
administers the compensation program specified by the Public Readiness 
and Emergency Preparedness Act of 2005 (PREP Act). CICP provides 
compensation to eligible individuals who suffer serious injuries 
directly caused by a covered countermeasure administered or used 
pursuant to a PREP Act Declaration, or to their estates and/or to 
certain survivors. A declaration is issued by the Secretary of the 
Department of Health and Humans Services (Secretary). The purpose of a 
declaration is to identify a disease, health condition, or a threat to 
health that is currently, or may in the future constitute, a public 
health emergency. In addition, the Secretary, through a declaration, 
may recommend and encourage the development, manufacturing, 
distribution, dispensing, and administration or use of one or more 
covered countermeasures to treat, prevent, or diagnose the disease, 
condition, or threat specified in the declaration.
    To determine whether a requester is eligible for Program benefits 
(compensation) for the injury, CICP must review the Request for 
Benefits Package, which includes the Request for Benefits Form and 
Authorization for

[[Page 43216]]

Use or Disclosure of Health Information Form(s), as well as the injured 
countermeasure recipient's medical records and supporting 
documentation.
    A requester who is an injured countermeasure recipient may be 
eligible to receive benefits for unreimbursed medical expenses and/or 
lost employment income. The estate of a deceased countermeasure 
recipient may also be eligible to receive medical benefits and/or 
benefits for lost employment income accrued prior to the injured 
countermeasure recipient's death. If death was the result of the 
administration or use of the countermeasure, certain survivor(s) of 
deceased eligible countermeasure recipients may be eligible to receive 
a death benefit, but not unreimbursed medical expenses or lost 
employment income benefits. 42 CFR 110.33. The death benefit is 
calculated using either the ``standard calculation'' or the 
``alternative calculation.'' The ``standard calculation'' is based on 
the death benefit available under the Public Safety Officers' Benefits 
(PSOB) Program. 42 CFR 110.82(b). The ``alternative calculation'' is 
based on the deceased countermeasure recipient's income and is only 
available to the recipient's dependent(s) younger than age 18 at the 
time of the countermeasure recipient's death. Continued approval is 
requested for the required information collection via the Request for 
Benefits Package (RFB) and for continued use of CICP's mechanisms of 
medical documentation and supporting documentation collection. During 
the eligibility review, CICP provides requesters with the opportunity 
to supplement their Requests for Benefits with additional medical 
records and supporting documentation before a final Program decision is 
made. CICP asks requesters to complete and sign a form indicating 
whether they intend to submit additional documentation prior to the 
final determination of their case. In addition, approval is requested 
for the continued use of a benefits documentation package that CICP 
sends to requesters who may be eligible for compensation, which 
includes certification forms and instructions outlining the 
documentation needed to determine the types and amounts of benefits. 
This documentation is required under 42 CFR 110.61-110.63 of CICP's 
implementing regulation to enable the Program to determine the types 
and amounts of benefits the requester may be eligible to receive. 
Likely Respondents: Members of the public who believe they have 
sustained serious physical injuries or deaths as the direct result of 
the administration or use of a covered countermeasure for a disease, 
condition, or threat that the Secretary determines either constitutes a 
current public health emergency, or there is a credible risk that the 
disease, condition, or threat may in the future constitute such an 
emergency. Persons who may be eligible to receive benefits from the 
CICP are:
    (1) Injured countermeasure recipients, as described in Sec.  
110.3(n).
    (2) Survivors, as described in Sec. Sec.  110.3(cc) and 110.11.
    (3) Estates of deceased injured countermeasure recipients, as 
described in Sec.  110.10(a)(3).
    Burden Statement: Burden in this context means the time expended by 
persons to generate, maintain, retain, disclose or provide the 
information requested. This includes the time needed to review 
instructions; to develop, acquire, install and utilize technology and 
systems for the purpose of collecting, validating and verifying 
information, processing and maintaining information, and disclosing and 
providing information; to train personnel and to be able to respond to 
a collection of information; to search data sources; to complete and 
review the collection of information; and to transmit or otherwise 
disclose the information. The total annual burden hours estimated for 
this Information Collection Request are summarized in the table below.
    The annual estimate of burden is as follows:

----------------------------------------------------------------------------------------------------------------
                                                                                      Average
                                     Number of       Number of         Total        burden per     Total burden
            Form name               respondents    responses per     responses     response  (in       hours
                                                    respondent                        hours)
----------------------------------------------------------------------------------------------------------------
Request for Benefits Form and                100               1             100              11           1,100
 Supporting Documentation.......
Authorization for Use or                     100               1             100               2             200
 Disclosure of Health
 Information Form...............
Additional Documentation and                  30               1              30             .75            22.5
 Certification..................
Benefits Package and Supporting               30               1              30            .125            3.75
 Documentation..................
                                 -------------------------------------------------------------------------------
    Total.......................             100  ..............             100  ..............        1,326.25
----------------------------------------------------------------------------------------------------------------
* The number 100 represents an estimate of individuals applying for Program benefits. The 4 documents are
  required of the same 100 individuals or subset of the 100 individuals.

    HRSA especially requests comments on: (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.

Jason E. Bennett,
Director, Division of the Executive Secretariat.
[FR Doc. 2016-15710 Filed 6-30-16; 8:45 am]
 BILLING CODE 4165-15-P