Agency Information Collection Activities; Proposals, Submissions, and Approvals, 13125-13126 [2017-04614]
Download as PDF
<![CDATA[
13125
Federal Register / Vol. 82, No. 45 / Thursday, March 9, 2017 / Notices
regulations at 42 CFR 413.20, 413.24
and 418.310 require adequate cost data
and cost reports from providers on an
annual basis. The Form CMS–1984–14
cost report is needed to determine a
provider’s reasonable costs incurred in
furnishing medical services to Medicare
beneficiaries. The data is used by CMS
to calculate: Market basket weight and
the labor related shares, Rate setting and
payment refinement, and Medicare and
total facility margins for Medicarecovered services by type of service.
Form Number: CMS–1984–14 (OMB
Control Number: 0938–0758);
Frequency: Annually; Affected Public:
Private sector—Business or other forprofit and Not-for-profit institutions;
Number of Respondents: 3,545; Total
Annual Responses: 3,545; Total Annual
Hours: 666,460. (For policy questions
regarding this collection contact Yaakov
Feinstein at 410–786–3137.)
Dated: March 3, 2017.
William N. Parham, III,
Director, Paperwork Reduction Staff, Office
of Strategic Operations and Regulatory
Affairs.
[FR Doc. 2017–04577 Filed 3–8–17; 8:45 am]
BILLING CODE 4120–01–P
DEPARTMENT OF HEALTH AND
HUMAN SERVICES
Office of the Secretary
[Document Identifier HHS–OS–0990–New–
30D]
Agency Information Collection
Activities; Proposals, Submissions,
and Approvals
Office of the Secretary, HHS.
Notice.
AGENCY:
ACTION:
In compliance with section
3507(a)(1)(D) of the Paperwork
Reduction Act of 1995, the Office of the
Secretary (OS), Department of Health
and Human Services, has submitted an
SUMMARY:
Information Collection Request (ICR),
described below, to the Office of
Management and Budget (OMB) for
review and approval. The ICR is for a
new collection. Comments submitted
during the first public review of this ICR
will be provided to OMB. OMB will
accept further comments from the
public on this ICR during the review
and approval period.
DATES: Comments on the ICR must be
received on or before April 10, 2017.
ADDRESSES: Submit your comments to
OIRA_submission@omb.eop.gov or via
facsimile to (202) 395–5806.
FOR FURTHER INFORMATION CONTACT:
Information Collection Clearance staff,
Information.Collection
Clearance@hhs.gov or (202) 690–5683.
SUPPLEMENTARY INFORMATION: When
submitting comments or requesting
information, please include the
Information Collection Request Title
and document identifier 0990–New–
30D for reference.
Information Collection Request Title:
Domestic Violence Housing First
Demonstration Evaluation.
Abstract: The Office of the Assistant
Secretary for Planning and Evaluation
(ASPE) within the U.S. Department of
Health and Human Services, in
partnership with the Office for Victims
of Crimes within the U.S. Department of
Justice, is seeking approval by OMB for
a new information collection request
entitled, ‘‘Domestic Violence Housing
First (DVHF) Demonstration
Evaluation.’’ The Washington State
Coalition Against Domestic Violence
(WSCADV) is overseeing and
coordinating an evaluation of the DVHF
Demonstration project through a
contract with ASPE. This quasiexperimental research study involves
longitudinally examining the program
effects of DVHF on domestic violence
survivors’ safety and housing stability.
The findings will be of interest to the
general public, to policy-makers, and to
organizations working with domestic
violence survivors.
Data collection will include in-depth,
private interviews with 320 domestic
violence survivors conducted by trained
professional staff. At Time 1 study
enrollment, they will be interviewed
about their backgrounds, housing and
safety obstacles, and services desired.
There will be three follow-up interviews
with them every six months after the
Time 1 Interview (i.e., 6, 12, and 18
months) to examine the match between
needs and services, as well as their
safety and housing stability. Study
enrollment will take place over 15
months, so the annualized burden for
the Time 1 and follow-up surveys is
based on 12/15 (256) of the expected
sample (320).
The primary service providers
working with the domestic violence
survivors will complete selfadministered online questionnaires to
provide more detailed program
implementation data. Service providers
will complete a survey about their work
history and demographics and a survey
about the services provided for each
domestic violence survivor in their
caseload that is a participant in the
study (approximately 16 survivors per
provider). This latter data collection
will occur six months after a domestic
violence survivor enrolls in the study
over 15 months to correspond to the
study enrollment period. Finally, the
study will also include monthly data
collection for 19 months from an agency
point of contact (POC) in order to verify
agency information (e.g., the number of
advocates working in the agency,
advocate caseloads, dates of study
participants’ receipt of services).
Likely Respondents: The respondents
are domestic violence survivors,
primary service providers, and
community agency points of contact
who work with their agency data
systems.
ANNUALIZED REPORTING BURDEN ON STUDY PARTICIPANTS
Number of
responses
per
respondent
Annual
number of
respondents
Average
burden hours
per
response
Total annual
burden hours
asabaliauskas on DSK3SPTVN1PROD with NOTICES
Form name
Type of respondent
Time 1 (Baseline) Interview ..............
Follow-up Interviews .........................
Online survey about advocates’ work
history and demographics.
Online survey of advocates’ work
with survivors.
Form for community agency points
of contact to verify agency information (monthly).
Domestic violence survivors ............
Domestic violence survivors ............
Victim service advocates .................
256
256
20
1
2
1
1
1
15/60
256
512
5
Victim service advocates .................
20
13
20/60
86
Community agency point of contact
4
12
15/60
12
Total ...........................................
...........................................................
........................
........................
........................
871
VerDate Sep<11>2014
17:43 Mar 08, 2017
Jkt 241001
PO 00000
Frm 00037
Fmt 4703
Sfmt 4703
E:\FR\FM\09MRN1.SGM
09MRN1
13126
Federal Register / Vol. 82, No. 45 / Thursday, March 9, 2017 / Notices
OS specifically 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.
Terry S. Clark,
Asst Information Collection Clearance
Officer.
[FR Doc. 2017–04614 Filed 3–8–17; 8:45 am]
BILLING CODE 4150–05–P
DEPARTMENT OF HEALTH AND
HUMAN SERVICES
Office of the Secretary
[Document Identifier 0990–0416–30D]
Agency Information Collection
Activities; Submission to OMB for
Review and Approval; Public Comment
Request
Office of the Secretary, HHS.
Notice.
AGENCY:
ACTION:
In compliance with section
3507(a)(1)(D) of the Paperwork
SUMMARY:
Reduction Act of 1995, the Office of the
Secretary (OS), Department of Health
and Human Services, has submitted an
Information Collection Request (ICR),
described below, to the Office of
Management and Budget (OMB) for
review and approval. The ICR is for
renewal of the approved information
collection assigned OMB control
number 0990–0416, scheduled to expire
on March 31, 201. Comments submitted
during the first public review of this ICR
will be provided to OMB. OMB will
accept further comments from the
public on this ICR during the review
and approval period.
DATES: Comments on the ICR must be
received on or before April 10, 2017.
ADDRESSES: Submit your comments to
OIRA_submission@omb.eop.gov or via
facsimile to (202) 395–5806.
FOR FURTHER INFORMATION CONTACT:
Information Collection Clearance staff,
Information.CollectionClearance@
hhs.gov or (202) 795–7714.
SUPPLEMENTARY INFORMATION: When
submitting comments or requesting
information, please include the
document identifier 0990–0416–30D for
reference.
Information Collection Request Title:
Pregnancy Assistance Fund (PAF)
Performance Measures Collection.
OMB No.: 0990–0416.
Abstract: The Office of Adolescent
Health (OAH), U.S. Department of
Health and Human Services (HHS), is
requesting an extension of a currently
approved information collection request
by OMB. The purpose of the renewal is
to extend the period of collection
through March 31, 2018 to complete the
collection of the Pregnancy Assistance
Fund (PAF) Performance Measures from
grantees funded in August 2013, and to
allow for data collection from 3 new
PAF grantees funded in July 2015,
increasing the number of respondents
from 17 to 20. There are no changes to
the data to be collected.
Need and Proposed Use of the
Information: OAH will use the
performance data to inform planning
and resource allocation decisions;
identify technical assistance needs; and
provide Congress, OMB, and the general
public with information about the
individuals who participate in PAFfunded activities and the services they
receive.
Likely Respondents: 20 PAF grantees
(States and Tribes).
The total annual burden hours
estimated for this ICR are summarized
in the table below.
TOTAL ESTIMATED ANNUALIZED BURDEN—584 HOURS
Number of
respondents
Form name
Average
burden per
response
(in hours)
Number of
responses per
respondent
Total burden
hours
Participant & Partner Characteristics (16 measures) ......................................
Category 1 Measures (5 measures) ................................................................
Category 2 Measures (7 measures) ................................................................
Category 3 Measures (3 measures) ................................................................
Category 4 Measures (1 measure) ..................................................................
20
3
18
5
9
1
1
1
1
1
19
6
9
3
1
380
18
162
15
9
Total ..........................................................................................................
20
........................
........................
584
Terry S. Clark,
Asst. Information Collection Clearance
Officer.
[FR Doc. 2017–04613 Filed 3–8–17; 8:45 am]
BILLING CODE 4168–11–P
asabaliauskas on DSK3SPTVN1PROD with NOTICES
DEPARTMENT OF HEALTH AND
HUMAN SERVICES
National Institutes of Health
Center for Scientific Review; Notice of
Closed Meetings
Pursuant to section 10(d) of the
Federal Advisory Committee Act, as
amended (5 U.S.C. App.), notice is
hereby given of the following meetings.
VerDate Sep<11>2014
17:43 Mar 08, 2017
Jkt 241001
The meetings will be closed to the
public in accordance with the
provisions set forth in sections
552b(c)(4) and 552b(c)(6), Title 5 U.S.C.,
as amended. The grant applications and
the discussions could disclose
confidential trade secrets or commercial
property such as patentable material,
and personal information concerning
individuals associated with the grant
applications, the disclosure of which
would constitute a clearly unwarranted
invasion of personal privacy.
Name of Committee: Center for Scientific
Review Special Emphasis Panel;
Neuropsychological Disorders, Epilepsy and
Aging.
Date: March 28, 2017.
PO 00000
Frm 00038
Fmt 4703
Sfmt 4703
Time: 11:00 a.m. to 1:00 p.m.
Agenda: To review and evaluate grant
applications.
Place: National Institutes of Health, 6701
Rockledge Drive, Bethesda, MD 20892,
(Telephone Conference Call).
Contact Person: Samuel C. Edwards, Ph.D.,
IRG Chief, Center for Scientific Review,
National Institutes of Health, 6701 Rockledge
Drive, Room 5210, MSC 7846, Bethesda, MD
20892, (301) 435–1246, edwardss@
csr.nih.gov.
Name of Committee: Center for Scientific
Review Special Emphasis Panel; Vascular
Biology and Hematology.
Date: March 30, 2017.
Time: 2:30 p.m. to 5:00 p.m.
Agenda: To review and evaluate grant
applications.
E:\FR\FM\09MRN1.SGM
09MRN1
]]>Agencies
[Federal Register Volume 82, Number 45 (Thursday, March 9, 2017)]
[Notices]
[Pages 13125-13126]
From the Federal Register Online via the Government Publishing Office [www.gpo.gov]
[FR Doc No: 2017-04614]
-----------------------------------------------------------------------
DEPARTMENT OF HEALTH AND HUMAN SERVICES
Office of the Secretary
[Document Identifier HHS-OS-0990-New-30D]
Agency Information Collection Activities; Proposals, Submissions,
and Approvals
AGENCY: Office of the Secretary, HHS.
ACTION: Notice.
-----------------------------------------------------------------------
SUMMARY: In compliance with section 3507(a)(1)(D) of the Paperwork
Reduction Act of 1995, the Office of the Secretary (OS), Department of
Health and Human Services, has submitted an Information Collection
Request (ICR), described below, to the Office of Management and Budget
(OMB) for review and approval. The ICR is for a new collection.
Comments submitted during the first public review of this ICR will be
provided to OMB. OMB will accept further comments from the public on
this ICR during the review and approval period.
DATES: Comments on the ICR must be received on or before April 10,
2017.
ADDRESSES: Submit your comments to OIRA_submission@omb.eop.gov or via
facsimile to (202) 395-5806.
FOR FURTHER INFORMATION CONTACT: Information Collection Clearance
staff, Information.CollectionClearance@hhs.gov or (202) 690-5683.
SUPPLEMENTARY INFORMATION: When submitting comments or requesting
information, please include the Information Collection Request Title
and document identifier 0990-New-30D for reference.
Information Collection Request Title: Domestic Violence Housing
First Demonstration Evaluation.
Abstract: The Office of the Assistant Secretary for Planning and
Evaluation (ASPE) within the U.S. Department of Health and Human
Services, in partnership with the Office for Victims of Crimes within
the U.S. Department of Justice, is seeking approval by OMB for a new
information collection request entitled, ``Domestic Violence Housing
First (DVHF) Demonstration Evaluation.'' The Washington State Coalition
Against Domestic Violence (WSCADV) is overseeing and coordinating an
evaluation of the DVHF Demonstration project through a contract with
ASPE. This quasi-experimental research study involves longitudinally
examining the program effects of DVHF on domestic violence survivors'
safety and housing stability. The findings will be of interest to the
general public, to policy-makers, and to organizations working with
domestic violence survivors.
Data collection will include in-depth, private interviews with 320
domestic violence survivors conducted by trained professional staff. At
Time 1 study enrollment, they will be interviewed about their
backgrounds, housing and safety obstacles, and services desired. There
will be three follow-up interviews with them every six months after the
Time 1 Interview (i.e., 6, 12, and 18 months) to examine the match
between needs and services, as well as their safety and housing
stability. Study enrollment will take place over 15 months, so the
annualized burden for the Time 1 and follow-up surveys is based on 12/
15 (256) of the expected sample (320).
The primary service providers working with the domestic violence
survivors will complete self-administered online questionnaires to
provide more detailed program implementation data. Service providers
will complete a survey about their work history and demographics and a
survey about the services provided for each domestic violence survivor
in their caseload that is a participant in the study (approximately 16
survivors per provider). This latter data collection will occur six
months after a domestic violence survivor enrolls in the study over 15
months to correspond to the study enrollment period. Finally, the study
will also include monthly data collection for 19 months from an agency
point of contact (POC) in order to verify agency information (e.g., the
number of advocates working in the agency, advocate caseloads, dates of
study participants' receipt of services).
Likely Respondents: The respondents are domestic violence
survivors, primary service providers, and community agency points of
contact who work with their agency data systems.
Annualized Reporting Burden on Study Participants
----------------------------------------------------------------------------------------------------------------
Annual number Number of Average
Form name Type of of responses per burden hours Total annual
respondent respondents respondent per response burden hours
----------------------------------------------------------------------------------------------------------------
Time 1 (Baseline) Interview... Domestic 256 1 1 256
violence
survivors.
Follow-up Interviews.......... Domestic 256 2 1 512
violence
survivors.
Online survey about advocates' Victim service 20 1 15/60 5
work history and demographics. advocates.
Online survey of advocates' Victim service 20 13 20/60 86
work with survivors. advocates.
Form for community agency Community agency 4 12 15/60 12
points of contact to verify point of
agency information (monthly). contact.
rrrrrrrrrrrrrrrrrrrrrrrrrrrrrrr
Total..................... ................ .............. .............. .............. 871
----------------------------------------------------------------------------------------------------------------
[[Page 13126]]
OS specifically 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.
Terry S. Clark,
Asst Information Collection Clearance Officer.
[FR Doc. 2017-04614 Filed 3-8-17; 8:45 am]
BILLING CODE 4150-05-P
