80 FR 46282 - Proposed Data Collection Submitted for Public Comment and Recommendations

DEPARTMENT OF HEALTH AND HUMAN SERVICES
Centers for Disease Control and Prevention

Federal Register Volume 80, Issue 149 (August 4, 2015)

Page Range		46282-46284
FR Document		2015-19042

The Centers for Disease Control and Prevention (CDC), as part of its continuing efforts to reduce public burden and maximize the utility of government information, invites the general public and other Federal agencies to take this opportunity to comment on proposed and/or continuing information collections, as required by the Paperwork Reduction Act of 1995. This notice invites comment on a proposed information collection extension for the CDC [email protected][supreg] Program: Phase 2 Training and Technical Assistance Evaluation. The [email protected][supreg] Program is a comprehensive workplace training program designed to improve employer knowledge and skills related to effective, science-based workplace health programs, and support the adoption of these programs in the workplace.

Federal Register, Volume 80 Issue 149 (Tuesday, August 4, 2015)

[Federal Register Volume 80, Number 149 (Tuesday, August 4, 2015)]
[Notices]
[Pages 46282-46284]
From the Federal Register Online [www.thefederalregister.org]
[FR Doc No: 2015-19042]

[[Page 46282]]

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DEPARTMENT OF HEALTH AND HUMAN SERVICES

Centers for Disease Control and Prevention

[60-Day-15-1006; Docket No. CDC-2015-0061]

Proposed Data Collection Submitted for Public Comment and
Recommendations

AGENCY: Centers for Disease Control and Prevention (CDC), Department of
Health and Human Services (HHS).

ACTION: Notice with comment period.

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

SUMMARY: The Centers for Disease Control and Prevention (CDC), as part
of its continuing efforts to reduce public burden and maximize the
utility of government information, invites the general public and other
Federal agencies to take this opportunity to comment on proposed and/or
continuing information collections, as required by the Paperwork
Reduction Act of 1995. This notice invites comment on a proposed
information collection extension for the CDC Work@Health[supreg]
Program: Phase 2 Training and Technical Assistance Evaluation. The
Work@Health[supreg] Program is a comprehensive workplace training
program designed to improve employer knowledge and skills related to
effective, science-based workplace health programs, and support the
adoption of these programs in the workplace.

DATES: Written comments must be received on or before October 5, 2015.

ADDRESSES: You may submit comments, identified by Docket No. CDC-2015-
0061 by any of the following methods:
Federal eRulemaking Portal: Regulation.gov. Follow the instructions
for submitting comments.
Mail: Leroy A. Richardson, Information Collection Review Office,
Centers for Disease Control and Prevention, 1600 Clifton Road NE., MS-
D74, Atlanta, Georgia 30329.
Instructions: All submissions received must include the agency name
and Docket Number. All relevant comments received will be posted
without change to Regulations.gov, including any personal information
provided. For access to the docket to read background documents or
comments received, go to Regulations.gov.

Please note: All public comment should be submitted through the
Federal eRulemaking portal (Regulations.gov) or by U.S. mail to the
address listed above.

FOR FURTHER INFORMATION CONTACT: To request more information on the
proposed project or to obtain a copy of the information collection plan
and instruments, contact the Information Collection Review Office,
Centers for Disease Control and Prevention, 1600 Clifton Road NE., MS-
D74, Atlanta, Georgia 30329; phone: 404-639-7570; Email: omb@cdc.gov.

SUPPLEMENTARY INFORMATION: Under the Paperwork Reduction Act of 1995
(PRA) (44 U.S.C. 3501-3520), Federal agencies must obtain approval from
the Office of Management and Budget (OMB) for each collection of
information they conduct or sponsor. In addition, the PRA also requires
Federal agencies to provide a 60-day notice in the Federal Register
concerning each proposed collection of information, including each new
proposed collection, each proposed extension of existing collection of
information, and each reinstatement of previously approved information
collection before submitting the collection to OMB for approval. To
comply with this requirement, we are publishing this notice of a
proposed data collection as described below.
Comments are invited on: (a) Whether the proposed collection of
information is necessary for the proper performance of the functions of
the agency, including whether the information shall have practical
utility; (b) the accuracy of the agency's estimate of the burden of the
proposed collection of information; (c) ways to enhance the quality,
utility, and clarity of the information to be collected; (d) ways to
minimize the burden of the collection of information on respondents,
including through the use of automated collection techniques or other
forms of information technology; and (e) estimates of capital or start-
up costs and costs of operation, maintenance, and purchase of services
to provide information. Burden means the total time, effort, or
financial resources expended by persons to generate, maintain, retain,
disclose or provide information to or for a Federal agency. 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.

Proposed Project

CDC Work@Health[supreg] Program: Phase 2 Training and Technical
Assistance Evaluation (OMB No. 0920-1006, exp. date 1/31/2016)--
Extension--National Center for Chronic Disease Prevention and Health
Promotion (NCCDPHP), Centers for Disease Control and Prevention (CDC).

Background and Brief Description

In the United States, chronic diseases, such as heart disease,
obesity, and diabetes are among the leading causes of death and
disability. Although chronic diseases are among the most common and
costly health problems, they are also among the most preventable.
Adopting healthy behaviors--such as eating nutritious foods, being
physically active and avoiding tobacco use--can prevent the devastating
effects and reduce the rates of these diseases.
Employers are recognizing the role they can play in creating
healthy work environments and providing employees with opportunities to
make healthy lifestyle choices. To support these efforts, the Centers
for Disease Control and Prevention (CDC) developed the
Work@Health[supreg] Program, a comprehensive worksite health training
program which includes the development of a worksite health training
curriculum and delivery of training to employers nationwide to improve
the health of workers and their families. The Work@Health[supreg]
Program is authorized by the Public Health Service Act and funded
through the Prevention and Public Health Fund of the Patient Protection
and Affordable Care Act (ACA). The Work@Health[supreg] curriculum uses
a problem-solving approach to improve employer knowledge and skills
related to effective, science-based workplace health programs, and
support the adoption of these programs in the workplace. Topics covered
in the Work@Health[supreg] curriculum include principles, strategies,
and tools for leadership engagement; how to make a business case for
workplace health programs; how to assess the needs of organizations and
individual employees; how to plan, implement, and evaluate sustainable
workplace health programs; and how to partner with community
organizations for additional support.
CDC began the full-scale implementation and evaluation of the
Work@Health[supreg] Program in Winter/Spring 2014 (Work@Health[supreg]
Program: Phase 2 Training and Technical Assistance Evaluation, OMB No.
0920-1006, exp. date 1/31/2016). During the initial two-year clearance
period, the

[[Page 46283]]

target number of trainees was 1,200. Information was collected from
trainees and employers to support program recruitment, implementation,
and evaluation.
CDC is requesting OMB approval to extend information collection for
three years. There are no changes to information collection methods or
instruments. The target number of new trainees is 1,200. There are
minor changes to the burden table as a result of annualizing responses
over a three-year period instead of a two-year period. The expansion of
the Work@Health[supreg] program will foster the creation of far-
reaching networks to help develop a sustainable worksite wellness
network.
CDC will offer training in four models (formats): (1) A ``Hands-
on'' instructor-led workshop model; (2) a self-paced ``Online'' model;
(3) a combination or ``Blended'' model; and (4) a ``Train-the-Trainer''
model designed to prepare qualified individuals to train other
employers using the Work@Health[supreg] curricula. Employers who
complete the Hands-on, Online, and Blended model trainings will be
invited to participate in peer learning networks and receive technical
assistance from coaches to support their efforts to implement or
enhance their workplace health programs. Technical assistance will also
be provided to the individuals who complete the Train-the-Trainer model
to help prepare them to provide the Work@Health[supreg] training to
employers. Training graduates may be eligible for advanced technical
assistance and training from CDC at a later date, through the expanded
Work@Health[supreg] Advance Program.
To be eligible for the Hands-on, Online, and Blended model
trainings, employers must have a minimum of 20 employees, a valid
business license, and have been in business for at least one year. In
addition, they must offer health insurance to their employees and have
at least minimal workplace health program knowledge and experience.
Applicants for the Train-the-Trainer model must have previous
knowledge, training and experience with workplace health programs and
an interest in becoming instructors for the Work@Health[supreg]
program. They may be referred by employers, health departments,
business coalitions, trade associations, or other organizations.
CDC will collect a combination of qualitative and quantitative data
elements for analysis. These analyses will be supplemented with
interview data collected for approximately six case studies. Outcome
evaluation will therefore include a descriptive component as well as
statistical models to assess the extent to which the program affected
the target outcomes. Employers will be recruited to participate in the
Work@Health[supreg] training and evaluation scheduled to begin in the
Winter of 2016. The training models will be evaluated by assessing the
participating employers' changes in readiness to develop or enhance a
worksite health program; environmental elements of the physical
worksite such as facilities; aggregate employee participation in
programs and community partnership activities; and elements of worksite
structure, practices, and policies related to health and safety. CDC
will also assess trainees' knowledge, attitudes, and behaviors related
to worksite health and their reaction to the Work@Health[supreg]
training, including their satisfaction with the training and opinions
about whether it met their needs. CDC will not collect individual-level
health data for this project.
Participation is voluntary and there are no costs to respondents
other than their time.

Estimated Annualized Burden Hours
----------------------------------------------------------------------------------------------------------------
Number of Avg. burden
Type of respondent Form name Number of responses per per response Total burden
respondents respondent (in hrs.) (in hrs.)
----------------------------------------------------------------------------------------------------------------
Interested Employer........... Employer 400 1 20/60 133
Application
Form.
Employers Participating in CDC Worksite 320 1 30/60 160
Work@Health[supreg]. Health
Scorecard.
Organizational 320 1 15/60 80
Assessment.
Employer Follow- 160 1 15/60 40
up Survey.
Case Study 2 1 1 2
Interviews with
Senior
Leadership.
Case Study 4 1 1 4
Interviews with
Employees.
Trainees Participating in the Trainee KAB 640 1 20/60 213
Work@Health[supreg] Program Survey.
(Hands-on, Online, Blended
models).
Trainee Reaction 100 1 15/60 25
Survey--Hands-
On Model.
Trainee Reaction 120 1 15/60 30
Survey--Online
Model.
Trainee Reaction 100 1 15/60 25
Survey--Blended
Model.
Trainee 640 1 15/60 160
Technical
Assistance
Survey.
Case Study 10 1 1 10
Interviews with
Selected
Trainees.
Trainee Focus 7 1 1.5 14
Group
Discussion
Guide.
Interested Train-the-Trainer Train-the- 120 1 30/60 60
Participants. Trainer
Application
Form.
Trainees Participating in the Train-the- 80 1 20/60 27
Work@Health[supreg] Program Trainer
(Train-the-Trainer model). Participant
Survey.
Trainee Reaction 40 1 15/60 10
Survey--Train-
the-Trainer
Model.
Train-the- 80 1 15/60 20
Trainer Trainee
Technical
Assistance
Survey.

[[Page 46284]]

Trainees participating in the Wave 2 Trainee 200 1 15/60 50
Work@Health[supreg] Program Reaction Survey.
Wave 2.
Work@Health[supreg] Instructor/Coach 7 1 30/60 4
Instructors/Coaches. Group
Discussion
Guide.
Total..................... ................ .............. .............. .............. 1,064
----------------------------------------------------------------------------------------------------------------

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. 2015-19042 Filed 8-3-15; 8:45 am]
BILLING CODE 4163-18-P

Federal Register / Vol. 80, No. 149 / Tuesday, August 4, 2015 / Notices 46283

target number of trainees was 1,200. programs. Technical assistance will also case studies. Outcome evaluation will
Information was collected from trainees be provided to the individuals who therefore include a descriptive
and employers to support program complete the Train-the-Trainer model to component as well as statistical models
recruitment, implementation, and help prepare them to provide the Work@ to assess the extent to which the
evaluation. Health® training to employers. Training program affected the target outcomes.
CDC is requesting OMB approval to graduates may be eligible for advanced Employers will be recruited to
extend information collection for three technical assistance and training from participate in the Work@Health®
years. There are no changes to CDC at a later date, through the training and evaluation scheduled to
information collection methods or expanded Work@Health® Advance begin in the Winter of 2016. The
instruments. The target number of new Program.
training models will be evaluated by
trainees is 1,200. There are minor To be eligible for the Hands-on,
changes to the burden table as a result Online, and Blended model trainings, assessing the participating employers’
of annualizing responses over a three- employers must have a minimum of 20 changes in readiness to develop or
year period instead of a two-year period. employees, a valid business license, and enhance a worksite health program;
The expansion of the Work@Health® have been in business for at least one environmental elements of the physical
program will foster the creation of far- year. In addition, they must offer health worksite such as facilities; aggregate
reaching networks to help develop a insurance to their employees and have employee participation in programs and
sustainable worksite wellness network. at least minimal workplace health community partnership activities; and
CDC will offer training in four models program knowledge and experience. elements of worksite structure,
(formats): (1) A ‘‘Hands-on’’ instructor- Applicants for the Train-the-Trainer practices, and policies related to health
led workshop model; (2) a self-paced model must have previous knowledge, and safety. CDC will also assess
‘‘Online’’ model; (3) a combination or training and experience with workplace trainees’ knowledge, attitudes, and
‘‘Blended’’ model; and (4) a ‘‘Train-the- health programs and an interest in behaviors related to worksite health and
Trainer’’ model designed to prepare becoming instructors for the Work@ their reaction to the Work@Health®
qualified individuals to train other Health® program. They may be referred training, including their satisfaction
employers using the Work@Health® by employers, health departments, with the training and opinions about
curricula. Employers who complete the business coalitions, trade associations, whether it met their needs. CDC will not
Hands-on, Online, and Blended model or other organizations. collect individual-level health data for
trainings will be invited to participate in CDC will collect a combination of
this project.
peer learning networks and receive qualitative and quantitative data
technical assistance from coaches to elements for analysis. These analyses Participation is voluntary and there
support their efforts to implement or will be supplemented with interview are no costs to respondents other than
enhance their workplace health data collected for approximately six their time.

ESTIMATED ANNUALIZED BURDEN HOURS
Number of Avg. burden
Type of Number of Total burden
Form name responses per per response
respondent respondents (in hrs.)
respondent (in hrs.)

Interested Employer .......................... Employer Application Form .............. 400 1 20/60 133
Employers Participating in Work@ CDC Worksite Health Scorecard ..... 320 1 30/60 160
Health®.
Organizational Assessment ............. 320 1 15/60 80
Employer Follow-up Survey ............. 160 1 15/60 40
Case Study Interviews with Senior 2 1 1 2
Leadership.
Case Study Interviews with Employ- 4 1 1 4
ees.
Trainees Participating in the Work@ Trainee KAB Survey ........................ 640 1 20/60 213
Health® Program (Hands-on, On-
line, Blended models).
Trainee Reaction Survey—Hands- 100 1 15/60 25
On Model.
Trainee Reaction Survey—Online 120 1 15/60 30
Model.
Trainee Reaction Survey—Blended 100 1 15/60 25
Model.
Trainee Technical Assistance Sur- 640 1 15/60 160
vey.
Case Study Interviews with Se- 10 1 1 10
lected Trainees.
Trainee Focus Group Discussion 7 1 1.5 14
Guide.
Interested Train-the-Trainer Partici- Train-the-Trainer Application Form .. 120 1 30/60 60
pants.
tkelley on DSK3SPTVN1PROD with NOTICES

Trainees Participating in the Work@ Train-the-Trainer Participant Survey 80 1 20/60 27
Health® Program (Train-the-Train-
er model).
Trainee Reaction Survey—Train- 40 1 15/60 10
the-Trainer Model.
Train-the-Trainer Trainee Technical 80 1 15/60 20
Assistance Survey.

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46284 Federal Register / Vol. 80, No. 149 / Tuesday, August 4, 2015 / Notices

ESTIMATED ANNUALIZED BURDEN HOURS—Continued
Number of Avg. burden
Type of Number of Total burden
Form name responses per per response
respondent respondents (in hrs.)
respondent (in hrs.)

Trainees participating in the Work@ Wave 2 Trainee Reaction Survey .... 200 1 15/60 50
Health® Program Wave 2.
Work@Health® Instructors/Coaches Instructor/Coach Group Discussion 7 1 30/60 4
Guide.
Total ........................................... .......................................................... ........................ ........................ ........................ 1,064

Leroy A. Richardson, please reference the document identifier Information Collection: Federally
Chief, Information Collection Review Office, or OMB control number. To be assured Qualified Health Center Cost Report
Office of Scientific Integrity, Office of the consideration, comments and Form; Use: Providers of services
Associate Director for Science, Office of the recommendations must be received by participating in the Medicare program
Director, Centers for Disease Control and the OMB desk officer via one of the are required under sections 1815(a) and
Prevention.
following transmissions: OMB, Office of 1861(v)(1)(A) of the Act (42 U.S.C.
[FR Doc. 2015–19042 Filed 8–3–15; 8:45 am] Information and Regulatory Affairs, 1395g) to submit annual information to
BILLING CODE 4163–18–P Attention: CMS Desk Officer, Fax achieve settlement of costs for health
Number: (202) 395–5806 or, Email: care services rendered to Medicare
OIRA_submission@omb.eop.gov. beneficiaries. In addition, regulations at
DEPARTMENT OF HEALTH AND To obtain copies of a supporting 42 CFR 413.20 and 413.24 require
HUMAN SERVICES statement and any related forms for the adequate cost data and cost reports from
Centers for Medicare & Medicaid proposed collection(s) summarized in providers on an annual basis. The form
Services this notice, you may make your request CMS–224–14 cost report is needed to
using one of following: determine a provider’s reasonable costs
[Document Identifier CMS–224–14] 1. Access CMS’ Web site address at incurred in furnishing medical services
http://www.cms.hhs.gov/Paperwork to Medicare beneficiaries and
Agency Information Collection ReductionActof1995. reimbursement due to or from a
Activities: Submission for OMB 2. Email your request, including your provider. Form Number: CMS–224–14
Review; Comment Request address, phone number, OMB number, (OMB control number 0938—New);
and CMS document identifier, to Frequency: Yearly; Affected Public:
ACTION: Notice.
Paperwork@cms.hhs.gov. Private sector—For-profit and Not-for-
SUMMARY: The Centers for Medicare & 3. Call the Reports Clearance Office at profit institutions; Number of
Medicaid Services (CMS) is announcing (410) 786–1326. Respondents: 1,296; Total Annual
an opportunity for the public to FOR FURTHER INFORMATION CONTACT: Responses: 1,296; Total Annual Hours:
comment on CMS’ intention to collect Reports Clearance Office at (410) 786– 75,168. (For policy questions regarding
information from the public. Under the 1326. this collection contact Julie Stankivic at
Paperwork Reduction Act of 1995 SUPPLEMENTARY INFORMATION: Under the 410–786–5725).
(PRA), federal agencies are required to Paperwork Reduction Act of 1995 (PRA) Dated: July 30, 2015.
publish notice in the Federal Register (44 U.S.C. 3501–3520), federal agencies William N. Parham, III,
concerning each proposed collection of must obtain approval from the Office of Director, Paperwork Reduction Staff, Office
information, including each proposed Management and Budget (OMB) for each of Strategic Operations and Regulatory
extension or reinstatement of an existing collection of information they conduct Affairs.
collection of information, and to allow or sponsor. The term ‘‘collection of [FR Doc. 2015–19075 Filed 8–3–15; 8:45 am]
a second opportunity for public information’’ is defined in 44 U.S.C. BILLING CODE 4120–01–P
comment on the notice. Interested 3502(3) and 5 CFR 1320.3(c) and
persons are invited to send comments includes agency requests or
regarding the burden estimate or any requirements that members of the public DEPARTMENT OF HEALTH AND
other aspect of this collection of submit reports, keep records, or provide HUMAN SERVICES
information, including any of the information to a third party. Section
following subjects: (1) The necessity and 3506(c)(2)(A) of the PRA (44 U.S.C. Administration for Children and
utility of the proposed information 3506(c)(2)(A)) requires federal agencies Families
collection for the proper performance of to publish a 30-day notice in the
the agency’s functions; (2) the accuracy Federal Register concerning each Submission for OMB Review;
of the estimated burden; (3) ways to proposed collection of information, Comment Request
enhance the quality, utility, and clarity including each proposed extension or Title: Initial Medical Exam Form and
of the information to be collected; and reinstatement of an existing collection Initial Dental Exam Form.
(4) the use of automated collection of information, before submitting the OMB No.: 0970–NEW.
techniques or other forms of information collection to OMB for approval. To Description: The Administration for
technology to minimize the information
tkelley on DSK3SPTVN1PROD with NOTICES

comply with this requirement, CMS is Children and Families’ Office of Refugee
collection burden. publishing this notice that summarizes Resettlement (ORR) places
DATES: Comments on the collection(s) of the following proposed collection(s) of unaccompanied minors in their custody
information must be received by the information for public comment: in licensed care provider facilities until
OMB desk officer by September 3, 2015. 1. Type of Information Collection reunification with a qualified sponsor.
ADDRESSES: When commenting on the Request: New collection (Request for a Care provider facilities are required to
proposed information collections, new OMB control number); Title of provide children with services such as

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Document Created: 2015-12-18 14:52:03
Document Modified: 2015-12-18 14:52:03

Category		Regulatory Information
Collection		Federal Register
sudoc Class		AE 2.7: GS 4.107: AE 2.106:
Publisher		Office of the Federal Register, National Archives and Records Administration
Section		Notices
Action		Notice with comment period.
Dates		Written comments must be received on or before October 5, 2015.
Contact		To request more information on the proposed project or to obtain a copy of the information collection plan and instruments, contact the Information Collection Review Office, Centers for Disease Control and Prevention, 1600 Clifton Road NE., MS- D74, Atlanta, Georgia 30329; phone: 404-639-7570; Email: [email protected]
FR Citation		80 FR 46282

80 FR 46282 - Proposed Data Collection Submitted for Public Comment and Recommendations

DEPARTMENT OF HEALTH AND HUMAN SERVICESCenters for Disease Control and Prevention

Federal Register Volume 80, Issue 149 (August 4, 2015)

DEPARTMENT OF HEALTH AND HUMAN SERVICES
Centers for Disease Control and Prevention