81 FR 10875 - Agency Information Collection Activities: Proposed Collection: Public Comment Request
DEPARTMENT OF HEALTH AND HUMAN SERVICES
Health Resources and Services Administration Federal Register Volume 81, Issue 41 (March 2, 2016)
Health Resources and Services Administration
Federal Register Volume 81, Issue 41 (March 2, 2016)
| Page Range | 10875-10877 | |
| FR Document | 2016-04535 |
[Federal Register Volume 81, Number 41 (Wednesday, March 2, 2016)] [Notices] [Pages 10875-10877] From the Federal Register Online [www.thefederalregister.org] [FR Doc No: 2016-04535] ----------------------------------------------------------------------- DEPARTMENT OF HEALTH AND HUMAN SERVICES Health Resources and Services Administration Agency Information Collection Activities: Proposed Collection: Public 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 the Paperwork Reduction Act of 1995), the Health Resources and Services Administration (HRSA) announces plans to submit an Information Collection Request (ICR), described below, to the Office of Management and Budget (OMB). Prior to submitting the ICR to OMB, HRSA seeks comments from the public regarding the burden estimate, below, or any other aspect of the ICR. DATES: Comments on this Information Collection Request must be received no later than May 2, 2016. ADDRESSES: Submit your comments to [email protected] or mail the HRSA Information Collection Clearance Officer, Room 10-29, Parklawn Building, 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 [email protected] 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: Health Center Program Application Forms OMB No. 0915-0285--Revision Abstract: Health Centers (those entities funded under Public Health Service Act section 330 and Health Center Program Look-Alikes) deliver comprehensive, high quality, cost-effective primary health care to patients regardless of their ability to pay. Health centers have become an essential primary care provider for America's most vulnerable populations. Health centers advance the preventive and primary medical/ health care home model of coordinated, comprehensive, and patient- centered care; providing a wide range of medical, dental, behavioral, and social services. More than 1,300 health centers operate more than 9,000 service delivery sites that provide care in every state, the District of Columbia, Puerto Rico, the U.S. Virgin Islands, and the Pacific Basin. The Health Center Program is administered by HRSA's Bureau of Primary Health Care (BPHC). HRSA/BPHC uses the following application forms to oversee the Health Center Program. Need and Proposed Use of the Information: BPHC Health Center Program-specific forms are critical to Health Center Program grant and non-grant award processes and for Health Center Program oversight. The purpose of these forms is to provide HRSA staff and objective review committee panels information essential for application evaluation, funding recommendation and approval, designation, and monitoring. These forms also provide HRSA staff with information essential for ensuring compliance with Health Center Program legislative and regulatory requirements. These application forms are used by existing health centers and other organizations to apply for various grant and non- grant opportunities, renew their grant or non-grant designation, and change their scope of project. Most of the Health Center Program-specific forms do not require any changes with this revision. HRSA intends to revise some of the forms to streamline and clarify data already being requested (Form 1A, 1B, 2, 3, 5A, 5B, 6A, 8, Performance Measures, Project Work Plan) and change several form names (changing Form 3A to Look-Alike Budget Information, Form 10 to Emergency Preparedness Report, and Increased Demand for Services to Project Narrative). HRSA also intends to add six new forms. The Supplemental Information form and Summary Page will consolidate important application information that is usually found distributed throughout the application, including eligibility criteria and projected goals. These forms would require applicant confirmation that the information provided is accurate. Two [[Page 10876]] additional forms would include the Program Narrative Update, used to report progress for the renewal of Health Center Program awards, and the Substance Abuse Progress Report, used to report quarterly progress for award recipients of Substance Abuse Expansion supplemental funding. Two other forms, the Health Center Controlled Networks Work Plan and Progress Report, are forms that have been used in the past (under another OMB control number) to collect application baseline data and progress metrics for grantees. Likely Respondents: Health Center Program award recipients and look-alikes, state and national technical assistance organizations, and other organizations seeking funding. 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. Total Estimated Annualized Burden Hours ---------------------------------------------------------------------------------------------------------------- Average Number of Number of Total burden per Total burden Form name respondents responses per responses response (in hours respondent hours) ---------------------------------------------------------------------------------------------------------------- Form 1A: General Information Worksheet.. 1,700 1 1,700 1.0 1,700 Form 1B: BPHC Funding Request Summary... 450 1 450 0.75 337.5 Form 1C: Documents on File.............. 1,000 1 1,000 0.5 500 Form 2: Staffing Profile................ 1,700 1 1,700 1.0 1,700 Form 3: Income Analysis................. 1,900 1 1,900 2.5 4,750 Form 3A: FQHC Look-Alike Budget 100 1 100 1.0 100 Information............................ Form 4: Community Characteristics....... 1,000 1 1,000 1.0 1,000 Form 5A: Services Provided.............. 1,700 1 1,700 1.0 1,700 Form 5B: Service Sites.................. 1,200 1 1,200 0.75 900 Form 5C: Other Activities/Locations..... 1,000 1 1,000 0.5 500 Form 6A: Current Board Member 1,000 1 1,000 0.5 500 Characteristics........................ Form 6B: Request for Waiver of 100 1 100 1.0 100 Governance Requirements................ Form 8: Health Center Agreements........ 600 1 600 0.75 450 Form 9: Need for Assistance Worksheet... 500 1 500 4.5 2,250 Form 10: Annual Emergency Preparedness 1,000 1 1,000 1.0 1,000 Report................................. Form 12: Organization Contacts.......... 1,000 1 1,000 0.5 500 Clinical Performance Measures........... 1,000 1 1,000 2 2,000 Financial Performance Measures.......... 1,000 1 1,000 1 1,000 Implementation Plan..................... 900 1 900 3.0 2,700 Project Work Plan....................... 200 1 200 4.0 800 Proposal Cover Page..................... 400 1 400 1.0 400 Project Cover Page...................... 400 1 400 1.0 400 Equipment List.......................... 400 1 400 1.0 400 Other Requirements for Sites............ 400 1 400 0.5 200 Funding Sources......................... 400 1 400 0.5 200 Project Qualification Criteria.......... 400 1 400 1.0 400 O&E Supplemental........................ 1,200 1 1,200 1.0 1,200 O&E Progress Report..................... 1,200 1 1,200 1.0 1,200 Checklist for Adding a New Service 700 1 700 2.0 1,400 Delivery Site.......................... Checklist for Deleting Existing Service 700 1 700 2.0 1,400 Delivery Site.......................... Checklist for Adding New Service........ 700 1 700 2.0 1,400 Checklist for Deleting Existing Service. 700 1 700 2.0 1,400 Checklist for Replacing Existing Service 700 1 700 2.0 1,400 Delivery Site.......................... Checklist for Adding a New Target 50 1 50 1.0 50 Population............................. Increased Demand for Services........... 1,400 1 1,400 1 1,400 Supplemental Information (NEW).......... 2,000 1 2,000 0.5 1,000 Summary Page (NEW)...................... 1,700 1 1,700 0.25 425 Program Narrative Update (NEW).......... 900 1 900 1 900 Substance Abuse Progress Report (NEW)... 300 4 1,200 1 1,200 Health Center Controlled Networks 93 1 93 25 2,325 Progress Report (NEW).................. Health Center Controlled Networks Work 93 1 93 5 465 Plan (NEW)............................. ----------------------------------------------------------------------- Total............................... 33,886 ............... 34,786 ............ 43,652.5 ---------------------------------------------------------------------------------------------------------------- [[Page 10877]] HRSA 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. Jackie Painter, Director, Division of the Executive Secretariat. [FR Doc. 2016-04535 Filed 3-1-16; 8:45 am] BILLING CODE 4165-15-P
![Federal Register / Vol. 81, No. 41 / Wednesday, March 2, 2016 / Notices 10875
Chapter RV—HIV/AIDS Bureau officials that were in effect immediately Service Act section 330 and Health
prior to this reorganization, and that are Center Program Look-Alikes) deliver
Section RV–10, Organization
consistent with this reorganization, comprehensive, high quality, cost-
Delete the organization for the Office shall continue in effect pending further effective primary health care to patients
of Operations and Management (RV2) in re-delegation. regardless of their ability to pay. Health
its entirety and replace with the This reorganization is effective upon centers have become an essential
following: date of signature. primary care provider for America’s
The Office of Operations and most vulnerable populations. Health
Dated: February 17,2016.
Management (RV2) is directed by the centers advance the preventive and
James Macrae,
Director/Executive Officer who reports primary medical/health care home
directly to the Associate Administrator, Acting Administrator.
model of coordinated, comprehensive,
HIV/AIDS Bureau (RV). The Associate [FR Doc. 2016–04529 Filed 3–1–16; 8:45 am]
and patient-centered care; providing a
Administrator, HIV/AIDS Bureau BILLING CODE 4165–15–P
wide range of medical, dental,
reports directly to the Administrator, behavioral, and social services. More
Health Resources and Services than 1,300 health centers operate more
Administration. The Office of DEPARTMENT OF HEALTH AND
HUMAN SERVICES than 9,000 service delivery sites that
Operations and Management include provide care in every state, the District
the following components: of Columbia, Puerto Rico, the U.S.
(1) Office of Operations and Health Resources and Services
Administration Virgin Islands, and the Pacific Basin.
Management (RV2); and The Health Center Program is
(2) Division of Administrative Agency Information Collection administered by HRSA’s Bureau of
Operations (RV21). Activities: Proposed Collection: Public Primary Health Care (BPHC). HRSA/
Section RV–20, Functions Comment Request BPHC uses the following application
forms to oversee the Health Center
This notice reflects organizational AGENCY: Health Resources and Services Program.
changes in the Health Resources and Administration, HHS. Need and Proposed Use of the
Services Administration (HRSA), Office ACTION: Notice. Information: BPHC Health Center
of Operations and Management (RV2). Program-specific forms are critical to
Specifically, this notice: (1) Establishes SUMMARY: In compliance with the
Health Center Program grant and non-
the Division of Administrative requirement for opportunity for public
grant award processes and for Health
Operations (RV21). comment on proposed data collection
Center Program oversight. The purpose
Establish the functional statement for projects (Section 3506(c)(2)(A) of the
of these forms is to provide HRSA staff
the Division of Administrative Paperwork Reduction Act of 1995), the
and objective review committee panels
Operations (RV21) within the Office of Health Resources and Services
information essential for application
Operations and Management (RV2). Administration (HRSA) announces
evaluation, funding recommendation
plans to submit an Information
Office of Operations and Management and approval, designation, and
Collection Request (ICR), described
(RV2) monitoring. These forms also provide
below, to the Office of Management and
The Office of Operations and HRSA staff with information essential
Budget (OMB). Prior to submitting the
Management is directed by the Director/ for ensuring compliance with Health
ICR to OMB, HRSA seeks comments
Executive Officer for the HIV/AIDS Center Program legislative and
from the public regarding the burden
Bureau. The Office provides expertise regulatory requirements. These
estimate, below, or any other aspect of
guidance, leadership, and support in the application forms are used by existing
the ICR.
areas of: Administration, fiscal health centers and other organizations
DATES: Comments on this Information to apply for various grant and non-grant
operations, and contract administration. Collection Request must be received no
The Office of Operations and opportunities, renew their grant or non-
later than May 2, 2016. grant designation, and change their
Management is responsible for ADDRESSES: Submit your comments to
providing direction on all budgetary, scope of project.
paperwork@hrsa.gov or mail the HRSA Most of the Health Center Program-
administrative, human resources, Information Collection Clearance
operations, facility management, specific forms do not require any
Officer, Room 10–29, Parklawn changes with this revision. HRSA
contracting, organizational Building, 5600 Fishers Lane, Rockville,
development, training and technological intends to revise some of the forms to
MD 20857. streamline and clarify data already
developments for the HIV/AIDS Bureau.
FOR FURTHER INFORMATION CONTACT: To being requested (Form 1A, 1B, 2, 3, 5A,
The Office also oversees and
coordinates all Bureau program integrity request more information on the 5B, 6A, 8, Performance Measures,
activities. proposed project or to obtain a copy of Project Work Plan) and change several
the data collection plans and draft form names (changing Form 3A to Look-
Division of Administrative Operations instruments, email paperwork@hrsa.gov Alike Budget Information, Form 10 to
(RV21) or call the HRSA Information Collection Emergency Preparedness Report, and
The Division of Administrative Clearance Officer at (301) 443–1984. Increased Demand for Services to
Operations is responsible for the SUPPLEMENTARY INFORMATION: When Project Narrative). HRSA also intends to
administrative, human resources submitting comments or requesting add six new forms. The Supplemental
mstockstill on DSK4VPTVN1PROD with NOTICES
operations, facility management, information, please include the Information form and Summary Page
contracting, organizational information request collection title for will consolidate important application
development/training functions and reference. information that is usually found
fiscal operations for the Bureau. Information Collection Request Title: distributed throughout the application,
Health Center Program Application including eligibility criteria and
Delegations of Authority Forms OMB No. 0915–0285—Revision projected goals. These forms would
All delegations of authority and re- Abstract: Health Centers (those require applicant confirmation that the
delegations of authority made to HRSA entities funded under Public Health information provided is accurate. Two
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![Federal Register / Vol. 81, No. 41 / Wednesday, March 2, 2016 / Notices 10877
HRSA specifically requests comments SUPPLEMENTARY INFORMATION: Further Department of Health and Human
on (1) the necessity and utility of the information regarding the NACNHSC Services.
proposed information collection for the including the roster of members, past ACTION: Notice.
proper performance of the agency’s meetings summaries is available at the
functions, (2) the accuracy of the following Web site: http:// SUMMARY: As stipulated by the Federal
estimated burden, (3) ways to enhance nhsc.hrsa.gov/corpsexperience/aboutus/ Advisory Committee Act, the
the quality, utility, and clarity of the nationaladvisorycouncil/index.html. Department of Health and Human
information to be collected, and (4) the Members of the public and interested Services (HHS) is hereby giving notice
use of automated collection techniques parties may request to participate in the that a meeting is scheduled to be held
or other forms of information meeting by contacting Ashley Carothers for the Presidential Advisory Council on
technology to minimize the information via email at ACarothers@hrsa.gov to Combating Antibiotic-Resistant Bacteria
collection burden. obtain access information. Access will (the Advisory Council). The meeting
be granted on a first-come, first-served will be open to the public; a public
Jackie Painter, comment session will be held during
basis. Space is limited. Public
Director, Division of the Executive Secretariat. participants may submit written the meeting. Pre-registration is required
[FR Doc. 2016–04535 Filed 3–1–16; 8:45 am] statements in advance of the scheduled for members of the public who wish to
BILLING CODE 4165–15–P meeting. If you would like to provide attend the meeting and who wish to
oral public comment during the participate in the public comment
meeting, please register with the Ashley session. Individuals who wish to attend
DEPARTMENT OF HEALTH AND Carothers. Public comment will be the meeting and/or send in their public
HUMAN SERVICES limited to 3 minutes per speaker. comment via email should send an
Statements and comments can be email to CARB@hhs.gov. Registration
Health Resources and Services information is available on the Web site
Administration addressed to Ashley Carothers by
emailing her at ACarothers@hrsa.gov. http://www.hhs.gov/ash/carb/ and must
Individuals who plan to attend and be completed by March 21, 2016; all in-
National Advisory Council on the
need special assistance, such as sign person attendees must pre-register by
National Health Service Corps; Notice
language interpretation or other this date. Additional information about
of Meeting
reasonable accommodations, should registering for the meeting and
In accordance with section 10(a)(2) of notify the contact person listed above at providing public comment can be
the Federal Advisory Committee Act least 10 days prior to the meeting. In obtained at http://www.hhs.gov/ash/
(Pub. L. 92–463), notice is hereby given addition, please be advised that carb/ on the Meetings page.
of the following meeting: committee members are given copies of DATES: The meeting is scheduled to be
Name: National Advisory Council on all written statements submitted from held on March 30, 2016, from 10:00 a.m.
the National Health Service Corps the public. Any further public to 5:00 p.m. ET, and March 31, 2016,
(NACNHSC). participation will be solely at the from 9:00 a.m. to 4:00 p.m. ET (times are
Dates and Times: March 21–22, 2016, discretion of the Chair, with approval of tentative and subject to change). The
8:30 a.m.–4:30 p.m. EST. the Designated Federal Official. confirmed times and agenda items for
Place: U.S. Department of Health and Registration through the designated the meeting will be posted on the Web
Human Services, Health Resources and contact for the public comment session site for the Advisory Council at http://
Services Administration, Conference is required. www.hhs.gov/ash/carb/ when this
Room #5E29, 5600 Fishers Lane, FOR FURTHER INFORMATION CONTACT:
information becomes available. Pre-
Rockville, Maryland 20857, In-Person Anyone requesting information registration for attending the meeting in
Meeting and Conference Call Format. regarding the NACNHSC should contact person is required to be completed no
Status: This advisory council meeting Ashley Carothers, Bureau of Health later than March 21, 2016; public
will be open to the public. Workforce, Health Resources and attendance at the meeting is limited to
Purpose: The NACNHSC provides Services Administration, in one of three the available space.
advice and recommendations to the ways: (1) Send a request to the following ADDRESSES: U.S. Department of Health
Secretary of the U.S. Department of address: Ashley Carothers, Bureau of and Human Services, Hubert H.
Health and Human Services and, by Health Workforce, Health Resources and Humphrey Building, Great Hall, 200
designation, the Administrator of the Services Administration, Room 14N108, Independence Avenue SW.,
Health Resources and Services 5600 Fishers Lane, Rockville, Maryland Washington, DC 20201.
Administration, on a range of issues 20857; (2) call (301) 443–7229; or (3) The meeting also can be accessed
including identifying the priorities for send an email to ACarothers@hrsa.gov. through a live webcast on the day of the
NHSC, and policy revisions. meeting. For more information, visit
Agenda: The NACNHSC will continue Jackie Painter, http://www.hhs.gov/ash/carb/.
its discussion on clinician recruitment Director, Division of the Executive Secretariat. FOR FURTHER INFORMATION CONTACT:
and retention and explore questions on [FR Doc. 2016–04534 Filed 3–1–16; 8:45 am] Bruce Gellin, Designated Federal
diversity and workforce analysis. The BILLING CODE 4165–15–P Officer, Presidential Advisory Council
Council will draft potential policy on Combating Antibiotic-Resistant
recommendations for the National Bacteria, Office of the Assistant
DEPARTMENT OF HEALTH AND Secretary for Health, U.S. Department of
mstockstill on DSK4VPTVN1PROD with NOTICES
Health Service Corps scholarship and
loan repayment programs with respect HUMAN SERVICES Health and Human Services, Room
to clinician retention in underserved 715H, Hubert H. Humphrey Building,
Meeting of the Presidential Advisory 200 Independence Avenue SW.,
communities. The content of the agenda
Council on Combating Antibiotic- Washington, DC 20201. Phone: (202)
is subject to change prior to the meeting.
Resistant Bacteria 260–6638; email: CARB@hhs.gov.
The NACNHAC final agenda will be
available on the NACNHSC Web site 3 AGENCY: Office of the Secretary, Office SUPPLEMENTARY INFORMATION: Under
days in advance of the meeting. of the Assistant Secretary for Health, Executive Order 13676, dated
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Document Created: 2018-02-02 15:04:00
Document Modified: 2018-02-02 15:04:00
| 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. | |
| Dates | Comments on this Information Collection Request must be received no later than May 2, 2016. | |
| Contact | To request more information on the proposed project or to obtain a copy of the data collection plans and draft instruments, email [email protected] or call the HRSA Information Collection Clearance Officer at (301) 443-1984. | |
| FR Citation | 81 FR 10875 |
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