81_FR_11845 81 FR 11801 - Agency Forms Undergoing Paperwork Reduction Act Review

81 FR 11801 - Agency Forms Undergoing Paperwork Reduction Act Review

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

Federal Register Volume 81, Issue 44 (March 7, 2016)

Page Range11801-11803
FR Document2016-05073

Federal Register, Volume 81 Issue 44 (Monday, March 7, 2016)
[Federal Register Volume 81, Number 44 (Monday, March 7, 2016)]
[Notices]
[Pages 11801-11803]
From the Federal Register Online  [www.thefederalregister.org]
[FR Doc No: 2016-05073]


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

DEPARTMENT OF HEALTH AND HUMAN SERVICES

Centers for Disease Control and Prevention

[30Day-16-15BEZ]


Agency Forms Undergoing Paperwork Reduction Act Review

    The Centers for Disease Control and Prevention (CDC) has submitted 
the following information collection request to the Office of 
Management and Budget (OMB) for review and approval in accordance with 
the Paperwork Reduction Act of 1995. The notice for the proposed 
information collection is published to obtain comments from the public 
and affected agencies.
    Written comments and suggestions from the public and affected 
agencies concerning the proposed collection of information are 
encouraged. Your comments should address any of the following: (a) 
Evaluate whether the proposed collection of information is necessary 
for the proper performance of the functions of the agency, including 
whether the information will have practical utility; (b) Evaluate the 
accuracy of the agencies estimate of the burden of the proposed 
collection of information, including the validity of the methodology 
and assumptions used; (c) Enhance the quality, utility, and clarity of 
the information to be collected; (d) Minimize the burden of the 
collection of information on those who are to respond, including 
through the use of appropriate automated, electronic, mechanical, or 
other technological collection techniques or other forms of information 
technology, e.g., permitting electronic submission of responses; and 
(e) Assess information collection costs.
    To request additional information on the proposed project or to 
obtain a copy of the information collection plan and instruments, call 
(404) 639-7570 or send an email to [email protected]. Direct written comments 
and/or suggestions regarding the items contained in this notice to the 
Attention: CDC Desk Officer, Office of Management and Budget, 
Washington, DC 20503 or by fax to (202) 395-5806. Written comments 
should be received within 30 days of this notice.

Proposed Project

    Improving Fetal Alcohol Spectrum Disorders Prevention and Practice 
through Practice and Implementation Centers and National Partnerships--
New--National Center on Birth Defects and Developmental Disabilities 
(NCBDDD), Centers for Disease Control and Prevention (CDC).

Background and Brief Description

    The National Center on Birth Defects and Developmental Disabilities 
seeks to collect training evaluation data from healthcare practitioners 
and staff in health systems where FASD-related practice and systems 
changes are implemented, and from grantees of Practice and 
Implementation Centers and national partner organizations related to 
prevention, identification, and treatment of fetal alcohol spectrum 
disorders (FASDs).
    Prenatal exposure to alcohol is a leading preventable cause of 
birth defects and developmental disabilities. The term ``fetal alcohol 
spectrum disorders'' describes the full continuum of effects that can 
occur in an individual exposed to alcohol in utero. These effects 
include physical, mental, behavioral, and learning disabilities. All of 
these have lifelong implications.
    The purpose of this program is to expand previous efforts from FASD 
training programs and shift the perspective from individual training 
for practicing healthcare professionals to one that capitalizes on 
prevention opportunities and the ability to impact health care practice 
at the systems level.
    Since 2002, CDC funded FASD Regional Training Centers (RTCs) to 
provide education and training to healthcare professionals and students 
about FASD prevention, identification, and treatment. In July 2013, CDC 
convened an expert review panel to evaluate the effectiveness of the 
RTC program overall and to make recommendations about the program.
    The panel highlighted several accomplishments of the RTCs and 
proposed several changes for future programming: (1) The panel 
identified a need for more comprehensive coverage nationally with 
discipline-specific trainings, increased use of technology, greater 
collaboration with medical societies, and stronger linkages with 
national partner organizations to increase the reach of training 
opportunities, and (2) The panel suggested that the training centers 
focus on demonstrable practice change and

[[Page 11802]]

sustainability and place a stronger emphasis on primary prevention of 
FASDs. In addition, it was recommended that future initiatives have 
stronger evaluation components.
    Based on the recommendations of the expert review panel, CDC is 
placing increased focus on prevention, demonstrating practice change, 
achieving national coverage, and strengthening partnerships between 
FASD Practice and Implementation Centers, or PICs (the newly redesigned 
RTCs), and medical societies and national partner organizations. The 
National Organization on Fetal Alcohol Syndrome (NOFAS) also 
participates in this project as a resource to the PICS and national 
partners. The PICs and national partners are asked to closely 
collaborate in discipline-specific workgroups (DSWs) and identify 
strategies that will increase the reach of the program on a national 
level. While a major focus of the grantees' work will be national, 
regional approaches will be used to develop new content and ``test 
out'' feasibility and acceptability of materials, especially among 
healthcare providers and medical societies. In addition, CDC is placing 
a stronger emphasis on evaluation, with both individual DSW/NOFAS 
evaluations and a cross-site evaluation.
    CDC requests OMB approval to collect program evaluation information 
from (1) healthcare practitioners from disciplines targeted by each 
DSW, including training participants, (2) health system staff, and (3) 
cooperative agreement grantees over a three-year period.
     Healthcare practitioners will complete surveys to provide 
information on whether project trainings impacted their knowledge and 
practice behavior regarding FASD identification, prevention, and 
treatment. The information will be used to improve future trainings and 
assess whether knowledge and practice changes occurred. Some 
participants will also complete qualitative key informant interviews to 
gain additional information on practice change.
     Health system employees will be interviewed or complete 
surveys as part of projects to assess healthcare systems change, 
including high impact evaluation studies and DSW systems change 
projects. The high impact evaluation studies will be primarily 
qualitative assessments of two to three specific grantee efforts that 
seem likely to result in achievement of program objectives. The DSW 
systems change projects will employ online surveys to assess systems 
change in selected health systems across the U.S.
     Grantees will complete program evaluation forms to track 
perceptions of DSW collaboration and perceptions of key successes and 
challenges encountered by the DSW.
    It is estimated that 29,573 respondents will participate in the 
evaluation each year, for a total estimated burden of 3790 hours 
annually. There are no costs to respondents other than their time.

                                        Estimated Annualized Burden Hours
----------------------------------------------------------------------------------------------------------------
                                                                                      Number      Average burden
          Type of respondents                   Form name            Number of     responses per   per response
                                                                    respondents     respondent      (in hours)
----------------------------------------------------------------------------------------------------------------
Project Grantee Staff.................  DSW Report..............              90               2           10/60
DSW Project Staff.....................  High Impact Study:                    10               2           60/60
                                         Discipline Specific
                                         Workgroup Discussion
                                         Guide for Project Staff.
Health Care System Staff..............  High Impact Study: Key                10               2           60/60
                                         Informant Interview--
                                         Health Care System
                                         Staff.
FASD Core Training Participants.......  FASD Core Training                  4013               1            9/60
                                         Survey--Pre-Test.
FASD Core Training Participants.......  FASD Core Training                  4013               1            5/60
                                         Survey--Post-Test.
FASD Core Training Participants.......  FASD Core Training                  4013               1            6/60
                                         Survey--6 Month Follow-
                                         Up.
Nurses................................  Pre-Training Survey for              667               1            9/60
                                         Nursing.
Nurses................................  Post-Training Survey for             550               1            9/60
                                         Nursing.
Nurses................................  Six Month Follow-Up                  440               1            9/60
                                         Training Survey for
                                         Nursing.
Nurses................................  Nursing DSW Polling                  417               1            5/60
                                         Questions.
Nurses................................  Key Informant Interviews              14               2           45/60
                                         with Champions.
Nurses................................  Brief Questionnaire for            2,934               1           10/60
                                         Nursing Organization
                                         Memberships.
Nurses................................  Friends & Members of the              34               2           10/60
                                         Network Survey.
Healthcare Organization                 Healthcare Organization              234               1           30/60
 Representatives.                        Utilization Survey.
Physicians and students in allied       OBGYN SBI Knowledge &                600               1            2/60
 health professions.                     Agency.
Physicians............................  OBGYN BI-MI Proficiency              600               1            3/60
                                         Rating Scale--Provider
                                         Skills Training
                                         Baseline.
Students in allied health professions.  OBGYN BI-MI Proficiency              600               1            3/60
                                         Rating Scale--
                                         Standardized Patient
                                         Version.
Physicians............................  OBGYN BI-MI Proficiency              600               2            3/60
                                         Rating Scale--Provider
                                         Follow Up (3m & 6m).
Physicians and students in allied       OBGYN Telecom Training               480               1            5/60
 health professions.                     Satisfaction Survey.
Physicians and students in allied       OBGYN Avatar Training                120               1            5/60
 health professions.                     Satisfaction Survey.
Physicians............................  OBGYN FASD-SBI Training              124               1            2/60
                                         Event Evaluation.
Residency Directors, Training           OBGYN Qualitative Key                 34               1           25/60
 Coordinators, Clinical Directors,       Informant Interview--
 Physicians.                             Pre-Training.
Residency Directors, Training           OBGYN Qualitative Key                 34               1           25/60
 Coordinators, Clinical Directors,       Informant Interview--
 Physicians.                             Post-Training.

[[Page 11803]]

 
Certified Medical Assistants and        Medical Assistant--Pre-              334               1           10/60
 students.                               Test Survey.
Students..............................  Medical Assistant--Pre-               67               1           10/60
                                         Test Survey (Academic).
Certified Medical Assistants and        Medical Assistant--Post-             334               1           10/60
 students.                               Test Survey.
Students..............................  Medical Assistant--Post-              67               1           10/60
                                         Test Survey (Academic).
Certified Medical Assistants and        Medical Assistant Follow             200               1           10/60
 students.                               Up Survey.
Students..............................  Medical Assistant Follow              17               1           10/60
                                         Up Survey (Academic).
Certified Medical Assistants and        Medical Assistants                   250               1           15/60
 students.                               Change in Practice
                                         Survey.
Physicians............................  Survey of Pediatricians--            534               2           10/60
                                         Baseline and Follow Up.
Physicians............................  AAP Post-Training                    120               1            7/60
                                         Evaluation Survey.
Physicians............................  AAP Pre-Training                     120               1            7/60
                                         Evaluation Survey.
Physicians............................  AAP Three Month Follow               120               1            2/60
                                         Up Evaluation Survey.
Physicians............................  AAP Six Month Follow Up              120               1            5/60
                                         Evaluation Survey.
Physicians............................  FASD Toolkit User Survey              50               1           15/60
Physicians............................  FASD Toolkit Evaluation               10               1           30/60
                                         Focus Group/Guided
                                         Interview.
Physicians............................  Pediatric FASD Regional               10               1           20/60
                                         Education and Awareness
                                         Liaisons Work Plan.
Physicians............................  Pediatric FASD Regional               10               1            4/60
                                         Liaison/Champion
                                         Training Session
                                         Evaluation.
Physicians............................  Family Medicine                       62               1            8/60
                                         Evaluation Questions
                                         Addendum for Practice
                                         or Individual Provider.
Practicing family physicians, family    Social Work and Family              1167               1            8/60
 physician faculty, residents, social    Physicians Pre-training
 workers, social work students.          Survey.
Practicing family physicians, family    Social Work and Family              1167               1            5/60
 physician faculty, residents, social    Physicians Post-
 workers, social work students.          training Survey.
Practicing family physicians, family    Social Work and Family              1167               1            8/60
 physician faculty, residents, social    Physicians 6-Month
 workers, social work students.          Follow Up Survey.
NOFAS webinar attendees...............  NOFAS Webinar Survey....             601               1            2/60
NOFAS webinar attendees...............  NOFAS Three Month Follow-            601               1            2/60
                                         Up Webinar
                                         Questionnaire.
NOFAS training participants...........  NOFAS Pre-Test Survey...             551               1            3/60
NOFAS training participants...........  NOFAS Post-Test Survey..             551               1            3/60
Systems change project participants...  Clinical Process                     246               2           10/60
                                         Improvement Survey.
Systems change project participants...  TCU Organizational                   246               2           10/60
                                         Readiness Survey.
Systems change project participants...  Organizational Readiness             220               2           10/60
                                         to Change Assessment.
----------------------------------------------------------------------------------------------------------------


Leroy A. Richardson,
Chief, Information Collection Review Office, Office of Scientific 
Integrity, Office of the Associate Director for Science, Office of the 
Director, Centers for Disease Control and Prevention.
[FR Doc. 2016-05073 Filed 3-4-16; 8:45 am]
 BILLING CODE 4163-18-P



                                                                                             Federal Register / Vol. 81, No. 44 / Monday, March 7, 2016 / Notices                                                                                                11801

                                                    survey will collect information about                                   requirements of the Funding                                                     Participation in the information
                                                    SDVCs satisfaction with CDC efforts to                                  Opportunity Announcement; prevention                                          collection is required as a condition of
                                                    support them; process, program and                                      knowledge and use of the public health                                        funding. There are no costs to
                                                    strategy implementation factors that                                    approach; and sustainability of                                               respondents other than their time.
                                                    affect their ability to meet the                                        prevention activities and successes.

                                                                                                                            ESTIMATED ANNUALIZED BURDEN HOURS
                                                                                                                                                                                                                                      Average
                                                                                                                                                                                                        Number of
                                                                                                                                                                             Number of                                              burden per              Total burden
                                                                     Type of respondents                                                Form name                                                     responses per
                                                                                                                                                                            respondents                                              response                (in hours)
                                                                                                                                                                                                        respondent                   (in hours)

                                                    State Domestic Violence Coalition Executive                             DELTA FOCUS Survey .....                                           10                           1                          1              10
                                                      Director.
                                                    State Domestic Violence Coalition Project Co-                           DELTA FOCUS Survey .....                                           20                           1                          1              20
                                                      ordinator.
                                                    Coordinated Community Response Project                                  DELTA FOCUS Survey .....                                           19                           1                         1               19
                                                      Coordinator.
                                                    State Domestic Violence Coalition Empower-                              DELTA FOCUS Survey .....                                           10                           1                         1               10
                                                      ment Evaluator.

                                                         Total ..........................................................   ............................................   ........................   ........................   ........................             59



                                                    Leroy A. Richardson,                                                    clarity of the information to be                                              related to prevention, identification, and
                                                    Chief, Information Collection Review Office,                            collected; (d) Minimize the burden of                                         treatment of fetal alcohol spectrum
                                                    Office of Scientific Integrity, Office of the                           the collection of information on those                                        disorders (FASDs).
                                                    Associate Director for Science, Office of the                           who are to respond, including through                                            Prenatal exposure to alcohol is a
                                                    Director, Centers for Disease Control and                               the use of appropriate automated,                                             leading preventable cause of birth
                                                    Prevention.
                                                                                                                            electronic, mechanical, or other                                              defects and developmental disabilities.
                                                    [FR Doc. 2016–04939 Filed 3–4–16; 8:45 am]                              technological collection techniques or                                        The term ‘‘fetal alcohol spectrum
                                                    BILLING CODE 4163–18–P                                                  other forms of information technology,                                        disorders’’ describes the full continuum
                                                                                                                            e.g., permitting electronic submission of                                     of effects that can occur in an individual
                                                                                                                            responses; and (e) Assess information                                         exposed to alcohol in utero. These
                                                    DEPARTMENT OF HEALTH AND                                                collection costs.                                                             effects include physical, mental,
                                                    HUMAN SERVICES                                                                                                                                        behavioral, and learning disabilities. All
                                                                                                                              To request additional information on
                                                    Centers for Disease Control and                                         the proposed project or to obtain a copy                                      of these have lifelong implications.
                                                    Prevention                                                              of the information collection plan and                                           The purpose of this program is to
                                                                                                                            instruments, call (404) 639–7570 or                                           expand previous efforts from FASD
                                                    [30Day–16–15BEZ]                                                        send an email to omb@cdc.gov. Direct                                          training programs and shift the
                                                                                                                            written comments and/or suggestions                                           perspective from individual training for
                                                    Agency Forms Undergoing Paperwork                                                                                                                     practicing healthcare professionals to
                                                                                                                            regarding the items contained in this
                                                    Reduction Act Review                                                                                                                                  one that capitalizes on prevention
                                                                                                                            notice to the Attention: CDC Desk
                                                       The Centers for Disease Control and                                  Officer, Office of Management and                                             opportunities and the ability to impact
                                                    Prevention (CDC) has submitted the                                      Budget, Washington, DC 20503 or by fax                                        health care practice at the systems level.
                                                    following information collection request                                to (202) 395–5806. Written comments                                              Since 2002, CDC funded FASD
                                                    to the Office of Management and Budget                                  should be received within 30 days of                                          Regional Training Centers (RTCs) to
                                                    (OMB) for review and approval in                                        this notice.                                                                  provide education and training to
                                                    accordance with the Paperwork                                                                                                                         healthcare professionals and students
                                                                                                                            Proposed Project                                                              about FASD prevention, identification,
                                                    Reduction Act of 1995. The notice for
                                                    the proposed information collection is                                    Improving Fetal Alcohol Spectrum                                            and treatment. In July 2013, CDC
                                                    published to obtain comments from the                                   Disorders Prevention and Practice                                             convened an expert review panel to
                                                    public and affected agencies.                                           through Practice and Implementation                                           evaluate the effectiveness of the RTC
                                                       Written comments and suggestions                                     Centers and National Partnerships—                                            program overall and to make
                                                    from the public and affected agencies                                   New—National Center on Birth Defects                                          recommendations about the program.
                                                    concerning the proposed collection of                                   and Developmental Disabilities                                                   The panel highlighted several
                                                    information are encouraged. Your                                        (NCBDDD), Centers for Disease Control                                         accomplishments of the RTCs and
                                                    comments should address any of the                                      and Prevention (CDC).                                                         proposed several changes for future
                                                    following: (a) Evaluate whether the                                                                                                                   programming: (1) The panel identified a
                                                                                                                            Background and Brief Description
                                                    proposed collection of information is                                                                                                                 need for more comprehensive coverage
                                                    necessary for the proper performance of                                   The National Center on Birth Defects                                        nationally with discipline-specific
asabaliauskas on DSK3SPTVN1PROD with NOTICES




                                                    the functions of the agency, including                                  and Developmental Disabilities seeks to                                       trainings, increased use of technology,
                                                    whether the information will have                                       collect training evaluation data from                                         greater collaboration with medical
                                                    practical utility; (b) Evaluate the                                     healthcare practitioners and staff in                                         societies, and stronger linkages with
                                                    accuracy of the agencies estimate of the                                health systems where FASD-related                                             national partner organizations to
                                                    burden of the proposed collection of                                    practice and systems changes are                                              increase the reach of training
                                                    information, including the validity of                                  implemented, and from grantees of                                             opportunities, and (2) The panel
                                                    the methodology and assumptions used;                                   Practice and Implementation Centers                                           suggested that the training centers focus
                                                    (c) Enhance the quality, utility, and                                   and national partner organizations                                            on demonstrable practice change and


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                                                    11802                                    Federal Register / Vol. 81, No. 44 / Monday, March 7, 2016 / Notices

                                                    sustainability and place a stronger                                     out’’ feasibility and acceptability of                             • Health system employees will be
                                                    emphasis on primary prevention of                                       materials, especially among healthcare                           interviewed or complete surveys as part
                                                    FASDs. In addition, it was                                              providers and medical societies. In                              of projects to assess healthcare systems
                                                    recommended that future initiatives                                     addition, CDC is placing a stronger                              change, including high impact
                                                    have stronger evaluation components.                                    emphasis on evaluation, with both                                evaluation studies and DSW systems
                                                       Based on the recommendations of the                                  individual DSW/NOFAS evaluations                                 change projects. The high impact
                                                    expert review panel, CDC is placing                                     and a cross-site evaluation.                                     evaluation studies will be primarily
                                                    increased focus on prevention,                                             CDC requests OMB approval to collect                          qualitative assessments of two to three
                                                    demonstrating practice change,                                          program evaluation information from (1)
                                                                                                                                                                                             specific grantee efforts that seem likely
                                                    achieving national coverage, and                                        healthcare practitioners from disciplines
                                                                                                                                                                                             to result in achievement of program
                                                    strengthening partnerships between                                      targeted by each DSW, including
                                                    FASD Practice and Implementation                                        training participants, (2) health system                         objectives. The DSW systems change
                                                    Centers, or PICs (the newly redesigned                                  staff, and (3) cooperative agreement                             projects will employ online surveys to
                                                    RTCs), and medical societies and                                        grantees over a three-year period.                               assess systems change in selected health
                                                    national partner organizations. The                                        • Healthcare practitioners will                               systems across the U.S.
                                                    National Organization on Fetal Alcohol                                  complete surveys to provide                                        • Grantees will complete program
                                                    Syndrome (NOFAS) also participates in                                   information on whether project                                   evaluation forms to track perceptions of
                                                    this project as a resource to the PICS                                  trainings impacted their knowledge and                           DSW collaboration and perceptions of
                                                    and national partners. The PICs and                                     practice behavior regarding FASD                                 key successes and challenges
                                                    national partners are asked to closely                                  identification, prevention, and                                  encountered by the DSW.
                                                    collaborate in discipline-specific                                      treatment. The information will be used
                                                    workgroups (DSWs) and identify                                          to improve future trainings and assess                             It is estimated that 29,573
                                                    strategies that will increase the reach of                              whether knowledge and practice                                   respondents will participate in the
                                                    the program on a national level. While                                  changes occurred. Some participants                              evaluation each year, for a total
                                                    a major focus of the grantees’ work will                                will also complete qualitative key                               estimated burden of 3790 hours
                                                    be national, regional approaches will be                                informant interviews to gain additional                          annually. There are no costs to
                                                    used to develop new content and ‘‘test                                  information on practice change.                                  respondents other than their time.

                                                                                                                           ESTIMATED ANNUALIZED BURDEN HOURS
                                                                                                                                                                                                                             Average
                                                                                                                                                                                                               Number
                                                                              Type of                                                                                                        Number of                     burden per
                                                                                                                                                  Form name                                                responses per
                                                                            respondents                                                                                                     respondents                     response
                                                                                                                                                                                                             respondent     (in hours)

                                                    Project Grantee Staff ......................................           DSW Report ...................................................             90               2          10/60
                                                    DSW Project Staff ...........................................          High Impact Study: Discipline Specific                                     10               2          60/60
                                                                                                                             Workgroup Discussion Guide for Project
                                                                                                                             Staff.
                                                    Health Care System Staff ...............................               High Impact Study: Key Informant Inter-                                    10               2          60/60
                                                                                                                             view—Health Care System Staff.
                                                    FASD Core Training Participants ...................                    FASD Core Training Survey—Pre-Test .........                            4013                1           9/60
                                                    FASD Core Training Participants ...................                    FASD Core Training Survey—Post-Test .......                             4013                1           5/60
                                                    FASD Core Training Participants ...................                    FASD Core Training Survey—6 Month Fol-                                  4013                1           6/60
                                                                                                                             low-Up.
                                                    Nurses .............................................................   Pre-Training Survey for Nursing ....................                     667                1           9/60
                                                    Nurses .............................................................   Post-Training Survey for Nursing ...................                     550                1           9/60
                                                    Nurses .............................................................   Six Month Follow-Up Training Survey for                                  440                1           9/60
                                                                                                                             Nursing.
                                                    Nurses .............................................................   Nursing DSW Polling Questions ....................                        417               1           5/60
                                                    Nurses .............................................................   Key Informant Interviews with Champions ....                               14               2          45/60
                                                    Nurses .............................................................   Brief Questionnaire for Nursing Organization                            2,934               1          10/60
                                                                                                                             Memberships.
                                                    Nurses .............................................................   Friends & Members of the Network Survey ..                                34                2          10/60
                                                    Healthcare Organization Representatives ......                         Healthcare Organization Utilization Survey ...                           234                1          30/60
                                                    Physicians and students in allied health pro-                          OBGYN SBI Knowledge & Agency ................                            600                1           2/60
                                                      fessions.
                                                    Physicians .......................................................     OBGYN BI–MI Proficiency Rating Scale—                                    600                1           3/60
                                                                                                                            Provider Skills Training Baseline.
                                                    Students in allied health professions ..............                   OBGYN BI–MI Proficiency Rating Scale—                                    600                1           3/60
                                                                                                                            Standardized Patient Version.
                                                    Physicians .......................................................     OBGYN BI–MI Proficiency Rating Scale—                                    600                2           3/60
                                                                                                                            Provider Follow Up (3m & 6m).
                                                    Physicians and students in allied health pro-                          OBGYN Telecom Training Satisfaction Sur-                                 480                1           5/60
asabaliauskas on DSK3SPTVN1PROD with NOTICES




                                                      fessions.                                                             vey.
                                                    Physicians and students in allied health pro-                          OBGYN Avatar Training Satisfaction Survey                                120                1           5/60
                                                      fessions.
                                                    Physicians .......................................................     OBGYN FASD–SBI Training Event Evalua-                                    124                1           2/60
                                                                                                                            tion.
                                                    Residency Directors, Training Coordinators,                            OBGYN Qualitative Key Informant Inter-                                     34               1          25/60
                                                      Clinical Directors, Physicians.                                       view—Pre-Training.
                                                    Residency Directors, Training Coordinators,                            OBGYN Qualitative Key Informant Inter-                                     34               1          25/60
                                                      Clinical Directors, Physicians.                                       view—Post-Training.



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                                                                                             Federal Register / Vol. 81, No. 44 / Monday, March 7, 2016 / Notices                                                      11803

                                                                                                               ESTIMATED ANNUALIZED BURDEN HOURS—Continued
                                                                                                                                                                                                                     Average
                                                                                                                                                                                                       Number
                                                                              Type of                                                                                               Number of                      burden per
                                                                                                                                              Form name                                            responses per
                                                                            respondents                                                                                            respondents                      response
                                                                                                                                                                                                     respondent     (in hours)

                                                    Certified Medical Assistants and students ......                      Medical Assistant—Pre-Test Survey .............                    334               1          10/60
                                                    Students ..........................................................   Medical Assistant—Pre-Test Survey (Aca-                             67               1          10/60
                                                                                                                            demic).
                                                    Certified Medical Assistants and students ......                      Medical Assistant—Post-Test Survey ............                    334               1          10/60
                                                    Students ..........................................................   Medical Assistant—Post-Test Survey (Aca-                            67               1          10/60
                                                                                                                            demic).
                                                    Certified Medical Assistants and students ......                      Medical Assistant Follow Up Survey .............                   200               1          10/60
                                                    Students ..........................................................   Medical Assistant Follow Up Survey (Aca-                            17               1          10/60
                                                                                                                            demic).
                                                    Certified Medical Assistants and students ......                      Medical Assistants Change in Practice Sur-                         250               1          15/60
                                                                                                                            vey.
                                                    Physicians .......................................................    Survey of Pediatricians—Baseline and Fol-                          534               2          10/60
                                                                                                                            low Up.
                                                    Physicians .......................................................    AAP Post-Training Evaluation Survey ...........                    120               1           7/60
                                                    Physicians .......................................................    AAP Pre-Training Evaluation Survey .............                   120               1           7/60
                                                    Physicians .......................................................    AAP Three Month Follow Up Evaluation Sur-                          120               1           2/60
                                                                                                                            vey.
                                                    Physicians .......................................................    AAP Six Month Follow Up Evaluation Survey                          120               1           5/60
                                                    Physicians .......................................................    FASD Toolkit User Survey .............................              50               1          15/60
                                                    Physicians .......................................................    FASD Toolkit Evaluation Focus Group/Guid-                           10               1          30/60
                                                                                                                            ed Interview.
                                                    Physicians .......................................................    Pediatric FASD Regional Education and                               10               1          20/60
                                                                                                                            Awareness Liaisons Work Plan.
                                                    Physicians .......................................................    Pediatric FASD Regional Liaison/Champion                            10               1           4/60
                                                                                                                            Training Session Evaluation.
                                                    Physicians .......................................................    Family Medicine Evaluation Questions Ad-                            62               1           8/60
                                                                                                                            dendum for Practice or Individual Provider.
                                                    Practicing family physicians, family physician                        Social Work and Family Physicians Pre-train-                     1167                1           8/60
                                                      faculty, residents, social workers, social                            ing Survey.
                                                      work students.
                                                    Practicing family physicians, family physician                        Social Work and Family Physicians Post-                          1167                1           5/60
                                                      faculty, residents, social workers, social                            training Survey.
                                                      work students.
                                                    Practicing family physicians, family physician                        Social Work and Family Physicians 6-Month                        1167                1           8/60
                                                      faculty, residents, social workers, social                            Follow Up Survey.
                                                      work students.
                                                    NOFAS webinar attendees .............................                 NOFAS Webinar Survey ................................              601               1           2/60
                                                    NOFAS webinar attendees .............................                 NOFAS Three Month Follow-Up Webinar                                601               1           2/60
                                                                                                                            Questionnaire.
                                                    NOFAS training participants ...........................               NOFAS Pre-Test Survey ................................             551               1           3/60
                                                    NOFAS training participants ...........................               NOFAS Post-Test Survey ..............................              551               1           3/60
                                                    Systems change project participants ..............                    Clinical Process Improvement Survey ...........                    246               2          10/60
                                                    Systems change project participants ..............                    TCU Organizational Readiness Survey .........                      246               2          10/60
                                                    Systems change project participants ..............                    Organizational Readiness to Change As-                             220               2          10/60
                                                                                                                            sessment.



                                                    Leroy A. Richardson,                                                   DEPARTMENT OF HEALTH AND                                 certain information. Under the
                                                    Chief, Information Collection Review Office,                           HUMAN SERVICES                                           Paperwork Reduction Act of 1995 (the
                                                    Office of Scientific Integrity, Office of the                                                                                   PRA), Federal agencies are required to
                                                    Associate Director for Science, Office of the                          Administration for Community Living                      publish notice in the Federal Register
                                                    Director, Centers for Disease Control and                                                                                       concerning each proposed collection of
                                                    Prevention.                                                            Agency Information Collection                            information, including each proposed
                                                    [FR Doc. 2016–05073 Filed 3–4–16; 8:45 am]                             Activities; Proposed Collection;                         extension of an existing collection of
                                                    BILLING CODE 4163–18–P
                                                                                                                           Comment Request; Evidence-Based                          information, and to allow 60 days for
                                                                                                                           Falls Prevention Program Standardized                    public comment in response to the
                                                                                                                           Data Collection                                          notice. This notice solicits comments on
                                                                                                                                                                                    the information collection requirements
asabaliauskas on DSK3SPTVN1PROD with NOTICES




                                                                                                                           AGENCY:  Administration for Community
                                                                                                                           Living (ACL), HHS.                                       relating to the Chronic Disease Self-
                                                                                                                                                                                    Management Education Program.
                                                                                                                           ACTION: Notice.
                                                                                                                                                                                    DATES:Submit written or electronic
                                                                                                                           SUMMARY: The Administration for                          comments on the collection of
                                                                                                                           Community Living (ACL),                                  information.
                                                                                                                           Administration on Aging (AoA) is
                                                                                                                           announcing an opportunity for public                     ADDRESSES:Submit electronic
                                                                                                                           comment on the proposed collection of                    comments on the collection of


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Document Created: 2018-02-02 15:07:56
Document Modified: 2018-02-02 15:07:56
CategoryRegulatory Information
CollectionFederal Register
sudoc ClassAE 2.7:
GS 4.107:
AE 2.106:
PublisherOffice of the Federal Register, National Archives and Records Administration
SectionNotices
FR Citation81 FR 11801 

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