82 FR 11361 - Request for Public Comment; 60 Day Proposed Information Collection: Mashpee Wampanoag Indian Health Service Unit Community Health Assessment

DEPARTMENT OF HEALTH AND HUMAN SERVICES
Indian Health Service

Federal Register Volume 82, Issue 34 (February 22, 2017)

Page Range		11361-11362
FR Document		2017-03407

In compliance with the Paperwork Reduction Act of 1995, the Indian Health Service (IHS) invites the general public to take this opportunity to comment on the new information collection Office of Management and Budget (OMB) Control Number 0917-NEW, titled, ``Mashpee Wampanoag Community Health Assessment.'' The purpose of this notice is to allow 60 days for public comment to be submitted directly to OMB. A copy of the draft supporting statement is available at www.regulations.gov (see Docket ID [IHS-2017-0001]).

Federal Register, Volume 82 Issue 34 (Wednesday, February 22, 2017)

[Federal Register Volume 82, Number 34 (Wednesday, February 22, 2017)]
[Notices]
[Pages 11361-11362]
From the Federal Register Online  [www.thefederalregister.org]
[FR Doc No: 2017-03407]


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DEPARTMENT OF HEALTH AND HUMAN SERVICES

Indian Health Service


Request for Public Comment; 60 Day Proposed Information 
Collection: Mashpee Wampanoag Indian Health Service Unit Community 
Health Assessment

AGENCY: Indian Health Service, HHS.

ACTION: Notice and request for comments.

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SUMMARY: In compliance with the Paperwork Reduction Act of 1995, the 
Indian Health Service (IHS) invites the general public to take this 
opportunity to comment on the new information collection Office of 
Management and Budget (OMB) Control Number 0917-NEW, titled, ``Mashpee 
Wampanoag Community Health Assessment.'' The purpose of this notice is 
to allow 60 days for public comment to be submitted directly to OMB. A 
copy of the draft supporting statement is available at 
www.regulations.gov (see Docket ID [IHS-2017-0001]).

DATES: April 24, 2017. Your comments regarding this information 
collection are best assured of having full effect if received within 60 
days of the date of this publication.

ADDRESSES: Send your written comments, requests for more information on 
the collection, or requests to obtain a copy of the data collection 
instrument and instructions to Rita Gonsalves by one of the following 
methods:
     Mail: Ms. Rita Gonsalves, CEO, Mashpee Wampanoag Health 
Service Unit, Indian Health Service, 483B Great Neck Rd. South, 
Mashpee, MA 02346.
     Phone: 508-477-6913.
     Email: [email protected].
     Fax: 508-477-0156.

SUPPLEMENTARY INFORMATION: The Indian Health Service Mashpee Wampanoag 
Service Unit is submitting the proposed information collection to OMB 
for review, as required by section 3507(a)(1)(D) of the Paperwork 
Reduction Act of 1995. This notice is soliciting comments from members 
of the public and affected agencies as required by 44 U.S.C. 
3506(c)(2)(A) concerning the proposed collection of information to: (1) 
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

[[Page 11362]]

practical utility; (2) Evaluate the accuracy of the agency's estimate 
of the burden of the proposed collection of information; (3) Enhance 
the quality, utility, and clarity of the information to be collected; 
and (4) Minimize the burden of the collection of information on those 
who are to respond; including through the use of appropriate automated 
collection techniques of other forms of information technology, e.g., 
permitting electronic submission of responses.
    Title of Proposal: Mashpee Wampanoag Indian Health Service Unit 
Community Health Assessment.
    Type of Information Collection Request: Three year approval of this 
new information collection.
    OMB Control Number: To be assigned.
    Need and Use of Information Collection: The Mashpee Wampanoag 
Indian Health Service (IHS) Unit seeks to conduct a health assessment 
of the Mashpee Wampanoag Tribe. The collection of information will be 
used to evaluate the health care needs of the Mashpee Wampanoag Tribal 
community. As a healthcare organization, the Mashpee Wampanoag Health 
Service Unit has questions regarding a respondent's health status, 
behavior and social practices as well as environmental concerns. These 
answers will help the organization assess healthcare needs of the 
community and guide the implementation of programs. The Mashpee 
Wampanoag Health Service Unit will be able to assess the community's 
needs and plan our programs accordingly to improve the health and well-
being of the community.
    Status of the Proposed Information Collection: New request.
    Form(s): IHS Mashpee Wampanoag Community Health Assessment 
Questionnaire.
    Agency Form Numbers: None.
    Members of Affected Public: The Mashpee Wampanoag Tribal community 
members in the Mashpee Wampanoag Tribal service area.
    The table below provides: Type of data collection instrument, 
Estimated number of respondents, Number of responses per respondent, 
Annual number of responses, Average burden hour per response, and Total 
annual burden hour(s).

----------------------------------------------------------------------------------------------------------------
                                                     Number of                    Average burden
  Data collection instrument         Type of       responses per   Total annual    per response      Estimated
                                   respondents      respondent       response         (hours)      burden hours
----------------------------------------------------------------------------------------------------------------
Community Health Assessment...  Individuals.....               1             469           25/60             195
                                                 ---------------------------------------------------------------
    Total.....................  ................               1             469           25/60             195
----------------------------------------------------------------------------------------------------------------

    There are no direct costs to respondents to report.

    Dated: February 10, 2017.
Chris Buchanan,
Assistant Surgeon General, USPHS, Acting Director, Indian Health 
Service.
[FR Doc. 2017-03407 Filed 2-21-17; 8:45 am]
 BILLING CODE 4160-16-P

Federal Register / Vol. 82, No. 34 / Wednesday, February 22, 2017 / Notices 11361

respondents’ time to submit their data. The cost burden is estimated to be
$11,222 annually.

EXHIBIT 1—ESTIMATED ANNUALIZED BURDEN HOURS
Number of Number of Hours per Total burden
Form name respondents/ responses response hours
POCs per POC

Eligibility and Registration Form ...................................................................... 150 1 5/60 13
Data Use Agreement ....................................................................................... 150 1 3/60 8
Pharmacy Site Information Form ..................................................................... 150 3 5/60 38
Data Files Submission ..................................................................................... 150 1 1 150

Total .......................................................................................................... NA NA NA 209

EXHIBIT 2—ESTIMATED ANNUALIZED COST BURDEN
Number of Average
Total burden Total cost
Form name respondents/ hourly
hours burden
POCs wage rate *

Eligibility and Registration Form ...................................................................... 150 13 $53.69 $698
Data Use Agreement ....................................................................................... 150 8 53.69 430
Pharmacy Site Information Form ..................................................................... 150 38 53.69 2,040
Data Files Submission ..................................................................................... 150 150 53.69 8,054

Total .......................................................................................................... NA 209 NA 11,222
* Based on the weighted average hourly wage in community pharmacies for 100 General and Operations Managers (11–1021; $49.26) and 50
General and Operations Managers (11–1021; $62.56) obtained from the May 2015 National Industry-Specific Occupational Employment and
Wage Estimates: NAICS 446110—Pharmacies and Drug Stores (located at http://www.bls.gov/oes/current/naics5_446110.htm) and NAICS
622000—Hospitals (located at http://www.bls.gov/oes/current/naics3_622000.htm).

Request for Comments comments will become a matter of available at www.regulations.gov (see
public record. Docket ID [IHS–2017–0001]).
In accordance with the Paperwork DATES: April 24, 2017. Your comments
Reduction Act, comments on AHRQ’s Sharon B. Arnold,
regarding this information collection are
information collection are requested Acting Director.
best assured of having full effect if
with regard to any of the following: (a) [FR Doc. 2017–03463 Filed 2–21–17; 8:45 am] received within 60 days of the date of
Whether the proposed collection of BILLING CODE 4160–90–P this publication.
information is necessary for the proper ADDRESSES: Send your written
performance of AHRQ health care comments, requests for more
research and health care information DEPARTMENT OF HEALTH AND
information on the collection, or
dissemination functions, including HUMAN SERVICES
requests to obtain a copy of the data
whether the information will have Indian Health Service collection instrument and instructions
practical utility; (b) the accuracy of to Rita Gonsalves by one of the
AHRQ’s estimate of burden (including Request for Public Comment; 60 Day following methods:
hours and costs) of the proposed Proposed Information Collection: • Mail: Ms. Rita Gonsalves, CEO,
collection(s) of information; (c) ways to Mashpee Wampanoag Indian Health Mashpee Wampanoag Health Service
enhance the quality, utility, and clarity Service Unit Community Health Unit, Indian Health Service, 483B Great
of the information to be collected; and Assessment Neck Rd. South, Mashpee, MA 02346.
(d) ways to minimize the burden of the • Phone: 508–477–6913.
AGENCY: Indian Health Service, HHS. • Email: Rita.Gonsalves@ihs.gov.
collection of information upon the • Fax: 508–477–0156.
respondents, including the use of Notice and request for
ACTION: SUPPLEMENTARY INFORMATION: The
automated collection techniques or comments. Indian Health Service Mashpee
other forms of information technology. Wampanoag Service Unit is submitting
In accordance with the Paperwork SUMMARY: In compliance with the the proposed information collection to
Reduction Act, 44 U.S.C. 3501–3521, Paperwork Reduction Act of 1995, the OMB for review, as required by section
AHRQ invites the public to comment on Indian Health Service (IHS) invites the 3507(a)(1)(D) of the Paperwork
this proposed information collection. general public to take this opportunity Reduction Act of 1995. This notice is
This is a second review opportunity. to comment on the new information soliciting comments from members of
collection Office of Management and the public and affected agencies as
sradovich on DSK3GMQ082PROD with NOTICES

Comments submitted in response to
Budget (OMB) Control Number 0917– required by 44 U.S.C. 3506(c)(2)(A)
this notice will be summarized and
NEW, titled, ‘‘Mashpee Wampanoag concerning the proposed collection of
included in the Agency’s subsequent Community Health Assessment.’’ The information to: (1) Evaluate whether the
request for OMB approval of the purpose of this notice is to allow 60 proposed collection of information is
proposed information collection. All days for public comment to be necessary for the proper performance of
submitted directly to OMB. A copy of the functions of the agency, including
the draft supporting statement is whether the information will have

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Document Created: 2017-02-22 00:08:49
Document Modified: 2017-02-22 00:08:49

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 and request for comments.
Dates		April 24, 2017. Your comments regarding this information collection are best assured of having full effect if received within 60 days of the date of this publication.
FR Citation		82 FR 11361

82 FR 11361 - Request for Public Comment; 60 Day Proposed Information Collection: Mashpee Wampanoag Indian Health Service Unit Community Health Assessment

DEPARTMENT OF HEALTH AND HUMAN SERVICESIndian Health Service

Federal Register Volume 82, Issue 34 (February 22, 2017)

DEPARTMENT OF HEALTH AND HUMAN SERVICES
Indian Health Service