82 FR 13125 - Agency Information Collection Activities; Proposals, Submissions, and Approvals

DEPARTMENT OF HEALTH AND HUMAN SERVICES
Office of the Secretary

Federal Register Volume 82, Issue 45 (March 9, 2017)

Page Range		13125-13126
FR Document		2017-04614

In compliance with section 3507(a)(1)(D) of the Paperwork Reduction Act of 1995, the Office of the Secretary (OS), Department of Health and Human Services, has submitted an Information Collection Request (ICR), described below, to the Office of Management and Budget (OMB) for review and approval. The ICR is for a new collection. Comments submitted during the first public review of this ICR will be provided to OMB. OMB will accept further comments from the public on this ICR during the review and approval period.

Federal Register, Volume 82 Issue 45 (Thursday, March 9, 2017)

[Federal Register Volume 82, Number 45 (Thursday, March 9, 2017)]
[Notices]
[Pages 13125-13126]
From the Federal Register Online  [www.thefederalregister.org]
[FR Doc No: 2017-04614]


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DEPARTMENT OF HEALTH AND HUMAN SERVICES

Office of the Secretary

[Document Identifier HHS-OS-0990-New-30D]


Agency Information Collection Activities; Proposals, Submissions, 
and Approvals

AGENCY: Office of the Secretary, HHS.

ACTION: Notice.

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

SUMMARY: In compliance with section 3507(a)(1)(D) of the Paperwork 
Reduction Act of 1995, the Office of the Secretary (OS), Department of 
Health and Human Services, has submitted an Information Collection 
Request (ICR), described below, to the Office of Management and Budget 
(OMB) for review and approval. The ICR is for a new collection. 
Comments submitted during the first public review of this ICR will be 
provided to OMB. OMB will accept further comments from the public on 
this ICR during the review and approval period.

DATES: Comments on the ICR must be received on or before April 10, 
2017.

ADDRESSES: Submit your comments to [email protected] or via 
facsimile to (202) 395-5806.

FOR FURTHER INFORMATION CONTACT: Information Collection Clearance 
staff, [email protected] or (202) 690-5683.

SUPPLEMENTARY INFORMATION: When submitting comments or requesting 
information, please include the Information Collection Request Title 
and document identifier 0990-New-30D for reference.
    Information Collection Request Title: Domestic Violence Housing 
First Demonstration Evaluation.
    Abstract: The Office of the Assistant Secretary for Planning and 
Evaluation (ASPE) within the U.S. Department of Health and Human 
Services, in partnership with the Office for Victims of Crimes within 
the U.S. Department of Justice, is seeking approval by OMB for a new 
information collection request entitled, ``Domestic Violence Housing 
First (DVHF) Demonstration Evaluation.'' The Washington State Coalition 
Against Domestic Violence (WSCADV) is overseeing and coordinating an 
evaluation of the DVHF Demonstration project through a contract with 
ASPE. This quasi-experimental research study involves longitudinally 
examining the program effects of DVHF on domestic violence survivors' 
safety and housing stability. The findings will be of interest to the 
general public, to policy-makers, and to organizations working with 
domestic violence survivors.
    Data collection will include in-depth, private interviews with 320 
domestic violence survivors conducted by trained professional staff. At 
Time 1 study enrollment, they will be interviewed about their 
backgrounds, housing and safety obstacles, and services desired. There 
will be three follow-up interviews with them every six months after the 
Time 1 Interview (i.e., 6, 12, and 18 months) to examine the match 
between needs and services, as well as their safety and housing 
stability. Study enrollment will take place over 15 months, so the 
annualized burden for the Time 1 and follow-up surveys is based on 12/
15 (256) of the expected sample (320).
    The primary service providers working with the domestic violence 
survivors will complete self-administered online questionnaires to 
provide more detailed program implementation data. Service providers 
will complete a survey about their work history and demographics and a 
survey about the services provided for each domestic violence survivor 
in their caseload that is a participant in the study (approximately 16 
survivors per provider). This latter data collection will occur six 
months after a domestic violence survivor enrolls in the study over 15 
months to correspond to the study enrollment period. Finally, the study 
will also include monthly data collection for 19 months from an agency 
point of contact (POC) in order to verify agency information (e.g., the 
number of advocates working in the agency, advocate caseloads, dates of 
study participants' receipt of services).
    Likely Respondents: The respondents are domestic violence 
survivors, primary service providers, and community agency points of 
contact who work with their agency data systems.

                                Annualized Reporting Burden on Study Participants
----------------------------------------------------------------------------------------------------------------
                                                  Annual  number     Number of        Average
           Form name                 Type of            of        responses  per   burden hours    Total annual
                                   respondent       respondents      respondent    per  response   burden hours
----------------------------------------------------------------------------------------------------------------
Time 1 (Baseline) Interview...  Domestic                     256               1               1             256
                                 violence
                                 survivors.
Follow-up Interviews..........  Domestic                     256               2               1             512
                                 violence
                                 survivors.
Online survey about advocates'  Victim service                20               1           15/60               5
 work history and demographics.  advocates.
Online survey of advocates'     Victim service                20              13           20/60              86
 work with survivors.            advocates.
Form for community agency       Community agency               4              12           15/60              12
 points of contact to verify     point of
 agency information (monthly).   contact.
rrrrrrrrrrrrrrrrrrrrrrrrrrrrrrr
    Total.....................  ................  ..............  ..............  ..............             871
----------------------------------------------------------------------------------------------------------------


[[Page 13126]]

    OS specifically requests comments on (1) the necessity and utility 
of the proposed information collection for the proper performance of 
the agency's functions, (2) the accuracy of the estimated burden, (3) 
ways to enhance the quality, utility, and clarity of the information to 
be collected, and (4) the use of automated collection techniques or 
other forms of information technology to minimize the information 
collection burden.

Terry S. Clark,
Asst Information Collection Clearance Officer.
[FR Doc. 2017-04614 Filed 3-8-17; 8:45 am]
 BILLING CODE 4150-05-P

Federal Register / Vol. 82, No. 45 / Thursday, March 9, 2017 / Notices 13125

regulations at 42 CFR 413.20, 413.24 Information Collection Request (ICR), organizations working with domestic
and 418.310 require adequate cost data described below, to the Office of violence survivors.
and cost reports from providers on an Management and Budget (OMB) for Data collection will include in-depth,
annual basis. The Form CMS–1984–14 review and approval. The ICR is for a private interviews with 320 domestic
cost report is needed to determine a new collection. Comments submitted violence survivors conducted by trained
provider’s reasonable costs incurred in during the first public review of this ICR professional staff. At Time 1 study
furnishing medical services to Medicare will be provided to OMB. OMB will enrollment, they will be interviewed
beneficiaries. The data is used by CMS accept further comments from the about their backgrounds, housing and
to calculate: Market basket weight and public on this ICR during the review safety obstacles, and services desired.
the labor related shares, Rate setting and and approval period. There will be three follow-up interviews
payment refinement, and Medicare and DATES: Comments on the ICR must be with them every six months after the
total facility margins for Medicare- received on or before April 10, 2017. Time 1 Interview (i.e., 6, 12, and 18
covered services by type of service. ADDRESSES: Submit your comments to months) to examine the match between
Form Number: CMS–1984–14 (OMB OIRA_submission@omb.eop.gov or via needs and services, as well as their
Control Number: 0938–0758); facsimile to (202) 395–5806. safety and housing stability. Study
Frequency: Annually; Affected Public: enrollment will take place over 15
FOR FURTHER INFORMATION CONTACT:
Private sector—Business or other for- months, so the annualized burden for
Information Collection Clearance staff,
profit and Not-for-profit institutions; the Time 1 and follow-up surveys is
Information.Collection
Number of Respondents: 3,545; Total based on 12/15 (256) of the expected
Clearance@hhs.gov or (202) 690–5683.
Annual Responses: 3,545; Total Annual sample (320).
Hours: 666,460. (For policy questions SUPPLEMENTARY INFORMATION: When
submitting comments or requesting The primary service providers
regarding this collection contact Yaakov working with the domestic violence
Feinstein at 410–786–3137.) information, please include the
Information Collection Request Title survivors will complete self-
Dated: March 3, 2017. and document identifier 0990–New– administered online questionnaires to
William N. Parham, III, 30D for reference. provide more detailed program
Director, Paperwork Reduction Staff, Office Information Collection Request Title: implementation data. Service providers
of Strategic Operations and Regulatory Domestic Violence Housing First will complete a survey about their work
Affairs. Demonstration Evaluation. history and demographics and a survey
[FR Doc. 2017–04577 Filed 3–8–17; 8:45 am] Abstract: The Office of the Assistant about the services provided for each
BILLING CODE 4120–01–P Secretary for Planning and Evaluation domestic violence survivor in their
(ASPE) within the U.S. Department of caseload that is a participant in the
Health and Human Services, in study (approximately 16 survivors per
DEPARTMENT OF HEALTH AND partnership with the Office for Victims provider). This latter data collection
HUMAN SERVICES of Crimes within the U.S. Department of will occur six months after a domestic
Justice, is seeking approval by OMB for violence survivor enrolls in the study
Office of the Secretary a new information collection request over 15 months to correspond to the
[Document Identifier HHS–OS–0990–New– entitled, ‘‘Domestic Violence Housing study enrollment period. Finally, the
30D] First (DVHF) Demonstration study will also include monthly data
Evaluation.’’ The Washington State collection for 19 months from an agency
Agency Information Collection Coalition Against Domestic Violence point of contact (POC) in order to verify
Activities; Proposals, Submissions, (WSCADV) is overseeing and agency information (e.g., the number of
and Approvals coordinating an evaluation of the DVHF advocates working in the agency,
AGENCY: Office of the Secretary, HHS. Demonstration project through a advocate caseloads, dates of study
contract with ASPE. This quasi- participants’ receipt of services).
ACTION: Notice.
experimental research study involves Likely Respondents: The respondents
SUMMARY: In compliance with section longitudinally examining the program are domestic violence survivors,
3507(a)(1)(D) of the Paperwork effects of DVHF on domestic violence primary service providers, and
Reduction Act of 1995, the Office of the survivors’ safety and housing stability. community agency points of contact
Secretary (OS), Department of Health The findings will be of interest to the who work with their agency data
and Human Services, has submitted an general public, to policy-makers, and to systems.

ANNUALIZED REPORTING BURDEN ON STUDY PARTICIPANTS
Number of Average
Annual responses burden hours Total annual
Form name Type of respondent number of per per burden hours
respondents respondent response

Time 1 (Baseline) Interview .............. Domestic violence survivors ............ 256 1 1 256
Follow-up Interviews ......................... Domestic violence survivors ............ 256 2 1 512
asabaliauskas on DSK3SPTVN1PROD with NOTICES

Online survey about advocates’ work Victim service advocates ................. 20 1 15/60 5
history and demographics.
Online survey of advocates’ work Victim service advocates ................. 20 13 20/60 86
with survivors.
Form for community agency points Community agency point of contact 4 12 15/60 12
of contact to verify agency infor-
mation (monthly).

Total ........................................... ........................................................... ........................ ........................ ........................ 871

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13126 Federal Register / Vol. 82, No. 45 / Thursday, March 9, 2017 / Notices

OS specifically requests comments on Reduction Act of 1995, the Office of the Abstract: The Office of Adolescent
(1) the necessity and utility of the Secretary (OS), Department of Health Health (OAH), U.S. Department of
proposed information collection for the and Human Services, has submitted an Health and Human Services (HHS), is
proper performance of the agency’s Information Collection Request (ICR), requesting an extension of a currently
functions, (2) the accuracy of the described below, to the Office of approved information collection request
estimated burden, (3) ways to enhance Management and Budget (OMB) for by OMB. The purpose of the renewal is
the quality, utility, and clarity of the review and approval. The ICR is for to extend the period of collection
information to be collected, and (4) the renewal of the approved information through March 31, 2018 to complete the
use of automated collection techniques collection assigned OMB control collection of the Pregnancy Assistance
or other forms of information number 0990–0416, scheduled to expire Fund (PAF) Performance Measures from
technology to minimize the information on March 31, 201. Comments submitted grantees funded in August 2013, and to
collection burden. during the first public review of this ICR allow for data collection from 3 new
Terry S. Clark, will be provided to OMB. OMB will
PAF grantees funded in July 2015,
accept further comments from the
Asst Information Collection Clearance increasing the number of respondents
Officer. public on this ICR during the review
and approval period. from 17 to 20. There are no changes to
[FR Doc. 2017–04614 Filed 3–8–17; 8:45 am] the data to be collected.
BILLING CODE 4150–05–P
DATES: Comments on the ICR must be
received on or before April 10, 2017. Need and Proposed Use of the
ADDRESSES: Submit your comments to
Information: OAH will use the
DEPARTMENT OF HEALTH AND OIRA_submission@omb.eop.gov or via performance data to inform planning
HUMAN SERVICES facsimile to (202) 395–5806. and resource allocation decisions;
FOR FURTHER INFORMATION CONTACT:
identify technical assistance needs; and
Office of the Secretary Information Collection Clearance staff, provide Congress, OMB, and the general
[Document Identifier 0990–0416–30D] Information.CollectionClearance@ public with information about the
hhs.gov or (202) 795–7714. individuals who participate in PAF-
Agency Information Collection SUPPLEMENTARY INFORMATION: When
funded activities and the services they
Activities; Submission to OMB for submitting comments or requesting receive.
Review and Approval; Public Comment information, please include the Likely Respondents: 20 PAF grantees
Request document identifier 0990–0416–30D for (States and Tribes).
AGENCY: Office of the Secretary, HHS. reference. The total annual burden hours
ACTION: Notice. Information Collection Request Title: estimated for this ICR are summarized
Pregnancy Assistance Fund (PAF) in the table below.
SUMMARY: In compliance with section Performance Measures Collection.
3507(a)(1)(D) of the Paperwork OMB No.: 0990–0416.

TOTAL ESTIMATED ANNUALIZED BURDEN—584 HOURS
Average
Number of
Number of burden per Total burden
Form name responses per
respondents response hours
respondent (in hours)

Participant & Partner Characteristics (16 measures) ...................................... 20 1 19 380
Category 1 Measures (5 measures) ................................................................ 3 1 6 18
Category 2 Measures (7 measures) ................................................................ 18 1 9 162
Category 3 Measures (3 measures) ................................................................ 5 1 3 15
Category 4 Measures (1 measure) .................................................................. 9 1 1 9

Total .......................................................................................................... 20 ........................ ........................ 584

Terry S. Clark, The meetings will be closed to the Time: 11:00 a.m. to 1:00 p.m.
Asst. Information Collection Clearance public in accordance with the Agenda: To review and evaluate grant
Officer. provisions set forth in sections applications.
[FR Doc. 2017–04613 Filed 3–8–17; 8:45 am] 552b(c)(4) and 552b(c)(6), Title 5 U.S.C., Place: National Institutes of Health, 6701
as amended. The grant applications and Rockledge Drive, Bethesda, MD 20892,
BILLING CODE 4168–11–P
the discussions could disclose (Telephone Conference Call).
Contact Person: Samuel C. Edwards, Ph.D.,
confidential trade secrets or commercial
DEPARTMENT OF HEALTH AND IRG Chief, Center for Scientific Review,
property such as patentable material,
National Institutes of Health, 6701 Rockledge
HUMAN SERVICES and personal information concerning Drive, Room 5210, MSC 7846, Bethesda, MD
individuals associated with the grant
asabaliauskas on DSK3SPTVN1PROD with NOTICES

National Institutes of Health 20892, (301) 435–1246, edwardss@
applications, the disclosure of which csr.nih.gov.
would constitute a clearly unwarranted
Center for Scientific Review; Notice of Name of Committee: Center for Scientific
invasion of personal privacy. Review Special Emphasis Panel; Vascular
Closed Meetings
Name of Committee: Center for Scientific Biology and Hematology.
Pursuant to section 10(d) of the Review Special Emphasis Panel; Date: March 30, 2017.
Federal Advisory Committee Act, as Neuropsychological Disorders, Epilepsy and Time: 2:30 p.m. to 5:00 p.m.
amended (5 U.S.C. App.), notice is Aging. Agenda: To review and evaluate grant
hereby given of the following meetings. Date: March 28, 2017. applications.

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Document Created: 2017-03-09 04:58:21
Document Modified: 2017-03-09 04:58:21

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 the ICR must be received on or before April 10, 2017.
Contact		Information Collection Clearance staff, [email protected] or (202) 690-5683.
FR Citation		82 FR 13125

82 FR 13125 - Agency Information Collection Activities; Proposals, Submissions, and Approvals

DEPARTMENT OF HEALTH AND HUMAN SERVICESOffice of the Secretary

Federal Register Volume 82, Issue 45 (March 9, 2017)

DEPARTMENT OF HEALTH AND HUMAN SERVICES
Office of the Secretary