Attachment B - 60-Day FRN - PUBLISHED

41798

Federal Register / Vol. 76, No. 136 / Friday, July 15, 2011 / Notices
ESTIMATED ANNUALIZED BURDEN HOURS
Form name

General Resident ............................................

Elected Official ................................................
Industry ...........................................................

In-depth Interview/phone ................................
Screener .........................................................
In-depth Interview/phone ................................
Screener .........................................................
In-depth Interview/phone ................................
Screener .........................................................
In-depth Interview/phone ................................
In-depth Interview/phone ................................

Dated: July 11, 2011.
Daniel Holcomb,
Reports Clearance Officer, Centers for Disease
Control and Prevention.

or other forms of information
technology. Written comments should
be received within 60 days of this
notice.

[FR Doc. 2011–17824 Filed 7–14–11; 8:45 am]

Proposed Project

Health care provider .......................................
Community Leader .........................................

BILLING CODE 4163–18–P

Evaluation of Core Violence and
Injury Prevention Program (Core
VIPP)—New—National Center for Injury
Prevention and Control, Centers for
Disease Control and Prevention (CDC).

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

Background and Brief Description

In compliance with the requirement
of Section 3506(c)(2)(A) of the
Paperwork Reduction Act of 1995 for
opportunity for public comment on
proposed data collection projects, the
Centers for Disease Control and
Prevention (CDC) will publish periodic
summaries of proposed projects. To
request more information on the
proposed projects or to obtain a copy of
the data collection plans and
instruments, call 404–639–5960 or send
comments to Carol E. Walker, CDC
Acting Reports Clearance Officer, 1600
Clifton Road, MS D–74, Atlanta, GA
30333 or send an e-mail to
[email protected].
Comments are invited on: (a) Whether
the proposed collection of information
is necessary for the proper performance
of the functions of the agency, including
whether the information shall have
practical utility; (b) the accuracy of the
agency’s estimate of the burden of the
proposed collection of information;
(c) ways to enhance the quality, utility,
and clarity of the information to be
collected; and (d) ways to minimize the
burden of the collection of information
on respondents, including through the
use of automated collection techniques

Injuries and their consequences,
including unintentional and violencerelated injuries, are the leading cause of
death for the first four decades of life,
regardless of gender, race, or
socioeconomic status. More than
179,000 individuals in the United States
die each year as a result of unintentional
injuries and violence, more than
29 million others suffer non-fatal
injuries and over one-third of all
emergency department (ED) visits each
year are due to injuries. In 2000, injuries
and violence ultimately cost the United
States $406 billion, with over
$80 billion in medical costs and the
remainder lost in productivity.1 Most
events that result in injury and/or death
from injury could be prevented if
evidence-based public health strategies,
practices, and policies were used
throughout the nation.
CDC’s National Center for Injury
Prevention and Control (NCIPC) is
committed to working with their
partners to promote action that reduces
injuries, violence, and disabilities by
providing leadership in identifying
priorities, promoting tools, and
monitoring effectiveness of injury and
violence prevention and to promote
effective strategies for the prevention of
injury and violence, and their
consequences. One tool NCIPC will use
to accomplish this is the Core Violence
and Injury Prevention Program (VIPP).

1 Finkelstein EA, Corso PS, Miller TR, Associates.
Incidence and Economic Burden of Injuries in the

United States. New York: Oxford University Press;
2006.

[60Day–11–11IR]

Proposed Data Collections Submitted
for Public Comment and
Recommendations

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Number of
respondents

Type of respondents

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600
1200
200
400
200
400
100
100

Average
burden per
response
(in hours)

Responses
per
respondent
1
1
1
1
1
1
1
1

1.5
6/60
30/60
6/60
1.5
6/60
30/60
30/60

This program funds state health
departments to build effective delivery
systems for dissemination,
implementation and evaluation of
evidence based/best practice programs
and policies.
Core VIPP also focuses on the
integration of unintentional injury and
violence prevention. Unintentional
injury and violence prevention have
many common risk and protective
factors for children. In an endeavor to
promote efforts to prevent child
maltreatment, a NCIPC priority, CDC is
collaborating with the Health Resources
and Services Administration (HRSA)
regarding the new Affordable Care Act
(ACA) Maternal, Infant, and Early
Childhood Home Visiting Program. The
state health departments funded by the
Core VIPP will be required to partner
with the state agency responsible for
administration of the State Home
Visiting program.
CDC requests OMB approval to collect
program evaluation data for Core VIPP
over a two-year period. Specifically,
CDC will use a Planning and Evaluation
Tool (PET) that is being developed for
the Core VIPP grantees. This tool
provides CDC the means to collect
standardized, systematic data from the
Core VIPP grantees. Topics for data
collection include: Program evaluation,
state health department (SHD) injury
program infrastructure, injury program
strategies and partners, policy strategies,
injury surveillance, quality of
surveillance, and regional network
leaders. Part of the requirement for
receiving Core VIPP funding is for SHDs
to develop and maintain program their
own evaluation capacity and data
systems; thus, this data collection is not
expected to entail significant burdens to
respondents.
There are no costs to respondents
other than their time.

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41799

Federal Register / Vol. 76, No. 136 / Friday, July 15, 2011 / Notices
ESTIMATED ANNUALIZED BURDEN HOURS
Avg. burden
per response
(in hrs)

Total burden
(in hrs)

Form name

Core VIPP funded SHD Injury Program director.
Core VIPP funded SHD Injury Program director.
Non-funded SHD Injury Program director.

Web-based survey ...........................

20

1

1

20

Telephone Interviews .......................

20

1

1.5

30

Web-based survey ...........................

30

1

1

30

Total ...........................................

...........................................................

........................

........................

........................

80

Daniel Holcomb,
Reports Clearance Officer, Centers for Disease
Control and Prevention.
[FR Doc. 2011–17812 Filed 7–14–11; 8:45 am]
BILLING CODE 4163–18–P

DEPARTMENT OF HEALTH AND
HUMAN SERVICES
Centers for Medicare & Medicaid
Services
[Document Identifier: CMS–9042, CMS–
10374, CMS–10385, and CMS–10402]

Agency Information Collection
Activities: Proposed Collection;
Comment Request; Correction

mstockstill on DSK4VPTVN1PROD with NOTICES

Number of
responses per
respondent

Number of
respondents

Type of respondents

AGENCY: Centers for Medicare &
Medicaid Services, HHS.
In compliance with the requirement
of section 3506(c)(2)(A) of the
Paperwork Reduction Act of 1995, the
Centers for Medicare & Medicaid
Services (CMS) is publishing the
following summary of proposed
collections for public comment.
Interested persons are invited to send
comments regarding this burden
estimate or any other aspect of this
collection of information, including any
of the following subjects: (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.
1. Type of Information Collection
Request: Extension of a currently
approved collection; Title of
Information Collection: Accelerated
Payments and Supporting Regulations
42 CFR 412.116(f), 412.632(e), 413.64(g),
413.350(d), and 484.245; Use: This
information is used by the contractor to
determine the provider’s eligibility for
accelerated payments. If this

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information were not furnished with an
accelerated payment request, the
contractor would not be able to assess
whether the provider’s financial
difficulties justified the accelerated
payment; Form Number: CMS–9042
(OMB # 0938–0269); Frequency: Yearly;
Affected Public: Private Sector; Business
or other for-profit and not-for-profit
institutions; Number of Respondents:
37,804; Total Annual Responses: 945;
Total Annual Hours: 473. (For policy
questions regarding this collection
contact Leonard Fisher at 410–786–4574
TTY. For all other issues call 410–786–
1326.)
2. Type of Information Collection
Request: New collection of information;
Title of Information Collection: Training
Needs Assessment, Evaluation/Survey—
Question Compilation; Use: The intent
of this information collection is to assist
in the creation and enhancement of
training for Federal and State health
care surveyors and certification
specialists. The purpose of the
collection is to gather information for
training needs assessment, training
analysis, related demographic,
psychographics and technographics to
support the development and
enhancement of training and training
aids; Form Number: CMS–10374 (OMB
# 0938–New); Frequency: Half-year (2
per year); Affected Public: State, Local,
or Tribal Governments; Number of
Respondents: 2,161; Total Annual
Responses: 4,322; Total Annual Hours:
1,430. (For policy questions regarding
this collection contact Etolia Biggs at
410–786–8664. For all other issues call
410–786–1326.)
3. Type of Information Collection
Request: Extension of a currently
approved collection; Title of
Information Collection: Expedited
Checklist: Medicaid Eligibility &
Enrollment Systems—Advance Planning
Document (E&E–APD); Use: Under
sections 1903(a)(3)(A)(i) and
1903(a)(3)(B) of the Social Security Act,
CMS has issued new standards and
conditions that must be met by States
for Medicaid technology investments

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(including traditional claims processing
systems, as well as eligibility systems)
to be eligible for enhanced match
funding. The Checklist will be
submitted by States to the E&E APD
National Coordinator for review and
coordination in the Eligibility/
Enrollment Systems APD approval
assignment. The information requested
on the Checklist will be used to
determine and approve enhanced FFP to
States and to determine how States are
complying with the seven standards and
conditions; Form Number: CMS–10385
(OMB#: 0938–1125); Frequency:
Occasionally; Affected Public: State,
Local, or Tribal Governments; Number
of Respondents: 56; Total Annual
Responses: 168; Total Annual Hours:
204. (For policy questions regarding this
collection contact Richard Friedman at
410–786–4451. For all other issues call
410–786–1326.)
4. Type of Information Collection
Request: New collection; Title of
Information Collection: Medicaid State
Plan Preprint for Use by States When
Implementing Section 6401 of the
Patient Protection and Affordable Care
Act under the Medicaid Program; Use:
The Secretary, in consultation with the
Department of Health of Human
Services’ Office of the Inspector
General, is required to establish
procedures under which screening is
conducted with respect to providers of
medical or other items or services and
suppliers under Medicare, Medicaid,
and CHIP. The Secretary is also required
to impose a fee on each institutional
provider of medical or other items or
services or supplier that would be used
by the Secretary for program integrity
efforts. States are required to comply
with the process of screening providers
and suppliers as established by the
Secretary under 1866(j)(2) of the
Affordable Care Act. The Office of
General Counsel through guidance, is
requiring that States use the Medicaid
State Plan Preprint to assure CMS
compliance with the law. CMS will use
the information to review and approve

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