Attachment B 60 day FRN 8.10.2011 CPA354

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Federal Register / Vol. 76, No. 154 / Wednesday, August 10, 2011 / Notices
Dated: August 4, 2011.
Daniel Holcomb,
Reports Clearance Officer, Centers for Disease
Control and Prevention.
[FR Doc. 2011–20343 Filed 8–9–11; 8:45 am]
BILLING CODE 4163–18–P

DEPARTMENT OF HEALTH AND
HUMAN SERVICES
Centers for Disease Control and
Prevention
[60-Day-11–11JD]

Proposed Data Collections Submitted
for Public Comment and
Recommendations
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 and
send comments to Daniel Holcomb, CDC
Reports Clearance Officer, 1600 Clifton
Road, MS–D74, 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
or other forms of information
technology. Written comments should
be received within 60 days of this
notice.

emcdonald on DSK2BSOYB1PROD with NOTICES

Proposed Project
Evaluation of Dating Matters:
Strategies To Promote Healthy Teen
RelationshipsTM—New—National
Center for Injury Prevention and
Control—Centers for Disease Control
and Prevention
Background and Brief Description
Dating Matters: Strategies To Promote
Healthy Teen RelationshipsTM is the
Centers for Disease Control and
Prevention’s new teen dating violence
prevention initiative.

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Recently, efforts to prevent teen
dating violence have grown, particularly
in schools, among policymakers, and
among sexual violence and domestic
violence coalitions. Now many states
and communities also are working to
stop teen dating violence. However,
these activities vary greatly in quality
and effectiveness. To address the gaps,
CDC has developed Dating Matters, a
comprehensive teen dating violence
prevention program based on the
current evidence about what works in
prevention.
Dating Matters focuses on high-risk,
urban communities where participants
include: middle school students age 11
to 14 years; middle school parents;
brand ambassadors; educators; school
leadership; program implementers;
community representatives; and local
health department representatives in
four high-risk urban communities. The
primary goal of the current proposal is
to conduct an outcome and
implementation evaluation of Dating
Matters in four metropolitan cities to
determine its feasibility, cost, and
effectiveness. Within each city 12
schools will implement the two models
of teen dating violence prevention (48
schools total over 4 sites). Our burden
estimates are based on each school
having 600 students, with 200 students
per grade (6th, 7th, and 8th grades).
Therefore the sampling frame for this
data collection is 48,000 for the three
years of data collection covered by this
OMB package (5 cohorts of 200 students
each in 48 schools; 5 x 200 x 48). The
5 cohorts will be students who are in
6th, 7th and 8th grade in year 1 of data
collection, students in 6th grade in years
2 and 3 of data collection. That means
the sampling frame for parents, given
that we would only include one parent
per student, is also 48,000 for the three
years of data collection covered by this
package. Based on our research and
consultation with middle schools, most
schools with approximately 600
students have approximately 40 staff. If
we assume 40 educators per school, the
sampling frame for the educator sample
is 1,920. The following are explanations
of estimated burden by respondent.
Students: We will use random
selection to identify a subsample of
students from each cohort from each
school to participate in the evaluation.
We estimate that we will enroll 40
students per cohort per school, for a
total of 1,920 students per grade and
9,600 for the entire sample of 5 cohorts
covered under this OMB package.
Parents: We will recruit all parents
participating in the parent curricula and
select an equal number of parents from
the standard of care schools to serve as

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a matched comparison group. We will
enroll 40 parents per grade per school,
with 1920 parents per grade, so 5,760
parents per year.
Educators: We expect that 85% of all
educators will participate. With an
estimated 40 educators per 48 schools
(1920 total), 85% is 1632 educators.
School data extractors: We will
recruit one data extractor per each
school (48 extractors total) to extract
school data to be used in conjunction
with the outcome data for the students.
Individual level school data will only be
collected for students participating in
the evaluation, so this data will reflect
the same sampling frame as the student
survey data.
School leadership: We will recruit
one school leadership (e.g., principal,
vice principal) per 48 schools, the
number of respondents will be 48.
Local Health Department
representative: We will recruit four local
health department representatives
working on the initiative per
community, the number of respondents
will be 16.
Parent Program Manager: With a
maximum of one parent program
manager per community, the number of
program manager respondents will be 4.
Community Representative: We will
recruit 10 community representatives
per site, the number of respondents will
be 40.
Parent Curricula Implementers: Each
school/neighborhood implementing the
comprehensive approach will have one
male and one female parent
implementing the parent programs with
six comprehensive school/neighborhood
clusters per community plus one
additional pair per site (will fill-in as
needed), respondents will be (2x7x4) 56
implementers.
Student Curricula Implementers: We
will have six student curricula
implementers per school that will be
completing fidelity instruments, the
total number of respondents will be 288.
Safe Dates Implementers: We will
have 3 Safe Dates implementers per the
48 schools, who will implement the 8th
grade Safe Dates program, the number of
respondents for the Safe Dates
implementer survey will be 144.
Brand Ambassadors: The Brand
Ambassador Implementation Survey
will be provided to each brand
ambassador in each community. With a
maximum of 20 brand ambassadors per
community, the feedback form will be
collected from a total of 80 brand
ambassadors.
Communications Implementers
(‘‘Brand Ambassador Coordinators’’):
The Communications Campaign
Tracking form will be provided to each

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Federal Register / Vol. 76, No. 154 / Wednesday, August 10, 2011 / Notices

brand ambassador coordinator in each
community. With a maximum of one
brand ambassador coordinator per

community, the feedback form will be
collected from a total of 4 brand
ambassador coordinators.

There are no costs to respondents
other than their time.

ESTIMATED ANNUALIZED BURDEN
Number of
responses per
respondent

Average
burden per
response
(hours)

Total burden
(hours)

Form name

Student Program Participant .............
Student Program Participant .............
School data extractor ........................
Parent Program Participant ..............
Educator ............................................
Student Brand Ambassador ..............

Student Outcome Survey Baseline ..
Student Outcome Survey Follow-up
School Indicators ..............................
Parent Outcome Survey ...................
Educator Outcome Survey ...............
Brand Ambassador Implementation
Survey.
School Leadership Capacity and
Readiness Survey.
Parent Program Fidelity 6th Grade
Session 1.
Parent Program Fidelity 6th Grade
Session 2.
Parent Program Fidelity 6th Grade
Session 3.
Parent Program Fidelity 6th Grade
Session 4.
Parent Program Fidelity 6th Grade
Session 5.
Parent Program Fidelity 7th Grade
Session 1.
Parent Program Fidelity 7th Grade
Session 3.
Parent Program Fidelity 7th Grade
Session 5.
Safe Dates Implementation Survey

9600
9600
48
5760
1632
80

1
2
200
2
1
2

1.5
1.5
15/60
1
30/60
20/60

14400
28800
2400
11520
816
53

48

1

1

48

56

3

15/60

42

56

3

15/60

42

56

3

15/60

42

56

3

15/60

42

56

3

15/60

42

56

3

15/60

42

56

3

15/60

42

56

3

15/60

42

144

1

1

144

Student Program Fidelity 6th Grade
Session 1.
Student Program Fidelity 6th Grade
Session 2.
Student Program Fidelity 6th Grade
Session 3.
Student Program Fidelity 6th Grade
Session 4.
Student Program Fidelity 6th Grade
Session 5.
Student Program Fidelity 6th Grade
Session 6.
Student Program Fidelity 7th Grade
Session 1.
Student Program Fidelity 7th Grade
Session 2.
Student Program Fidelity 7th Grade
Session 3.
Student Program Fidelity 7th Grade
Session 4.
Student Program Fidelity 7th Grade
Session 5.
Student Program Fidelity 7th Grade
Session 6.
Student Program Fidelity 8th Grade
Session 1.
Student Program Fidelity 8th Grade
Session 2.
Student Program Fidelity 8th Grade
Session 3.
Student Program Fidelity 8th Grade
Session 4.
Student Program Fidelity 8th Grade
Session 5.
KK: Student Program Fidelity 8th
Grade Session 6.
Student Program Fidelity 8th Grade
Session 7.

288

1

15/60

72

288

1

15/60

72

288

1

15/60

72

288

1

15/60

72

288

1

15/60

72

288

1

15/60

72

288

1

15/60

72

288

1

15/60

72

288

1

15/60

72

288

1

15/60

72

288

1

15/60

72

288

1

15/60

72

288

1

15/60

72

288

1

15/60

72

288

1

15/60

72

288

1

15/60

72

288

1

15/60

72

288

1

15/60

72

288

1

15/60

72

School leadership .............................

emcdonald on DSK2BSOYB1PROD with NOTICES

Number of
respondents

Type of respondent

Parent Curricula Implementer (6.1
log + attendance).
Parent Curricula Implementer (6.2
log+ attendance).
Parent Curricula Implementer (6.3
log + attendance).
Parent Curricula Implementer (6.4
log + attendance).
Parent Curricula Implementer (6.5
log + attendance).
Parent Curricula Implementer (7.1
log + attendance).
Parent Curricula Implementer (7.3
log + attendance).
Parent Curricula Implementer (7.5
log + attendance and cost).
Safe Dates Implementer (implementation).
Student Curricula Implementer (6.1
log + attendance).
Student Curricula Implementer (6.2
log + attendance).
Student Curricula Implementer (6.3
log + attendance).
Student Curricula Implementer (6.4
log + attendance).
Student Curricula Implementer (6.5
log + attendance).
Student Curricula Implementer (6.6
log + attendance).
Student Curricula Implementer (7.1
log + attendance).
Student Curricula Implementer (7.2
log + attendance).
Student Curricula Implementer (7.3
log + attendance).
Student Curricula Implementer (7.4
log + attendance).
Student Curricula Implementer (7.5
log + attendance).
Student Curricula Implementer (7.6
log + attendance).
Student Curricula Implementer (8.1
log + attendance).
Student Curricula Implementer (8.2
log + attendance).
Student Curricula Implementer (8.3
log + attendance).
Student Curricula Implementer (8.4
log + attendance).
Student Curricula Implementer (8.5
log + attendance).
Student Curricula Implementer (8.6
log + attendance).
Student Curricula Implementer (8.7
log + attendance).

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Federal Register / Vol. 76, No. 154 / Wednesday, August 10, 2011 / Notices
ESTIMATED ANNUALIZED BURDEN—Continued
Form name

Student Curricula Implementer (8.8
log + attendance).
Student Curricula Implementer (8.9
log + attendance).
Student Curricula Implementer (8.10
log + attendance).
Communications Implementer ..........

Community Representative ...............

Student Program Fidelity 8th Grade
Session 8.
Student Program Fidelity 8th Grade
Session 9.
Student Program Fidelity 8th Grade
Session 10.
Communications Campaign Tracking.
Local Health Department Capacity
and Readiness.
Parent Program Capacity and Readiness.
Community Capacity and Readiness

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

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

Local health department representative.
Parent Program Manager .................

Dated: August 4, 2011.
Daniel Holcomb,
Reports Clearance Officer, Centers for Disease
Control and Prevention.
[FR Doc. 2011–20346 Filed 8–9–11; 8:45 am]
BILLING CODE 4163–18–P

DEPARTMENT OF HEALTH AND
HUMAN SERVICES
Centers for Medicare & Medicaid
Services
[CMS–5058–N2]

Medicare Program; Section 3113: The
Treatment of Certain Complex
Diagnostic Laboratory Tests
Demonstration; Extension of the
Deadline for Submission of Supporting
Information
Centers for Medicare &
Medicaid Services (CMS), HHS.
ACTION: Notice of extension of the
deadline for submission of supporting
information.

emcdonald on DSK2BSOYB1PROD with NOTICES

AGENCY:

SUMMARY: This notice extends the
deadline for submitting supporting
information to request a temporary code
under the Treatment of Certain Complex
Diagnostic Laboratory Tests
Demonstration. The deadline for
submitting supporting information to
request a temporary code under the
Demonstration, which ended on August
1, 2011, has been extended to
September 6, 2011.
DATES: Supporting information to
request a temporary code under the
Demonstration is due to CMS on or
before September 6, 2011.
ADDRESSES: Supporting information
should be mailed to the following
address: Centers for Medicare &
Medicaid Services, Attention: Linda R.

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Number of
responses per
respondent

Average
burden per response
(hours)

288

1

15/60

72

288

1

15/60

72

288

1

15/60

72

4

4

20/60

5

16

1

2

32

4

1

1

4

40

1

1

40

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

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

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

60182

Number of
respondents

Type of respondent

Lebovic, 7500 Security Boulevard, Mail
Stop: C4–14–15, Baltimore, Maryland
21244–1850.
Please refer to file code [CMS–5058–
N] on all supporting information for a
temporary G-code under the
Demonstration. Because of staffing and
resource limitations, we cannot accept
proposals by facsimile (Fax)
transmission. Hard copies and
electronic copies must be identical.
FOR FURTHER INFORMATION CONTACT:
Linda R. Lebovic at (410) 786–3402 or
by e-mail at
[email protected].

On July 5,
2011, we published a notice in the
Federal Register (76 FR 39110 through
39111) to inform interested parties of an
opportunity to participate in the
Treatment of Certain Complex
Diagnostic Laboratory Tests
Demonstration. The Demonstration is
mandated by section 3113 of the
Affordable Care Act. The notice also
serves to notify interested parties that
they must obtain a temporary code from
CMS for tests currently billed using a
‘‘not otherwise classified (NOC)’’ code
but that would otherwise meet the
criteria set forth in section 3113 for
being a complex diagnostic laboratory
test under the Demonstration.
Following the publication of the July
5, 2011 notice, CMS received requests
from the public to extend the deadline
beyond August 1, 2011. We believe we
can accommodate the public’s request to
extend the deadline for submitting the
supporting information needed to
request a Temporary Demonstration Gcode and still begin payment under the
Demonstration beginning January 1,
2012 as planned. We have decided to
extend the deadline for submitting

SUPPLEMENTARY INFORMATION:

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Total burden
(hours)

supporting information to September 6,
2011.
(Catalog of Federal Domestic Assistance
Program No. 93.773, Medicare—Hospital
Insurance; and Program No. 93.774,
Medicare—Supplementary Medical
Insurance Program)
Dated: August 4, 2011.
Donald M. Berwick,
Administrator, Centers for Medicare &
Medicaid Services.
[FR Doc. 2011–20304 Filed 8–5–11; 4:15 pm]
BILLING CODE 4120–01–P

DEPARTMENT OF HEALTH AND
HUMAN SERVICES
Administration for Children and
Families
Proposed Information Collection
Activity; Comment Request
Title: Understanding Urban Indians’
Interactions with ACF Programs and
Services.
OMB No.: New Collection.
Description: As part of the
‘‘Understanding Urban Indians’
Interactions with ACF Programs and
Services’’ research study, site visits will
be conducted to three to five urban areas
with a high percentage of Indians within
the population, including Anchorage,
Alaska. Members of the research study
team will utilize a field discussion
guide to collect information from staff
members at relevant programs and
organizations (e.g., American Indian
Organizations, social service agencies
serving urban Indians) in these areas.
The goal of this information collection
is to assess the challenges and context
for family self-sufficiency of urban
Indians and their interactions with
services and programs offered by ACF.

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