Attachment_B-3_NHWP_Federal_Register_Notice_Program_Announcement

Federal Register / Vol. 76, No. 229 / Tuesday, November 29, 2011 / Notices
General Conditions: HHS reserves the
right to cancel, suspend, and/or modify
the competition, or any part of it, for
any reason, at HHS’s sole discretion.
All decisions by HHS are final and
binding in all matters related to the
competition.
Dated: November 16, 2011.
Regina Benjamin,
Surgeon General, U.S. Public Health Service.
[FR Doc. 2011–30668 Filed 11–28–11; 8:45 am]
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DEPARTMENT OF HEALTH AND
HUMAN SERVICES
Centers for Disease Control and
Prevention
National Healthy Worksite Program;
Information Webinar Series
Centers for Disease Control and
Prevention (CDC), Department of Health
and Human Services (HHS).
ACTION: Notice of meeting.
AGENCY:

The Centers for Disease
Control and Prevention (CDC) located
within the Department of Health and
Human Services (HHS) announces a
series of Webinars to provide
information for individuals and groups
interested in learning more about the
National Healthy Worksite Program. The
National Healthy Worksite Program is
an HHS/CDC initiative to establish and
evaluate comprehensive workplace
health programs to improve the health
of workers and their families.
Registration for the Webinars is free.
DATES: Webinars will be held on the
following dates and times: December 20,
2011, 2:00–3 p.m. EST; January 13,
2012, 12:00–1 p.m. EST; January 20,
2012 12:00–1 p.m. EST; January 20,
2012 3:00–4 p.m. EST. Registration
information is provided in
SUPPLEMENTARY INFORMATION.
FOR FURTHER INFORMATION CONTACT:
Inquiries and requests for information
should be sent to
[email protected].
Additional information,
announcements, and frequently asked
questions will be posted at http://
www.cdc.gov/NationalHealthyWorksite.
Calls should be directed to Jason Lang,
National Center for Chronic Disease
Prevention and Health Promotion,
Centers for Disease Control and
Prevention, at (770) 488–5269.
SUPPLEMENTARY INFORMATION:

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SUMMARY:

Background
The National Healthy Worksite
Program is an HHS/CDC initiative to
establish and evaluate comprehensive

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workplace health programs to improve
the health of workers and their families.
HHS/CDC plans to recruit groups of up
to 15 employers within seven locations
across the U.S. and lead them through
the process of building a workplace
health program including the following
components: Assessment of employer
and employee needs, interests, health
risks, and existing capacity; a planning
process resulting in a workplace health
improvement plan to guide the worksite
through program development;
implementation of programs, policies,
and practices to address employee
lifestyle risk factors related to physical
activity, nutrition, and tobacco use;
building a program infrastructure within
each worksite for long-term
sustainability including evaluation,
wellness committees, program
champions, and leadership (CEO/senior
executive) support; and participation in
programmatic activities, training, and
technical assistance. The National
Healthy Worksite Program will include
science-based initiatives to build
worksite capacity and improve
workplace culture to support healthy
behaviors. Examples of such strategies
include health and lifestyle education
and coaching, establishing tobacco-free
campus policies, promoting work
schedules that allow employees to be
more physically active, and offering
more healthy food choices in worksite
cafeterias and vending machines. A core
principle of the initiative is to maximize
employee engagement in the design and
implementation of the programs so they
have the greatest chances of success.
The program will not issue grants or
financial assistance directly to
employers.
Based on employee needs, companies
will establish a core set of 3 to 5
science-based interventions from an
available menu of options that include
a mix of strategies that target physical
activity, nutrition, and tobacco use in
the employee population. Examples
include:
1. Tobacco-free campus policy,
subsidized quit-smoking counseling.
2. Worksite farmer’s market, nutrition
counseling/education, menu labeling on
healthy foods, healthy foods in
cafeterias and vending, weight
management counseling.
3. Stairwell enhancement, physical
fitness/lifestyle counseling, walking
trails/clubs, flextime policy.
For the National Healthy Worksite
Program, the United States has been
divided into seven regions. Regions are
defined as follows:
• Region 1: Connecticut, Delaware,
District of Columbia, Maine, Maryland,
Massachusetts, New Hampshire, New

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Jersey, New York, Pennsylvania, Rhode
Island, Vermont, Virginia, and West
Virginia;
• Region 2: Alabama, Florida,
Georgia, Kentucky, Mississippi, North
Carolina, South Carolina, and
Tennessee;
• Region 3: Illinois, Indiana,
Michigan, Minnesota, Ohio, and
Wisconsin;
• Region 4: Arkansas, Louisiana, New
Mexico, Oklahoma, and Texas;
• Region 5: Colorado, Iowa, Kansas,
Missouri, Montana, Nebraska, North
Dakota, South Dakota, Utah, and
Wyoming;
• Region 6: Arizona, California,
Hawaii, and Nevada; and
• Region 7: Alaska, Idaho, Oregon,
and Washington.
Each of the seven regions will have
one group of up to 15 employers that are
located within a small, defined
geographic area (i.e., city, county) with
high prevalence of chronic disease and
sufficient community resources
available to maintain a sustainable
workplace health program when the
National Healthy Worksite Program
ends. Each of the seven groups of
employers will consist of a mix of
employers (small—100 or less full-time
employees; medium—101–250
employees; and large—251–1000
employees). Outreach to interested
employers in the seven locations will
occur shortly after these Webinars.
Interested employers will be directed to
a program Web site (http://
www.cdc.gov/NationalHealthyWorksite)
and/or program email address
([email protected]) to be
certified as an eligible employer. The
certification process will open January
20, 2012 and close February 3, 2012.
In addition, multiple methods will be
used to develop a marketing campaign
to reach employers including
advertising in trade publications, direct
mail/email, utilizing the Web site,
producing a recruitment video and
using social media. All participants
must complete their submission through
the program Web site or program
mailbox during the open certification
period. Other submissions will not be
considered. Final selection of
participating employers will be made on
or about April 30, 2012.
Registration: Early registration for
each Webinar is encouraged, as space is
limited to 1,000 participants.
Participants should register online by
using the links provided below.
• December 20, 2011 2 p.m.–3 p.m.
EST. Webinar registration site: https://
www3.gotomeeting.com/register/
703198246;

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Federal Register / Vol. 76, No. 229 / Tuesday, November 29, 2011 / Notices

• January 13, 2012 12 p.m.–1 p.m.
EST. Webinar registration site: https://
www3.gotomeeting.com/register/
807742630;
• January 20, 2012, 12 p.m.–1 p.m.
EST. Webinar registration site: https://
www3.gotomeeting.com/register/
133770238; and
• January 20, 2012, 3 p.m.–4 p.m.
EST. Webinar registration site: https://
www3.gotomeeting.com/register/
367222398.
Purpose of Each Webinar
The December 20, 2011 Webinar will
provide a general overview of the
National Healthy Worksite Program
including program goals and objectives,
program components and employer
activities, timelines, and anticipated
program outcomes.
The January 2012 Webinars will (1)
Provide a general overview of the
National Healthy Worksite Program; (2)
review the process and criteria HHS/
CDC used to identify the seven locations
where the program will take place; (3)
announce those locations; and (4)
discuss the employer certification
process and criteria HHS/CDC will use
to identify and select up to 100
employers participating in the National
Healthy Worksite Program.
HHS/CDC plans to publish notices in
the Federal Register announcing (1) The
seven locations where the program will
take place and the criteria used for
selection; and (2) the employer
certification process and criteria HHS/
CDC will use to identify and select up
to 100 participating employers across
the seven selected locations.

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Special Accommodations
HHS/CDC will make every effort to
accommodate persons with disabilities
or special needs. HHS/CDC will make
slides and an audio and written
transcript of the Webinars available on
its Web site, http://www.cdc.gov/
NationalHealthyWorksite. If you require
additional special accommodations due
to a disability, please contact Jason
Lang, National Center for Chronic
Disease Prevention and Health
Promotion, at (770) 488–5269 at least 7
days in advance of the meeting.
Dated: November 21, 2011.
James W. Stephens,
Director, Office of Science Quality, Office of
the Associate Director for Science, Center for
Disease Control and Prevention.
[FR Doc. 2011–30649 Filed 11–28–11; 8:45 am]
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DEPARTMENT OF HEALTH AND
HUMAN SERVICES
Centers for Medicare & Medicaid
Services
[Document Identifier CMS–29 and CMS–209]

Agency Information Collection
Activities: Proposed Collection;
Comment Request
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: Revision of a currently
approved collection; Title of
Information Collection: Request for
Certification as a Rural Health Clinic
Form and Supporting Regulations in 42
CFR 491.1–491.11; Use: The Form
CMS–29, Request for Certification as a
Supplier of Rural Health Clinic (RHC)
Services under the Medicare/Medicaid
Program, is utilized as an application to
be completed by suppliers of RHC
services requesting participation in the
Medicare program. This form initiates
the process of obtaining a decision as to
whether the conditions for certification
are met as a supplier of RHC services.
It also promotes data reduction or
introduction to and retrieval from the
Automated Survey Process Environment
(ASPEN) and related survey and
certification databases by the CMS
Regional Offices. Should any question
arise regarding the structure of the
organization, this information is readily
available. With this renewal request, the
title of the Form CMS–29 is being
revised to better describe the purpose of
the data being collected. Both new and
existing clinics must provide and attest
to the accuracy of specific clinic data as
a part of the RHC certification process.
Therefore, the revised title is ‘‘Form
AGENCY:

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CMS–29/Verification of Clinic Data—
Rural Health Clinic Program.’’ The Form
CMS–29 is also being revised to remove
Section V, Federal Support. The
information captured under Section V is
not a deciding factor as to whether or
not a clinic meets RHC certification
requirements. Therefore, it is
unnecessary to require facilities to
complete this section as a part of the
certification process; Form Number:
CMS–29 (OCN 0938–0074); Frequency:
Occasionally (initially and then every
six years); Affected Public: Private
Sector (Business or other for-profit and
Not-for-profit institutions); Number of
Respondents: 3,981; Total Annual
Responses: 830; Total Annual Hours:
138. (For policy questions regarding this
collection contact Shonte´ Carter at (410)
786–3532. For all other issues call (410)
786–1326.)
2. Type of Information Collection
Request: Extension without change of a
currently approved collection; Title of
Information Collection: Laboratory
Personnel Report (CLIA) and Supporting
Regulations in 42 CFR 493.1357,
493.1363, 493.1405, 493.1406, 493.1411,
493.1417, 493.1423, 493.1443, 493.1449,
493.1455, 493.1461, 493.1462, 493.1469,
493.1483, 493.1489 and 493.1491; Use:
The information collected on this
survey form is used in the
administrative pursuit of the
Congressionally mandated program with
regard to regulation of laboratories
participating in CLIA. The surveyor will
provide the laboratory with the CMS–
209 form. While the surveyor performs
other aspects of the survey, the
laboratory will complete the CMS–209
by recording the personnel data needed
to support their compliance with the
personnel requirements of CLIA. The
surveyor will then use this information
in choosing a sample of personnel to
verify compliance with the personnel
requirements. Information on personnel
qualifications of all technical personnel
is needed to ensure the sample is
representative of the entire laboratory;
Form Number: CMS–209 (OCN 0938–
0151); Frequency: Biennially; Affected
Public: Private Sector; State, Local, or
Tribal Governments; and Federal
Government; Number of Respondents:
20,486; Total Annual Responses:
10,243; Total Annual Hours: 5,121.50.
(For policy questions regarding this
collection contact Kathleen Todd at
(410) 786–3385. For all other issues call
(410) 786–1326.)
To obtain copies of the supporting
statement and any related forms for the
proposed paperwork collections
referenced above, access CMS’ Web Site
address at http://www.cms.hhs.gov/
PaperworkReductionActof1995, or

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