Attachment M -- Federal Register Notice

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Awards may be subject to Federal
income taxes and HHS will comply with
IRS withholding and reporting
requirements, where applicable.
Payment of the Prize
Prize will be paid by contractor.
Basis upon which Phase I finalists
and Phase II grand prize winner will be
selected:
Challenge submissions will be judged
by a panel selected by ONC and NCI
with relevant expertise based on the
following criteria:
1. The submission is an innovative
information management tool or
application deployable on any personal
computing platform widely available to
consumers;
2. The tool or application addresses
the needs of cancer survivors managing
their transition from specialty to
primary care;
3. Usability and design;
4. Evidence of co-design with, and
support from users of proposed tool or
application (e.g., patients, families,
primary/specialty caregivers, insurers,
and/or hospital systems);
5. Innovation and differentiation from
existing technologies and products;
6. Functionality, accuracy, integration
with electronic care platforms, and use
of Blue Button+ standards
(bluebuttonplus.org) and other sources
of health-related information; and,
7. Customizability and ability to adapt
to evolving survivorship care needs
including primary/specialist care
interactions.
In order for an entry to be eligible to
win this Challenge, it must meet the
following requirements:
1. General—Entrants must provide
continuous access to the application to
judges during the evaluation period, a
detailed description of the application,
instructions on how to install and
operate the application, and system
requirements required to run the
application (collectively,
‘‘Submission’’).
2. Acceptable platforms—The tool
must be designed for use with any
personal computing platform widely
available to the average consumer.
3. No HHS, ONC, NIH, or NCI logos—
The application must not use HHS’,
ONC’s, or NCI’s logos or official seals in
the Submission, and must not claim
endorsement.
4. Section 508 Compliance—Entrants
must acknowledge that they understand
that, as a pre-requisite to any
subsequent acquisition by FAR contract
or other method, they may be required
to make their proposed solution
compliant with Section 508 accessibility
and usability requirements at their own

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expense. Any electronic information
technology that is ultimately obtained
by HHS for its use, development, or
maintenance must meet Section 508
accessibility and usability standards.
Past experience has demonstrated that it
can be costly for solution-providers to
‘‘retrofit’’ solutions if remediation is
later needed. The HHS Section 508
Evaluation Product Assessment
Template, available at http://
www.hhs.gov/web/508/contracting/
technology/vendors.html, provides a
useful roadmap for developers to
review. It is a simple, web-based
checklist utilized by HHS officials to
allow vendors to document how their
products do or do not meet the various
Section 508 requirements.
5. Functionality/Accuracy—A
Submission may be disqualified if the
application fails to function as
expressed in the description provided
by the user, or if the application
provides inaccurate or incomplete
information.
6. Security—Submissions must be free
of malware. Entrant agrees that the ONC
may conduct testing on the application
to determine whether malware or other
security threats may be present. ONC
may disqualify the application if, in
ONC’s judgment, the application may
damage government or others’
equipment or operating environment.

Entrants expressly reserve all
intellectual property rights not
expressly granted under the Challenge
agreement.
• By participating in the Challenge,
each entrant hereby irrevocably grants
to ONC and NCI (Sponsors) and Health
2.0 (Administrator) a limited, nonexclusive, royalty-free, worldwide
license and right to reproduce,
publically perform, publically display,
and use the Submission to the extent
necessary to administer the Challenge,
and to publically perform and
publically display the Submission,
including, without limitation, for
advertising and promotional purposes
relating to the Challenge.
General Conditions: ONC and NCI
reserve the right to cancel, suspend,
and/or modify non-prize elements of the
Contest, or any part of it, for any reason,
at ONC and NCI’s discretion.
Participation in this Contest constitutes
an entrant’s full and unconditional
agreement to abide by the Contest’s
Official Rules found at
www.challenge.gov.
Privacy Policy: ChallengePost collects
personal information from you when
you register on Challenge.gov. The
information collected is subject to the
ChallengePost privacy policy located at
www.challengepost.com/privacy

Additional Information

Dated: April 24, 2013.
Farzad Mostashari,
National Coordinator for Health Information
Technology.

Online Resources
Blue Button: http://www.healthit.gov/
bluebutton
Blue Button+ Implementation Guide:
http://bluebuttonplus.org/
Follow-up Care After Cancer
Treatment: http://www.cancer.gov/
cancertopics/factsheet/Therapy/
followup
Transitional Care Planning: http://
www.cancer.gov/cancertopics/pdq/
supportivecare/transitionalcare/
Patient/page2
A Tough Transition: Survivorship
Care Plans Slow to Take Hold:
http://www.cancer.gov/
ncicancerbulletin/062612/page5
NCI funding announcement on
‘‘Examination of Survivorship Care
Planning Efficacy and Impact’’
PA–12–274: http://grants.nih.gov/
grants/guide/pa-files/PA-12274.html
PA–12–275: http://grants.nih.gov/
grants/guide/pa-files/PA-12275.html
Intellectual Property
Ownership of intellectual property is
determined by the following:
• Each entrant retains title and full
ownership in and to their submission.

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Authority: 15 U.S.C. 3719.

[FR Doc. 2013–10192 Filed 4–30–13; 8:45 am]
BILLING CODE 4150–45–P

DEPARTMENT OF HEALTH AND
HUMAN SERVICES
Agency for Healthcare Research and
Quality
Agency Information Collection
Activities; Proposed Collection;
Comment Request
Agency for Healthcare Research
and Quality, HHS.
ACTION: Notice.
AGENCY:

SUMMARY: This notice announces the
intention of the Agency for Healthcare
Research and Quality (AHRQ) to request
that the Office of Management and
Budget (OMB) approve the proposed
information collection project: ‘‘PatientReported Health Information
Technology and Workflow.’’ In
accordance with the Paperwork
Reduction Act, 44 U.S.C. 3501–3521,
AHRQ invites the public to comment on
this proposed information collection.

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This proposed information collection
was previously published in the Federal
Register on February 13th, 2013 and
allowed 60 days for public comment. No
comments were received. The purpose
of this notice is to allow an additional
30 days for public comment.
DATES: Comments on this notice must be
received by May 31, 2013.
ADDRESSES: Written comments should
be submitted to: AHRQ’s OMB Desk
Officer by fax at (202) 395–6974
(attention: AHRQ’s desk officer) or by
email at
[email protected]
(attention: AHRQ’s desk officer).
Copies of the proposed collection
plans, data collection instruments, and
specific details on the estimated burden
can be obtained from the AHRQ Reports
Clearance Officer.
FOR FURTHER INFORMATION CONTACT:
Doris Lefkowitz, AHRQ Reports
Clearance Officer, (301) 427–1477, or by
email at [email protected].
SUPPLEMENTARY INFORMATION:
Proposed Project
Patient-Reported Health Information
Technology and Workflow.
Health IT can improve quality of care
by arraying relevant information,
displaying clinical guidelines,
highlighting test values of concern,
calculating medication doses, and
supporting clinical decisionmaking in
many ways (Chaudhry et al., 2006).
Successful health IT implementation
requires careful attention to the
workflow of clinicians and others
involved in care delivery. However, few
studies have examined how health IT
can change workflow in ambulatory
physician practices. Further, in most
studies that address health IT in
ambulatory settings, workflow is not the
main focus of the research (Unertl,
Weinger, Johnson et al., 2009, Carayon,
Karsh, Cartmill et al., 2010a). The health
IT literature has not focused on
sociotechnical factors, such as patient or
provider characteristics, physical
environment and layout; technical
training and support; functionality and
usability of health IT; worker roles, staff
workload, stress, and job satisfaction;
and communication flows. Important
work that does address such factors
comes mainly from inpatient settings, or
from other countries where the health
care system is quite different than in the
U.S. (Tjora and Scambler, 2009;
Ammenwerth, filer, and Mahler, 2006;
Niazkhani, Pirnejad, de Bont et al.,
2008; Niazkhani, Pirnejad, Berg et al.,
2009). Although many of these studies
have concluded that changes in
workflow occur when implementing

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different health IT applications, few
studies have actually examined how
workflow changes.
In recent years there has been an
increase in the use of health IT to
capture patient reporting of medical
histories, symptoms, results of selftesting (e.g., blood glucose levels, blood
pressure), weight questions and
concerns, over-the-counter medication
use, and other information that patients
need to share with their care providers.
Health IT can elicit such information
from patients, and help incorporate it
into the flow of information within a
physician’s practice so that the
information is detailed, actionable,
timely, and can be used to meet
patients’ treatment goals. Gathering and
integrating information from patients
using health IT can include:
• Patient portals, sometimes referred
to as (electronic) personal health records
or PHRs, allow patients to view portions
of their medical records (e.g., laboratory
test results), and support other healthrelated tasks such as making
appointments or requesting medication
refills. Some patient portal applications
exist as standalone Web sites; other
portal applications are integrated into
an existing electronic health record
[ERR] system;
• Secure messaging with patients (use
of secure email between patients and
clinicians, typically using the secure
messaging functionality in the ERR and/
or patient portal) (Byrne, Elliott, and
Firek, 2009; Bergmo, Kummervold,
Gammon et al., 2005); and
• E-forms (surveys that are
administered using computerized media
[e.g., tablets, laptops] to collect
information from patients using preformatted forms before or during patient
visits).
The use of patient-reported
information is not yet widely integrated
into health IT. This project will fill the
gaps in the current literature by
exploring the influence of
sociotechnical factors—for clinicians
and their office staff, and for patients—
in capturing and using patient-reported
information in ambulatory health IT
systems and associated workflows. The
goal of the project is to answer the
following research questions:
• How does the use of health IT to
capture and use patient-reported
information support or hinder the
workflow from the viewpoints of
clinicians, office staff, and patients?
• How does the sociotechnical
context influence workflow related to
the capture and use of patient-reported
information?

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• How do practices redesign their
workflow to incorporate the capture and
use of patient-reported information?
The study will consist of rigorous
mixed-methods case studies of six
ambulatory care physician practices
including three small practices (1–4
physicians and the other clinicians and
office staff in their practices) and three
medium-sized practices (5–10
physicians, and the other clinicians and
office staff in their practices). These case
studies will be conducted during
multiday (3 to 4 days) site visits to
collect information for this exploratory
research. The multiple case study
research approach of Eisenhardt and
colleagues (Brown & Eisenhardt, 1997;
Eisenhardt, 1989) will guide data
collection and data analysis, to
elucidate health IT workflows and
important sociotechnical factors (for
patients, clinicians, and office staff) in
the capture and use of patient-reported
information.
A focus of the case studies will be to
identify current workflows related to
patient-reported information, and
determine the work system factors that
influence workflows (barriers and
facilitators). In particular, data collected
from the six practices will help identify
bottlenecks and sources of delay,
unnecessary steps or duplication,
rework to correct errors or
inconsistencies, role ambiguity, missing
information, and lack of data quality
controls or reconciliation of
inconsistencies. The focus is not on the
content of information reported by
patients, or how it alters clinicians’
diagnostic or treatment decisions.
Rather, the focus is on the workflows
required to capture, process, and make
use of information that patients report to
their care providers.
This study is being conducted by
AHRQ through its contractor, Abt
Associates Inc., and subcontractors
University of Wisconsin-Madison and
University of Alabama-Birmingham,
pursuant to AHRQ’s statutory authority
to conduct and support research on
health care and on systems for the
delivery of such care, including
activities with respect to health care
technologies and the quality,
effectiveness, efficiency,
appropriateness and value of health care
services including quality measurement
and improvement. 42 U.S.C. 299a(a)(1),
(2) and (5).
Method of Collection
To achieve the goal of this project the
following activities will be conducted at
each of six participating ambulatory
physician practices (referred to herein
as ‘study sites’):

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(1) Preliminary Conference Call: The
Practice Manager (the individual in each
practice who manages day-to-day
operations) and the Physician Leader
(the physician in each practice who is
most knowledgeable about health IT and
health IT implementation) will be asked
to participate in a preliminary
conference call to learn about the study
site and what will be expected of their
practice as a study site. This call will
last approximately one hour and will be
completed by up to 2 participants per
site for a total of up to 12 participants
across sites.
(2) Pre-Visit Questionnaire: The
Practice Manager will be asked to
complete a brief questionnaire prior to
the site visit, describing the practice
size, health IT installed, patient
population served, and other general
contextual information about the
practice and use of health IT. The PreVisit Questionnaire will take
approximately one hour to complete
and will be completed by up to one
respondent per study site.
(3) Practice Tour: Each of the six site
visits will begin with a one-hour tour of
the practice and discussion with the
Practice Manager to observe the
physical layout and computer work
stations, clarify the purpose of the study
and the site visit, and clarify
information from the Pre-Visit
Questionnaire.
(4) Interviews with Practice Manager
and Physician Leader: Following the
tour at each study site, the Practice
Manager and Physician Leader will be
asked to participate in a one hour
interview. The interview with the
Practice Manager will focus on the
sociotechnical context of the practice,
with an emphasis on the social context
of the practice. The interview with the
Physician Leader will also focus on the
sociotechnical context of the practice,
and, in particular, the technical aspects
of clinicians using the health IT system.
The focus will be on the workflow
across the practice, not the workflow of
these two individuals. This information
will be used to create the basic outline
or structure of a Workflow Process
Map(s), a diagram that shows the
temporal sequencing of tasks in relation
to other work system elements (person,
organization, environment, and tools
and technologies). It will also be used to
begin to identify potential variation or
flexibility in individuals’ workflows,
and provide context regarding multiple
IT systems that may be in use in the
practice. The information obtained from
these interviews will be augmented by
observation of workflows in the practice
and interviews with others in the
practice, as described in #5 and #6.

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(5) Observations of Clinicians and
Office Staff: Researchers will observe
between 8 to 20 clinicians (including
physicians, nurse practitioners,
physician assistants, nurses, medical
assistants, and ancillary staff) and
between 3 to 7 office staff (including the
front desk receptionist, IT staff, clerks,
and other non-clinical staff) per study
site, depending on site size for a total of
up to 84 clinicians and up to 30 office
staff observations across the study sites.
Observations will take place as
clinicians and office staff work to elicit,
integrate and work with patientreported information. Each clinician
will be observed for up to two hours and
each office staff person will be observed
for up to 30 minutes. These observations
periods are different because clinicians’
work is more complex and varies more
from one patient to the next, while
office staff work varies less.
Observations will focus on processes,
bottlenecks, facilitators, workarounds,
and points in the workflow when paper
information supplements electronic
information. Observations of both
clinicians and office staff will be
recorded on the Observation Form. The
observations will be used to create a
detailed Workflow Process Map(s). This
data collection will not burden the
clinic staff and is not included in the
burden estimates in Exhibit 1.
(6) Interviews with Clinicians and
Office Staff: Following observations of
the workflow, each clinician and office
staff person who was observed will be
interviewed for up to one hour, for a
total of up to 84 clinicians and up to 30
office staff interviews. If there are more
clinicians or office staff than can be
interviewed during the site visit, those
with the most extensive experience with
patient-reported information will be
selected for interviews. These
interviews will include discussion
about the sociotechnical context, the
workflow observed (see above),
facilitators and barriers to capturing and
using patient-reported information, and
whether there are uncommon workflow
patterns that arise occasionally but were
not observed. Unlike the interviews
with the Physician Leader and Practice
Manager, these interviews will focus on
the workflow of each individual, not the
workflow across the entire practice. The
same interview guide will be used for
both clinician and office staff
interviews.
(7) Survey of Clinicians and Office
Staff: All clinicians and office staff in
the six study sites will be invited to
respond to a survey. Although there
may not be sufficient time on site to
observe and interview every clinician
and office staff person in the medium-

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sized practices, all of them will be asked
to complete the survey questionnaire.
Therefore, the number of survey
respondents is greater than the number
of observed and interviewed
individuals. Up to 11 surveys will be
completed at each small-sized study site
and up to 35 surveys will be completed
at each medium-sized study site, for a
total of up to 138 respondents across the
six sites. The surveys will be used to
collect data regarding attitudes about
and perceptions of the health IT
workflows staff engage in related to
patient-reported information and the
impact of health IT on workload, stress,
and job satisfaction, because workflow
can impact workload and job
satisfaction which have been shown to
impact quality of care. The survey will
also be used to collect data on barriers
and facilitators associated with
capturing and using patient-reported
information.
(8) Patient Interviews: Patients will be
interviewed to the understand the
workflow of entering or reporting
information from the patient’s
perspective; the extent and adequacy of
training or instruction patients received
in using the health IT; attitudes about
the time it takes to report information;
and whether there are challenges,
barriers, facilitators, or workarounds
commonly used by patients as they
report information requested by their
cue providers. Five patients will be
interviewed at each small practice and
up to seven at each medium-sized
practice, for a total of up to 36 across the
six study sites. More patients will be
interviewed in the medium-sized
practices because there are more
clinicians in these practices, and each
may have different patterns of
interacting with their patients.
Interviewing more patients will enhance
the ability to capture information about
variation in the clinician-patient
information sharing and interaction.
These interviews will help researchers
understand the range of patient
experiences.
(9) Post-Visit Follow-up to Review the
Workflow Process Map(s): Following
each site visit, researchers will complete
the Workflow Process Map(s) for the
study-site and send it to the Practice
Manager and Physician Leader,
requesting confirmation that the
understanding of their workflows is
correct.
The lessons learned from this research
may be used in a variety of ways:
(1) To identify additional workflow
components that ambulatory practices
should consider when implementing
health IT to capture and use patientreported information;

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Federal Register / Vol. 78, No. 84 / Wednesday, May 1, 2013 / Notices
(2) To identify issues relevant to best
practice guidelines for health IT
implementation;
(3) To identify issues for
consideration in the design and
evaluation of other patient-centered
health IT tools.
The study findings will be widely
disseminated to health IT researchers
and implementers via AHRQ’s National
Resource Center for Health IT Web site.
The study will enhance the existing
knowledge about sociotechnical factors
that impact health IT workflow, and
how small and medium-sized
ambulatory practices employ health IT
to capture and use patient-reported
information as they redesign their
workflow to deliver patient-centered
care.
Estimated Annual Respondent Burden
Exhibit 1 shows the estimated annual
burden hours for the respondents’ time
to participate in this research. The

Preliminary Conference Call with each
site will involve two people, the
Practice Manager and the Physician
Leader, and will require up to one hour
per site. A total of 12 people across the
six study sites will be involved.
The Pre-Visit Questionnaire and the
Practice Tour will be completed by the
Practice Manager at each site and will
require up to one hour each. The
Practice Manager and the Physician
Leader at each site (12 individuals in
total across the 6 sites) will be
separately interviewed to gather in
depth information about the
sociotechnical context of the practice.
The interviews will each take up to one
hour to complete.
Interviews with Clinicians and Office
Staff will be completed with a
maximum of 114 clinicians and office
staff across the six study sites, and each
interview will last up to one hour. A
maximum of 138 clinicians and office

staff combined (up to 11 for each of
three small-sized sites and 35 for each
of 3 medium-sized sites) will be asked
to complete the clinician and office staff
survey, which will take approximately
15 minutes for each respondent to
complete.
Up to 36 patients will be interviewed
(5 in each of the small sites and up to
7 in each of the medium-sized sites).
Each interview will take no more than
30 minutes to complete. A total of 12
persons (the Practice Manager and the
Physician Leader at each site) will be
involved in the Post-Visit Follow-up to
Review the Workflow Process Map(s),
which will take one hour. The total
annual burden hours, is estimated to be
215 hours.
Exhibit 2 shows the estimated annual
cost burden associated with the study
sites’ time to participate in the research.
The total annual cost burden is
estimated to be $10,815.

EXHIBIT 1—ESTIMATED ANNUALIZED BURDEN HOURS
Number of
respondents

Form name

Number of
responses
per
respondent

Hours per
response

Total burden
hours

Preliminary Conference Call ............................................................................
Pre-Visit Questionnaire ....................................................................................
Practice Tour ...................................................................................................
Interviews with Practice Manager and Physician Leader ................................
Interviews with Clinicians and Office Staff ......................................................
Survey of Clinicians and Office Staff ...............................................................
Patient Interviews ............................................................................................
Post Visit Follow-up to Review the Workflow Process Map(s) .......................

12
6
6
12
114
138
36
12

1
1
1
1
1
1
1
1

1
1
1
1
1
15/60
30/60
1

12
6
6
12
114
35
18
12

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

336

N/A

N/A

215

EXHIBIT 2—ESTIMATED ANNUALIZED COST BURDEN
Number of
respondents

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Form name

Total burden
hours

Average
hourly
wage rate *

Total cost
burden

Preliminary Conference Call ............................................................................
Pre-Visit Questionnaire ....................................................................................
Practice Tour ...................................................................................................
Interviews with Practice Manager and Physician Leader ................................
Interviews with Clinicians and Office Staff ......................................................
Survey of Clinicians and Office Staff ...............................................................
Patient Interviews ............................................................................................
Review of the Workflow Process Map(s) ........................................................

12
6
6
12
114
138
36
12

12
6
6
12
114
35
18
12

a $67.15

a 67.15

$806
277
277
806
5,811
1,641
391
806

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

336

215

N/A

10,815

b 46.17
b 46.17
a 67.15
c 50.97

46.89
e 21.74

*Based upon the mean of the average hourly wages, National Compensation Survey: Occupational wages in the United States May 2011,
‘‘U.S. Department of Labor, Bureau of Labor Statistics.
a The average wage for Practice Managers ($46.17 per hour) and Physician Leaders ($88.12 per hour) [$88.12 reflects the average for Family
and General Practitioners ($85.26 per hour) and Internists, General ($90.97 per hour)].
b The average U.S. wage for Practice Managers is $46.17 per hour.
c The weighted average wage for physicians ($88.12 per hour) [$88.12 reflects the average for Family and General Practitioners ($85.26 per
hour) and Internists, General ($90.97 per hour)], nurse practitioners and physician assistants ($41.63 per hour) [$41.63 reflects the average for
Physician Assistants ($43.01 per hour) and Health Diagnosing and Treating Practitioners, All ($40.24 per hour)], nurses ($33.23 per hour), and
Office Staff ($17.94) [reflects the average for Receptionists and Information Clerks ($12.85 per hour), Office and Administration Support Workers,
All Other ($16.07 per hour), and Computer Support Specialists ($24.91 per hour)].
d The weighted average wage for physicians ($88.12), nurse practitioners and physician assistants ($41.63), nurses ($33.23) and office staff
($17.94).
e The average U.S. hourly wage ($21.74).

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Request for Comments
In accordance with the Paperwork
Reduction Act, comments on AHRQ’s
information collection are requested
with regard to any of the following: (a)
Whether the proposed collection of
information is necessary for the proper
performance of AHRQ health care
research and health care information
dissemination functions, including
whether the information will have
practical utility; (b) the accuracy of
AHRQ’s estimate of burden (including
hours and costs) of the proposed
collection(s) 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 upon the
respondents, including the use of
automated collection techniques or
other forms of information technology.
Comments submitted in response to
this notice will be summarized and
included in the Agency’s subsequent
request for OMB approval of the
proposed information collection. All
comments will become a matter of
public record.
Dated: April 15, 2013.
Carolyn M. Clancy,
Director.
[FR Doc. 2013–09741 Filed 4–30–13; 8:45 am]

DEPARTMENT OF HEALTH AND
HUMAN SERVICES

DEPARTMENT OF HEALTH AND
HUMAN SERVICES

Centers for Disease Control and
Prevention

Administration for Children and
Families

[Docket Number NIOSH–161–A]

Issuance of Final Guidance Publication
National Institute for
Occupational Safety and Health
(NIOSH) of the Centers for Disease
Control and Prevention (CDC),
Department of Health and Human
Services (HHS).
ACTION: Notice of issuance of final
guidance publication.
AGENCY:

SUMMARY: The National Institute for
Occupational Safety and Health
(NIOSH) of the Centers for Disease
Control and Prevention (CDC),
announces the availability of the
following publication: ‘‘NIOSH Current
Intelligence Bulletin 65: Occupational
Exposure to Carbon Nanotubes and
Nanofibers’’ [2013–145].
ADDRESSES: This document may be
obtained at the following link: Web site:
http://www.cdc.gov/niosh/docs/2013–
145/.
FOR FURTHER INFORMATION CONTACT:
Charles Geraci, NIOSH, Robert A. Taft
Laboratories, MS–C14, 4676 Columbia
Parkway, Cincinnati, OH 45226,
telephone (513) 533–8339.

Dated: April 25, 2013.
John Howard,
Director, National Institute for Occupational
Safety and Health, Centers for Disease Control
and Prevention.

BILLING CODE 4160–90–M

Submission for OMB Review;
Comment Request
Title: Community Services Block
Grant (CSBG) Program Model Plan
Application.
OMB No.: 0970–0382.
Description: Sections 676 and 677 of
the Community Services Block Grant
Act require States, including the District
of Columbia and the Commonwealth of
Puerto Rico, Tribes, Tribal organizations
and U.S. territories applying for
Community Services Block Grant
(CSBG) funds to submit an application
and plan (Model Application Plan). The
application plan must meet statutory
requirements prior to being funded with
CSBG funds. Applicants have the option
to submit a detailed application
annually or biannually. Entities that
submit a biannual application must
provide an abbreviated application the
following year if substantial changes to
the initial application will occur. OMB
approval is being sought.
Respondents: State Governments,
including the District of Columbia and
the Commonwealth of Puerto Rico,
Tribal Governments, Tribal
Organizations, and U.S. territories.

[FR Doc. 2013–10244 Filed 4–30–13; 8:45 am]
BILLING CODE 4163–18–P

ANNUAL BURDEN ESTIMATES
Number of
respondents

Instrument

wreier-aviles on DSK5TPTVN1PROD with NOTICES

Model State CSBG Application .......................................................................
Model Indian Tribes & Tribal Organizations CSBG Application ..................

Estimated Total Annual Burden
Hours: 860.
Additional Information: Copies of the
proposed collection may be obtained by
writing to the Administration for
Children and Families, Office of
Planning, Research and Evaluation, 370
L’Enfant Promenade SW., Washington,
DC 20447, Attn: ACF Reports Clearance
Officer. All requests should be
identified by the title of the information
collection. Email address:
[email protected].
OMB Comment: OMB is required to
make a decision concerning the

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collection of information between 30
and 60 days after publication of this
document in the Federal Register.
Therefore, a comment is best assured of
having its full effect if OMB receives it
within 30 days of publication. Written
comments and recommendations for
the proposed information collection
should be sent directly to the following:
Office of Management and Budget,
Paperwork Reduction Project, Fax: 202–
395–7285, Email:
[email protected],
Attn: Desk Officer for the

PO 00000

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Number of
responses per
respondent

Average
burden hours
per response

1
1

Total burden
hours

10
10

Administration for Children and
Families.
Robert Sargis,
Reports Clearance Officer.
[FR Doc. 2013–10235 Filed 4–30–13; 8:45 am]
BILLING CODE 4184–01–P

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