ATTACH_Published 60 Day FRN

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Evidence Based Telehealth Network Program Measures

ATTACH_Published 60 Day FRN

OMB: 0906-0043

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13936

Federal Register / Vol. 84, No. 67 / Monday, April 8, 2019 / Notices

or other forms of information
technology to minimize the information
collection burden.
Amy P. McNulty,
Acting Director, Division of the Executive
Secretariat.
[FR Doc. 2019–06767 Filed 4–5–19; 8:45 am]
BILLING CODE 4165–15–P

DEPARTMENT OF HEALTH AND
HUMAN SERVICES
Health Resources and Services
Administration
Agency Information Collection
Activities: Proposed Collection: Public
Comment Request; Information
Collection Request Title: EvidenceBased Telehealth Network Program
Measures, OMB No. 0906–xxxx–New
Health Resources and Services
Administration (HRSA), Department of
Health and Human Services.
ACTION: Notice.
AGENCY:

In compliance with the
requirement for opportunity for public
comment on proposed data collection
projects of the Paperwork Reduction Act
of 1995, HRSA announces plans to
submit an Information Collection
Request (ICR), described below, to the
Office of Management and Budget
(OMB). Prior to submitting the ICR to
OMB, HRSA seeks comments from the
public regarding the burden estimate,
below, or any other aspect of the ICR.
DATES: Comments on this ICR should be
received no later than June 7, 2019.
ADDRESSES: Submit your comments to
[email protected] or mail the HRSA
SUMMARY:

Information Collection Clearance
Officer, Room 14N136B, 5600 Fishers
Lane, Rockville, MD 20857.
FOR FURTHER INFORMATION CONTACT: To
request more information on the
proposed project or to obtain a copy of
the data collection plans and draft
instruments, email [email protected]
or call Lisa Wright-Solomon, the HRSA
Information Collection Clearance Officer
at (301) 443–1984.
SUPPLEMENTARY INFORMATION: When
submitting comments or requesting
information, please include the
information request collection title for
reference.
Information Collection Request Title:
Evidence-Based Telehealth Network
Program Measures, OMB No. 0906–
xxxx–New
Abstract: This ICR is for a new
approval of measures for HRSA’s
Federal Office of Rural Health Policy’s
Office of Advancement of Telehealth
programs. Specifically, grants
administered in accordance with the
following legislative statutes (i) Section
330I(d)(1) of the Public Health Service
Act (42 U.S.C. 254c14(d)(1)), as
amended and (ii) Section 711(b) of the
Social Security Act (42 U.S.C. 912(b)),
as amended. The purpose of these
programs are to provide grants that
demonstrate how telehealth programs
and networks can improve access to
quality health care services in rural,
frontier, and underserved communities.
These grants will work to: (a) expand
access to, coordinate, and improve the
quality of health care services; (b)
improve and expand the training of
health care providers; and (c) expand
and improve the quality of health

information available to health care
providers, patients and their families for
decision-making. In addition, these
grants will help HRSA assess the
effectiveness of evidence based
practices with the use of telehealth for
patients, providers, and payers.
Need and Proposed Use of the
Information: The measures will enable
HRSA to capture awardee-level and
aggregate data that illustrate the impact
and scope of federal funding along with
assessing these efforts. The measures
cover the principal topic areas of
interest to HRSA including: (a)
population demographics, (b) access to
health care, (c) cost savings and costeffectiveness, and (d) clinical outcomes.
Likely Respondents: The respondents
will be award recipients of the Evidence
Based Telehealth Network Program and
Telehealth Network Grant Program.
Burden Statement: Burden in this
context means the time expended by
persons to generate, maintain, retain,
disclose or provide the information
requested. This includes the time
needed to review instructions; to
develop, acquire, install, and utilize
technology and systems for the purpose
of collecting, validating, and verifying
information, processing and
maintaining information, and disclosing
and providing information; to train
personnel and to be able to respond to
a collection of information; to search
data sources; to complete and review
the collection of information; and to
transmit or otherwise disclose the
information. The total annual burden
hours estimated for this ICR are
summarized in the table below.

TOTAL ESTIMATED ANNUALIZED BURDEN HOURS
Number of
respondents

Form name

Number of
responses per
respondent
(annually)

Total
responses

Average
burden per
response
(in hours)

Total burden
hours

Evidence-Based Telehealth Network Program Report ........
Telehealth Performance Measurement Report ...................
Telehealth Evidence Collection Report ...............................

50
50
36

12
1
12

600
50
432

31.0
5.0
37.5

18,600
250
16,200

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

50*

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

1,082

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

35,050

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* There are 50 unique respondents. All respondents will be responding to the first two forms and a subset will be responding to the third form.

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13937

Federal Register / Vol. 84, No. 67 / Monday, April 8, 2019 / Notices
HRSA 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.
Amy P. McNulty,
Acting Director, Division of the Executive
Secretariat.
[FR Doc. 2019–06768 Filed 4–5–19; 8:45 am]
BILLING CODE 4165–15–P

DEPARTMENT OF HEALTH AND
HUMAN SERVICES
Health Resources and Services
Administration
Agency Information Collection
Activities: Proposed Collection: Public
Comment Request: Information
Collection Request Title: Health Center
Program Forms, OMB No. 0915–0285—
Revision
Health Resources and Services
Administration (HRSA), Department of
Health and Human Services.
ACTION: Notice.
AGENCY:

In compliance with the
requirement for opportunity for public
comment on proposed data collection
projects of the Paperwork Reduction Act
of 1995, HRSA announces plans to
submit an Information Collection
Request (ICR), described below, to the
Office of Management and Budget
(OMB). Prior to submitting the ICR to
OMB, HRSA seeks comments from the
public regarding the burden estimate,
below, or any other aspect of the ICR.
DATES: Comments on this ICR should be
received no later than June 7, 2019.
ADDRESSES: Submit your comments to
[email protected] or mail the HRSA
Information Collection Clearance
Officer, Room 14N136B, 5600 Fishers
Lane, Rockville, MD 20857.
FOR FURTHER INFORMATION CONTACT: To
request more information on the
SUMMARY:

proposed project or to obtain a copy of
the data collection plans and draft
instruments, email [email protected]
or call Lisa Wright-Solomon, the HRSA
Information Collection Clearance
Officer, at (301) 443–1984.
SUPPLEMENTARY INFORMATION: When
submitting comments or requesting
information, please include the
information request collection title for
reference.
Information Collection Request Title:
Health Center Program Forms; OMB No.
0915–0285—Revision.
Abstract: The Health Center Program,
administered by HRSA, is authorized
under section 330 of the Public Health
Service (PHS) Act, most recently
amended by section 50901(b) of the
Bipartisan Budget Act of 2018, Public
Law 115–123. Health centers are
community-based and patient-directed
organizations that deliver affordable,
accessible, quality, and cost-effective
primary health care services to patients
regardless of their ability to pay. Nearly
1,400 health centers operate
approximately 12,000 service delivery
sites that provide primary health care to
more than 27 million people in every
U.S. state, the District of Columbia,
Puerto Rico, the U.S. Virgin Islands, and
the Pacific Basin. HRSA utilizes forms
for new and existing health centers and
other entities to apply for various grant
and non-grant opportunities, renew
grant and non-grant designations, report
progress, and change their scopes of
project.
Need and Proposed Use of the
Information: Health Center Programspecific forms are necessary for Health
Center Program award processes and
oversight. These forms provide HRSA
staff and objective review committee
panels with information essential for
application evaluation, funding
recommendation and approval,
designation, and monitoring. These
forms also provide HRSA staff with
information essential for evaluating
compliance with Health Center Program
legislative and regulatory requirements.
HRSA intends to make the following
changes to its forms:
• Modify the following forms to
streamline and clarify data currently
being collected: 1A, 1C, 2, 3, 3A, 4, 5A,

5C, 6A, 8, 12, Health Center Controlled
Networks (HCCN) Progress Report,
Program Specific Forms Instructions,
Project Narrative Update (Budget Period
Progress Report [BPR]), Project Work
Plan, and the Summary Page.
• Rename Substance Abuse Progress
Report to Health Center Program
Progress Report.
• Add the following forms necessary
for funding applications and program
monitoring: Capital Semi-Annual
Progress Report, HCCN Participating
Health Center List, Loan Guarantee
Application, Patient Target Question
Verification, Project Plan, and
Substance Use Disorder and Mental
Health Services (SUD–MH)
Supplemental Funding Progress Report.
• Remove the following forms to
further streamline information collected
by HRSA and reduce burden:
Alterations and Renovations Project
Cover Page, Form 9: Need for
Assistance, Form 10: Annual Emergency
Preparedness Report, HCCN Work Plan,
Outreach and Enrollment Supplemental,
and Zika Progress Report.
Likely Respondents: Health Center
Program award recipients (those funded
under section 330 of the PHS Act) and
Health Center Program look-alikes, state
and national technical assistance
organizations, and other organizations
seeking funding.
Burden Statement: Burden in this
context means the time expended by
persons to generate, maintain, retain,
disclose, or provide the information
requested. This includes the time
needed to review instructions; to
develop, acquire, install, and utilize
technology and systems for the purpose
of collecting, validating, and verifying
information, processing and
maintaining information, and disclosing
and providing information; to train
personnel and to be able to respond to
a collection of information; to search
data sources; to complete and review
the collection of information; and to
transmit or otherwise disclose the
information. The total annual burden
hours estimated for this ICR are
summarized in the table below.

TOTAL ESTIMATED ANNUALIZED BURDEN HOURS

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Capital Semi-Annual Progress Report (New) .......................................................
Checklist for Adding a New Service .....................................................................
Checklist for Adding a New Service Delivery Site ................................................
Checklist for Adding a New Target Population .....................................................
Checklist for Deleting an Existing Service ............................................................

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Number of
responses per
respondent

Number of
respondents

Form name

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996
450
1,480
100
500

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1
1
1
1
1

E:\FR\FM\08APN1.SGM

Total
responses
996
450
1,480
100
500

08APN1

Average
burden per
response
(in hours)
1.00
1.00
1.50
0.50
1.00

Total burden
hours
996
450
2,220
50
500


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File Modified2019-04-06
File Created2019-04-06

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