[Federal Register Volume 76, Number 90 (Tuesday, May 10, 2011)]
[Notices]
[Pages 27067-27068]
From the Federal Register Online via the Government Publishing Office [www.gpo.gov]
[FR Doc No: 2011-11396]
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DEPARTMENT OF HEALTH AND HUMAN SERVICES
Health Resources and Services Administration
Agency Information Collection Activities: Submission for OMB
Review; Comment Request
Periodically, the Health Resources and Services Administration
(HRSA) publishes abstracts of information collection requests under
review by the Office of Management and Budget (OMB), in compliance with
the Paperwork Reduction Act of 1995 (44 U.S.C. Chapter 35). To request
a copy of the clearance requests submitted to OMB for review, e-mail
[email protected] or call the HRSA Reports Clearance Office on (301)
443-1129.
The following request has been submitted to the Office of
Management and Budget for review under the Paperwork Reduction Act of
1995:
Proposed Project: Title (OMB No. 0915-NEW)--[NEW]
Authorized through the Patient Navigator Outreach and Chronic
Disease Prevention Act of 2005 (Pub. L. 109-18), as amended by the
Patient Protection and Affordable Care Act (Pub. L. 111-148), the
Patient Navigator Outreach and Chronic Disease Prevention Demonstration
Program (PNDP) supports the development and operation of projects to
provide patient navigator services to improve health outcomes for
individuals, including individuals with cancer and other chronic
diseases, and health disparities populations. Award
[[Page 27068]]
recipients are to use grant funds to recruit, assign, train, and employ
patient navigators who have direct knowledge of the communities they
serve to facilitate care for those who are at risk for or who have
cancer or other chronic diseases and for outreach to health disparities
populations.
As authorized by the statute, a report on the outcomes of the
program must be submitted to Congress. The statute requires that the
Report to Congress include a quantitative analysis of baseline and
benchmark measures; aggregate information about the patients served and
program activities; and recommendations on whether patient navigator
programs could be used to improve patient outcomes in other public
health areas. The data collection instruments (see table) are intended
to provide the data needed to produce the Report to Congress.
The annual estimate of burden is as follows:
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Number of Responses per Total Hours per Total burden
Form respondents respondent responses response hours
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Navigated Patient Data Intake 4,827 1 4,827 0.5 2,413.5
Form...........................
VR-12 Health Status Form........ 4,827 2 9,654 .12 1,158.5
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SubTotal-Patient Burden..... 4,827 .............. .............. .............. 3,572
Patient Navigator Survey........ 46 1 46 0.2 9.2
Patient Navigator Encounter/ 46 629.6 28,961.6 0.25 7,240.4
Target Services Log............
Patient Navigator Focus Group... 46 1 46 1 46
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SubTotal-Patient Navigator 46 .............. .............. .............. 7,295.6
Burden.....................
Patient Medical Record and 10 482.7 4,827 .17 820.6
Clinic Data (no personally
identifiable information)......
Annual Clinic-Wide Clinical 5 1 5 8 40
Performance Measures Report....
Patient Navigator Cultural 10 4.6 46 1.17 53.8
Competency Checklist...........
Patient Navigator/Health System 50 1 50 1 50
Administrator Focus Group......
Grantee Health Care Provider 30 1 30 1 30
Focus Group....................
Social Service Provider Focus 50 1 50 1 50
Group..........................
Quarterly Report................ 10 4 40 1 40
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SubTotal-Grantee Burden..... 165 .............. .............. .............. 1084.4
Totals.................. 5,038 .............. 48,582.6 .............. 11,952
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Total Average Annual .............. .............. .............. .............. 11,952
Burden.............
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Written comments and recommendations concerning the proposed
information collection should be sent within 30 days of this notice to
the desk officer for HRSA, either by e-mail to [email protected] or by fax to 202-395-6974. Please direct all
correspondence to the ``attention of the desk officer for HRSA.''
Dated: May 5, 2011.
Reva Harris,
Acting Director, Division of Policy and Information Coordination.
[FR Doc. 2011-11396 Filed 5-9-11; 8:45 am]
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