[Federal Register Volume 76, Number 185 (Friday, September 23, 2011)]
[Notices]
[Pages 59130-59131]
From the Federal Register Online via the Government Publishing Office [www.gpo.gov]
[FR Doc No: 2011-24442]
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DEPARTMENT OF HEALTH AND HUMAN SERVICES
[Document Identifier: OS-0990-New; 60-Day Notice]
Agency Information Collection Request; 60-Day Public Comment
Request
AGENCY: Office of the Secretary, HHS.
In compliance with the requirement of section 3506(c)(2)(A) of the
Paperwork Reduction Act of 1995, the Office of the Secretary (OS),
Department of Health and Human Services, is publishing the following
summary of a proposed information collection request 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.
To obtain copies of the supporting statement and any related forms
for the proposed paperwork collections referenced above, e-mail your
request, including your address, phone number, OMB number, and OS
document identifier, to [email protected], or call the
Reports Clearance Office on (202) 690-6162. Written comments and
recommendations for the proposed information collections must be
directed to the OS Paperwork Clearance Officer at the above e-mail
address within 60-days.
Proposed Project: Patient Centered Care Collaboration to Improve
Minority Health, OMB 0990-New, Office of Minority Health.
Abstract: The Office of Minority Health (OMH) in the Office of the
Assistant Secretary for Health (OASH), Office of the Secretary (OS) is
requesting approval from the Office of Management and Budget (OMB) for
new data collection activities for the Patient Centered Care
Collaboration to Improve Minority Health project (PCCC). This
dissemination and adoption initiative funded in 2010, under the ARRA,
2009, through the Office of Minority Health and the Agency for Health
Care Quality supports dissemination and adoption priorities as outlined
in the HHS Report to Congress on Comparative Effectiveness Research.
The PCCC evaluation will assess whether disseminating a diabetes
education intervention in a community based health clinic and offering
a medication management and adherence intervention through home visits
to seniors, improves the health and well being of racial and ethnic
minority program participants; if the approach taken through the
implementation of proven PCOR findings such as using community health
workers and educators, and pharmacists to deliver the interventions
improves the likelihood of patients changing their behaviors to improve
their health status; and to determine if participants learned new
information and skills that would help them to manage their health
conditions and improve their health status.
Primary data for the evaluation will come from two waves of in
person data collection from patients in a community health center in
Chicago, Illinois and patients living in public housing in Houston,
Texas. Data will be collected through a baseline survey at beginning of
intervention, and a follow up survey at approximately three months
post-baseline in the two sites. Data collection for the entire
evaluation is expected to last 6 months, from the time the first
participant is enrolled until the last 4 month follow up survey is
administered.
The funding for this request is derived from American Reinvestment
and Recovery Act of 2009 with hard and non-negotiable deadlines for
expenditures and completion. The end date for completion of all
activities funded under this initiative is June 12, 2012. Thus, a rapid
approval of OMB is requested, or the benefits of this initiative cannot
be evaluated and HHS would not be able to report the benefits and
outcome to the Congress as required.
Estimated Annualized Burden Table
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Number of Average burden
Forms Type of respondent Number of responses per (in hours) per Total burden
respondents respondent response hours
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Chicago
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Screening Questionnaire.................... Individuals........................ 165 1 5/60 14
Intake Questionnaire....................... Individuals........................ 50 1 40/60 33
Post Questionnaire......................... Individuals........................ 40 1 40/60 27
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Sub-Total.............................. ................................... 255 1 ................ 74
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Houston
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Eligibility Screening Form: Hypertension Individual......................... 200 1 15/60 50
and Diabetes.
First Home Visit Forms: Hypertension, Individual......................... 200 1 40/60 133
Diabetes, or Hypertension and Diabetes.
Telephone Follow-up: Being Active and Individual......................... 180 1 20/60 60
Managing Stress.
Telephone Follow-up: Healthy Eating........ Individual......................... 180 1 20/60 60
Post Intervention Follow-up Form: Individual......................... 180 1 20/60 60
Hypertension, Diabetes, or Hypertension
and Diabetes.
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Sub-total.............................. ................................... 940 ................ ................ 363
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[[Page 59131]]
Total.............................. Individual......................... 1195 ................ ................ 437
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Keith Tucker,
Office of the Secretary, Paperwork Reduction Act Clearance Officer.
[FR Doc. 2011-24442 Filed 9-22-11; 8:45 am]
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