[Federal Register Volume 59, Number 236 (Friday, December 9, 1994)]
[Unknown Section]
[Page 0]
From the Federal Register Online via the Government Publishing Office [www.gpo.gov]
[FR Doc No: 94-30176]


[[Page Unknown]]

[Federal Register: December 9, 1994]


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DEPARTMENT OF HEALTH AND HUMAN SERVICES
Public Health Service

 

Agency Forms Submitted to the Office of Management and Budget for 
Clearance

    Each Friday the Public Health Service (PHS) publishes a list of 
information collection requests it has submitted to the Office of 
Management and Budget (OMB) for clearance in compliance with the 
Paperwork Reduction Act (44 U.S.C. Chapter 35). The following requests 
have been submitted to OMB since the list was last published on Friday, 
November 25, 1994.

(Call PHS Reports Clearance Officer on 202-690-7100 for copies of 
request.)

    1. Round 1, National Nursing Home Expenditure Survey: National 
Medical Expenditure Survey--New--This is the pretest of Round 1 of the 
National Nursing Home Expenditure Survey (NNHES) of the National 
Medical Expenditure Survey (NMES 3). It will test procedures for 
collecting facility level data on nursing homes and person level data 
on a sample of their current residents. Respondents: Businesses or 
other for-profit, Federal agencies or employees, Small businesses or 
organizations; Number of Respondents: 196; Number of Responses per 
Respondent: 1.1; Average Burden per Response: 216 hours; Estimated 
Annual Burden: 252 hours.
    2. Substance Abuse Prevention and Treatment Block Grant--45 CFR 
Part 96--0930-0163 (Reinstatement)--This Interim Final Rule provides 
guidance for States regarding the Substance Abuse Prevention and 
Treatment Block Grant legislation. The rule specifies the content of 
the States' annual report on and application for Block Grant funds. 
Associated recordkeeping requirements are also included. The 
application and annual report are approved separately. Respondents: 
State or local governments. Number of Respondents: 60; Number of 
Responses per Respondent: 1; Average Burden per Response: 16 hours; 
Estimated Annual Burden: 960 hours.
    3. Drug and Alcohol Services Information System (DASIS)--0930-0106 
(Reinstatement) the DASIS results from the integration of two existing 
data systems, the National Drug and Alcohol Treatment Unit Survey, and 
a minimum data set on client admissions to publicly funded drug and 
alcohol treatment units maintained by States. The DASIS will consist of 
two related data sets, a Facilities Data Set and a Treatment Episode 
Data Set. Together, they will provide information on the location, 
scope and characteristics of all known drug and alcohol treatment and 
prevention units in the United States, and the characteristics of 
clients receiving services. This information is needed to assess the 
nature and extent of these resources, to identify gaps in services, and 
to provide a database for treatment referrals. Respondents: State or 
local governments, Businesses or other for-profit, Federal agencies or 
employees, Non-profit institutions, Small businesses or organizations.

------------------------------------------------------------------------
                                                 Number of     Average  
                                    Number of    responses   burden per 
              Title                respondents      per       response  
                                                respondent     (hours)  
------------------------------------------------------------------------
States...........................          56      591.036     2,386    
Providers........................      19,400        1              .428
Estimated Total Annual Burden:                                          
 87,278 hours.                                                          
------------------------------------------------------------------------

    4. NIOSH Training Grants--42 CFR Part 86--Application and 
Regulations--0920-0261 (Extension, no change)--The Centers for Disease 
Control administers health professions' training grants to assist in 
providing an adequate supply of qualified personnel in the field of 
Occupational Safety and Health. Both long-term and short-term training 
projects will be funded. This request is for the information collection 
requirements in the regulation as well as for Training Grant 
Application Forms. Respondents: Non-Profit Institutions; Number of 
Respondents: 53; Number of Responses per Respondent: 1; Average Burden 
per Response: 76 hours; Estimated Annual Burden: 4030 hours.
    5. Pretest of Round 1 for the Household Component (FAMES) of the 
National Medical Expenditure Survey (NMES-3)--New--This is the pretest 
of Round 1 of a household survey that will collect medical use, medical 
expenditures and health insurance coverage in subsequent rounds. 
Respondents: Individuals or households; Number of Respondents: 222; 
Number of Responses per Respondent: 1; Average Burden per Response: 
2.083 hours; Estimated Annual Burden: 446 hours.
    6. Study to Evaluate the Effects of the Use of ``Put Prevention 
into Practice'' (PPIP) Materials in Primary Health Care Settings--New--
The PPIP program developed materials to improve delivery of clinical 
preventive services. The proposed study collects data on service 
delivery and health behavior from providers, patients and medical 
records to evaluate the program in community health care, HMO and 
private practice primary care settings. Respondents: Individuals or 
households, Businesses or other for-profit, Non-profit institutions, 
Small businesses or organizations; Number of Respondents: 2,800; Number 
of Responses per Respondent: 1; Average Burden per Response: .85 hour; 
Estimated Annual Burden: 2,380 hours.
    7. Obligated Service for Mental Health Traineeships: Regulations 
and Forms--0930-0074 (Extension, no change)--The recipients of clinical 
traineeships are required to submit the SMA 111, which ensures agency 
receipt of a termination notice prior to the end of support, and the 
SMA 111-2, which is an annual report on employment status and any 
changes in name and/or address, to the Grants Management Office of 
SAMHSA or their representatives. Respondents: Individuals or 
households, Non-profit institutions; Number of Respondents: 350; Number 
of Responses Per Respondent: 1; Average Burden per Response: 0.157 
hour; Estimate Annual Burden: 55 hours.
    Written comments and recommendations concerning the proposed 
information collections should be sent within 30 days of this notice 
directly to the OMB Desk Officer designated below at the following 
address: Shannah Foss, Human Resources and Housing Branch, New 
Executive Office Building, Room 10235, Washington, DC 20503.

    Dated: December 5, 1994.
James Scanlon,
Director, Division of Data Policy, Office of Health Planning and 
Evaluation.
[FR Doc. 94-30176 Filed 12-8-94; 8:45 am]
BILLING CODE 4160-17-M