[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
----------------------------------------------------------------------------------------------------------------
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
                                 -------------------------------------------------------------------------------
    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
                                 -------------------------------------------------------------------------------
    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
                                 -------------------------------------------------------------------------------
    SubTotal-Grantee Burden.....             165  ..............  ..............  ..............          1084.4
        Totals..................           5,038  ..............        48,582.6  ..............          11,952
                                 -------------------------------------------------------------------------------
            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]
BILLING CODE 4165-15-P