[Federal Register Volume 76, Number 241 (Thursday, December 15, 2011)]
[Notices]
[Pages 78012-78013]
From the Federal Register Online via the Government Publishing Office [www.gpo.gov]
[FR Doc No: 2011-32123]


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DEPARTMENT OF HEALTH AND HUMAN SERVICES

[Document Identifier OS-0990-New; 30-day notice]


Agency Information Collection Request. 30-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 collection 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, email your 
request, including your address, phone number, OMB number, and OS 
document identifier, to [email protected], or call the 
Reports Clearance Office on (202) 690-5683. Send written comments and 
recommendations for the proposed information collections within 30 days 
of this notice directly to the OS OMB Desk Officer; faxed to OMB at 
(202) 395-5806.
    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) on 
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.

                                        Estimated Annualized Burden Table
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                                                                     Number of    Average burden
             Forms                   Type of         Number of     responses per  (in hours) per   Total burden
                                   respondent       respondents     respondent       response          hours
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Chicago:
Screening Questionnaire.......  Individuals.....             165               1            5/60              14
Intake Questionnaire..........  Individuals.....              50               1           40/60              33
Post Questionnaire............  Individuals.....              40               1           40/60              27
                                                 ---------------------------------------------------------------
    Sub-Total.................  ................             255               1  ..............              74
                                                 ---------------------------------------------------------------
Houston:
Eligibility Screening Form:     Individual......             200               1           15/60              50
 Hypertension and Diabetes.
First Home Visit Forms:         Individual......             200               1           40/60             133
 Hypertension, Diabetes, or
 Hypertension and Diabetes.
Telephone Follow-up: Being      Individual......             180               1           20/60              60
 Active and Managing Stress.
Telephone Follow-up: Healthy    Individual......             180               1           20/60              60
 Eating.
Post Intervention Follow-up     Individual......             180               1           20/60              60
 Form: Hypertension, Diabetes,
 or Hypertension and Diabetes.
                                                 ---------------------------------------------------------------
    Sub-total.................  ................             940  ..............  ..............             363
                                                 ---------------------------------------------------------------
        Total.................  Individual......            1195  ..............  ..............             437
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[[Page 78013]]

Keith A. Tucker,
Office of the Secretary, Paperwork Reduction Act Clearance Officer.
[FR Doc. 2011-32123 Filed 12-14-11; 8:45 am]
BILLING CODE 4150-29-P