[Federal Register Volume 77, Number 114 (Wednesday, June 13, 2012)]
[Notices]
[Pages 35406-35407]
From the Federal Register Online via the Government Publishing Office [www.gpo.gov]
[FR Doc No: 2012-14324]


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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, email 
[email protected] or call the HRSA Reports Clearance Office on (301) 
443-1984.
    The following request has been submitted to the Office of 
Management and Budget for review under the Paperwork Reduction Act of 
1995:

Proposed Project: Patient Navigator Outreach and Chronic Disease 
Prevention Demonstration Program (OMB No. 0915-0346)--[Revision]

    This is a revision to a data collection previously approved for the 
Patient Navigator Outreach and Chronic Disease Prevention Demonstration 
Program (PNDP). Authorized under section 340A of the Public Health 
Service Act, as amended by section 3510 of the Affordable Care Act, 
PNDP supports the development and operation of projects to provide 
patient navigator services to improve health outcomes for individuals 
with cancer and other chronic diseases, with a specific emphasis on 
health disparities populations. Award recipients are to use grant funds 
to recruit, assign, train, and employ patient navigators who have 
direct knowledge of the communities they serve in order to facilitate 
the care of those who are at risk for or who have cancer or other 
chronic diseases, including conducting outreach to health disparities 
populations. As authorized by the statute, an evaluation of the 
outcomes of the program must be submitted to Congress. The purpose of 
these data collection instruments, including navigated patient data 
intake, VR-12 health status, patient navigator survey, patient 
navigator encounter/tracking log, patient medical record and clinic 
data, clinic rates (baseline measures), quarterly reports, and focus 
group discussion guides is to provide data to inform and support the 
Report to Congress for: The 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. A single instrument, the Client Opinion Form, has been 
added to this collection, resulting in an increase of 94.77 burden 
hours.
    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            1.00        4,827.00           0.500        2,413.50
 Form...........................
VR-12 Health Status Form........           4,827            2.00        9,654.00           0.120        1,158.48
Client Opinion Form.............             810            1.00          810.00           0.117           94.77
    Sub Total-Patient Burden....           4,827  ..............  ..............  ..............        3,666.75
Patient Navigator Survey........              46            1.00           46.00           0.200            9.20
Patient Navigator Encounter/                  46          629.60       28,961.60           0.250        7,240.40
 Target Services Log............
Patient Navigator Focus Group...              46            1.00           46.00            1.00           46.00
    Sub Total-Patient Navigator               46  ..............  ..............  ..............        7,295.60
     Burden.....................
Patient Medical Record and                    10          482.70        4,827.00           0.170          820.59
 Clinic Data....................
Annual Clinic-Wide Clinical                    5            1.00            5.00           8.000           40.00
 Performance Measures Report....

[[Page 35407]]

 
Patient Navigator Cultural                    10            4.60           46.00           1.170           53.82
 Competency Checklist...........
Patient Navigator/Health System               50            1.00           50.00           1.000           50.00
 Administrator Focus Group......
Grantee Health Care Provider                  30            1.00           30.00           1.000           30.00
 Focus Group....................
Social Service Provider Group...              50            1.00           50.00           1.000           50.00
Quarterly Report................              10            4.00           40.00           1.000           40.00
    Sub Total-Grantee Burden....             165  ..............  ..............  ..............        1,084.41
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      Totals....................           5,038  ..............        49,392.6  ..............       12,046.76
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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 email to [email protected] or by fax to 202-395-6974. Please direct all 
correspondence to the ``attention of the desk officer for HRSA.''

    Dated: June 7, 2012.
Reva Harris,
Acting Director, Division of Policy and Information Coordination.
[FR Doc. 2012-14324 Filed 6-12-12; 8:45 am]
BILLING CODE 4165-15-P