[Federal Register Volume 76, Number 37 (Thursday, February 24, 2011)]
[Notices]
[Pages 10373-10374]
From the Federal Register Online via the Government Publishing Office [www.gpo.gov]
[FR Doc No: 2011-4162]
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DEPARTMENT OF HEALTH AND HUMAN SERVICES
Health Resources and Services Administration
Agency Information Collection Activities: Proposed Collection:
Comment Request
In compliance with the requirement for opportunity for public
comment on proposed data collection projects (section 3506(c)(2)(A) of
Title 44, United States Code, as amended by the Paperwork Reduction Act
of 1995, Pub. L. 104-13), the Health Resources and Services
Administration (HRSA) publishes periodic summaries of proposed projects
being developed for submission to the Office of Management and Budget
(OMB) under the Paperwork Reduction Act of 1995. To request more
information on the proposed project or to obtain a copy of the data
collection plans and draft instruments, e-mail [email protected] or
call the HRSA Reports Clearance Officer at (301) 443-1129.
Comments are invited on: (a) The proposed collection of information
for the proper performance of the functions of the agency; (b) the
accuracy of the agency's estimate of the burden of the proposed
collection of information; (c) ways to enhance the quality, utility,
and clarity of the information to be collected; and (d) ways to
minimize the burden of the collection of information on respondents,
including through the use of automated collection techniques or other
forms of information technology.
Proposed Project: Patient Navigator Outreach and Chronic Disease
Prevention Demonstration Program (OMB No. 0915-NEW)--[NEW]
The Patient Navigator Outreach and Chronic Disease Prevention
Demonstration Program (PNDP) authorizes funds for 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 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), and quarterly reports 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.
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Responses
Form Number of per Total Hours per Total burden
respondents respondent responses response hours
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Navigated Patient Data Intake Form.. 6,327 1 6,327 0.5 3,163.5
VR-12 Health Status Form............ 6,327 2 12,654 .12 1,519
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SubTotal--Patient Burden........ 6,327 3 18,981 .62 4,682.5
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The annual estimate of burden is as follows:
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Patient Navigator Survey............ 46 1 46 0.2 9.2
Patient Navigator Encounter/Tracking 46 825.3 37,962 0.2 7,592.4
Log................................
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SubTotal--Patient Navigator Burden.. 46 826.3 38,008 0.4 7,601.6
Patient Medical Record and Clinic 10 632.7 6,327 .17 2,151.2
Data...............................
Clinic Rates (Baseline Measures).... 10 1 10 10 100
Quarterly Report.................... 10 4 40 1 40
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SubTotal--Grantee Burden........ 30 637.7 6,377 11.17 2,291.2
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Totals.......................... 6,403 ............ 63,366 ............ 14,575.3
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Total Average Annual Burden. .............. ............ .............. ............ 14,575.3
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Anticipated Number of Patients per Site:
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Over 3 years
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Clinica Sierra Vista.................................... 2,280
CMAP.................................................... 1,000
New River............................................... 7,200
Project Concern......................................... 450
Queens Medical Center................................... 500
South County............................................ 600
Texas Tech.............................................. 200
University of Utah...................................... 1,350
Vista................................................... 3,000
[[Page 10374]]
William F. Ryan..................................... 2,400
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Total.............................................. 18,980
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E-mail comments to [email protected] or mail the HRSA Reports
Clearance Officer, Room 10-33, Parklawn Building, 5600 Fishers Lane,
Rockville, MD 20857. Written comments should be received within 60 days
of this notice.
Dated: February 17, 2011.
Reva Harris,
Acting Director, Division of Policy and Information Coordination.
[FR Doc. 2011-4162 Filed 2-23-11; 8:45 am]
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