[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
