Federal Register / Vol. 76, No. 59 / Monday, March 28, 2011 / Notices 17129 

ESTIMATED ANNUALIZED BURDEN TABLE—Continued 

Forms Type of respondent Number of 

respondents 

Number of 

responses per 

respondent 

Average burden 

per response 

(in hours) 

Total burden 

hours 

Total Burden ...................... ................................................... ............................ ............................ ............................ 10,210 

Seleda Perryman, 

Office of the Secretary, Paperwork Reduction 

Act Clearance Officer. 

[FR Doc. 2011–7169 Filed 3–25–11; 8:45 am] 

BILLING CODE 4150–05–P 

DEPARTMENT OF HEALTH AND 

HUMAN SERVICES 

[Document Identifier: OS–0990–0371] 

Agency Information Collection 

Request. 60-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 information collection request 

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, e-mail your request, 

including your address, phone number, 

OMB number, and OS document 

identifier, to 

Sherette.funncoleman@hhs.gov, or call 

the Reports Clearance Office on (202) 

690–6162. Written comments and 

recommendations for the proposed 

information collections must be directed 

to the OS Paperwork Clearance Officer 

at the above email address within 7 

days. 

Proposed Project: Evaluation of 

SAMHSA Primary and Behavioral 

Health Care Integration Grant Program. 

OMB No. 0990–0371—Revision— 

Assistant Secretary for Planning and 

Evaluation (ASPE). 

Abstract: The Assistant Secretary for 

Planning and Evaluation (ASPE) and the 

Substance Abuse and Mental Health 

Services Administration (SAMHSA) are 

funding an independent evaluation of 

the Substance Abuse and Mental Health 

Services Administration/Center for 

Mental Health Services’ (SAMHSA/ 

CMHS) Primary and Behavioral Health 

Care Integration (PBHCI) grant program. 

Four-year PBHCI grants for up to 

$500,000 per year were awarded to 

thirteen grantees on September 30, 

2009. A second group of nine grants and 

a third group of 34 grants were awarded 

September 30, 2010, for a total of 56 

grants. The purpose of the PBHCI 

program is to improve the overall 

wellness and physical health status of 

people with serious mental illnesses 

(SMI), including individuals with cooccurring substance use disorders, by 

supporting communities to coordinate 

and integrate primary care services into 

publicly-funded community mental 

health and other community-based 

behavioral health settings. The 

information collected through the 3 year 

evaluation will assist SAMHSA in 

assessing whether integrated primary 

care services produce improvements in 

the physical and mental health of the 

SMI population receiving services from 

community-based behavioral health 

agencies. Data will be collected from 

grantee staff at all sites and from clients 

at up to 10 sites (client exam/survey). 

An Emergency Clearance Request 

covering the first six months of data 

collection starting February 15, 2011 

and ending August 14, 2011 was 

approved February 15, 2011. This 

submission will cover data collection 

for the period starting August 15, 2011 

and ending October 1, 2013. 

ESTIMATED ANNUALIZED BURDEN TABLE

Type of respondent Instrument name Number of 

respondents 

Number 

responses per 

respondent 

Average 

burden per 

response 

(in hours) 

Total burden 

hours 

Grantee Data Staff ............................ Individual Service Utilization Data ... 56 4 8 1,792 

Grantee Data Staff ............................ TRAC Indicators ............................... 56 1,000 5/60 4,667 

Grantee Project Directors ................. Quarterly Reports ............................. 56 4 2 448 

SMI Clients ........................................ Client Exam and Survey-Baseline ... 1,000 1 45/60 750 

SMI Clients ........................................ Client Exam and Survey-Follow-up 1667 1 45/60 1,250 

Grantee Leadership .......................... Site Visit Interview ............................ 40 1 2 80 

Grantee MH Providers ...................... Site Visit Interview ............................ 40 1 1 40 

Grantee PH Providers ....................... Site Visit Interview ............................ 40 1 1.5 60 

Grantee Care Coordinators .............. Site Visit Interview ............................ 20 1 1.5 30 

Control Site Leadership .................... Site Visit Interview ............................ 50 1 2 100 

Grantee Key Staff ............................. Web Survey ...................................... 560 1 1.5 840 

Total ........................................... ........................................................... ........................ ........................ ........................ 10,057 


Emcdonald on DSK2BSOYB1PROD with NOTICES
17130 Federal Register / Vol. 76, No. 59 / Monday, March 28, 2011 / Notices 

Seleda M. Perryman, 

Office of the Secretary, Paperwork Reduction 

Act Clearance Officer. 

[FR Doc. 2011–7171 Filed 3–25–11; 8:45 am] 

BILLING CODE 4150–05–P 

DEPARTMENT OF HEALTH AND 

HUMAN SERVICES 

[Document Identifier: OS–0990–New; 60– 

day Notice] 

Agency Information Collection 

Request. 60-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 information collection request 

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, e-mail your request, 

including your address, phone number, 

OMB number, and OS document 

identifier, to 

Sherette.funncoleman@hhs.gov, or call 

the Reports Clearance Office on (202) 

690–6162. Written comments and 

recommendations for the proposed 

information collections must be directed 

to the OS Paperwork Clearance Officer 

at the above email address within 60- 

days. 

Proposed Project: Wellness Program 

Study: Assessing the Impact of 

Workplace Health and Wellness 

Programs—OMB No. 0990–NEW— 

Assistant Secretary for Planning 

Evaluation (ASPE) 

Abstract: The Office of the Assistant 

Secretary for Planning and Evaluation 

(ASPE) and the Employee Benefits 

Security Administration (EBSA) is 

requesting Office of Management and 

Budget (OMB) approval on a new 

collection to conduct a survey on 

employers to learn about their 

experiences and attitudes regarding 

workplace wellness programs. ASPE 

will use the employers’ experience to 

assess the effectiveness and impact of 

workplace wellness programs, as well as 

identify best practices and lessons 

learned in program implementation 

with a particular focus on the use of 

incentives. As part of the study, a onetime, self-administered survey will be 

administered to 3,000 employers 

selected from the Dun & Bradstreet 

database, a comprehensive listing of 

private companies and government 

agencies in the U.S. The survey will 

assess prevalence and type of wellness 

programs as well as the use of employee 

incentives. The survey design and 

content is informed by a review of the 

literature on the characteristics, 

prevalence and impact of workplace 

wellness programs. Data collection will 

also include employee focus groups and 

key informant semi-structured 

interviews at each of 4 employer sites 

that will inform in-depth case studies of 

those employers. The focus groups will 

consist of 12 employees and will be 

conducted to get the end-user 

perspective on the impact and 

effectiveness of the wellness program. 

The key informant interviews will be 

carried out with 5 wellness leaders at 

each employer, and will gather 

information on employer background, 

health insurance and wellness programs 

offered, and anticipated changes due to 

the Affordable Care Act. Data collection 

activities will be completed within 18 

months of OMB Clearance. 

EXHIBIT 1—ESTIMATE OF ANNUALIZED TIME BURDEN TO RESPONDENTS

Forms Type of 

respondent 

Number of 

respondents 

Number of responses 

per respondent 

Average 

burden per 

response 

(in hours) 

Total burden 

hours 

Survey ................................... Human Resource Manager .......................... 3,000 1 30/60 1,500 

Focus Group Protocol ........... Employees in All Occupations ..................... 48 1 1.5 72 

Key Informant Interview 

Script.

Human Resource Manager .......................... 20 1 45/60 15 

Total ............................... ....................................................................... ........................ ........................ ........................ 1,587 

Seleda Perryman, 

Office of the Secretary, Paperwork Reduction 

Act Clearance Officer. 

[FR Doc. 2011–7172 Filed 3–25–11; 8:45 am] 

BILLING CODE 4150–05–P 

DEPARTMENT OF HEALTH AND 

HUMAN SERVICES 

Administration for Children and 

Families 

Office of Planning, Research and 

Evaluation Advisory Committee on 

Head Start Research and Evaluation 

AGENCY: Administration for Children 

and Families, Department of Health and 

Human Services (HHS). 

ACTION: Notice. 

SUMMARY: This notice announces a 

forthcoming meeting of a public 

advisory committee of the 

Administration for Children and 

Families (ACF). The meeting will be 

open to the public. 

Name of Committee: Advisory 

Committee for Head Start Research and 

Evaluation. 

General Function of Committee: The 

Advisory Committee for Head Start 

Research and Evaluation will provide 

feedback on the published final report 

for the Head Start Impact Study, offering 

interpretations of the findings, 

discussing implications for practice and 

policy, and providing recommendations 

on follow-up research, including 

additional analysis of the Head Start 

Impact Study data. The Committee will 


Emcdonald on DSK2BSOYB1PROD with NOTICES