Federal Register / Vol. 79, No. 249 / Tuesday, December 30, 2014 / Notices 78409 

and beneficiary recruitment, member 

training, program structure and 

processes, program modifications 

specific to FGP, scope and reach of the 

various projects, and observed outcomes 

for members and beneficiaries. 

Potential sites for inclusion in the 

study have been drawn from existing 

and former grantees implementing two 

national models, Jumpstart and Reading 

Partners. 

Interview and focus group data will 

be collected via taped and written 

responses to telephone conversations. 

Data analysis will focus on identifying 

and understanding factors associated 

the process (opportunity costs, benefits, 

obstacles and preparation) related to the 

decision to use a model approach to 

tutoring and educational interventions. 

Current Action: 

CNCS seeks public comment on a new 

data collection instrument developed 

for this project. The case study 

interview and focus group data 

collection instrument is being designed 

by the contractor for this project. 

Type of Review: New. 

Agency: Corporation for National and 

Community Service. 

Title: Foster Grandparent Case Study. 

OMB Number: None. 

Agency Number: None. 

Affected Public: Selected FGP 

grantees. 

Total Respondents: Interviews 80— 

Focus Group Participants 60. 

Frequency: One time. 

Average Time Per Response: 60 to 90 

minutes. 

Respondent category Number Time 

(minutes) Total hours 

Focus Group Participants ........................................................................................................................ 60 90 90 

Interview Participants ............................................................................................................................... 80 60 80 

Estimated Total Burden Hours: 170. 

Total Burden Cost (capital/startup): 

None. 

Total Burden Cost (operating/

maintenance): None. 

Comments submitted in response to 

this notice will be summarized and/or 

included in the request for Office of 

Management and Budget approval of the 

information collection request; they will 

also become a matter of public record. 

Dated: December 19, 2014. 

Mary Hyde, 

Office of Research and Evaluation. 

[FR Doc. 2014–30340 Filed 12–29–14; 8:45 am] 

BILLING CODE 6050–28–P 

DEPARTMENT OF DEFENSE 

Office of the Secretary 

[Docket ID: DoD–2014–HA–0161] 

Proposed Collection; Comment 

Request 

AGENCY: Office of the Assistant 

Secretary of Defense for Health Affairs, 

DoD. 

ACTION: Notice. 

SUMMARY: In compliance with the 

Paperwork Reduction Act of 1995, the 

Office of the Assistant Secretary of 

Defense for Health Affairs announces a 

proposed public information collection 

and seeks public comment on the 

provisions thereof. Comments are 

invited on: (a) Whether the proposed 

collection of information is necessary 

for the proper performance of the 

functions of the agency, including 

whether the information shall have 

practical utility; (b) the accuracy of the 

agency’s estimate of the burden of the 

proposed information collection; (c) 

ways to enhance the quality, utility, and 

clarity of the information to be 

collected; and (d) ways to minimize the 

burden of the information collection on 

respondents, including through the use 

of automated collection techniques or 

other forms of information technology. 

DATES: Consideration will be given to all 

comments received by March 2, 2015. 

ADDRESSES: You may submit comments, 

identified by docket number and title, 

by any of the following methods: 

• Federal eRulemaking Portal: http:// 

www.regulations.gov. Follow the 

instructions for submitting comments. 

• Mail: Federal Docket Management 

System Office, 4800 Mark Center Drive, 

East Tower, Suite 02G09, Alexandria, 

VA 22350–3100. 

Instructions: All submissions received 

must include the agency name, docket 

number and title for this Federal 

Register document. The general policy 

for comments and other submissions 

from members of the public is to make 

these submissions available for public 

viewing on the Internet at http://

www.regulations.gov as they are 

received without change, including any 

personal identifiers or contact 

information. 

Any associated form(s) for this 

collection may be located within this 

same electronic docket and downloaded 

for review/testing. Follow the 

instructions at http://

www.regulations.gov for submitting 

comments. Please submit comments on 

any given form identified by docket 

number, form number, and title. 

FOR FURTHER INFORMATION CONTACT: To 

request more information on this 

proposed information collection or to 

obtain a copy of the proposal and 

associated collection instruments, 

please write to the Defense Health 

Agency (DHA), Communications 

Division, ATTN: Lennya Bonivento, 

7700 Arlington Boulevard, Suite 5101, 

Falls Church, VA 22042–5101, or call 

DHA Communications Division, at 703– 

681–1770. 

SUPPLEMENTARY INFORMATION: 

Title; Associated Form; and OMB 

Number: Assistance Reporting Tool 

(ART), OMB Control Number 0720– 

TBD. 

Needs and Uses: The ART is a secure 

web-based system that captures 

feedback on and authorization related to 

TRICARE benefits. Users are comprised 

of Military Health System (MHS) 

customer service personnel, to include 

Beneficiary Counseling and Assistance 

Coordinators, Debt Collection 

Assistance Officers, personnel, family 

support, recruiting command, case 

managers, and others who serve in a 

customer service support role. The ART 

is also the primary means by which 

DHA-Great Lakes staff capture medical 

authorization determinations and claims 

assistance information for remotely 

located service members, line of duty 

care, and for care under the Transitional 

Care for Service-related Conditions 

benefit. ART data reflects the customer 

service mission within the MHS: It 

helps customer service staff users 

prioritize and manage their case 

workload; it allows users to track 

beneficiary inquiry workload and 

resolution, of which a major component 

is educating beneficiaries on their 

TRICARE benefits. Personal health 

information (PHI) and personally 

identifiable information (PII) entered 

into the system is received from 

individuals via a verbal or written 

exchange and is only collected to 

facilitate beneficiary case resolution. 

Authorized users may use the PII/PHI to 

obtain and verify TRICARE eligibility, 

treatment, payment, and other 

healthcare operations information for a 

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78410 Federal Register / Vol. 79, No. 249 / Tuesday, December 30, 2014 / Notices 

specific individual. All data collected is 

voluntarily given by the individual. At 

any time during the case resolution 

process, individuals may object to the 

collection of PHI and PII via verbal or 

written notice. Individuals are informed 

that without PII/PHI the authorized user 

of the system may not be able to assist 

in case resolution, and that answers to 

questions/concerns would be 

generalities regarding the topic at hand. 

Affected Public: Individuals or 

households. 

Annual Burden Hours: 63,500. 

Number of Respondents: 254,000. 

Responses per Respondent: 1. 

Annual Responses: 254,000. 

Average Burden per Response: 15 

minutes. 

Frequency: On Occasion. 

The Defense Health Agency (DHA) 

Communications Division designed the 

ART as a secure, (Department of Defense 

Information Assurance Certification and 

Accreditation Process-certified with a 

Privacy Impact Assessment on file with 

the DHA Privacy and Civil Liberties 

Office) web-based system to track, refer, 

reflect, and report workload associated 

with resolution of beneficiary and/or 

provider inquiries. The ART is also the 

primary means by which DHA-Great 

Lakes staff capture medical 

authorization determinations and claims 

assistance information for remotely 

located service members, line of duty 

care, and for care under the Transitional 

Care for Service-related Conditions 

benefit. 

Users are comprised of MHS customer 

service personnel, to include 

Beneficiary Counseling and Assistance 

Coordinators, Debt Collection 

Assistance Officers, DHA-Great Lakes 

staff, personnel, family support, 

recruiting command, case managers, 

and others who serve in a customer 

service support role. Only individuals 

with a valid need-to-know demonstrated 

by assigned official Government duties 

are granted access to the ART. These 

individuals must satisfy all personnel 

security criteria with special protection 

measures or restricted distribution as 

established by the data owner. 

ART data reflects the customer service 

mission within the MHS: It helps 

customer service staff users prioritize 

and manage their case workload; it 

allows users to track beneficiary inquiry 

workload and resolution, of which a 

major component is educating 

beneficiaries on their TRICARE benefits. 

PHI and PII entered into the system is 

received from individuals via a verbal or 

written exchange and is only collected 

to facilitate beneficiary case resolution. 

Authorized users may use the PII/PHI to 

obtain and verify TRICARE eligibility, 

treatment, payment, and other 

healthcare operations information for a 

specific individual. All data collected is 

voluntarily given by the individual. At 

any time during the case resolution 

process, individuals may object to the 

collection of PHI and PII via verbal or 

written notice. Individuals are informed 

that without PII/PHI the authorized user 

of the system may not be able to assist 

in case resolution, and that answers to 

questions/concerns would be 

generalities regarding the topic at hand. 

Dated: December 22, 2014. 

Aaron Siegel, 

Alternate OSD Federal Register Liaison 

Officer, Department of Defense. 

[FR Doc. 2014–30418 Filed 12–29–14; 8:45 am] 

BILLING CODE 5001–06–P 

DEPARTMENT OF DEFENSE 

Office of the Secretary 

[Docket ID DoD–2013–HA–0107] 

Submission for OMB Review; 

Comment Request 

ACTION: Notice. 

SUMMARY: The Department of Defense 

has submitted to OMB for clearance, the 

following proposal for collection of 

information under the provisions of the 

Paperwork Reduction Act. 

DATES: Consideration will be given to all 

comments received by January 29, 2015. 

FOR FURTHER INFORMATION CONTACT: Fred 

Licari, 571–372–0493. 

SUPPLEMENTARY INFORMATION: 

Title, Associated Form and OMB 

Number: Patient Centered Medical 

Home (PCMH) Staff Satisfaction Survey; 

0720–TBD. 

Type of Request: New. 

Number of Respondents: 3,105. 

Responses per Respondent: 2. 

Annual Responses: 6,210. 

Average Burden per Response: 10 

minutes. 

Annual Burden Hours: 1,035. 

Needs and Uses: The information 

collection requirement is necessary to 

measure satisfaction among staff at 

direct care military treatment facilities 

(MTFs) that have been identified as 

current or potential future PCMHs. The 

survey will ask staff members what new 

PCMH processes are or are not working 

well at the clinic. It will also ask about 

teamwork among staff at the clinic, the 

overall clinic environment, and what 

available resources are assisting them in 

their provision of quality patient 

centered care. Eligible staff include: 

Physicians, nurse practitioners, 

physician assistants, registered nurses, 

licensed practical nurses, corpsmen, 

and administrative staff. Over the next 

5–7 years, the DoD will make a 

significant investment in this primary 

care transformation. By fielding a survey 

focused on primary care staff 

satisfaction, the MHS will be able to 

monitor our investment in PCMH and 

study how it affects our people. The 

goals of this survey effort are to assess 

staff satisfaction, attitudes and 

perceptions regarding the 

implementation of the Patient Centered 

Medical Home. Respondents will be all 

military, federal (GS/NSPS) and 

contracted medical professionals and 

support staff who work in PCMH 

clinics. The survey will be administered 

via a MHS/DoD platform that will 

capture response data. The survey will 

be administered via an online tool on a 

bi-annual basis to medical professionals 

and support staff. The population 

sample will receive a pre-notification, 

and reminder notifications to encourage 

participation. 

Affected Public: Individuals and 

households; MTF contractor providers 

and support staff. 

Frequency: Bi-annual. 

Respondent’s Obligation: Voluntary. 

OMB Desk Officer: Mr. Josh Brammer. 

Written comments and 

recommendations on the proposed 

information collection should be sent to 

Mr. Josh Brammer at the Office of 

Management and Budget, Desk Officer 

for DoD, Room 10236, New Executive 

Office Building, Washington, DC 20503. 

You may also submit comments, 

identified by docket number and title, 

by the following method: 

• Federal eRulemaking Portal: http:// 

www.regulations.gov. Follow the 

instructions for submitting comments. 

Instructions: All submissions received 

must include the agency name, docket 

number and title for this Federal 

Register document. The general policy 

for comments and other submissions 

from members of the public is to make 

these submissions available for public 

viewing on the Internet at http://

www.regulations.gov as they are 

received without change, including any 

personal identifiers or contact 

information. 

DOD Clearance Officer: Mr. Frederick 

Licari. 

Written requests for copies of the 

information collection proposal should 

be sent to Mr. Licari at WHS/ESD 

Directives Division, Information 

Collections Program, 4800 Mark Center 

Drive, East Tower, Suite 02G09, 

Alexandria, VA 22350–3100. 

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