70930 Federal Register / Vol. 75, No. 223 / Friday, November 19, 2010 / Notices 

The LRN Program Office maintains a 

database of information through a 

restricted Web site available only to 

member laboratories that include 

contact information (i.e. phone 

numbers, e-mail address) as well as staff 

and equipment inventories. The 

collection of personal identifiable 

information for the purpose of 

communication with members was 

approved under OMB 0920–0850. 

However, semiannually or during 

emergency response the LRN Program 

Office may conduct a Special Data Call 

to obtain additional information from 

LRN Member Laboratories in regards to 

biological or chemical terrorism 

preparedness. Special Data Calls may be 

conducted via queries that are 

distributed by broadcast e-mails or by 

survey tools (i.e. Survey Monkey). These 

special data calls vary in nature. Some 

requested information may be the 

number of surge staff available to 

support an emerging threat like H1N1. 

As technology changes, LRN may also 

query laboratories to see if they have 

already purchased equipment to support 

this new technology. 

There will be no cost to respondents 

other than their time to respond to the 

data call. The total annualized burden 

for this information collection request is 

400 hours. 

ESTIMATE OF ANNUALIZED BURDEN HOURS

Type of respondents Forms Number of 

respondents 

Average 

number of 

responses per 

respondent 

Average 

burden per 

response 

(hours) 

Public Health Laboratorians .......................................... Special Data Call ............................. 200 4 30/60 

Dated: November 15, 2010. 

Carol Walker, 

Acting Reports Clearance Officer, Centers for 

Disease Control and Prevention. 

[FR Doc. 2010–29240 Filed 11–18–10; 8:45 am] 

BILLING CODE 4163–18–P 

DEPARTMENT OF HEALTH AND 

HUMAN SERVICES 

Centers for Medicare & Medicaid 

Services 

[Document Identifier: CMS–10360 and CMS– 

10106] 

Agency Information Collection 

Activities: Proposed Collection; 

Comment Request 

AGENCY: Centers for Medicare & 

Medicaid Services, HHS. 

In compliance with the requirement 

of section 3506(c)(2)(A) of the 

Paperwork Reduction Act of 1995, the 

Centers for Medicare & Medicaid 

Services (CMS) is publishing the 

following summary of proposed 

collections 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. 

1. Type of Information Collection 

Request: New collection; Title of 

Information Collection: Consumer 

Research on Public Reporting of 

Hospital Outpatient Measures; Use: One 

of the primary missions of CMS is to 

improve the quality and efficiency of 

care in the Fee-for-Service (FFS) 

program. One of the several vehicles 

used for this mission is the public 

reporting of quality, efficiency and cost 

information about hospital care on the 

Hospital Compare Web site. This 

vehicle also serves to provide Medicare 

beneficiaries and other consumers with 

the type of data needed to make 

informed decisions about which 

providers to use for their care. 

In 2001, the Department of Health and 

Human Services (DHHS) announced the 

Quality Initiative to ensure the quality 

of health care for all Americans through 

accountability and public disclosure. 

The goals of the initiative are to 

empower consumers with quality-ofcare information so they can make more 

informed decisions about their health 

care and to stimulate and support 

providers and clinicians to improve the 

quality of health care. As part of the 

DHHS Transparency Initiative on 

Quality Reporting, CMS plans to add 

new patient safety measures in the areas 

of hospital acquired conditions and 

healthcare associated infections, to the 

Hospital Compare Web site in 2011. 

CMS also intends to begin utilizing 

displays of composite measures 

summarizing both process and outcome 

measures. This information collection 

request covers consumer research on 

displays, labels, and explanatory 

language to insure that the Web site is 

understood by viewers in a manner 

consistent with CMS’s intended 

communication message. Form Number: 

CMS–10360 (OMB#: 0938–New); 

Frequency: Once; Affected Public: 

Individuals and Households; Number of 

Respondents: 248; Total Annual 

Responses: 248; Total Annual Hours: 

241. (For policy questions regarding this 

collection contact David Miranda at 

410–786–7819. For all other issues call 

410–786–1326.) 

2. Type of Information Collection 

Request: Revision of currently approved 

collection; Title of Information 

Collection: Medicare Authorization to 

Disclose Personal Health Information; 

Use: Unless permitted or required by 

law, the Health Insurance Portability 

and Accountability Act (HIPAA) 

prohibits Medicare (a HIPAA covered 

entity) from disclosing an individual’s 

protected health information without a 

valid authorization. In order to be valid, 

an authorization must include specified 

core elements and statements. Medicare 

will make available to Medicare 

beneficiaries a standard, valid 

authorization to enable beneficiaries to 

request the disclosure of their protected 

health information. This standard 

authorization will simplify the process 

of requesting information disclosure for 

beneficiaries and minimize the response 

time for Medicare. The completed 

authorization will allow Medicare to 

disclose an individual’s personal health 

information to a third party at the 

individual’s request. Form Number: 

CMS–10106 (OMB#: 0938–0930); 

Frequency: Reporting—On occasion; 

Affected Public: Individuals or 

households; Number of Respondents: 

1,004,000; Total Annual Responses: 

1,004,000; Total Annual Hours: 251,000. 

(For policy questions regarding this 

collection contact Lindsay Dixon-Brown 

at 410–786–1178. For all other issues 

call 410–786–1326.) 

To obtain copies of the supporting 

statement and any related forms for the 


srobinson on DSKHWCL6B1PROD with NOTICES
Federal Register / Vol. 75, No. 223 / Friday, November 19, 2010 / Notices 70931 

proposed paperwork collections 

referenced above, access CMS’ Web Site 

at http://www.cms.hhs.gov/Paperwork

ReductionActof1995, or E-mail your 

request, including your address, phone 

number, OMB number, and CMS 

document identifier, to Paperwork@

cms.hhs.gov, or call the Reports 

Clearance Office on (410) 786–1326. 

In commenting on the proposed 

information collections please reference 

the document identifier or OMB control 

number. To be assured consideration, 

comments and recommendations must 

be submitted in one of the following 

ways by January 18, 2011: 

1. Electronically. You may submit 

your comments electronically to 

http://www.regulations.gov. Follow the 

instructions for ‘‘Comment or 

Submission’’ or ‘‘More Search Options’’ 

to find the information collection 

document(s) accepting comments. 

2. By regular mail. You may mail 

written comments to the following 

address: CMS, Office of Strategic 

Operations and Regulatory Affairs, 

Division of Regulations Development, 

Attention: Document Identifier/OMB 

Control Number, Room C4–26–05, 7500 

Security Boulevard, Baltimore, 

Maryland 21244–1850. 

Dated: November 12, 2010. 

Michelle Shortt, 

Director, Regulations Development Group, 

Office of Strategic Operations and Regulatory 

Affairs. 

[FR Doc. 2010–29076 Filed 11–18–10; 8:45 am] 

BILLING CODE 4120–01–P 

DEPARTMENT OF HEALTH AND 

HUMAN SERVICES 

Administration for Children and 

Families 

Proposed Information Collection 

Activity; Comment Request 

Title: Evaluation of Head Start Early 

Learning Mentor Coach Initiative. 

OMB No.: New Collection. 

Billing Accounting Code (BAC): 

418422 (CAN G994426). 

Description: The Administration for 

Children and Families is requesting 

comments on plans to collect 

information as part of an 

implementation evaluation of the Head 

Start Early Learning Mentor-Coach 

Initiative. The study will collect 

information necessary for understanding 

the methods and approaches being used 

by Head Start grantees who were 

awarded funds under the American 

Recovery and Reinvestment Act of 

2009—Early Learning Mentor Coach 

funding announcement (Funding 

Opportunity Number HHS–201–ACF– 

OHS–ST–0120) 

The study will describe the range of 

approaches being used by the grantees, 

including descriptions of the role of the 

mentor coach within the grantee agency; 

the types of teachers and caregivers with 

whom the mentor coaches are working; 

the quality, frequency and content of 

interactions between the mentor 

coaches and teachers and caregivers; 

and the types of approaches and 

resources used by the mentor coaches. 

The study will also examine the 

characteristics of the settings and the 

systems in which the mentor coaching 

is embedded. Finally the study will 

examine the degree to which the 

approach used by grantees and mentor 

coaches and the fit between the two— 

relate to factors likely to affect the 

success of the mentor coach’s efforts, 

such as the quality of relationships with 

teachers and caregivers or changes in 

teacher or caregiver approaches and 

attitudes about caring for young 

children over time. 

The data collection will include a 

survey of the grantees, telephone 

interviews with mentor coaches and 

teachers, and the collection of monthly 

tracking data indicating the frequency 

and content of mentors’ contact with 

each teacher. 

Respondents: Individuals or 

Households, Grantees. 

ANNUAL BURDEN ESTIMATES

Instrument 

Annual 

number of 

respondents 

Number of 

responses per 

respondent 

Average 

burden hours 

per response 

Total annual 

burden hours 

Grantee Survey ................................................................................................ 131 1 .5 66 

Mentor Coach Interview ................................................................................... 131 2 .5 131 

Teacher Interview ............................................................................................ 262 2 .5 262 

Mentor Coach Contact Tracking sheet ............................................................ 131 12 .2 314 

Estimated Total Annual Burden 

Hours: 773. 

In compliance with the requirements 

of Section 3506(c)(2)(A) of the 

Paperwork Reduction Act of 1995, the 

Administration for Children and 

Families is soliciting public comment 

on the specific aspects of the 

information collection described above. 

Copies of the proposed collection of 

information can be obtained and 

comments may be forwarded by writing 

to the Administration for Children and 

Families, Office of Planning, Research 

and Evaluation, 370 L’Enfant 

Promenade, SW., Washington, DC 

20447, Attn: OPRE Reports Clearance 

Officer. E-mail address: 

OPREinfoco11ection@acf.hhs.gov. All 

requests should be identified by the title 

of the information collection. 

The Department specifically requests 

comments 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 collection of information; (c) 

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. 

Consideration will be given to 

comments and suggestions submitted 

within 60 days of this publication. 

Dated: November 12, 2010. 

Steven M. Hanmer, 

Reports Clearance Officer. 

[FR Doc. 2010–29071 Filed 11–18–10; 8:45 am] 

BILLING CODE 4184–01–M 

DEPARTMENT OF HEALTH AND 

HUMAN SERVICES 

Administration for Children and 

Families 

Proposed Information Collection 

Activity; Comment Request 

Proposed Projects: 


srobinson on DSKHWCL6B1PROD with NOTICES