Federal Register / Vol. 77, No. 9 / Friday, January 13, 2012 / Notices 2067 

revision and 3-year approval for the 

previously approved Medical 

Monitoring Project (MMP) 0920–0740 

exp. 5/31/2012). The interview and 

minimum dataset data collection 

instruments have been revised based on 

experience in previous data collection 

cycles, but these changes will not affect 

the burden per respondent. The medical 

record abstraction forms have not 

changed. CDC’s current goal is to 

interview 80% of 9,400 patients or 

7,520, 96% of whom (a total of 7,219 

patients) will complete the standard 

interview and 4% of whom (a total of 

301 patients) will complete the short 

interview. The number of sampled 

patients has increased by 62 patients 

compared to the previously approved 

information collection; thereby 

increasing the total burden hours by 37 

hours, from 8,500 to 8,537. 

Data will be collected through inperson and telephone-administered, 

computer-assisted interviews conducted 

by trained interviewers in 23 Reporting 

Areas (16 states, Puerto Rico and 6 

separately funded cities), through 

medical record and abstraction by 

trained abstractors and through 

extraction of information from HIV 

surveillance case records. The project 

activities and methods will remain the 

same as those used in the previously 

approved data collection period. Interviews with HIV-infected patients 

provide information on patient 

demographics, and the current levels of 

behaviors that may facilitate HIV 

transmission: sexual and drug use 

behaviors; patients’ access to, use of and 

barriers to receiving HIV-related 

secondary prevention services; 

utilization of HIV-related medical 

services; and adherence to drug 

regimens. Collection of data from patient 

medical records provides information 

on: demographics and insurance status; 

the prevalence and incidence of AIDSdefining opportunistic illnesses and comorbidities related to HIV disease; the 

receipt of prophylactic and 

antiretroviral medications; and whether 

patients are receiving screening and 

treatment according to Public Health 

Service guidelines. 

The minimum dataset contains 

demographic and HIV-related laboratory 

test information extracted from an 

existing HIV case surveillance database, 

the national HIV/AIDS Reporting 

System. 

A standard interview will be 

conducted with approximately 96% of 

patients, and will take 45 minutes. A 

short interview will be conducted with 

patients who are too ill to complete the 

standard interview or when the 

interview must be translated. The short 

interview, which will be conducted 

with approximately 4% of patients, will 

take approximately 20 minutes. 

Medical record abstractions will be 

completed on all eligible participants. 

Minimal data on all sampled patients 

will be extracted from the national HIV/ 

AIDS Reporting System. 

Participation of respondents is 

voluntary. There is no cost to the 

respondents other than their time. 

Estimated Annualized Burden Hours 

Type of respondent Form name Number of 

respondents 

Number of 

responses per 

respondent 

Average 

burden per 

response 

(in hours) 

Total burden 

(in hours) 

Sampled, Eligible HIV–Infected Patients .............. Standard interview ........ 7219 1 45/60 5,414 

Sampled, Eligible HIV–Infected Patients Unable 

to Complete the Standard Interview.

Short interview .............. 301 1 20/60 100 

Facility office staff pulling medical records ........... ....................................... 7,520 1 3/60 376 

Facility office staff providing Estimated Patient 

Loads.

....................................... 936 1 2 1,872 

Facility office staff providing patient lists .............. ....................................... 1,030 1 30/60 515 

Facility office staff approaching participants for 

enrollment.

....................................... 3,120 1 5/60 260 

Total ............................................................... ....................................... ........................ ........................ ........................ 8,537 

Kimberly Lane, 

Reports Clearance Officer, Centers for Disease 

Control and Prevention. 

[FR Doc. 2012–605 Filed 1–12–12; 8:45 am] 

BILLING CODE 4163–18–P 

DEPARTMENT OF HEALTH AND 

HUMAN SERVICES 

Centers for Medicare & Medicaid 

Services 

[Document Identifier: CMS–R–306] 

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: Reinstatement without change 

of a previously approved collection; 

Title of Information Collection: 

Condition of Participation—Use of 

Restraint and Seclusion in Psychiatric 

Residential Treatment Facilities 

Providing Psychiatric Services to 

Individuals Under Age 21 and 

Supporting Regulations at 42 CFR 

483.350–483.376; Use: Psychiatric 

Residential Treatment Facilities are 

required to report deaths, serious 

injuries and attempted suicides to the 

State Medicaid Agency and the 

Protection and Advocacy Organization. 

They are also required to provide 

residents the restraint and seclusion 

policy in writing, and to document in 

the residents’ records all activities 

involving the use of restraint and 

seclusion; Form Number: CMS–R–306 

(OCN 0938–0833); Frequency: Once and 

Occasionally; Affected Public: Private 

Sector (Business or other for-profits); 

Number of Respondents: 376; Total 

Annual Responses: 329,500; Total 

Annual Hours: 501,750. (For policy 

questions regarding this collection 

mstockstill on DSK4VPTVN1PROD with NOTICES

2068 Federal Register / Vol. 77, No. 9 / Friday, January 13, 2012 / Notices 

contact Jean Close at (410) 786–2804 or 

Melissa Musotto at (410) 786–6962. For 

all other issues call (410) 786–1326.) 

To obtain copies of the supporting 

statement and any related forms for the 

proposed paperwork collections 

referenced above, access CMS’ Web Site 

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

PaperworkReductionActof1995, or 

Email 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 March 13, 2012: 

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 CMS–R–306 (0938– 

0833), Room C4–26–05, 7500 Security 

Boulevard, Baltimore, Maryland 21244– 

1850. 

Dated: January 6, 2012. 

Martique Jones, 

Director, Regulations Development Group, 

Division B, Office of Strategic Operations and 

Regulatory Affairs. 

[FR Doc. 2012–593 Filed 1–12–12; 8:45 am] 

BILLING CODE 4120–01–P 

DEPARTMENT OF HEALTH AND 

HUMAN SERVICES 

Administration for Children and 

Families 

Submission for OMB Review; 

Comment Request 

Title: Temporary Assistance for Needy 

Families/National Directory of New 

Hires Match Results Report. 

OMB No.: 0970–0311. 

Description: Section 453(j)(3) of the 

Social Security Act (the Act) allows for 

matching between the National 

Directory of New Hires (maintained by 

the Federal Office of Child Support 

Enforcement (OCSE) and State TANF 

Agencies for purposes of carrying out 

responsibilities under programs funded 

under part A of Title IV of the Act. To 

assist OCSE and the Office of Family 

Assistance (OFA) in measuring savings 

to the TANF program attributable to the 

use of NDNH data matches, the State 

TANF Agencies have agreed to provide 

OCSE with a written description of the 

performance outputs and outcomes 

attributable to the State TANF Agency’s 

use of NDNH match results. This 

information will help OCSE 

demonstrate how the NDNH supports 

the OCSE’s mission and strategic goals. 

Respondents: State TANF Agencies. 

ANNUAL BURDEN ESTIMATES

Instrument Number of 

respondents 

Number of 

responses per 

respondent 

Average 

burden hours 

per response 

Total burden 

hours 

TANF/NDNH Match Results Report ................................................................ 12 4 0.17 8.16 

Estimated Total Annual Burden 

Hours: 8.16. 

Additional Information: Copies of the 

proposed collection may be obtained by 

writing to the Administration for 

Children and Families, Office of 

Planning, Research and Evaluation, 370 

L’Enfant Promenade SW., Washington, 

DC 20447, Attn: ACF Reports Clearance 

Officer. All requests should be 

identified by the title of the information 

collection. Email address: 

infocollection@acf.hhs.gov. 

OMB Comment: OMB is required to 

make a decision concerning the 

collection of information between 30 

and 60 days after publication of this 

document in the Federal Register. 

Therefore, a comment is best assured of 

having its full effect if OMB receives it 

within 30 days of publication. Written 

comments and recommendations for the 

proposed information collection should 

be sent directly to the following: 

Office of Management and Budget, 

Paperwork Reduction Project, Fax: (202) 

395–7285, Email: 

OIRA_SUBMISSION@OMB.EOP.GOV, 

Attn: Desk Officer for the 

Administration for Children and 

Families. 

Robert Sargis, 

Reports Clearance Officer. 

[FR Doc. 2012–568 Filed 1–12–12; 8:45 am] 

BILLING CODE 4184–01–P 

DEPARTMENT OF HEALTH AND 

HUMAN SERVICES 

Food and Drug Administration 

[Docket No. FDA–2011–N–0755] 

Agency Information Collection 

Activities; Submission for Office of 

Management and Budget Review; 

Comment Request; Implementation of 

Sections 222, 223, and 224 of the Food 

and Drug Administration Amendments 

Act of 2007 

AGENCY: Food and Drug Administration, 

HHS. 

ACTION: Notice. 

SUMMARY: The Food and Drug 

Administration (FDA) is announcing 

that a proposed collection of 

information has been submitted to the 

Office of Management and Budget 

(OMB) for review and clearance under 

the Paperwork Reduction Act of 1995. 

DATES: Fax written comments on the 

collection of information by February 

13, 2012. 

ADDRESSES: To ensure that comments on 

the information collection are received, 

OMB recommends that written 

comments be faxed to the Office of 

Information and Regulatory Affairs, 

OMB, Attn: FDA Desk Officer, FAX: 

(202) 395–7285, or emailed to 

oira_submission@omb.eop.gov. All 

comments should be identified with the 

OMB control number 0910–0625. Also 

include the FDA docket number found 

in brackets in the heading of this 

document. 

FOR FURTHER INFORMATION CONTACT: 

Daniel Gittleson, Office of Information 

Management, Food and Drug 

Administration, 1350 Piccard Dr., PI50– 

400B, Rockville, MD 20850, (301) 796– 

5156, Daniel.Gittleson@fda.hhs.gov. 

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