Federal Register / Vol. 76, No. 154 / Wednesday, August 10, 2011 / Notices 49489 

Dated: August 4, 2011. 

Daniel Holcomb, 

Reports Clearance Officer, Centers for Disease 

Control and Prevention. 

[FR Doc. 2011–20343 Filed 8–9–11; 8:45 am] 

BILLING CODE 4163–18–P 

DEPARTMENT OF HEALTH AND 

HUMAN SERVICES 

Centers for Disease Control and 

Prevention 

[60-Day-11–11JD] 

Proposed Data Collections Submitted 

for Public Comment and 

Recommendations 

In compliance with the requirement 

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

Paperwork Reduction Act of 1995 for 

opportunity for public comment on 

proposed data collection projects, the 

Centers for Disease Control and 

Prevention (CDC) will publish periodic 

summaries of proposed projects. To 

request more information on the 

proposed projects or to obtain a copy of 

the data collection plans and 

instruments, call 404–639–5960 and 

send comments to Daniel Holcomb, CDC 

Reports Clearance Officer, 1600 Clifton 

Road, MS–D74, Atlanta, GA 30333 or 

send an e-mail to omb@cdc.gov. 

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 collection of information; (c) 

ways to enhance 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. Written comments should 

be received within 60 days of this 

notice. 

Proposed Project 

Evaluation of Dating Matters: 

Strategies To Promote Healthy Teen 

RelationshipsTM—New—National 

Center for Injury Prevention and 

Control—Centers for Disease Control 

and Prevention 

Background and Brief Description 

Dating Matters: Strategies To Promote 

Healthy Teen RelationshipsTM is the 

Centers for Disease Control and 

Prevention’s new teen dating violence 

prevention initiative. 

Recently, efforts to prevent teen 

dating violence have grown, particularly 

in schools, among policymakers, and 

among sexual violence and domestic 

violence coalitions. Now many states 

and communities also are working to 

stop teen dating violence. However, 

these activities vary greatly in quality 

and effectiveness. To address the gaps, 

CDC has developed Dating Matters, a 

comprehensive teen dating violence 

prevention program based on the 

current evidence about what works in 

prevention. 

Dating Matters focuses on high-risk, 

urban communities where participants 

include: middle school students age 11 

to 14 years; middle school parents; 

brand ambassadors; educators; school 

leadership; program implementers; 

community representatives; and local 

health department representatives in 

four high-risk urban communities. The 

primary goal of the current proposal is 

to conduct an outcome and 

implementation evaluation of Dating 

Matters in four metropolitan cities to 

determine its feasibility, cost, and 

effectiveness. Within each city 12 

schools will implement the two models 

of teen dating violence prevention (48 

schools total over 4 sites). Our burden 

estimates are based on each school 

having 600 students, with 200 students 

per grade (6th, 7th, and 8th grades). 

Therefore the sampling frame for this 

data collection is 48,000 for the three 

years of data collection covered by this 

OMB package (5 cohorts of 200 students 

each in 48 schools; 5 x 200 x 48). The 

5 cohorts will be students who are in 

6th, 7th and 8th grade in year 1 of data 

collection, students in 6th grade in years 

2 and 3 of data collection. That means 

the sampling frame for parents, given 

that we would only include one parent 

per student, is also 48,000 for the three 

years of data collection covered by this 

package. Based on our research and 

consultation with middle schools, most 

schools with approximately 600 

students have approximately 40 staff. If 

we assume 40 educators per school, the 

sampling frame for the educator sample 

is 1,920. The following are explanations 

of estimated burden by respondent. 

Students: We will use random 

selection to identify a subsample of 

students from each cohort from each 

school to participate in the evaluation. 

We estimate that we will enroll 40 

students per cohort per school, for a 

total of 1,920 students per grade and 

9,600 for the entire sample of 5 cohorts 

covered under this OMB package. 

Parents: We will recruit all parents 

participating in the parent curricula and 

select an equal number of parents from 

the standard of care schools to serve as 

a matched comparison group. We will 

enroll 40 parents per grade per school, 

with 1920 parents per grade, so 5,760 

parents per year. 

Educators: We expect that 85% of all 

educators will participate. With an 

estimated 40 educators per 48 schools 

(1920 total), 85% is 1632 educators. 

School data extractors: We will 

recruit one data extractor per each 

school (48 extractors total) to extract 

school data to be used in conjunction 

with the outcome data for the students. 

Individual level school data will only be 

collected for students participating in 

the evaluation, so this data will reflect 

the same sampling frame as the student 

survey data. 

School leadership: We will recruit 

one school leadership (e.g., principal, 

vice principal) per 48 schools, the 

number of respondents will be 48. 

Local Health Department 

representative: We will recruit four local 

health department representatives 

working on the initiative per 

community, the number of respondents 

will be 16. 

Parent Program Manager: With a 

maximum of one parent program 

manager per community, the number of 

program manager respondents will be 4. 

Community Representative: We will 

recruit 10 community representatives 

per site, the number of respondents will 

be 40. 

Parent Curricula Implementers: Each 

school/neighborhood implementing the 

comprehensive approach will have one 

male and one female parent 

implementing the parent programs with 

six comprehensive school/neighborhood 

clusters per community plus one 

additional pair per site (will fill-in as 

needed), respondents will be (2x7x4) 56 

implementers. 

Student Curricula Implementers: We 

will have six student curricula 

implementers per school that will be 

completing fidelity instruments, the 

total number of respondents will be 288. 

Safe Dates Implementers: We will 

have 3 Safe Dates implementers per the 

48 schools, who will implement the 8th 

grade Safe Dates program, the number of 

respondents for the Safe Dates 

implementer survey will be 144. 

Brand Ambassadors: The Brand 

Ambassador Implementation Survey 

will be provided to each brand 

ambassador in each community. With a 

maximum of 20 brand ambassadors per 

community, the feedback form will be 

collected from a total of 80 brand 

ambassadors. 

Communications Implementers 

(‘‘Brand Ambassador Coordinators’’): 

The Communications Campaign 

Tracking form will be provided to each 


emcdonald on DSK2BSOYB1PROD with NOTICES
49490 Federal Register / Vol. 76, No. 154 / Wednesday, August 10, 2011 / Notices 

brand ambassador coordinator in each 

community. With a maximum of one 

brand ambassador coordinator per 

community, the feedback form will be 

collected from a total of 4 brand 

ambassador coordinators. 

There are no costs to respondents 

other than their time. 

ESTIMATED ANNUALIZED BURDEN

Type of respondent Form name Number of 

respondents 

Number of 

responses per 

respondent 

Average 

burden per 

response 

(hours) 

Total burden 

(hours) 

Student Program Participant ............. Student Outcome Survey Baseline .. 9600 1 1.5 14400 

Student Program Participant ............. Student Outcome Survey Follow-up 9600 2 1.5 28800 

School data extractor ........................ School Indicators .............................. 48 200 15/60 2400 

Parent Program Participant .............. Parent Outcome Survey ................... 5760 2 1 11520 

Educator ............................................ Educator Outcome Survey ............... 1632 1 30/60 816 

Student Brand Ambassador .............. Brand Ambassador Implementation 

Survey.

80 2 20/60 53 

School leadership ............................. School Leadership Capacity and 

Readiness Survey.

48 1 1 48 

Parent Curricula Implementer (6.1 

log + attendance).

Parent Program Fidelity 6th Grade 

Session 1.

56 3 15/60 42 

Parent Curricula Implementer (6.2 

log+ attendance).

Parent Program Fidelity 6th Grade 

Session 2.

56 3 15/60 42 

Parent Curricula Implementer (6.3 

log + attendance).

Parent Program Fidelity 6th Grade 

Session 3.

56 3 15/60 42 

Parent Curricula Implementer (6.4 

log + attendance).

Parent Program Fidelity 6th Grade 

Session 4.

56 3 15/60 42 

Parent Curricula Implementer (6.5 

log + attendance).

Parent Program Fidelity 6th Grade 

Session 5.

56 3 15/60 42 

Parent Curricula Implementer (7.1 

log + attendance).

Parent Program Fidelity 7th Grade 

Session 1.

56 3 15/60 42 

Parent Curricula Implementer (7.3 

log + attendance).

Parent Program Fidelity 7th Grade 

Session 3.

56 3 15/60 42 

Parent Curricula Implementer (7.5 

log + attendance and cost).

Parent Program Fidelity 7th Grade 

Session 5.

56 3 15/60 42 

Safe Dates Implementer (implementation).Safe Dates Implementation Survey 144 1 1 144 

Student Curricula Implementer (6.1 

log + attendance).

Student Program Fidelity 6th Grade 

Session 1.

288 1 15/60 72 

Student Curricula Implementer (6.2 

log + attendance).

Student Program Fidelity 6th Grade 

Session 2.

288 1 15/60 72 

Student Curricula Implementer (6.3 

log + attendance).

Student Program Fidelity 6th Grade 

Session 3.

288 1 15/60 72 

Student Curricula Implementer (6.4 

log + attendance).

Student Program Fidelity 6th Grade 

Session 4.

288 1 15/60 72 

Student Curricula Implementer (6.5 

log + attendance).

Student Program Fidelity 6th Grade 

Session 5.

288 1 15/60 72 

Student Curricula Implementer (6.6 

log + attendance).

Student Program Fidelity 6th Grade 

Session 6.

288 1 15/60 72 

Student Curricula Implementer (7.1 

log + attendance).

Student Program Fidelity 7th Grade 

Session 1.

288 1 15/60 72 

Student Curricula Implementer (7.2 

log + attendance).

Student Program Fidelity 7th Grade 

Session 2.

288 1 15/60 72 

Student Curricula Implementer (7.3 

log + attendance).

Student Program Fidelity 7th Grade 

Session 3.

288 1 15/60 72 

Student Curricula Implementer (7.4 

log + attendance).

Student Program Fidelity 7th Grade 

Session 4.

288 1 15/60 72 

Student Curricula Implementer (7.5 

log + attendance).

Student Program Fidelity 7th Grade 

Session 5.

288 1 15/60 72 

Student Curricula Implementer (7.6 

log + attendance).

Student Program Fidelity 7th Grade 

Session 6.

288 1 15/60 72 

Student Curricula Implementer (8.1 

log + attendance).

Student Program Fidelity 8th Grade 

Session 1.

288 1 15/60 72 

Student Curricula Implementer (8.2 

log + attendance).

Student Program Fidelity 8th Grade 

Session 2.

288 1 15/60 72 

Student Curricula Implementer (8.3 

log + attendance).

Student Program Fidelity 8th Grade 

Session 3.

288 1 15/60 72 

Student Curricula Implementer (8.4 

log + attendance).

Student Program Fidelity 8th Grade 

Session 4.

288 1 15/60 72 

Student Curricula Implementer (8.5 

log + attendance).

Student Program Fidelity 8th Grade 

Session 5.

288 1 15/60 72 

Student Curricula Implementer (8.6 

log + attendance).

KK: Student Program Fidelity 8th 

Grade Session 6.

288 1 15/60 72 

Student Curricula Implementer (8.7 

log + attendance).

Student Program Fidelity 8th Grade 

Session 7.

288 1 15/60 72 


emcdonald on DSK2BSOYB1PROD with NOTICES
Federal Register / Vol. 76, No. 154 / Wednesday, August 10, 2011 / Notices 49491 

ESTIMATED ANNUALIZED BURDEN—Continued 

Type of respondent Form name Number of 

respondents 

Number of 

responses per 

respondent 

Average 

burden per response 

(hours) 

Total burden 

(hours) 

Student Curricula Implementer (8.8 

log + attendance).

Student Program Fidelity 8th Grade 

Session 8.

288 1 15/60 72 

Student Curricula Implementer (8.9 

log + attendance).

Student Program Fidelity 8th Grade 

Session 9.

288 1 15/60 72 

Student Curricula Implementer (8.10 

log + attendance).

Student Program Fidelity 8th Grade 

Session 10.

288 1 15/60 72 

Communications Implementer .......... Communications Campaign Tracking.4 4 20/60 5 

Local health department representative.Local Health Department Capacity 

and Readiness.

16 1 2 32 

Parent Program Manager ................. Parent Program Capacity and Readiness.4 1 1 4 

Community Representative ............... Community Capacity and Readiness 40 1 1 40 

Total ........................................... ........................................................... ........................ ........................ ........................ 60182 

Dated: August 4, 2011. 

Daniel Holcomb, 

Reports Clearance Officer, Centers for Disease 

Control and Prevention. 

[FR Doc. 2011–20346 Filed 8–9–11; 8:45 am] 

BILLING CODE 4163–18–P 

DEPARTMENT OF HEALTH AND 

HUMAN SERVICES 

Centers for Medicare & Medicaid 

Services 

[CMS–5058–N2] 

Medicare Program; Section 3113: The 

Treatment of Certain Complex 

Diagnostic Laboratory Tests 

Demonstration; Extension of the 

Deadline for Submission of Supporting 

Information 

AGENCY: Centers for Medicare & 

Medicaid Services (CMS), HHS. 

ACTION: Notice of extension of the 

deadline for submission of supporting 

information. 

SUMMARY: This notice extends the 

deadline for submitting supporting 

information to request a temporary code 

under the Treatment of Certain Complex 

Diagnostic Laboratory Tests 

Demonstration. The deadline for 

submitting supporting information to 

request a temporary code under the 

Demonstration, which ended on August 

1, 2011, has been extended to 

September 6, 2011. 

DATES: Supporting information to 

request a temporary code under the 

Demonstration is due to CMS on or 

before September 6, 2011. 

ADDRESSES: Supporting information 

should be mailed to the following 

address: Centers for Medicare & 

Medicaid Services, Attention: Linda R. 

Lebovic, 7500 Security Boulevard, Mail 

Stop: C4–14–15, Baltimore, Maryland 

21244–1850. 

Please refer to file code [CMS–5058– 

N] on all supporting information for a 

temporary G-code under the 

Demonstration. Because of staffing and 

resource limitations, we cannot accept 

proposals by facsimile (Fax) 

transmission. Hard copies and 

electronic copies must be identical. 

FOR FURTHER INFORMATION CONTACT: 

Linda R. Lebovic at (410) 786–3402 or 

by e-mail at 

ACA3113labdemo@cms.hhs.gov. 

SUPPLEMENTARY INFORMATION: On July 5, 

2011, we published a notice in the 

Federal Register (76 FR 39110 through 

39111) to inform interested parties of an 

opportunity to participate in the 

Treatment of Certain Complex 

Diagnostic Laboratory Tests 

Demonstration. The Demonstration is 

mandated by section 3113 of the 

Affordable Care Act. The notice also 

serves to notify interested parties that 

they must obtain a temporary code from 

CMS for tests currently billed using a 

‘‘not otherwise classified (NOC)’’ code 

but that would otherwise meet the 

criteria set forth in section 3113 for 

being a complex diagnostic laboratory 

test under the Demonstration. 

Following the publication of the July 

5, 2011 notice, CMS received requests 

from the public to extend the deadline 

beyond August 1, 2011. We believe we 

can accommodate the public’s request to 

extend the deadline for submitting the 

supporting information needed to 

request a Temporary Demonstration Gcode and still begin payment under the 

Demonstration beginning January 1, 

2012 as planned. We have decided to 

extend the deadline for submitting 

supporting information to September 6, 

2011. 

(Catalog of Federal Domestic Assistance 

Program No. 93.773, Medicare—Hospital 

Insurance; and Program No. 93.774, 

Medicare—Supplementary Medical 

Insurance Program) 

Dated: August 4, 2011. 

Donald M. Berwick, 

Administrator, Centers for Medicare & 

Medicaid Services. 

[FR Doc. 2011–20304 Filed 8–5–11; 4:15 pm] 

BILLING CODE 4120–01–P 

DEPARTMENT OF HEALTH AND 

HUMAN SERVICES 

Administration for Children and 

Families 

Proposed Information Collection 

Activity; Comment Request 

Title: Understanding Urban Indians’ 

Interactions with ACF Programs and 

Services. 

OMB No.: New Collection. 

Description: As part of the 

‘‘Understanding Urban Indians’ 

Interactions with ACF Programs and 

Services’’ research study, site visits will 

be conducted to three to five urban areas 

with a high percentage of Indians within 

the population, including Anchorage, 

Alaska. Members of the research study 

team will utilize a field discussion 

guide to collect information from staff 

members at relevant programs and 

organizations (e.g., American Indian 

Organizations, social service agencies 

serving urban Indians) in these areas. 

The goal of this information collection 

is to assess the challenges and context 

for family self-sufficiency of urban 

Indians and their interactions with 

services and programs offered by ACF. 


emcdonald on DSK2BSOYB1PROD with NOTICES