Federal Register / Vol. 71, No. 185 / Monday, September 25, 2006 / Notices 55797 

instrument, and free access to the 

instrument’s supportive/administrative 

information. AHRQ, in collaboration 

with CAHPS grantees, and in 

consultation with CMS, will evaluate all 

submitted instruments or items. As the 

CAHPS instrument is constructed, one 

or more instruments may be selected, 

either in whole or in part, or items may 

be modified prior to testing them. 

Submitters will relinquish ownership 

of any items that appear in the final 

instrument. However, item ownership 

will be protected during testing of the 

survey. 

The final instruments(s) will bear the 

CAHPS trademark and they will be 

made freely available for use by all 

interested parties. As a matter of quality 

control, there will be warnings that the 

CAHPS identification may not be used 

if any changes are made to the 

instrument or the final measure set or 

the methodology or instructions, 

without review and permission of the 

agency. 

Each submission should include the 

following information: the name of the 

instrument, domains included, 

language(s) the instrument is available 

in, evidence of cultural/cross group 

comparability, if any, instrument 

reliability (internal consistency, testretest, etc.), validity (content, construct, 

criterion-related), response rates, 

methods and results of cognitive testing 

and field-testing and description of 

sampling strategies (including payer 

type) and data collection protocols, 

including such elements as mode of 

administration, use of advance letters, 

timing and frequencies of contacts. In 

addition, a list of where the instrument 

has been fielded should also be 

included in the submission. Submission 

of copies of existing report formats 

developed to disclose findings to 

consumers and providers is desirable, 

but not required. Additionally, 

information about existing database(s) 

for collecting results gathered using the 

instrument(s) or items submitted is 

helpful, but not required for submission. 

Evidence of the criteria should be 

demonstrated through submission of 

peer-reviewed journal article(s) or 

through the best evidence available at 

the time of submission. 

SUPPLEMENTARY INFORMATION: 

Background 

The CAHPS program was initiated in 

1995 to develop a survey and report on 

consumers’ perspectives on the quality 

of their health plans. Since that time the 

CAHPS program, in partnership with 

CMS and others, has expanded its scope 

and developed surveys and reports 

regarding patient assessments of care 

received from individual clinicians, 

group practices, in-center hemodialysis 

services, nursing homes and hospitals. 

Now, CMS has asked the CAHPS team 

to develop a survey to obtain the 

consumer’s perspective on home health 

care and services. 

One of the top priorities of the Centers 

for Medicare & Medicaid Services is to 

increase the transparency in healthcare 

by providing quality and cost 

information to the public. One of the 

critical components missing from the 

current measurement set for home 

health agencies is information from the 

consumer perspective on the quality of 

care provided. The proposed instrument 

described above will address this need 

for useful patient assessments. 

Dated: September 19, 2006. 

Carolyn M. Clancy, 

Director. 

[FR Doc. 06–8183 Filed 9–22–06; 8:45 am] 

BILLING CODE 4160–90–M 

DEPARTMENT OF HEALTH AND 

HUMAN SERVICES 

Centers for Disease Control and 

Prevention 

[30Day–06–0237) 

Agency Forms Undergoing Paperwork 

Act Review 

The Centers for Disease Control and 

Prevention (CDC) publishes a list of 

information collection requests under 

review by the Office of Management and 

Budget (OMB) in compliance with the 

Paperwork Reduction Act (44 U.S.C. 

Chapter 35). To request a copy of these 

requests, call the CDC Reports Clearance 

Officer at (404) 639–5960 or send an email to omb@cdc.gov. Send written 

comments to CDC Desk Officer, Office of 

Management and Budget, Washington, 

DC or by fax to (202) 395–6974. Written 

comments should be received within 30 

days of this notice. 

Proposed Project 

The 2007–2008 National Health and 

Nutrition Examination Survey 

NHANES—(0920–0237)—Revision—

National Center for Health Statistics 

(NCHS), Centers for Disease Control and 

Prevention (CDC). 

Background and Brief Description 

The National Health and Nutrition 

Examination Survey (NHANES) has 

been conducted periodically since 1970 

and continuously since 1999 by the 

National Center for Health Statistics, 

CDC. Participants will receive a 

household interview, a physical 

examination, a telephone dietary 

interview and a telephone interview. 

The telephone interview, as well as 

selected questions in the household 

interview will be referred to as the 

Flexible Consumer Behavior Survey 

(FCBS) and will include questions on 

food expenditures, diet and health 

knowledge and other food and nutrition 

topics. Of the over 13,000 individuals 

who will be screened, it is estimated 

that approximately 5,000 participants 

will be examined annually. 

Participation in the survey is completely 

voluntary and confidential. 

NHANES programs produce 

descriptive statistics which measure the 

health and nutrition status of the 

general population. Through the use of 

questionnaires, physical examinations, 

and laboratory tests, NHANES studies 

the relationship between diet, nutrition 

and health in a representative sample of 

the United States. NHANES monitors 

the prevalence of chronic conditions 

and risk factors related to health such as 

asthma, osteoporosis, infectious 

diseases, diabetes, eye disease, high 

blood pressure, high cholesterol, 

obesity, smoking, drug and alcohol use, 

physical activity, environmental 

exposures, and diet. NHANES data are 

used to establish the norms for the 

general population against which health 

care providers can compare such patient 

characteristics as height, weight, and 

nutrient levels in the blood. Data from 

NHANES can be compared to those 

from previous surveys to monitor 

changes in the health of the U.S. 

population. NHANES will also establish 

a national probability sample of genetic 

material for future genetic research for 

susceptibility to disease. 

Users of NHANES data include 

Congress; the World Health 

Organization; Federal agencies such as 

NIH, EPA, and USDA; private groups 

such as the American Heart Association; 

schools of public health; private 

businesses; individual practitioners; and 

administrators. NHANES data are used 

to establish, monitor, and/or evaluate 

recommended dietary allowances, food 

fortification policies, environmental 

exposures, immunization guidelines 

and health education and disease 

prevention programs. The current 

submission requests approval for three 

years. 

There is no net cost to respondents 

other than their time. Respondents are 

reimbursed for any out-of-pocket costs 

such as transportation to and from the 

examination center. The total estimated 

annualized burden hours are 59,864. 


rwilkins on PROD1PC63 with NOTICES
55798 Federal Register / Vol. 71, No. 185 / Monday, September 25, 2006 / Notices 

ESTIMATED ANNUALIZED BURDEN HOURS

Burden category 

Number of respondents per 

year 

Number of responses per 

respondent 

Average burden per response 

(hours) 

1. Screening interview only ......................................................................................................... 13,333 1 10/60 

2. Screener, family, and sample person interviews only ............................................................ 300 1 1.10 

3. Screener, family, and sample person interviews and MEC examination (including pilot 

studies) ..................................................................................................................................... 5,180 1 5.9 

4. Second dietary recall interview ............................................................................................... 4,300 1 30/60 

5. Telephone Interview (FCBS) ................................................................................................... 3,000 1 20/60 

6. Follow-up, special studies, and tests of procedures ............................................................... 4,000 1 5.9 

Dated: September 19, 2006. 

Joan F. Karr, 

Acting Reports Clearance Officer, Centers for 

Disease Control and Prevention. 

[FR Doc. 06–8164 Filed 9–22–06; 8:45 am] 

BILLING CODE 4163–18–P 

DEPARTMENT OF HEALTH AND 

HUMAN SERVICES 

Administration for Children and 

Families 

Proposed Information Collection 

Activity; Comment Request 

Proposed Projects 

Title: DHHS/ACF/ASPE/DOL 

Enhanced Services for the Hard-toEmploy Demonstration and Evaluation: 

Rhode Island 15-Month Survey 

Amendment. 

OMB No. 0970–0276. 

Description: The Enhanced Services 

for the Hard-to-Employe Demonstration 

and Evaluation Project (HtE) seeks to 

learn what works in this area to date 

and is explicitly designed to build on 

past research by rigorously testing a 

wide variety of approaches to promote 

employment and improve family 

functioning and child well-being. The 

HtE project is designed to help 

Temporary Assistance for Needy 

Families (TANF) recipients, former 

TANF recipients, or low-income parents 

who are hard-to-employ. The project is 

sponsored by the Office of Planning, 

Research and Evaluation (OPRE) of the 

Administration for Children and 

Families (ACF), the Office of the 

Assistant Secretary for Planning and 

Evaluation (ASPE) in the U.S. 

Department of Health and Human 

Services (HHS), and the U.S. 

Department of Labor (DOL). 

The evaluation involves an 

experimental, random assignment 

design in four sites, testing a diverse set 

of strategies to promote employment for 

low-income parents who face serious 

obstacles to employment. The four 

include: (1) Intensive care management 

to facilitate the use of evidence-based 

treatment for major depression among 

parents receiving Medicaid in Rhode 

Island; (2) job readiness training, 

worksite placements, job coaching, job 

development and other training 

opportunities for recent parolees in New 

York City; (3) pre-employment services 

and transitional employment for longterm TANF participants in Philadelphia; 

and (4) home- and center-based care, 

enhanced with self-sufficiency services, 

for low-income families who have 

young children or are expecting in 

Kansas and Missouri. 

Materials for follow-up surveys for 

each of these sites were previously 

submitted to OMB and were approved. 

The purpose of this submission is to add 

physiological measures to the follow-up 

effort to the Rhode Island study. 

Respondents: The respondents to this 

component of the Rhode Island followup survey will be low-income parents 

and their children from the Rhode 

Island site currently participating in the 

HtE Project. As described in the prior 

OMB submission, these parents are 

Medicaid recipients between the ages of 

18 and 45 receiving Medicaid through 

the managed care provider United 

Behavioral Health (UBH) in Rhode 

Island who meet study criteria with 

regard to their risk for depression. 

Children are the biological, adopted, 

and step-children of these parents, 

between the ages of 1 and 18 years of 

age. 

The annual burden estimates are 

detailed below, and the substantive 

content of each component will be 

detailed in the supporting statement 

attached to the forthcoming 30-day 

notice. 

ANNUAL BURDEN ESTIMATES

Instrument Number of respondents 

Number of responses per 

respondent 

Average burden hours per response Total burden 

hours 

RI 15-month, parent physiological component ....................... 400 8 5 minutes or .08 hrs .............. 266.66 

RI 15-month young child physiological component ................ 160 8 5 minutes or .08 hrs .............. 106.66 

RI 15-month youth physiological component .......................... 242 8 5 minutes or .08 hrs .............. 161.33 

Estimated Total Annual Burden 

Hours: 534.65. 

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 Administration, 

Office of Information Services, 370 

L’Enfant Promenade, SW., Washington, 

DC 20447, Attn: ACF Reports Clearance 

Officer. E-mail address: 

infocollection@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 


rwilkins on PROD1PC63 with NOTICES