Federal Register / Vol. 72, No. 9 / Tuesday, January 16, 2007 / Notices 1725 

comments will become a matter of 

public record. 

Dated: January 4, 2007. 

Carolyn M. Clancy, 

Director. 

[FR Doc. 07–108 Filed 1–12–07; 8:45 am] 

BILLING CODE 4160–90–M 

DEPARTMENT OF HEALTH AND 

HUMAN SERVICES 

Agency for Healthcare Research and 

Quality 

Agency Information Collection 

Activities; Proposed Collection; 

Comment Request 

AGENCY: Agency for Healthcare Research 

and Quality, Department of Health and 

Human Services. 

ACTION: Notice. 

SUMMARY: This notice announces the 

intention of the Agency for Healthcare 

Research and Quality (AHRQ) to request 

that the Office of Management and 

Budget (OMB) allow the proposed 

information collection project: 

‘‘Evaluation of the Implementation and 

Impact of Pay-for-Quality Programs.’’ In 

accordance with the Paperwork 

Reduction Act of 1995, Public Law 104–

13 (44 U.S.C. 3506(c)(2)(A)), AHRQ 

invites the public to comment on this 

proposed information collection. 

This proposed information collection 

was previously published in the Federal 

Register on October 24, 2006 and 

allowed 60 days for public comment. No 

public comments were received. The 

purpose of this notice is to allow an 

additional 30 days for public comment. 

DATES: Comments on this notice must be 

received by February 15, 2007. 

ADDRESSES: Written comments should 

be submitted to: Doris Lefkowitz, 

Reports Clearance Officer, AHRQ, 540 

Gaither Road, Room #5036, Rockville, 

MD 20850. Copies of the proposed 

collection plans, data collection 

instruments, and specific details on the 

estimated burden can be obtained from 

AHRQ’s Reports Clearance Officer. 

FOR FURTHER INFORMATION CONTACT: 

Doris Lefkowitz, AHRQ, Reports 

Clearance Officer, (301) 427–1477. 

SUPPLEMENTARY INFORMATION: 

Proposed Project 

‘‘Evaluation of the Implementation and 

Impact of Pay-for-Quality (P4Q) 

Programs’’

The P4Q Evaluation is a multi-method 

research project designed to evaluate the 

implementation and impact of P4Q 

programs on physicians across three 

programs operating in health care safety 

net settings. The P4Q programs 

participating in the evaluation are 

offering their healthcare providers 

financial incentives to achieve 

predefined quality targets. Data 

collected as part of this evaluation will 

have direct operational relevance to 

payers and providers regarding the 

value and challenges of P4Q programs 

in safety net settings. The P4Q 

evaluation is designed to assess whether 

P4Q programs in such settings improve 

quality on the measures that are the 

focus of the programs and also whether 

the programs lead to unintended 

consequences. The P4Q evaluation will 

also seek to identify design and 

implementation practices that are likely 

to increase as well as decrease the risks 

of negative outcomes resulting from the 

implementation of P4Q programs in 

safety net settings. 

Data collection under the P4Q 

evaluation will be approved by the 

Boston University’s Medical Campus 

Institutional Review Board. It will be 

conducted in accordance with the 

Health Insurance Protection and 

Portability Act (HIPAA) Privacy Rule 

and with the Protection of Human 

Subjects regulations, 45 CFR part 46. In 

addition, the identifiable data collected 

in this study about provider 

organizations and individuals will only 

be used for the above-stated purposes 

and will be protected in accordance 

with the AHRQ confidentiality statute, 

section 934(c) of the Public Health 

Service Act (42 U.S.C. 299c–3(c)). 

Methods of Collection 

The evaluation will use several 

methods to examine P4Q programs in 

safety net settings, including a survey 

and key informant interviews. Survey 

data will be obtained from physicians 

participating in P4Q programs using a 

confidential mailed questionnaire. The 

key informant interviews will consist of 

35-minute semi-structured interviews 

with physician organization executives, 

practice leaders, physicians, and other 

senior managers in each study setting 

regarding program design, 

implementation, and impact. The 

research project investigators will 

interview up to six informants at each 

site. 

Estimated Annual Respondent Burden 

The table below indicates the total 

time burden required to obtain all the 

data required to meet the study’s 

objectives. It does not include time 

required to analyze the data and prepare 

it for reporting and publication. 

Type of respondent Number of 

respondents 

Number of 

responses per 

respondent 

Estimated time 

per respondent 

Estimated total 

burden 

(hours) 

Estimated annual respondent cost 

burden 

Physicians ....................................... 216 1 0.25 hours (15 

minutes).

54 $5,322.12 to cover costs of responding to survey. 

Practice executives and other senior managers.24 1 0.58 hours (35 

minutes).

14 $841.35 to cover costs of participating in in-person interviews. 

Total ......................................... ........................ ........................ ........................... 68 $6,163.47. 

Estimated Costs to the Federal 

Government 

The total cost to the government for 

this activity is estimated to be $193,941. 

This funding will be used to support 

survey administration costs, salary and 

fringe benefits for the research team 

relating to the design and 

administration of the survey and 

informant interviews, and costs for two 

members of the research team to travel 

to each site for the informant interviews. 

The project will attempt to minimize 

burden to physician survey respondents 

by distributing surveys at medical staff 

meetings. 

Request for Comments 

In accordance with the above-cited 

Paperwork Reduction Act legislation, 

comments on AHRQ’s information 

collection are requested with regard to 

any of the following: (a) Whether the 

proposed collection of information is 

necessary for the proper performance of 

AHRQ health care research and health 

care information dissemination 

functions, including whether the 

information will have practical utility; 

(b) the accuracy of AHRQ’s estimate of 

burden (including hours and costs) of 

the proposed collection(s) of 


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1726 Federal Register / Vol. 72, No. 9 / Tuesday, January 16, 2007 / Notices 

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 upon the 

respondents, including the use of 

automated collection techniques or 

other forms of information technology. 

Comments submitted in response to 

this notice will be summarized and 

included in the Agency’s subsequent 

request for OMB approval of the 

proposed information collection. all 

comments will become a matter of 

public record. 

Dated: January 4, 2007. 

Carolyn M. Clancy, 

Director. 

[FR Doc. 07–109 Filed 1–12–07; 8:45 am] 

BILLING CODE 4160–90–M 

DEPARTMENT OF HEALTH AND 

HUMAN SERVICES 

Administration for Children and 

Families 

Family Violence Prevention and 

Services/Grants for Battered Women’s 

Shelters and Related Assistance/ 

Grants to Indian Tribal Organizations 

(Including Alaska Native Villages) 

Program Office: Administration on 

Children, Youth, and Families (ACYF), 

Family and Youth Services Bureau (FYSB). 

Program Announcement Number: HHS–

2007–ACF–ACYF–FVPS–0124. 

Announcement Title: Family Violence 

Prevention and Services/Grants for Battered 

Women’s Shelters and Related Assistance/ 

Grants to Indian Tribal Organizations 

(including Alaska Native Villages). 

CFDA Number: 93.671. 

Due Date for Applications: February 15, 

2007. 

Executive Summary: This 

announcement governs the proposed 

award of formula grants under the 

Family Violence Prevention and 

Services Act (FVPSA) to Indian Tribes 

(including Alaska Native Villages) and 

Tribal organizations. The purpose of 

these grants is to assist Tribes in 

establishing, maintaining, and 

expanding programs and projects to 

prevent family violence and to provide 

immediate shelter and related assistance 

for victims of family violence and their 

dependents. 

This announcement sets forth the 

application requirements, the 

application process, and other 

administrative and fiscal requirements 

for grants in Fiscal Year (FY) 2007. 

Grantees are to be mindful that although 

the expenditure period for grants is a 

two-year period, an application is 

required every year to provide 

continuity in the provision of services. 

(See Section II. Award Information, 

Expenditure Periods.) 

I. Description 

Legislative Authority: Title III of the 

Child Abuse Amendments of 1984 

(Public Law (Pub. L.) 98–457, 42 United 

States Code (U.S.C.) 10401 et seq.) is 

entitled the ‘‘Family Violence 

Prevention and Services Act’’ (FVPSA). 

FVPSA was first implemented in FY 

1986. The statute was subsequently 

amended by P.L. 100–294, the ‘‘Child 

Abuse Prevention, Adoptions, and 

Family Services Act of 1988;’’ further 

amended in 1992 by P.L. 102–295; and 

then amended in 1994 by P.L. 103–322, 

the ‘‘Violent Crime Control and Law 

Enforcement Act.’’ FVPSA was 

amended again in 1996 by P.L. 104–235, 

the ‘‘Child Abuse Prevention and 

Treatment Act’’ (CAPTA) of 1996; in 

2000 by P.L. 106–386, the ‘‘Victims of 

Trafficking and Violence Protection 

Act,’’ and amended further by P.L. 108–

36, the ‘‘Keeping Children and Families 

Safe Act of 2003.’’ FVPSA was most 

recently amended by P.L. 109–162, the 

‘‘Violence Against Women 

Reauthorization Act of 2005’’ and by 

P.L. 109–271, which was enacted on 

August 17, 2006. 

FVPSA may be found at 42 U.S.C. 

10401 et. seq. 

Background 

The purpose of this legislation is to 

assist States and Tribes or Tribal 

organizations in supporting the 

establishment, maintenance, and 

expansion of programs and projects to 

prevent incidents of family violence and 

to provide immediate shelter and 

related assistance for victims of family 

violence and their dependents. 

During FY 2006, the U.S. Department 

of Health and Human Services (HHS) 

made 241 grants to States and Tribes or 

Tribal organizations. HHS also made 53 

family violence prevention grant awards 

to non-profit State domestic violence 

coalitions. 

In addition, HHS supports the 

Domestic Violence Resource Center 

Network (DVRN). DVRN consists of the 

National Resource Center for Domestic 

Violence (NRC) and four Special Issue 

Resource Centers (SIRCs). The four 

SIRCs are: The Battered Women’s 

Justice Project, the Resource Center on 

Child Custody and Protection, the 

Resource Center for the Elimination of 

Domestic Violence Against Native 

Women (Sacred Circle), and the Health 

Resource Center on Domestic Violence. 

The purpose of NRC and the SIRCs is to 

provide resource information, training, 

and technical assistance to Federal, 

State, and Indian Tribal agencies; local 

domestic violence prevention programs; 

and other professionals who provide 

services to victims of domestic violence. 

In February, 1996, HHS funded the 

National Domestic Violence Hotline 

(Hotline) to ensure that every woman 

and man has access to information and 

emergency assistance wherever and 

whenever it is needed. The Hotline is a 

24-hour, toll-free service that provides 

crisis assistance, counseling, and local 

shelter referrals to women across the 

country. Hotline counselors also are 

available for non-English speaking 

persons and for people who are hearingimpaired. The Hotline number is 1–

800–799–SAFE (7233); the TTY number 

for the hearing impaired is 

1–800–787–3224. 

General Grant Program Requirements 

For Tribes or Tribal Organizations 

Definitions 

Tribes and Tribal organizations 

should use the following definitions in 

carrying out their programs. The 

definitions are found in section 320 of 

FVPSA. 

Family Violence: Any act, or 

threatened act, of violence, including 

any forceful detention of an individual, 

which: (a) Results or threatens to result 

in physical injury; and (b) is committed 

by a person against another individual 

(including an elderly person) to whom 

such person is, or was, related by blood 

or marriage, or otherwise legally related, 

or with whom such person is, or was, 

lawfully residing. 

Indian Tribe and Tribal organization: 

Have the same meanings given such 

terms in section 450b of Title 25. 

Shelter: The provision of temporary 

refuge and related assistance in 

compliance with applicable State law 

and regulation governing the provision, 

on a regular basis, of shelter, safe 

homes, meals, and related assistance to 

victims of family violence and their 

dependents. 

Related assistance: The provision of 

direct assistance to victims of family 

violence and their dependents for the 

purpose of preventing further violence, 

helping such victims to gain access to 

civil and criminal courts and other 

community services, facilitating the 

efforts of such victims to make decisions 

concerning their lives in the interest of 

safety, and assisting such victims in 

healing from the effects of the violence. 

Related assistance includes: 

(a) Prevention services such as 

outreach and prevention services for 

victims and their children, assistance to 

children who witness domestic 

violence, employment training, 


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