57034 Federal Register / Vol. 75, No. 180 / Friday, September 17, 2010 / Notices 

EXHIBIT 1—ESTIMATED ANNUALIZED BURDEN HOURS

Data collection method Number of 

respondents 

Number of 

responses per 

respondent 

Hours per 

response 

Total burden 

hours 

NGC Evaluation Survey ................................................................. 40,220 1 8/60 5,363 

Focus Groups ................................................................................ 99 1 1 .5 149 

Key Informant Interviews ............................................................... 30 1 1 30 

Total ........................................................................................ 40,349 NA NA 5,542 

EXHIBIT 2—ESTIMATED ANNUALIZED COST BURDEN

Data collection method Number of 

respondents 

Total burden 

hours 

Average hourly 

wage rate* Total cost burden 

NGC Evaluation Survey ................................................................... 40,220 5,363 $33.51 $179,714 

Focus Groups .................................................................................. 99 149 33.51 4,993 

Key Informant Interviews ................................................................. 30 30 33.51 1,005 

Total .......................................................................................... 40,349 5,542 NA 185,712 

* Based upon the mean of the average wages for healthcare practitioner and technical occupations (29–0000) presented in the National Compensation Survey: Occupational wages in the United States, May 2009, U.S. Department of Labor, Bureau of Labor Statistics. 

Estimated Annual Costs to the Federal 

Government 

Exhibit 3 shows the estimated total 

and annualized cost to the government 

for this one year project. The total cost 

is estimated to be $350,000 to conduct 

the one-time survey, 11 focus groups, 

and 30 key informant interviews and to 

analyze and present their results. This 

amount is the contract total for AFYA’s 

contract with AHRQ to evaluate the 

NGC. This amount includes the costs for 

project development and management 

($70,000 or 20% of the entire contract 

amount); data collection activities 

($105,000 or 30% of the entire contract 

amount); data processing and analysis 

($70,000 or 20% of the entire contract 

amount); and administrative support 

activities and reporting ($105,000 or 

30% of the entire contract amount). 

EXHIBIT 3—ESTIMATED TOTAL AND ANNUALIZED COST

Cost component Total cost Annualized cost 

Project Development and Management .......................................................................................................... $70,000 $70,000 

Data Collection Activities ................................................................................................................................. 105,000 105,000 

Data Processing and Analysis ......................................................................................................................... 70,000 70,000 

Administrative Support and Reporting ............................................................................................................. 105,000 105,000 

Total .......................................................................................................................................................... 350,000 350,000 

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 healthcare research and 

healthcare 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 

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: September 1, 2010. 

Carolyn M. Clancy, 

Director. 

[FR Doc. 2010–23110 Filed 9–16–10; 8:45 am] 

BILLING CODE 4160–90–M 

DEPARTMENT OF HEALTH AND 

HUMAN SERVICES 

Administration for Children and 

Families 

Proposed Information Collection 

Activity; Comment Request 

Proposed Projects 

Title: State Personal Responsibility 

Education Program (PREP). 

OMB No.: 0970–0380. 

Description: The Patient Protection 

and Affordable Care Act, 2010, also 

known as health care reform, amends 

Title V of the Social Security Act (42 

U.S.C. 701 et seq.) as amended by 

sections 2951 and 2952(c), by adding 

section 513, authorizing the Personal 

Responsibility Education Program 

(PREP). The President signed into law 

the Patient Protection and Affordable 

Care Act on March 23, 2010, Public Law 

111–148, which adds the new PREP 


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Federal Register / Vol. 75, No. 180 / Friday, September 17, 2010 / Notices 57035 

formula grant program. The purpose of 

this program is to educate adolescents 

on both abstinence and contraception to 

prevent pregnancy and sexually 

transmitted infections (STIs); and at 

least three adulthood preparation 

subjects. The Personal Responsibility 

Education grant program funding is 

available for fiscal years 2010 through 

2014. 

An emergency request is being made 

to solicit comments from the public on 

paperwork reduction as it relates to 

ACYF’s receipt of the following 

documents from applicants and 

awardees: Application for Mandatory 

Formula Grant State Plan; Performance 

Progress Report. 

Respondents: 50 States and 9 

Territories, to include, District of 

Columbia, Puerto Rico, Virgin Islands, 

Guam, American Samoa, Northern 

Mariana Islands, the Federated States of 

Micronesia, the Marshall Islands and 

Palau 

ANNUAL BURDEN ESTIMATES

Instrument Number of 

respondents 

Number of 

responses per 

respondent 

Average 

burden hours 

per response 

Total burden 

hours 

Application, to include program narrative ........................................................ 59 1 24 1,416 

State Plan ........................................................................................................ 59 1 40 2,360

Performance Progress Reports ....................................................................... 59 5 16 4,720 

Estimated Total Annual Burden 

Hours: 8,496 

In compliance with the requirements 

of Section 506(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 

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: September 14, 2010 

Robert Sargis, 

Reports Clearance Officer. 

[FR Doc. 2010–23200 Filed 9–16–10; 8:45 am] 

BILLING CODE 4184–01–P 

DEPARTMENT OF HEALTH AND 

HUMAN SERVICES 

Centers for Medicare & Medicaid 

Services 

[Document Identifier: CMS–10267, CMS– 

10137, CMS–10237, CMS–R–240, CMS– 

10316 and CMS–10305] 

Agency Information Collection 

Activities: Submission for OMB 

Review; Comment Request 

AGENCY: Centers for Medicare & 

Medicaid Services. 

In compliance with the requirement 

of section 3506I(2)(A) of the Paperwork 

Reduction Act of 1995, the Centers for 

Medicare & Medicaid Services (CMS), 

Department of Health and Human 

Services, 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 function; 

(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: Revision of a currently 

approved collection; Title of 

Information Collection: QualityNet 

Identity Management System (QIMS) 

Account Form; Use: The QualityNet 

Identity Management System (QIMS) 

account registration form must be 

completed by any new persons needing 

access to Consolidated Renal Operations 

in a Web Enabled Network 

(CROWNWeb.) The 8,561 existing 

accounts owners will not have to 

reregister for new user accounts. The 

CROWNWeb user community is 

composed of CMS employees, ESRD 

Network Organization staff and dialysis 

facilities staff. The CROWNWeb system 

is the system used as the collection 

point of data necessary for entitlement 

of ESRD patients to Medicare benefits 

and Federal Government monitoring 

and assessing of quality and type of care 

provided to renal patients. The data 

collected in QIMS will provide the 

necessary security measures for creating 

and maintaining active CROWNWeb 

user accounts and collection of audit 

trail information required by the CMS 

Information Security Officers (ISSO). 

Form Number: CMS–10267 (OMB#: 

0938–1050); Frequency: Occasionally; 

Affected Public: Business or other forprofits and Not-for-profit institutions; 

Number of Respondents: 7,439; Total 

Annual Responses: 7,439; Total Annual 

Hours: 3,720. (For policy questions 

regarding this collection contact 

Michelle Tucker at 410–786–0376. For 

all other issues call 410–786–1326. 

2. Type of Information Collection 

Request: Revision of a currently 

approved collection; Title of 

Information Collection: Application for 

Prescription Drug Plans (PDP); 

Application for Medicare Advantage 

Prescription Drug (MA–PD); 

Application for Cost Plans to Offer 

Qualified Prescription Drug Coverage; 

Application for Employer Group Waiver 

Plans to Offer Prescription Drug 

Coverage; Service Area Expansion 

Application for Prescription Drug 

Coverage; Use: The Applications for Part 

D sponsors to offer qualified 

prescription drug coverage are 

completed by entities seeking approval 

to offer Part D benefits under the 

Medicare Prescription Drug Benefit 


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