30298 Federal Register / Vol. 74, No. 121 / Thursday, June 25, 2009 / Notices 

positive for C. difficile toxin and 

abstract data on cases using a 

standardized case report form. For a 

subset of cases (e.g., communityassociated C. difficile cases) sites will 

administer a health interview. Remnant 

stool specimens from cases testing 

positive for C. difficile toxin will be 

submitted to reference laboratories for 

culturing, and isolates will be sent to 

CDC for confirmation and molecular 

typing. Outcomes of this surveillance 

project will include the populationbased incidence of community- and 

healthcare-associated CDI among 

participating EIP sites, characterization 

of C. difficile strains that are responsible 

for CDI in the population under 

surveillance with a focus on strains 

from community-associated cases, a 

description of the epidemiology of 

community- and healthcare-associated 

CDI, and hypothesis-generation for 

future activities using EIP CDI 

surveillance infrastructure. 

The proposed surveillance for CDI 

through the Emerging Infections 

Program will expand CDC capacity to 

monitor incidence of C. difficile in 

community and healthcare settings as 

well as to monitor and detect 

antimicrobial resistance. This activity 

supports the HHS Action Plan for 

elimination of healthcare-associated 

infections. 

CDC estimates that a total of 7,650 

CDI Surveillance Case Report Forms 

(CRFs) will be completed during a oneyear study period on incident CDI cases 

within the EIP catchment area. 

Approximately 3,825 cases will require 

a completed CRF; the remaining 3,825 

cases will only require a partially 

completed CRF. CDC estimates that 

1,700 CDI Surveillance Health 

Interviews (HI) will be completed 

during a one-year study period. 

Surveillance Officers at the EIP sites 

will complete and submit the case 

report forms and health interviews. 

There are no costs to respondents. 

ESTIMATES OF ANNUALIZED BURDEN

Form name Respondents Number of 

respondents 

Number of 

responses per 

respondent 

Average 

burden per 

response 

(in hours) 

Total burden 

(in hours) 

CDI Surveillance Case Report 

Form—Complete.

EIP Surveillance Officer ................... 10 383 1 3,830 

CDI Surveillance Case Report 

Form—Partial.

EIP Surveillance Officer ................... 10 382 15/60 955 

CDI Surveillance Health Interview .... EIP Surveillance Officer ................... 10 170 45/60 1,275 

Total ........................................... ........................................................... ........................ ........................ ........................ 6,060 

Dated: June 17, 2009. 

Maryam I. Daneshvar, 

Acting Reports Clearance Officer, Centers for 

Disease Control and Prevention. 

[FR Doc. E9–14989 Filed 6–24–09; 8:45 am] 

BILLING CODE 4163–18–P 

DEPARTMENT OF HEALTH AND 

HUMAN SERVICES 

Health Resources and Services 

Administration 

Agency Information Collection 

Activities: Proposed Collection: 

Comment Request 

In compliance with the requirement 

for opportunity for public comment on 

proposed data collection projects 

(section 3506(c)(2)(A) of Title 44, United 

States Code, as amended by the 

Paperwork Reduction Act of 1995, Pub. 

L. 104–13), the Health Resources and 

Services Administration (HRSA) 

publishes periodic summaries of 

proposed projects being developed for 

submission to the Office of Management 

and Budget (OMB) under the Paperwork 

Reduction Act of 1995. To request more 

information on the proposed project or 

to obtain a copy of the data collection 

plans and draft instruments, e-mail 

paperwork@hrsa.gov or call the HRSA 

Reports Clearance Officer on (301) 443– 

1129. 

Comments are invited on: (a) The 

proposed collection of information for 

the proper performance of the functions 

of the agency; (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. 

Proposed Project: HRSA/Bureau of 

Primary Health Care Capital 

Improvement Program Application 

Electronic Health Records (EHR) 

Readiness Checklist (OMB No. 0915– 

0325)—Extension 

The American Recovery and 

Reinvestment Act (ARRA) provides $1.5 

billion in grants to support 

‘‘construction, renovation and 

equipment’’, and ‘‘the acquisition of 

health information technology systems, 

for health centers including health 

center controlled networks receiving 

operating grants under section 330’’ of 

the Public Health Service (PHS) Act, as 

amended (42 U.S.C. 254b). HRSA is 

requesting extension of the approval of 

the Electronic Health Records (EHR) 

Readiness Checklist portion of the 

application where applicants must 

provide information to demonstrate 

readiness for electronic health records if 

they propose to use funds for electronic 

health record (EHR) related purchases. 

Of the $1.5 billion, HRSA will award 

approximately $850 million, through 

limited competition grants, for one-time 

Capital Improvement Program (CIP) 

grant funding in fiscal year (FY) 2009 to 

support existing section 330 funded 

health centers. Funding under this 

opportunity will address pressing 

capital improvement needs in health 

centers, such as construction, repair, 

renovation, and equipment purchases, 

including health information technology 

systems. Applicants must provide 

information using the EHR Readiness 

Checklist that demonstrates 

comprehensive planning and readiness 

for implementing EHRs. 

The estimated annual burden is as 

follows: 


sroberts on PROD1PC70 with NOTICES
Federal Register / Vol. 74, No. 121 / Thursday, June 25, 2009 / Notices 30299 

Form Number of 

respondents 

Responses 

per 

respondent 

Total 

responses 

Hours per 

response 

Total burden 

hours 

EHR Readiness Checklist .................................................... 568 1 568 .25 142 

Total .............................................................................. 568 ........................ 568 ........................ 142 

E-mail comments to 

paperwork@hrsa.gov or mail the HRSA 

Reports Clearance Officer, Room 10–33, 

Parklawn Building, 5600 Fishers Lane, 

Rockville, MD 20857. Written comments 

should be received within 60 days of 

this notice. 

Dated: June 19, 2009. 

Alexandra Huttinger, 

Director, Division of Policy Review and 

Coordination. 

[FR Doc. E9–14978 Filed 6–24–09; 8:45 am] 

BILLING CODE 4165–15–P 

DEPARTMENT OF HEALTH AND 

HUMAN SERVICES 

Health Resources and Services 

Administration 

Health Center Program 

AGENCY: Health Resources and Services 

Administration, HHS. 

ACTION: Notice of Noncompetitive 

Replacement Award to Community 

Health Center of Richmond. 

SUMMARY: The Health Resources and 

Services Administration (HRSA) will be 

transferring Health Center Program 

(section 330 of the Public Health Service 

Act) New Access Point funds originally 

awarded to William F. Ryan Community 

Health Center, Inc., to the Community 

Health Center of Richmond to ensure 

the provision of critical primary health 

care services to underserved 

populations in Staten Island, Richmond 

County, New York. 

SUPPLEMENTARY INFORMATION: 

Former Grantee of Record: William F. 

Ryan Community Health Center, Inc. 

Original Period of Grant Support: 

March 1, 2009, to February 28, 2011. 

Replacement Awardee: Community 

Health Center of Richmond. 

Amount of Replacement Award: 

$1,300,000. 

Period of Replacement Award: The 

period of support for the replacement 

award is March 1, 2009 to February 28, 

2011. 

Authority: Section 330 of the Public 

Health Service Act, 42 U.S.C. 245b. 

CFDA Number: 93.703. 

Justification for the Exception to 

Competition: The former grantee, 

William F. Ryan Community Health 

Center, Inc., notified HRSA that its 

original subrecipient, Community 

Health Center of Richmond, will 

directly initiate primary health care 

services in Staten Island to the more 

than 5,250 low income, underserved 

and uninsured individuals in the 

original service area, Staten Island, 

Richmond County, New York, as had 

been proposed in a funded New Access 

Point grant application. 

Community Health Center of 

Richmond was identified as the 

provider of services on behalf of the 

William F. Ryan Community Health 

Center under the original application. 

Community Health Center of 

Richmond is an experienced provider of 

care to the original target population, 

has a demonstrated record of 

compliance with the Health Center 

Program statutory and regulatory 

requirements, can provide primary 

health care services immediately, and is 

located in the same geographical area 

where the William F. Ryan Community 

Health Center, Inc.’s services were to 

have been provided. 

Community Health Center of 

Richmond is a subrecipient of the 

former grantee and will be able to 

provide continuity of care to patients of 

the former grantee. This underserved 

target population has an immediate 

need for vital primary health care 

services and would be negatively 

impacted by any delay caused by a 

competition. As a result, in order to 

ensure that critical primary health care 

services are available to the original 

target population in a timely manner, 

this replacement award will not be 

competed. 

FOR FURTHER INFORMATION CONTACT: 

Marquita Cullom-Stott via e-mail at 

MCullom-Stott@hrsa.gov or 301–594– 

4300. 

Dated: June 18, 2009. 

Mary K. Wakefield, 

Administrator. 

[FR Doc. E9–14980 Filed 6–24–09; 8:45 am] 

BILLING CODE 4165–15–P 

DEPARTMENT OF HEALTH AND 

HUMAN SERVICES 

Agency for Healthcare Research and 

Quality 

Request for Tools and Methods Used 

by Small- and Medium-Sized Practices 

for Analyzing and Redesigning 

Workflows Either Before or After 

Health Information Technology 

Implementation 

AGENCY: Agency for Healthcare Research 

and Quality (AHRQ), HHS. 

ACTION: Notice of request for 

information. 

SUMMARY: This notice announces the 

intention of the Agency for Healthcare 

Research and Quality (AHRQ) to request 

information from (1) small- and 

medium-sized practices about how they 

study or redesign their workflow, 

including information on the use of 

tools and methods for studying 

workflow, and (2) others (e.g., experts, 

vendors, professional associations) that 

have developed, implemented and used 

tools and methods for studying 

workflow in the context of health IT 

implementation and use. Workflow is 

defined as the way work is performed 

and patient-related information is 

communicated within small- and 

medium-sized practices and between 

those practices and external 

organizations such as community 

pharmacies and local hospitals. It is our 

understanding that there is currently no 

standard description of workflows for 

care processes that can be used to guide 

decisions of where and how to 

incorporate health information 

technology. This Request for 

Information is part of a three-pronged 

effort to scan the environment, the 

literature and knowledgeable and 

interested parties to produce a useful 

list of resources that may assist smalland medium-sized medical practices 

and clinics to consider the utility and 

potential effectiveness of incorporating 

health IT into the way they practice and 

communicate patient information. The 

responses to this request for information 

will be considered for reference and 

possible incorporation into an electronic 

toolkit to be made available on the 

Internet to assist small- and mediumsized practices in analyzing or 


sroberts on PROD1PC70 with NOTICES