Federal Register / Vol. 74, No. 136 / Friday, July 17, 2009 / Notices 34759 

478.18, 478.34, 478.36, 478.42, QIO 

Reconsiderations and Appeals; Use: In 

the event that a beneficiary, provider, 

physician, or other practitioner does not 

agree with the initial determination of a 

Quality Improvement Organization 

(QIO) or a QIO subcontractor, it is 

within that party’s rights to request 

reconsideration. The information 

collection requirements 42 CFR 478.18, 

478.34, 478.36, and 478.42, contain 

procedures for QIOs to use in 

reconsideration of initial 

determinations. The information 

requirements contained in these 

regulations are on QIOs to provide 

information to parties requesting the 

reconsideration. These parties will use 

the information as guidelines for appeal 

rights in instances where issues are 

actively being disputed.; Form Number: 

CMS–R–72 (OMB#: 0938–0443); 

Frequency: Reporting—On occasion; 

Affected Public: Individuals or 

Households and Business or other forprofit institutions; Number of 

Respondents: 2,590; Total Annual 

Responses: 5,228; Total Annual Hours: 

2,822. (For policy questions regarding 

this collection contact Tom Kessler at 

410–786–1991. For all other issues call 

410–786–1326.) 

3. Type of Information Collection 

Request: Extension of a currently 

approved collection; Title of 

Information Collection: Children’s 

Health Insurance Program (CHIP) Report 

on Payables and Receivables; Use: 

Collection of CHIP data and the 

calculation of the CHIP Incurred But 

Not Reported (IBNR) estimate are 

pertinent to CMS’ financial audit. The 

CFO auditors have reported the lack of 

an estimate for CHIP IBNR payables and 

receivables as a reportable condition in 

the FY 2005 audit of CMS’s financial 

statements. It is essential that CMS 

collect the necessary data from State 

agencies in FY 2006, so that CMS 

continues to receive an unqualified 

audit opinion on its financial 

statements. Program expenditures for 

the CHIP have increased since its 

inception; as such, CHIP receivables and 

payables may materially impact the 

financial statements. The CHIP Report 

on Payables and Receivables will 

provide the information needed to 

calculate the CHIP IBNR.; Form 

Number: CMS–10180 (OMB#: 0938– 

0988); Frequency: Reporting—Annually; 

Affected Public: State, Local or Tribal 

governments; Number of Respondents: 

56; Total Annual Responses: 56; Total 

Annual Hours: 336. (For policy 

questions regarding this collection 

contact Deborah McCleod at 410–786– 

0013. For all other issues call 410–786– 

1326.) 

4. Type of Information Collection 

Request: Extension of a currently 

approved collection; Title of 

Information Collection: Medicaid Report 

on Payables and Receivables; Use: The 

Chief Financial Officers (CFO) Act of 

1990, as amended by the Government 

Management Reform Act (GMRA) of 

1994, requires government agencies to 

produce auditable financial statements. 

Because the Centers for Medicare & 

Medicaid Services (CMS) fulfills its 

mission through its contractors and the 

States; these entities are the primary 

source of information for the financial 

statements. There are three basic 

categories of data: expenses, payables, 

and receivables. The CMS–64 is used to 

collect data on Medicaid expenses. The 

CMS–R–199 collects Medicaid payable 

and receivable accounting data from the 

States.; Form Number: CMS–R–199 

(OMB#: 0938–0697); Frequency: 

Reporting—Annually; Affected Public: 

State, Local or Tribal governments; 

Number of Respondents: 56; Total 

Annual Responses: 56; Total Annual 

Hours: 336. (For policy questions 

regarding this collection contact 

Deborah McCleod at 410–786–0013. For 

all other issues call 410–786–1326.) 

To obtain copies of the supporting 

statement and any related forms for the 

proposed paperwork collections 

referenced above, access CMS’ Web Site 

at http://www.cms.hhs.gov/ 

PaperworkReductionActof1995, or Email your request, including your 

address, phone number, OMB number, 

and CMS document identifier, to 

Paperwork@cms.hhs.gov, or call the 

Reports Clearance Office on (410) 786– 

1326. 

In commenting on the proposed 

information collections please reference 

the document identifier or OMB control 

number. To be assured consideration, 

comments and recommendations must 

be submitted in one of the following 

ways by September 15, 2009: 

1. Electronically. You may submit 

your comments electronically to http:// 

www.regulations.gov. Follow the 

instructions for ‘‘Comment or 

Submission’’ or ‘‘More Search Options’’ 

to find the information collection 

document(s) accepting comments. 

2. By regular mail. You may mail 

written comments to the following 

address: CMS, Office of Strategic 

Operations and Regulatory Affairs, 

Division of Regulations Development, 

Attention: Document Identifier/OMB 

Control Number, Room C4–26–05, 7500 

Security Boulevard, Baltimore, 

Maryland 21244–1850. 

Dated: July 9, 2009. 

Michelle Shortt, 

Director, Regulations Development Group, 

Office of Strategic Operations and Regulatory 

Affairs. 

[FR Doc. E9–17079 Filed 7–16–09; 8:45 am] 

BILLING CODE 4120–01–P 

DEPARTMENT OF HEALTH AND 

HUMAN SERVICES 

Health Resources and Services 

Administration 

Agency Information Collection 

Activities: Submission for OMB 

Review; Comment Request 

Periodically, the Health Resources 

and Services Administration (HRSA) 

publishes abstracts of information 

collection requests under review by the 

Office of Management and Budget 

(OMB), in compliance with the 

Paperwork Reduction Act of 1995 (44 

U.S.C. Chapter 35). To request a copy of 

the clearance requests submitted to 

OMB for review, e-mail 

paperwork@hrsa.gov or call the HRSA 

Reports Clearance Office on (301) 443– 

1129. 

The following request has been 

submitted to the Office of Management 

and Budget for review under the 

Paperwork Reduction Act of 1995: 

Proposed Project Title: Interim 

Evaluation of the Bright Futures for 

Women’s Health and Wellness 

(BFWHW) Initiative, Emotional 

Wellness Consumer Tools—NEW. 

Purpose: The purpose of this project 

is to design and implement a three-year 

interim evaluation to address initial 

outcomes for the BFWHW emotional 

wellness tools targeted to consumers. 

The project is funded by the Health 

Resources and Services Administration 

(HRSA), Office of Women’s Health 

(OWH). The evaluation will seek to 

determine (1) the acceptability of the 

tools by the target audiences, (2) 

strategies for ensuring their ongoing use, 

and (3) the outcomes associated with 

the use of these tools in three to four 

selected primary care sites. 

The evaluation team will work with 

HRSA OWH and an Expert Committee 

to identify the questions of interest for 

the evaluation plan and methodology. 

There will be two major components— 

a descriptive/process component 

focusing on the design and 

implementation of the program’s 

intervention and an impact component 

focusing on the preliminary outcomes of 

the intervention on the target audiences 

and their behavioral intentions. 

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34760 Federal Register / Vol. 74, No. 136 / Friday, July 17, 2009 / Notices 

Respondents 

Female consumers (adolescents 

between the ages of 13 and 17, and 

adults 18 and older) who receive 

services from four selected HRSAfunded program sites will receive a 

written survey on site at the time of 

service. 

Distributors of the Consumer Tools 

(e.g., healthcare providers, program 

staff, and community stakeholders/ 

organizations) from four selected HRSAfunded program sites will respond to a 

web-based written survey. 

Female consumers (adolescents 

between the ages of 13 and 17 and 

adults 18 and older) who receive 

services from four selected HRSAfunded program sites will be invited to 

participate in a focus group. 

ANNUAL BURDEN ESTIMATES

Form Number of respondents 

Responses 

per respondent 

Total responses Hours per response Total burden 

hours 

Survey of Consumers ...................................................... 563 1 563 0 .25 140 .75 

Survey of the Distributors of the Consumer Tools .......... 40 1 40 0 .25 10 .0 

Consumer Focus Groups ................................................. 1 64 1 64 1 .5 96 .0 

Total .......................................................................... 667 ........................ 667 .......................... 246 .75 

1 4 sites × 16 focus group participants per site. 

Written comments and 

recommendations concerning the 

proposed information collection should 

be sent within 30 days of this notice to 

the desk officer for HRSA, either by email to OIRA_submission@omb.eop.gov 

or by fax to 202–395–6974. Please direct 

all correspondence to the ‘‘attention of 

the desk officer for HRSA.’’ 

Dated: July 9, 2009. 

Alexandra Huttinger, 

Director, Division of Policy Review and 

Coordination. 

[FR Doc. E9–16958 Filed 7–16–09; 8:45 am] 

BILLING CODE 4165–15–P 

DEPARTMENT OF HEALTH AND 

HUMAN SERVICES 

National Institutes of Health 

Proposed Collection; Comment 

Request; NEXT Generation Health 

Study 

SUMMARY: 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 

National Institute of Child Health and 

Human Development (NICHD), the 

National Institutes of Health (NIH) will 

publish periodic summaries of proposed 

projects to be submitted to the Office of 

Management and Budget (OMB) for 

review and approval. 

Proposed Collection 

Title: NEXT Generation Health Study. 

Type of Information Collection 

Request: New. 

Need and Use of Information 

Collection: 

The goal of this research is to obtain 

data on adolescent health and health 

behaviors annually for four years 

beginning in the 2009–2010 school year 

from a national probability sample of 

adolescents. This information will 

enable the improvement of health 

services and programs for youth. The 

study will provide needed information 

about the health of U.S. adolescents. 

The study will collect information on 

adolescent health behaviors and social 

and environmental contexts for these 

behaviors annually for four years 

beginning in the 2009–2010 school year. 

Self-report of health status, health 

behaviors, and health attitudes will be 

collected by in-school and online 

surveys. Anthropomorphic data, genetic 

information, and neighborhood 

characteristics will be gathered on all 

participants as well. The study will also 

incorporate a School Administrator 

Survey and other data files to obtain 

related information on school-level 

health programs and community-level 

contextual data. A representative 

subsample of overweight and normal 

weight adolescents will be identified 

and additional data on behavioral risk 

factors and biological markers and risk 

factors will be gathered on these 

adolescents. 

TABLE 1—ANNUAL BURDEN FOR AFFECTED PUBLIC: SCHOOL-AGE CHILDREN, PARENTS AND SCHOOL ADMINISTRATORS

Type of respondents 

Estimated 

number of respondents 

Estimated 

number of responses per 

respondent 

Average burden 

hours per response 

Estimated total 

annual burden 

hours requested 

Adolescents ................................................................................................... 2,700 1 0 .75 11, 004 

Adolescents with additional assessments ..................................................... 550 1 2 .5 1,375 

Parents ........................................................................................................... 550 1 0 .17 94 

School Administrators .................................................................................... 80 1 0 .33 26 

The estimated annualized cost to 

respondents is $7,453 (Table 2). These 

costs were estimated for the 2009/2010 

survey year only, not the entire duration 

of the project; annualized over the entire 

duration of the project, these costs 

would be reduced to $2,439. These 

estimates were calculated using 2008 

Department of Labor figures for wages of 

principals in high schools (grades 9 and 

10) and of average wage and salaried 

employees, and assuming an annual 

increase of 3.75%, 50-week contract, 

and 40-hour week. 

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