Agency Information Collection Activities: Proposed Collection: Comment Request

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 at (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: Patient Navigator Outreach and Chronic Disease Prevention Demonstration Program (OMB No. 0915-NEW)—[NEW]

The Patient Navigator Outreach and Chronic Disease Prevention Demonstration Program (PNDP) authorizes funds for the development and operation of projects to provide patient navigator services to improve health outcomes for individuals with cancer and other chronic diseases, with a specific emphasis on health disparities populations. Award recipients are to use grant funds to recruit, assign, train, and employ patient navigators who have direct knowledge of the communities they serve to facilitate the care of those who are at risk for or who have cancer or other chronic diseases, including conducting outreach to health disparities populations.

As authorized by the statute, an evaluation of the outcomes of the program must be submitted to Congress. The purpose of these data collection instruments, including navigated patient data intake, VR-12 health status, patient navigator survey, patient navigator encounter/tracking log, patient medical record and clinic data, clinic rates (baseline measures), and quarterly reports is to provide data to inform and support the Report to Congress for: the quantitative analysis of baseline and benchmark measures; aggregate information about the patients served and program activities, and; recommendations on whether patient navigator programs could be used to improve patient outcomes in other public health areas.

Form

Number of

respondents

Responses per

respondent

Total

responses

Hours per

response

Total burden hours

Navigated Patient Data Intake Form

6,327

1

6,327

0.5

3,163.5

VR-12 Health Status Form

6,327

2

12,654

.12

1,519

SubTotal—Patient Burden

6,327

3

18,981

.62

4,682.5

The annual estimate of burden is as follows:

Patient Navigator Survey

46

1

46

0.2

9.2

Patient Navigator Encounter/Tracking Log

46

825.3

37,962

0.2

7,592.4

SubTotal—Patient Navigator Burden

46

826.3

38,008

0.4

7,601.6

Patient Medical Record and Clinic Data

10

632.7

6,327

.17

2,151.2

Clinic Rates (Baseline Measures)

10

1

10

10

100

Quarterly Report

10

4

40

1

40

SubTotal—Grantee Burden

30

637.7

6,377

11.17

2,291.2

Totals

6,403

63,366

14,575.3

Total Average Annual Burden

14,575.3

Anticipated Number of Patients per Site:

Over 3 years

Clinica Sierra Vista

2,280

CMAP

1,000

New River

7,200

Project Concern

450

Queens Medical Center

500

South County

600

Texas Tech

200

University of Utah

1,350

Vista

3,000

William F. Ryan

2,400

Total

18,980

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: February 17, 2011.

Reva Harris,

Acting Director, Division of Policy and Information Coordination.

[FR Doc. 2011-4162 Filed 2-23-11; 8:45 am]

BILLING CODE 4165-15-P