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Federal Register / Vol. 83, No. 88 / Monday, May 7, 2018 / Notices
ANNUAL BURDEN ESTIMATES
Instrument

Number of
respondents

Number of
responses
per respondent

Average
burden hours
per response

Total burden
hours

Title IV–E Plan .................................................................................................

17

1

16

272

Estimated Total Annual Burden
Hours: 272.
In compliance with the requirements
of the Paperwork Reduction Act of 1995
(Pub. L. 104–13, 44 U.S.C. Chap 35), 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 Planning, Research
and Evaluation, 330 C Street SW,
Washington DC 20201. Attn: ACF
Reports Clearance Officer. Email
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.
Robert Sargis,
Reports Clearance Officer.
[FR Doc. 2018–09581 Filed 5–4–18; 8:45 am]

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DEPARTMENT OF HEALTH AND
HUMAN SERVICES
Health Resources and Services
Administration
Agency Information Collection
Activities: Submission to OMB for
Review and Approval; Public Comment
Request; Small Health Care Provider
Quality Improvement Program, OMB
No. 0915–0387—Revision
Health Resources and Services
Administration (HRSA), Department of
Health and Human Services.
ACTION: Notice.
AGENCY:

In compliance with of the
Paperwork Reduction Act of 1995,
HRSA has submitted an Information
Collection Request (ICR) to the Office of
Management and Budget (OMB) for
review and approval. HRSA published
the 60-Day notice on January 8, 2018,
FR Doc. 2018–00173. Comments
submitted during the first public review
of this ICR will be provided to OMB.
OMB will accept further comments from
the public during the review and
approval period.
DATES: Comments on this ICR should be
received no later than June 6, 2018.
ADDRESSES: Submit your comments,
including the ICR Title, to the desk
officer for HRSA, either by email to
OIRA_submission@omb.eop.gov or by
fax to 202–395–5806.
FOR FURTHER INFORMATION CONTACT: To
request a copy of the clearance requests
submitted to OMB for review, email Lisa
Wright-Solomon, the HRSA Information
Collection Clearance Officer at
paperwork@hrsa.gov or call (301) 443–
1984.
SUPPLEMENTARY INFORMATION: When
submitting comments or requesting
information, please include the
information request collection title for
reference, in compliance with Section
3506(c)(2)(A) of the Paperwork
Reduction Act of 1995.
Information Collection Request Title:
Small Health Care Provider Quality
Improvement Program, OMB No. 0915–
0387—Revision.
Abstract: This program is authorized
by Title III, Public Health Service Act,
Section 330A(g) (42 U.S.C. 254c(g)), as
SUMMARY:

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amended. This authority permits the
Federal Office of Rural Health Policy
(FORHP) to support grants that expand
access to, coordinate, contain the cost
of, and improve the quality of essential
health care services, including
preventive and emergency services,
through the development of health care
networks in rural and frontier areas and
regions. The authority also allows HRSA
to provide funds to rural and frontier
communities to support the direct
delivery of health care and related
services, expand existing services, or
enhance health service delivery through
education, promotion, and prevention
programs.
The purpose of the Small Health Care
Provider Quality Improvement Grant
(Rural Quality) Program is to provide
support to rural primary care providers
for implementation of quality
improvement activities. The program
promotes the development of an
evidence-based culture and delivery of
coordinated care in the primary care
setting. Additional objectives of the
program include improved health
outcomes for patients, enhanced chronic
disease management, and better
engagement of patients and their
caregivers. Organizations participating
in the program are required to use an
evidence-based quality improvement
model; develop, implement and assess
effectiveness of quality improvement
initiatives; and use health information
technology (HIT) to collect and report
data. HIT may include an electronic
patient registry or an electronic health
record, and is a critical component for
improving quality and patient
outcomes. With HIT, it is possible to
generate timely and meaningful data,
which helps providers track and plan
care.
Need and Proposed Use of the
Information: FORHP collects this
information to quantify the impact of
grant funding on access to health care,
quality of services, and improvement of
health outcomes. FORHP uses the data
for program improvement, and grantees
use the data for performance tracking.
The measures encompass access to care,
population demographics, consortium/
network, sustainability, quality
improvement implementation strategies,
clinical; and optional topic utilization.

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Federal Register / Vol. 83, No. 88 / Monday, May 7, 2018 / Notices

The proposed Rural Quality draft
measures reflect a reduced number of
required measures and improvements to
the number of optional measures
including the following: 24 total
measures (previously 43), which
includes 16 required measures
applicable to all awardees in addition to
improved optional measure choices for
8 total optional measures (previously 4).
Proposed revisions specifically include
the following: (1) Alignment of clinical
measures to current National Quality
Forum endorsement recommendations
and (2) broadened orientation of
measures for improved applicability
across variety of rural quality
improvement project topic areas.
With the continuing shift in the
healthcare environment towards

provision of value-based care and
utilization of reimbursement strategies
through Centers for Medicare and
Medicaid quality reporting programs,
the latest competitive cohort also aligns
with this shift. An increased number of
sophisticated applicants leveraging
increasingly intricate reporting
methodologies for quality data
collection, utilization, and analysis has
resulted in an estimate of burden hours
more in line with the realities of the
health care landscape.
Likely Respondents: The respondents
would be award recipients of the Small
Health Care Provider Quality
Improvement Program.
Burden Statement: Burden in this
context means the time expended by
persons to generate, maintain, retain,

disclose or provide the information
requested. This includes the time
needed to review instructions; to
develop, acquire, install and utilize
technology and systems for the purpose
of collecting, validating and verifying
information, processing and
maintaining information, and disclosing
and providing information; to train
personnel and to be able to respond to
a collection of information; to search
data sources; to complete and review
the collection of information; and to
transmit or otherwise disclose the
information. The total annual burden
hours estimated for this ICR are
summarized in the table below.

TOTAL ESTIMATED ANNUALIZED BURDEN—HOURS
Number of
respondents

Form name

Small Health Care Provider Quality Improvement Program
Performance Improvement Measurement System
(PIMS) Measurement .......................................................

Amy P. McNulty,
Acting Director, Division of the Executive
Secretariat.
[FR Doc. 2018–09674 Filed 5–4–18; 8:45 am]
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DEPARTMENT OF HEALTH AND
HUMAN SERVICES
Health Resources and Services
Administration
Agency Information Collection
Activities: Submission to OMB for
Review and Approval; Public Comment
Request; Rural Health Opioid Program
Grant Performance Measures, OMB
No. 0906–xxxx—NEW
Health Resources and Services
Administration (HRSA), Department of
Health and Human Services.
ACTION: Notice.
AGENCY:

In compliance with the
Paperwork Reduction Act of 1995,
HRSA has submitted an Information
Collection Request (ICR) to the Office of
Management and Budget (OMB) for
review and approval. HRSA published
the 60-day notice on December 15, 2017,
FR Doc. 2017–27013. HRSA received
one comment. Comments submitted
during the first public review of this ICR
will be provided to OMB. OMB will
accept further comments from the

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32
32

Number of
responses per
respondent

1
........................

public during the review and approval
period.
DATES: Comments on this ICR should be
received no later than June 6, 2018.
ADDRESSES: Submit your comments,
including the ICR Title, to the desk
officer for HRSA, either by email to
OIRA_submission@omb.eop.gov or by
fax to (202) 395–5806.
FOR FURTHER INFORMATION CONTACT: To
request a copy of the clearance requests
submitted to OMB for review, email Lisa
Wright-Solomon, the HRSA Information
Collection Clearance Officer at
paperwork@hrsa.gov or call (301) 443–
1984.
SUPPLEMENTARY INFORMATION:
Information Collection Request Title:
Rural Health Opioid Program Grant
Performance Measures
OMB No. 0906–xxxx—NEW
Abstract: The Rural Health Opioid
Program aims to promote rural health
care services outreach by expanding the
delivery of opioid related health care
services to rural communities. The
program will work to reduce the
morbidity and mortality related to
opioid overdoses in rural communities
through the development of broad
community consortiums to prepare
individuals with opioid-use disorder to
start treatment, implement care
coordination practices to organize
patient care activities, and support

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Average
burden per
response
(in hours)

Total
responses

32
32

22
........................

Total
burden
hours

704
704

individuals in recovery through the
enhancement of behavioral counselling
and peer support activities.
Need and Proposed Use of the
Information: For this program,
performance measures were drafted to
provide data to the program and to
enable HRSA to provide aggregate
program data required by Congress
under the Government Performance and
Results Act of 1993. These measures
cover the principal topic areas of
interest to the Federal Office of Rural
Health Policy (FORHP), including: (a)
Target population demographics; (b)
referrals to substance abuse treatment;
(c) substance abuse treatment process
and outcomes; (d) education of health
care providers and community
members; and (e) rates of fatal and nonfatal opioid-related overdose. All
measures will speak to FORHP’s
progress toward meeting the goals set.
Likely Respondents: The respondents
would be recipients of the Rural Health
Opioid Program grant funding.
Burden Statement: Burden in this
context means the time expended by
persons to generate, maintain, retain,
disclose or provide the information
requested. This includes the time
needed to review instructions; to
develop, acquire, install and utilize
technology and systems for the purpose
of collecting, validating and verifying
information, processing and

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