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Federal Register / Vol. 70, No.

191 / Tuesday, October 4, 2005 / Notices 57877

Persons wishing to submit views to nursing assistants, home health aides, provision for the Health and Human
the Council on any of the above topics and personal care attendants—who Services Assistant Secretary for
may do so by sending written provide care and support to elderly Planning and Evaluation (HHS/ASPE)
statements to Ann Bistay, Secretary of people with chronic diseases and and the Office of Management and
the Consumer Advisory Council, disabilities. Worker shortages are certain Budget (OMB) to establish an
Division of Consumer and Community to grow as the demand for long-term interagency committee, to be
Affairs, Board of Governors of the care increases with the aging coordinated by HHS. The committee’s
Federal Reserve System, Washington, population. Thus, recruitment and role is to examine major federal
DC 20551. Information about this retention of direct care workers has regulations governing the health care
meeting may be obtained from Ms. become an issue of great interest to industry and to make suggestions
Bistay, 202–452–6470. policymakers, regulators and industry regarding how health care regulation
Board of Governors of the Federal Reserve leaders. The proposed survey will could be coordinated and simplified to
System, September 28, 2005. ensure that HHS and other Federal, reduce costs and burdens and improve
Jennifer J. Johnson, state, and local agencies have timely translation of biomedical research into
data available on the central role of medical practice, while continuing to
Secretary of the Board.
frontline supervisors in direct care protect patients. This committee will
[FR Doc. 05–19781 Filed 10–3–05; 8:45 am] examine the economic impact of the
workers job quality and turnover.
Frequency: Reporting, on occasion; major federal regulations governing the
Affected Public: Individuals or health care industry, and will explore
households, business or other for profit, both immediate steps and longer-term
DEPARTMENT OF HEALTH AND not for profit institutions; proposals for reducing regulatory
HUMAN SERVICES Annual Number of Respondents: 845; burden, while maintaining the highest
Total Annual Responses: 845; quality health care and other patient
Office of the Secretary Average Burden Per Response: 30 protections.
[Document Identifier: OS–0990–New] minutes; In accord with the House
Total Annual Hours: 1,005; Appropriations Committee’s intent,
Agency Information Collection To obtain copies of the supporting ASPE and OMB are undertaking several
Activities: Proposed Collection; statement and any related forms for the complementary activities. First, we are
Comment Request proposed paperwork collections establishing an interagency committee
referenced above, access the HHS Web to undertake a comprehensive review of
AGENCY: Office of the Secretary, Office site address at federal health care regulations,
of Assistant Secretary for Planning & oirm/infocollect/pending/ or e-mail your guidance, and paperwork requirements
Evaluation. request, including your address, phone in order to identify areas for reform.
In compliance with the requirement number, OMB number, and OS Second, we are planning to hold a series
of section 3506(c)(2)(A) of the document identifier, to of public meetings in order to hear
Paperwork Reduction Act of 1995, the, or call the Reports directly from health care administrators,
Office of the Secretary (OS), Department Clearance Office on (202) 690–6162. institutional providers, physicians,
of Health and Human Services, is Written comments and practitioners, patients, and others about
publishing the following summary of a recommendations for the proposed the impact of regulations, and to
proposed collection for public information collections must be identify other potential areas for reform.
comment. Interested persons are invited received within 30-days, of this notice The public meetings will be held in
to send comments regarding this burden directly to the Desk Officer at the several cities across the country to
estimate or any other aspect of this address below: OMB Desk Officer: John provide an opportunity for input.
collection of information, including any Kraemer, OMB Human Resources and Individuals may also submit written
of the following subjects: (1) The Housing Branch, Attention: (OMB #OS– comments, regardless of their ability to
necessity and utility of the proposed 0990–NEW), New Executive Office attend the public meetings, for
information collection for the proper Building, Room 10235, Washington DC consideration by the interagency
performance of the agency’s functions; 20503. committee. Information about the
(2) the accuracy of the estimated schedule of public meetings and
burden; (3) ways to enhance the quality, Dated: September 21, 2005.
registration procedures will be available
utility, and clarity of the information to Robert E. Polson,
on the Web site
be collected; and (4) the use of Office of the Secretary, Paperwork Reduction arrb.
automated collection techniques or Act Reports Clearance Officer. In order to assist the committee in
other forms of information technology to [FR Doc. 05–19771 Filed 10–3–05; 8:45 am] studying regulatory impact and reform,
minimize the information collection BILLING CODE 4151–05–P in this notice ASPE is also requesting
burden. public nominations of federal health
Type of Information Collection care regulations that could be
Request: Regular Clearance; DEPARTMENT OF HEALTH AND coordinated and simplified to reduce
Title of Information Collection: HUMAN SERVICES costs and burdens and improve the
Survey of Frontline Supervisors of translation of biomedical research into
Direct Service Workers Participating in Recommendations for Regulatory medical practice. In particular,
the Better Jobs Better Care Reform commenters are requested to suggest
Demonstration; AGENCY: Department of Health and specific reforms to regulations, guidance
Form/OMB No.: OS–0990–New; Human Services, Office of the Assistant documents, or paperwork requirements
Use: The President’s New Freedom Secretary for Planning and Evaluation. that would improve the delivery of
Initiative specifies goals for enhancing ACTION: Notice of request for comments. health care by increasing efficiency,
the direct service workforce availability reducing unnecessary costs, removing
and capability. There is currently a SUMMARY: The House Appropriations uncertainty, and increasing flexibility,
major shortage of direct care workers— Committee Report 108–636 includes a while maintaining or improving patient

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57878 Federal Register / Vol. 70, No. 191 / Tuesday, October 4, 2005 / Notices

safety and quality of care and other DEPARTMENT OF HEALTH AND have undiagnosed diabetes and treating
patient protections. The emphasis is on HUMAN SERVICES them could prevent or delay diabetes
major regulations issued within the last complications.
ten (10) years. Centers for Disease Control and In November 2003 the Diabetes
Prevention Detection Initiative (DDI) was launched
ASPE requests that commenters, in in 10 pilot sites around the U.S. to
the selection of which reform ideas to [60Day–05–05CZ]
identify a portion of the estimated 5
submit, consider the extent to which (1) million people with undiagnosed Type
Benefits (quantitative and/or qualitative) Proposed Data Collections Submitted
for Public Comment and 2 diabetes, targeting specific areas in
are likely to exceed costs for the reform, each of 10 locales in which residents are
(2) benefits (quantitative and/or likely to be at higher risk for Type 2
qualitative) can be increased without In compliance with the requirement diabetes. Implementation of the DDI
exceeding costs, (3) the suggested of section 3506(c)(2)(A) of the involved distributing a paper-and-pencil
change would improve patients’ health Paperwork Reduction Act of 1995 for risk test. Individuals whose score
and quality of care, (4) the agency or opportunity for public comment on indicated that they were at an increased
multiple agencies have statutory proposed data collection projects, the risk for diabetes were advised to see
authority to make the suggested change, Centers for Disease Control and their regular doctor (or to schedule an
and (5) the rule or program is a major Prevention (CDC) will publish periodic appointment at one of several clinics
contributor to the regulatory burden summaries of proposed projects. To that had agreed to participate in the
imposed on the health care sector. request more information on the DDI) to receive a finger-stick or other
While both legislative and proposed projects or to obtain a copy of tests to confirm whether or not they
administrative reforms are welcome, the data collection plans and have diabetes. Whether or not the DDI
instruments, call 404–371–5983 and should be expanded to other
administrative reforms such as those
send comments to Seleda Perryman, communities depends on the health
that require discretionary rulemaking
CDC Assistant Reports Clearance benefits and costs of the program. The
are more likely to be initiated in a Officer, 1600 Clifton Road, MS–D74, CDC is planning to conduct a study to
timely manner. The reforms may Atlanta, GA 30333 or send an e-mail to provide this critical information.
include modifying, extending, or The planned study will assess the
rescinding regulatory programs, Comments are invited on: (a) Whether resources used, the cost per case
guidance documents or paperwork the proposed collection of information detected, and the perceived benefit of
requirements. is necessary for the proper performance the DDI to participants. Data for the
Once we receive the nominations of the functions of the agency, including economic assessment will be obtained
from the public, HHS, in cooperation whether the information shall have by conducting surveys of local DDI
with OMB, will assemble and evaluate practical utility; (b) the accuracy of the implementation teams, leadership at
the reform nominations and discuss agency’s estimate of the burden of the participating health clinics, and patients
each of them with the relevant HHS proposed collection of information; (c) at participating health clinics. The
Operating Divisions, taking into account ways to enhance the quality, utility, and results of the study will also provide
clarity of the information to be information needed for conducting a
statutory, economic, public health, and
collected; and (d) ways to minimize the more complete cost-effectiveness
budgetary considerations.
burden of the collection of information analysis of screening for undiagnosed
ADDRESSES: ASPE requests that on respondents, including through the diabetes.
nominations (including explanations of use of automated collection techniques The point-of-contact (Implementation
the suggested reforms) be submitted in or other forms of information team member) in each of the 10 regions
writing electronically to ASPE at technology. Written comments should will be sent a mail survey to collect be received within 60 days of this information regarding the staff time and
within 30 calendar days from the date notice. other resources used to implement the
of publication of this notice in the DDI program (including the staff time
Proposed Project and resources used by community-based
Federal Register.
Assessing Diabetes Detection organizations that participated in the
FOR FURTHER INFORMATION CONTACT: Initiative for Policy Decisions—New— DDI implementation). These planning
Marty McGeein, Office of the Assistant National Center for Chronic Disease and implementation activities include
Secretary for Planning and Evaluation, Prevention and Health Promotion participating in meetings and
200 Independence Avenue, SW., (NCCDPHP), Centers for Disease Control conference calls, recruiting clinics and
Washington, DC 20201. Telephone: and Prevention (CDC). community-based organizations to
(202) 690–6443. participate in the DDI, distributing risk
Background and Brief Description tests, organizing health fairs and other
Dated: September 20, 2005. Type 2 diabetes is a chronic disease community events, and designing media
Michael J. O’Grady, that affects more than 18 million campaigns to promote the DDI.
Assistant Secretary for Planning and Americans, approximately 5 million of The health clinic leadership survey
Evaluation (ASPE), HHS. whom do not know that they have the will be mailed to one person at each of
John D. Graham, disease. As the disease progresses, it the 43 clinics that participated in the
Administrator, Office of Information and often causes severe complications, DDI implementation. The survey will
Regulatory Affairs (OIRA), OMB. including heart disease, blindness, collect information regarding the costs
[FR Doc. 05–19788 Filed 10–3–05; 8:45 am]
lower extremity arterial disease, and associated with the clinic’s participation
kidney failure. Native Americans, in the DDI. These will include the
African Americans, Latino Americans, medical costs of providing care to
and some Asian Americans and Pacific patients who visited the clinic as a
Islanders are disproportionately affected result of the DDI, staff time associated
by diabetes. Identifying persons who with DDI planning and implementation,

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