View Information Collection Request (ICR) Package
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Please note that the OMB number and expiration date may not have been determined when this Information Collection Request and associated Information Collection forms were submitted to OMB. The approved OMB number and expiration date may be found by clicking on the Notice of Action link below.
View ICR - OIRA Conclusion
OMB Control No:
0915-0311
ICR Reference No:
200706-0915-001
Status:
Historical Active
Previous ICR Reference No:
Agency/Subagency:
HHS/HSA
Agency Tracking No:
Title:
Office for the Advancement of Telehealth Outcome Measures
Type of Information Collection:
Existing collection in use without an OMB Control Number
Common Form ICR:
No
Type of Review Request:
Regular
OIRA Conclusion Action:
Approved with change
Conclusion Date:
10/23/2007
Retrieve Notice of Action (NOA)
Date Received in OIRA:
06/11/2007
Terms of Clearance:
This ICR is approved consistent with HRSA memo of 10-22-07. Namely, HRSA will revise the instructions for further clarity; HRSA will collect information on a wider range of A1c results (and not just on the percentage of patients that meet the very high clinical standard of A1c<7.0%); and HRSA will collect process data (e.g. frequency of A1c testing) alongside outcome data (%A1c). This ICR is approved on the understanding that the results will not be publicly reported by individual grantees but only in the aggregate, across all grantees. Individual grantee performance data will be used to tailor technical assistance based on the grantee's particular needs. HRSA recognizes that health outcomes are determined by many factors, not simply the quality of care provided to patients, which is particularly true for at-risk populations like those served by these grantees. Poor health outcomes are not, in themselves, necessarily an indicator of poor performance. As such, the interpretation and use of these outcome data shall be undertaken with appropriate caution.
Inventory as of this Action
Requested
Previously Approved
Expiration Date
10/31/2010
36 Months From Approved
Responses
1,334
0
0
Time Burden (Hours)
9,338
0
0
Cost Burden (Dollars)
0
0
0
Abstract:
The HRSA Office for the Advancement of Telehealth is requesting OMB approval for telehealth outcomes measures of the telehealth grantees. Specifically, HRSA is asking for approval to use a performance measurement tool to collect data from grantees receiving funds under the Telehealth Network Grant Program. These data will be used to identify quality improvements, disparties in health care, health status, and clinical outcome measures.
Authorizing Statute(s):
PL:
Pub.L. 107 - 251 3301
Name of Law: Public Health Service Act, Health Care Safety Net Amendments
Citations for New Statutory Requirements:
None
Associated Rulemaking Information
RIN:
Stage of Rulemaking:
Federal Register Citation:
Date:
Not associated with rulemaking
Federal Register Notices & Comments
60-day Notice:
Federal Register Citation:
Citation Date:
71 FR 75968
12/19/2006
30-day Notice:
Federal Register Citation:
Citation Date:
72 FR 28059
05/18/2007
Did the Agency receive public comments on this ICR?
No
Number of Information Collection (IC) in this ICR:
1
IC Title
Form No.
Form Name
Office for the Advancement of Telehealth Outcome Measures
ICR Summary of Burden
Total Approved
Previously Approved
Change Due to New Statute
Change Due to Agency Discretion
Change Due to Adjustment in Estimate
Change Due to Potential Violation of the PRA
Annual Number of Responses
1,334
0
0
0
0
1,334
Annual Time Burden (Hours)
9,338
0
0
0
0
9,338
Annual Cost Burden (Dollars)
0
0
0
0
0
0
Burden increases because of Program Change due to Agency Discretion:
No
Burden Increase Due to:
Burden decreases because of Program Change due to Agency Discretion:
No
Burden Reduction Due to:
Short Statement:
Annual Cost to Federal Government:
$25,200
Does this IC contain surveys, censuses, or employ statistical methods?
No
Is the Supporting Statement intended to be a Privacy Impact Assessment required by the E-Government Act of 2002?
No
Is this ICR related to the Affordable Care Act [Pub. L. 111-148 & 111-152]?
Uncollected
Is this ICR related to the Dodd-Frank Wall Street Reform and Consumer Protection Act, [Pub. L. 111-203]?
Uncollected
Is this ICR related to the American Recovery and Reinvestment Act of 2009 (ARRA)?
Uncollected
Is this ICR related to the Pandemic Response?
Uncollected
Agency Contact:
Saleda Perryman
Common Form ICR:
No
On behalf of this Federal agency, I certify that the collection of information encompassed by this request complies with 5 CFR 1320.9 and the related provisions of 5 CFR 1320.8(b)(3).
The following is a summary of the topics, regarding the proposed collection of information, that the certification covers:
(a) It is necessary for the proper performance of agency functions;
(b) It avoids unnecessary duplication;
(c) It reduces burden on small entities;
(d) It uses plain, coherent, and unambiguous language that is understandable to respondents;
(e) Its implementation will be consistent and compatible with current reporting and recordkeeping practices;
(f) It indicates the retention periods for recordkeeping requirements;
(g) It informs respondents of the information called for under 5 CFR 1320.8 (b)(3) about:
(i) Why the information is being collected;
(ii) Use of information;
(iii) Burden estimate;
(iv) Nature of response (voluntary, required for a benefit, or mandatory);
(v) Nature and extent of confidentiality; and
(vi) Need to display currently valid OMB control number;
(h) It was developed by an office that has planned and allocated resources for the efficient and effective management and use of the information to be collected.
(i) It uses effective and efficient statistical survey methodology (if applicable); and
(j) It makes appropriate use of information technology.
If you are unable to certify compliance with any of these provisions, identify the item by leaving the box unchecked and explain the reason in the Supporting Statement.
Certification Date:
06/11/2007
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