60 day federal register notice

60 day 12-4-09.pdf

Indian Health Service Medical Staff Credentials and Privileges Files

60 day federal register notice

OMB: 0917-0009

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63754

Federal Register / Vol. 74, No. 232 / Friday, December 4, 2009 / Notices

PUBLIC PARTICIPATION: The meeting will
be open to public participation, and the
last 10 minutes will be set aside for oral
questions or comments. Members of the
public may also file written statement(s)
before or after the meeting. If you plan
to attend, a photo ID must be presented
at the guard’s desk as part of the
clearance process into the building, and
you may contact Susan Houser to be
placed on an attendee list. If any person
wishes auxiliary aids (such as a sign
language interpreter) or other special
accommodations, please contact, prior
to December 5, 2009, Susan Houser,
Room 1273, 811 Vermont Avenue, NW.,
Washington, DC 20571, Voice: (202)
565–3232 or TDD (202) 565–3377.
FURTHER INFORMATION: For further
information, contact Susan Houser,
Room 1273, 811 Vermont Ave., NW.,
Washington, DC 20571, (202) 565–3232.

Jonathan Cordone,
Senior Vice President and General Counsel.
[FR Doc. E9–28959 Filed 12–3–09; 8:45 am]
BILLING CODE 6690–01–M

FARM CREDIT ADMINISTRATION
Farm Credit Administration Board;
Sunshine Act; Regular Meeting
Farm Credit Administration.
Notice is hereby given,
pursuant to the Government in the
Sunshine Act (5 U.S.C. 552b(e)(3)), of
the regular meeting of the Farm Credit
Administration Board (Board).
DATE AND TIME: The regular meeting of
the Board will be held at the offices of
the Farm Credit Administration in
McLean, Virginia, on December 10,
2009, from 9 a.m. until such time as the
Board concludes its business.
FOR FURTHER INFORMATION CONTACT:
Roland E. Smith, Secretary to the Farm
Credit Administration Board, (703) 883–
4009, TTY (703) 883–4056.
ADDRESSES: Farm Credit
Administration, 1501 Farm Credit Drive,
McLean, Virginia 22102–5090.
SUPPLEMENTARY INFORMATION: Parts of
this meeting of the Board will be open
to the public (limited space available),
and parts will be closed to the public.
In order to increase the accessibility to
Board meetings, persons requiring
assistance should make arrangements in
advance. The matters to be considered
at the meeting are:
AGENCY:

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SUMMARY:

Open Session
A. Approval of Minutes
• November 12, 2009.

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B. New Business
• Effective Interest Rates–12 CFR Part
617–Final Rule.
• Farmer Mac Risk-Based Capital
Stress Test, Version 4.0– 12 CFR Part
652–Proposed Rule.
Closed Session*
• Office of Secondary Market
Oversight Quarterly Report.
* Session Closed-Exempt pursuant to 5
U.S.C. 552b(c)(8) and (9).
Dated: December 2, 2009.
Roland E. Smith,
Secretary, Farm Credit Administration Board.
[FR Doc. E9–29111 Filed 12–2–09; 8:45 am]

Officer) 33 Liberty Street, New York,
New York 10045–0001:
1. First Niagara Financial Group, Inc.,
Buffalo, New York; to become a bank
holding company by acquiring 100
percent of the voting shares of The
Harleysville National Bank and Trust
Company, and Harleysville National
Corporation, both of Harleysville,
Pennsylvania.
Board of Governors of the Federal Reserve
System, December 1, 2009.
Robert deV. Frierson,
Deputy Secretary of the Board.
[FR Doc. E9–28976 Filed 12–3–09; 8:45 am]
BILLING CODE 6210–01–S

BILLING CODE 6705–01–P

FEDERAL RESERVE SYSTEM
Formations of, Acquisitions by, and
Mergers of Bank Holding Companies
The companies listed in this notice
have applied to the Board for approval,
pursuant to the Bank Holding Company
Act of 1956 (12 U.S.C. 1841 et seq.)
(BHC Act), Regulation Y (12 CFR Part
225), and all other applicable statutes
and regulations to become a bank
holding company and/or to acquire the
assets or the ownership of, control of, or
the power to vote shares of a bank or
bank holding company and all of the
banks and nonbanking companies
owned by the bank holding company,
including the companies listed below.
The applications listed below, as well
as other related filings required by the
Board, are available for immediate
inspection at the Federal Reserve Bank
indicated. The applications also will be
available for inspection at the offices of
the Board of Governors. Interested
persons may express their views in
writing on the standards enumerated in
the BHC Act (12 U.S.C. 1842(c)). If the
proposal also involves the acquisition of
a nonbanking company, the review also
includes whether the acquisition of the
nonbanking company complies with the
standards in section 4 of the BHC Act
(12 U.S.C. 1843). Unless otherwise
noted, nonbanking activities will be
conducted throughout the United States.
Additional information on all bank
holding companies may be obtained
from the National Information Center
website at http://www.ffiec.gov/nic/.
Unless otherwise noted, comments
regarding each of these applications
must be received at the Reserve Bank
indicated or the offices of the Board of
Governors not later than December 28,
2009.
A. Federal Reserve Bank of New
York (Ivan Hurwitz, Bank Applications

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DEPARTMENT OF HEALTH AND
HUMAN SERVICES
Indian Health Service
Request for Public Comment: 60-Day
Proposed Information Collection:
Indian Health Service Medical Staff
Credentials and Privileges Files
Indian Health Service, HHS.
Notice.

AGENCY:
ACTION:

SUMMARY: The Indian Health Service
(IHS), as part of its continuing effort to
reduce paperwork and respondent
burden, conducts a preclearance
consultation program to provide the
general public and Federal agencies
with an opportunity to comment on
proposed and/or continuing collections
of information in accordance with the
Paperwork Reduction Act of 1995
(PRA95) (44 U.S.C. 3506(c)(2)(A)). This
program helps to ensure that requested
data can be provided in the desired
format, reporting burden (time and
financial resources) is minimized,
collection instruments are clearly
understood, and the impact of collection
requirements on respondents can be
properly assessed. Currently, the IHS is
providing a 60-day advance opportunity
for public comment on a proposed new
collection of information to be
submitted to the Office of Management
and Budget for review.
Proposed Collection: Title: 0917–
0009, ‘‘Indian Health Service Medical
Staff Credentials and Privileges Files.’’
Type of Information Collection Request:
Extension, without revision, of currently
approved information collection, 0917–
0009, ‘‘Indian Health Service Medical
Staff Credentials and Privileges Files’’
agreement. Form Numbers(s): None.
Need and Use of Information Collection:
This collection of information is used to
evaluate individual health care
providers applying for medical staff
privileges at IHS health care facilities.

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Federal Register / Vol. 74, No. 232 / Friday, December 4, 2009 / Notices
The Health and Human Services
operates health care facilities that
provide health care services to
American Indians and Alaska Natives.
To provide these services, the IHS
employs (directly and under contract)
several categories of health care
providers including: Physicians (M.D.
and D.O.), dentists, psychologists,
optometrists, podiatrists, audiologists,
physician assistants, certified registered
nurse anesthetists, nurse practitioners,
and certified nurse midwives. IHS
policy specifically requires physicians
and dentists to be members of the health
care facility medical staff where they
practice. Health care providers become
medical staff members, depending on
the local health care facility’s
capabilities and medical staff bylaws.
There are three types of IHS medical
staff applicants: (1) Health care
providers applying for direct
employment with IHS; (2) contractors
who will not seek to become IHS
employees; and (3) employed IHS health
care providers who seek to transfer
between IHS health care facilities.
National health care standards
developed by the Centers for Medicare
and Medicaid Services (formerly the
Health Care Financing Administration),

the Joint Commission on the
Accreditation of Healthcare
Organizations (JCAHO), and other
accrediting organizations require health
care facilities to review, evaluate and
verify the credentials, training and
experience of medical staff applicants
prior to granting medical staff
privileges. In order to meet these
standards, IHS health care facilities
require all medical staff applicants to
provide information concerning their
education, training, licensure, and work
experience and any adverse disciplinary
actions taken against them. This
information is then verified with
references supplied by the applicant
and may include: Former employers,
educational institutions, licensure and
certification boards, the American
Medical Association, the Federation of
State Medical Boards, the National
Practitioner Data Bank, and the
applicants themselves.
In addition to the initial granting of
medical staff membership and clinical
privileges, JCAHO standards require
that a review of the medical staff be
conducted not less than every two years.
This review evaluates the current
competence of the medical staff and
verifies whether they are maintaining
Estimated
number of respondents

Data collection instrument(s)

63755

the licensure or certification
requirements of their specialty.
The medical staff credentials and
privileges records are maintained at the
health care facility where the health
care provider is a medical staff member.
The establishment of these records at
INS health care facilities is not optional;
such records must be established and
accredited by JCAHO. Prior to the
establishment of this JCAHO
requirement, the degree to which
medical staff applications were
maintained at all health care facilities in
the United States that are verified for
completeness and accuracy varied
greatly across the Nation.
The application process has been
streamlined and is using information
technology to make the application
electronically available on the Internet.
Affected Public: Individuals and
households. Type of Respondents:
Individuals.
The table below provides: Types of
data collection instruments, Estimated
number of respondents, Number of
annual number of responses, Average
burden per response, and Total annual
burden hours.

Responses
per respondent

Application to Medical Staff ..........................................................................
Reference Letter ...........................................................................................
Reappointment Request ...............................................................................
Ob-Gyn Privileges .........................................................................................
Internal Medicine ...........................................................................................
Surgery Privileges .........................................................................................
Psychiatry Privileges .....................................................................................
Anesthesia Privileges ....................................................................................
Dental Privileges ...........................................................................................
Optometry Privileges .....................................................................................
Psychology Privileges ...................................................................................
Audiology Privileges ......................................................................................
Podiatry Privileges ........................................................................................
Radiology Privileges .....................................................................................
Pathology Privileges .....................................................................................

570
1710
190
20
325
20
13
15
150
21
30
7
7
8
3

1
1
1
1
1
1
1
1
1
1
1
1
1
1
1

Total .......................................................................................................

3,088

........................

Average burden
hour per
response*
1.00
0.33
1.00
1.00
1.00
1.00
1.00
1.00
0.33
0.33
0.17
0.08
0.08
0.33
0.33

(60 mins)
(20 mins)
(60 mins)
(60 mins)
(60 mins)
(60 mins)
(60 mins)
(60 mins)
(20 mins)
(20 mins)
(10 mins)
(5 mins)
(5 mins)
(20 mins)
(20 mins)

Total annual
burden hours
570
570
190
20
325
20
13
15
50
7
5
1
1
3
1
1,791

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* For ease of understanding, burden hours are provided in actual minutes. There are no capital costs, operating costs and/or maintenance
costs to respondents.

Request for Comments: Your written
comments and/or suggestions are
invited on one or more of the following
points: (a) Whether the information
collection activity is necessary to carry
out an agency function; (b) whether the
agency processes the information
collected in a useful and timely fashion;
(c) the accuracy of public burden
estimate (the estimated amount of time
needed for individual respondents to
provide the requested information); (d)
whether the methodology and

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assumptions used to determine the
estimate is logical; (e) ways to enhance
the quality, utility, and clarity of the
information being collected; and (f)
ways to minimize the public burden
through the use of automated,
electronic, mechanical, or other
technological collection techniques or
other forms of information technology.
Send Comments and Requests for
Further Information: For the proposed
collection or requests to obtain a copy
of the data collection instrument(s) and

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instructions to: Ms. Betty Gould,
Reports Clearance Officer, 801
Thompson Avenue, TMP, Suite 450,
Rockville, MD 20852, call non-toll free
(301) 443–7899, send via facsimile to
(301) 443–9879, or send your e-mail
requests, comments, and return address
to: betty.gould@ihs.gov.
Comment Due Date: Your comments
regarding this information collection is
best assured of having full effect if
received within 60 days of the date of
this publication.

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63756

Federal Register / Vol. 74, No. 232 / Friday, December 4, 2009 / Notices

Dated: November 30, 2009.
Randy Grinnell,
Deputy Director, Indian Health Service.
[FR Doc. E9–28955 Filed 12–3–09; 8:45 am]
BILLING CODE 4165–16–M

DEPARTMENT OF HEALTH AND
HUMAN SERVICES
Substance Abuse and Mental Health
Services Administration
Agency Information Collection
Activities: Submission for OMB
Review; Comment Request
Periodically, the Substance Abuse and
Mental Health Services Administration
(SAMHSA) will publish a summary of
information collection requests under
OMB review, in compliance with the
Paperwork Reduction Act (44 U.S.C.
Chapter 35). To request a copy of these
documents, call the SAMHSA Reports
Clearance Officer on (240) 276–1243.
Project: Jail Diversion and Trauma
Recovery—Priority to Veterans
Program Evaluation—NEW
The Substance Abuse and Mental
Health Services Administration’s
(SAMHSA), Center for Mental Health
Services (CMHS) has implemented the
Jail Diversion and Trauma Recovery

Program (JDTR)—Priority to Veterans to
support local implementation and Statewide expansion of trauma-integrated jail
diversion programs to reach individuals
with post traumatic stress disorder
(PTSD) and trauma related disorders
involved in the justice system. JDTR
requires grantees to implement a State
infrastructure program linked to a local
pilot criminal justice diversion project.
At the State level, the State Mental
Health Authority (SMHA) will convene
a State Advisory Committee that
provides oversight of pilot projects’
training, diversion, service delivery and
local project evaluation, as well as
design and implement plans to
disseminate knowledge about effective
pilot projects and to replicate them in
other communities in the State.
CMHS is requesting approval from the
Office of Management and Budget
(OMB) to implement a data collection
document, the Semi-Annual Progress
Report (SAPR), to evaluate the
implementation, expansion, and
sustainability of jail diversion and
trauma informed services developed
under the JDTR program.
The current proposal requests
implementing the Semi-Annual Progress
Report (SARP) to collect information in
the following areas:
a. Document the State and pilot level
goals for the project;

b. Describe the project environment,
including changes that have helped or
hindered implementation;
c. Estimate project spending on State,
pilot, and evaluation activities;
d. Describe activities and progress on
State level infrastructure change
components, including barriers to
progress;
e. Report on pilot project progress,
including activities related to the pilot
program, changes to program plans, and
barriers to implementation;
f. Describe any project
accomplishments, including
documenting numbers and types of
trainings, as well as any policy changes;
and
g. Describe and update progress in
meeting cross-site client evaluation
requirements.
This information would be collected
twice a year: in March and September.
Six grantees were awarded 5-year grants
in FY 2008 and six more 5-year grants
were funded in FY2009. The six FY
2008 grantees piloted the data collection
instrument in March of FY 2009. The
six additional grantees awarded on
September 30, 2009 would commence
data collection in March of FY 2010.
The burden estimate for completing the
SAPR is as follows:

FY 2010 ANNUAL REPORTING BURDEN
Number of
respondents 1

Data collection activity

Responses per
respondent 2

Average
hours per
response

Total
responses

Total
hour
burden

Semi-Annual Progress report ..........................

2 12

1

12

15

180

Overall Total .............................................

12

............................

12

............................

180

1 The
2 The

respondents are the States.
Project Director for each Grantee is responsible for compiling and submitting the SAPR.

FY 2011 ANNUAL REPORTING BURDEN
Number of
respondents 1

Data collection activity

Responses per
respondent 2

Average
hours per
response

Total
responses

Total
hour
burden

Semi-Annual Progress report ..........................

12

2

24

15

360

Overall Total .............................................

12

............................

24

............................

360

1 The
2 The

respondents are the States.
Project Director for each Grantee is responsible for compiling and submitting the SAPR.

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FY 2012 ANNUAL REPORTING BURDEN
Number of
respondents 1

Data collection activity

Responses per
respondent 2

Average
hours per
response

Total
responses

Total
hour
burden

Semi-Annual Progress report ..........................

12

2

24

15

360

Overall Total .............................................

12

............................

24

............................

360

1 The
2 The

respondents are the States.
Project Director for each Grantee is responsible for compiling and submitting the SAPR

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File Typeapplication/pdf
File TitleDocument
SubjectExtracted Pages
AuthorU.S. Government Printing Office
File Modified2009-12-04
File Created2009-12-04

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