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EXHIBIT 2—ESTIMATED ANNUALIZED COST BURDEN
Number of
respondents

Form name

Total burden
hours

Average
hourly wage
rate *

Total cost
burden

Safety culture survey .......................................................................................
Safety culture survey .......................................................................................
Patient experience survey ...............................................................................
Readiness and Implementation assessment ...................................................
Readiness and Implementation assessment ...................................................
Site visits ..........................................................................................................
Site visits ..........................................................................................................

6,000
6,000
1,800
360
360
20
20

1,500
1,500
666
360
360
160
160

a $101.04

c 52.58

$151,560
52,050
15,891
36,374
18,929
16,166
8,413

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

14,560

4,706

N/A

299,383

b 34.70
d 23.86
a 101.04
c 52.58
a 101.04

National Compensation Survey: Occupational wages in the United States May 2016 ‘‘U.S. Department of Labor, Bureau of Labor Statistics:’’
http://www.bls.gov/oes/current/oes_stru.htm.
a Based on the mean wages for 29–1060 Physicians and Surgeons.
b Based on the mean wages for 29–1141 Registered Nurse.
c Based on the mean wages for 11–9111 Medical and Health Services Managers.
d Based on the mean wages for 00–0000 All Occupations.

Request for Comments
In accordance with the Paperwork
Reduction Act, comments on AHRQ’s
information collection are requested
with regard to any of the following: (a)
Whether the proposed collection of
information is necessary for the proper
performance of AHRQ health care
research and health care information
dissemination functions, including
whether the information will have
practical utility; (b) the accuracy of
AHRQ’s estimate of burden (including
hours and costs) of the proposed
collection(s) 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 upon the
respondents, including the use of
automated collection techniques or
other forms of information technology.
Comments submitted in response to
this notice will be summarized and
included in the Agency’s subsequent
request for OMB approval of the
proposed information collection. All
comments will become a matter of
public record.
Sharon B. Arnold,
Deputy Director.
[FR Doc. 2017–10065 Filed 5–17–17; 8:45 am]

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DEPARTMENT OF HEALTH AND
HUMAN SERVICES
Centers for Disease Control and
Prevention
[60Day–17–17ADT; Docket No. CDC–2017–
0046]

Proposed Data Collection Submitted
for Public Comment and
Recommendations
Centers for Disease Control and
Prevention (CDC), Department of Health
and Human Services (HHS).
ACTION: Notice with comment period.
AGENCY:

The Centers for Disease
Control and Prevention (CDC), as part of
its continuing efforts to reduce public
burden and maximize the utility of
government information, invites the
general public and other Federal
agencies to take this opportunity to
comment on proposed and/or
continuing information collections, as
required by the Paperwork Reduction
Act of 1995. This notice invites
comment on the proposed information
collection project titled ‘‘Who’s at Risk:
From Hazards to Communities—An
Approach for Operationalizing CDC
Guidelines to Determine Risks, and
Define, Locate and Reach At-Risk
Populations in Public Health
Emergencies.’’ The data collection will
include invitations to subject matter
experts for public health and medical
emergency planning. The data
collection efforts will include a focus
group format and also investigate at-risk
population needs through an
anonymous survey.
DATES: Written comments must be
received on or before July 17, 2017.
ADDRESSES: You may submit comments,
identified by Docket No. CDC–2017–
0046 by any of the following methods:
SUMMARY:

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• Federal eRulemaking Portal:
Regulations.gov. Follow the instructions
for submitting comments.
• Mail: Leroy A. Richardson,
Information Collection Review Office,
Centers for Disease Control and
Prevention, 1600 Clifton Road NE., MS–
D74, Atlanta, Georgia 30329.
Instructions: All submissions received
must include the agency name and
Docket Number. All relevant comments
received will be posted without change
to Regulations.gov, including any
personal information provided. For
access to the docket to read background
documents or comments received, go to
Regulations.gov.
Please note: All public comment should be
submitted through the Federal eRulemaking
portal (Regulations.gov) or by U.S. mail to the
address listed above.

To
request more information on the
proposed project or to obtain a copy of
the information collection plan and
instruments, contact Leroy A.
Richardson, Information Collection
Review Office, Centers for Disease
Control and Prevention, 1600 Clifton
Road NE., MS–D74, Atlanta, Georgia
30329; phone: 404–639–7570; Email:
omb@cdc.gov.
SUPPLEMENTARY INFORMATION: Under the
Paperwork Reduction Act of 1995 (PRA)
(44 U.S.C. 3501–3520), Federal agencies
must obtain approval from the Office of
Management and Budget (OMB) for each
collection of information they conduct
or sponsor. In addition, the PRA also
requires Federal agencies to provide a
60-day notice in the Federal Register
concerning each proposed collection of
information, including each new
proposed collection, each proposed
extension of existing collection of
information, and each reinstatement of
previously approved information
FOR FURTHER INFORMATION CONTACT:

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Federal Register / Vol. 82, No. 95 / Thursday, May 18, 2017 / Notices

collection before submitting the
collection to OMB for approval. To
comply with this requirement, we are
publishing this notice of a proposed
data collection as described below.
Comments are invited 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)
ways to enhance the quality, utility, and
clarity of the information to be
collected; (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; and (e) estimates of capital
or start-up costs and costs of operation,
maintenance, and purchase of services
to provide information. Burden means
the total time, effort, or financial
resources expended by persons to
generate, maintain, retain, disclose or
provide information to or for a Federal
agency. 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.
Proposed Project
Who’s at Risk: From Hazards to
Communities—An Approach for
Operationalizing CDC Guidelines to
Determine Risks, and Define, Locate and
Reach At-Risk Populations in Public
Health Emergencies—New—Office of
Public Health Preparedness and
Response (OPHPR), Centers for Disease
Control and Prevention (CDC).
Background and Brief Description
The Risk Assessment, Mapping, and
Planning (RAMP) tool is currently being

approximately $20,000 (costs for
convening workshops to engage survey
respondents). There is no annual
reporting or record-keeping burden. It is
anticipated that participation in focus
group questionnaires will occur as part
(workshop, breakout group sessions) of
pre-identified emergency preparedness/
management meetings, conferences,
and/or summits, in which participants
will already be in attendance or
participating in. As such, it is
anticipated that participation in the
focus group questionnaires will not
result in any additional costs to, or
burden on the vast majority of
participants. For those few participants
who may see an increased cost or
burden on them through participation in
focus group questionnaires, the
proposed costs of participation are
estimated at: $35.46 for one hour
participation in a focus group
questionnaire. Mean Hourly Wage of
Emergency Management Directors
(occupational code 11–9161): $35.46.
(Source: U.S. Department of Labor,
Bureau of Labor Statistics, Occupational
Employment and Wages, May 2015).
LA County Public Health Clinic
Guests:
Information collection will involve
approximately 1,500 surveys and will be
administered by DPH Staff and
volunteers and will not require any
costs to administer. It is anticipated that
those individuals participating in the
Public Health Client Surveys will do so
while waiting for clinic services in
clinic waiting rooms, and as such will
not require any additional cost or
burden to their participation. For those
few participants who may see an
increased cost or burden on them
through participation in Public Health
Client Surveys, the proposed costs of
participation are estimated at: $0.90 for
completing one five minute survey.
California State Minimum Wage: $10.50
per hour. (Source: State of California,
Department of Industrial Relations,
Schedule for California Minimum Wage
rate 2017–2023).
The total estimated burden is 225
hours.

developed by CDC for public health and
medical emergency planners (especially
Public Health Emergency Preparedness
and Hospital Preparedness Program
awardees) to assess and quantify risk,
identify and map at-risk populations,
and to determine response objectives for
hazard-specific public health emergency
plans at all jurisdictional levels in the
United States.
To assist in developing this tool, key
informant interviews/focus groups will
be conducted with public health and
emergency management professionals
from across the United States. And to
understand the needs of at-risk
populations, an anonymous survey will
be conducted at Los Angeles County
Department of Public Health clinics.
CDC is proposing an information
collection to OMB to obtain subject
matter expertise and feedback for pilot
testing the RAMP tool and anonymous
demographic information from LA
County DPH clinic guests. CDC will use
the data to develop the RAMP tool.
Public health and emergency manager
respondents in pre-identified partner
jurisdictions will participate in the
interview and focus groups.
Los Angeles Department of Public
Health Clinic guests will be offered an
anonymous survey at the time of service
registration.
All information will be collected on
paper surveys and entered into a
secured database. All paper surveys will
be locked in the secure offices of the Los
Angeles County Department of Public
Health Emergency Preparedness and
Response Program. All information will
be disseminated and/or reported in
aggregate form only.
It is anticipated that the focus group/
interview and survey data collections
will begin three months after OMB
approval, beginning in the fall of 2017
and continuing for the duration of the
project (through September 25, 2019).
OMB approval is being requested for
two years from the date of approval.
Cost Estimate
Public Health and Medical Emergency
Planner Focus Group Questionnaire:
Information collection will involve
approximately 100 surveys at

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ESTIMATED ANNUALIZED BURDEN HOURS
Number of
respondents

Number of
responses per
respondent

Avgerage
burden per
response
(in hours)

Total burden
(in hours)

Type of respondents

Form name

Public Health and Medical Emergency Planners.
LA County Public Health Clinic
Guests.

Focus Group Questionnaire .............

100

1

60/60

100

Survey ..............................................

1,500

1

5/60

125

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Federal Register / Vol. 82, No. 95 / Thursday, May 18, 2017 / Notices

22835

ESTIMATED ANNUALIZED BURDEN HOURS—Continued
Form name

Number of
respondents

Number of
responses per
respondent

Avgerage
burden per
response
(in hours)

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

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

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

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

Type of respondents

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

Leroy A. Richardson,
Chief, Information Collection Review Office,
Office of Scientific Integrity, Office of the
Associate Director for Science, Office of the
Director, Centers for Disease Control and
Prevention.
[FR Doc. 2017–10090 Filed 5–17–17; 8:45 am]
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DEPARTMENT OF HEALTH AND
HUMAN SERVICES
Centers for Medicare & Medicaid
Services
[Document Identifier CMS–10506]

Agency Information Collection
Activities: Proposed Collection;
Comment Request
Centers for Medicare &
Medicaid Services, HHS.
ACTION: Notice.
AGENCY:

The Centers for Medicare &
Medicaid Services (CMS) is announcing
an opportunity for the public to
comment on CMS’ intention to collect
information from the public. Under the
Paperwork Reduction Act of 1995 (the
PRA), federal agencies are required to
publish notice in the Federal Register
concerning each proposed collection of
information (including each proposed
extension or reinstatement of an existing
collection of information) and to allow
60 days for public comment on the
proposed action. Interested persons are
invited to send comments regarding our
burden estimates or any other aspect of
this collection of information, including
the necessity and utility of the proposed
information collection for the proper
performance of the agency’s functions,
the accuracy of the estimated burden,
ways to enhance the quality, utility, and
clarity of the information to be
collected, and the use of automated
collection techniques or other forms of
information technology to minimize the
information collection burden.
DATES: Comments must be received by
July 17, 2017.
ADDRESSES: When commenting, please
reference the document identifier or
OMB control number. To be assured
consideration, comments and
recommendations must be submitted in
any one of the following ways:

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SUMMARY:

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1. Electronically. You may send your
comments electronically to http://
www.regulations.gov. Follow the
instructions for ‘‘Comment or
Submission’’ or ‘‘More Search Options’’
to find the information collection
document(s) that are accepting
comments.
2. By regular mail. You may mail
written comments to the following
address: CMS, Office of Strategic
Operations and Regulatory Affairs,
Division of Regulations Development,
Attention: Document Identifier/OMB
Control Number lll, Room C4–26–
05, 7500 Security Boulevard, Baltimore,
Maryland 21244–1850.
To obtain copies of a supporting
statement and any related forms for the
proposed collection(s) summarized in
this notice, you may make your request
using one of following:
1. Access CMS’ Web site address at
https://www.cms.gov/Regulations-andGuidance/Legislation/
PaperworkReductionActof1995/PRAListing.html.
2. Email your request, including your
address, phone number, OMB number,
and CMS document identifier, to
Paperwork@cms.hhs.gov.
3. Call the Reports Clearance Office at
(410) 786–1326.
FOR FURTHER INFORMATION CONTACT:
Reports Clearance Office at (410) 786–
1326.
SUPPLEMENTARY INFORMATION:
Contents
This notice sets out a summary of the
use and burden associated with the
following information collections. More
detailed information can be found in
each collection’s supporting statement
and associated materials (see
ADDRESSES).
CMS–10506 Conditions of
Participation for Community Mental
Health Centers and Supporting
Regulations
Under the PRA (44 U.S.C. 3501–
3520), federal agencies must obtain
approval from the Office of Management
and Budget (OMB) for each collection of
information they conduct or sponsor.
The term ‘‘collection of information’’ is
defined in 44 U.S.C. 3502(3) and 5 CFR
1320.3(c) and includes agency requests

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Total burden
(in hours)
225

or requirements that members of the
public submit reports, keep records, or
provide information to a third party.
Section 3506(c)(2)(A) of the PRA
requires federal agencies to publish a
60-day notice in the Federal Register
concerning each proposed collection of
information, including each proposed
extension or reinstatement of an existing
collection of information, before
submitting the collection to OMB for
approval. To comply with this
requirement, CMS is publishing this
notice.
Information Collection
1. Type of Information Collection
Request: Extension of a currently
approved collection; Title of
Information Collection: Conditions of
Participation for Community Mental
Health Centers and Supporting
Regulations; Use: On June 17, 2011, we
proposed for the first time new
conditions of participation (CoPs) for
community mental health centers
(CMHCs). We finalized it in the final
rule that published October 29, 2013 (78
FR 64604), with an effective date 12months after publication of the final
rule. These CoPs which are based on
criteria prescribed in law and are
standards designed to ensure that each
facility has properly trained staff to
provide the appropriate safe physical
environment for patients. These
particular standards reflect comparable
standards developed by industry
organizations such as the Joint
Commission. The primary users of this
information will be State agency
surveyors, CMS and CMHCs for the
purpose of ensuring compliance with
Medicare CoPs as well as ensuring the
quality of care provided by CMHCs to
patients. Form Number: CMS–10506
(OMB Control number: 0938–1245);
Frequency: Occasionally; Affected
Public: Private sector—Business or other
for-profits and Not-for-profit
organizations; Number of Respondents:
68; Total Annual Responses: 18,586;
Total Annual Hours: 2,091. (For policy
questions regarding this collection
contact Mary Rossi-Coajou at 410–786–
6051.)

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