Agency Information Collection Activities: Proposed Collection; Comment Request, 8872-8874 [08-659]
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Federal Register / Vol. 73, No. 32 / Friday, February 15, 2008 / Notices
merger transaction may find additional
guidance in the reported bases for FDIC
approval or denial in prior merger
transaction cases compiled in the FDIC’s
annual ‘‘Merger Decisions’’ report.
Reports may be obtained from the FDIC
Public Information Center, 3501 North
Fairfax Drive, Room E–1002, Arlington,
VA 22226. Reports may also be viewed
at https://www.fdic.gov.
STATUS:
III. Evaluation of Merger Applications
Examination Program Development and
Supervisory Findings.
CONTACT PERSON FOR MORE INFORMATION:
Shelia Willis, Paralegal Specialist,
Office of General Counsel, at 202–408–
2876 or williss@fhfb.gov.
*
*
*
*
*
4. Consideration of the public interest.
The FDIC will deny any proposed
merger transaction whose overall effect
likely would be to reduce existing
competition substantially by limiting
the service and price options available
to the public in the relevant geographic
market(s), unless the anticompetitive
effects of the proposed merger
transaction are clearly outweighed in
the public interest by the probable effect
of the transaction in meeting the
convenience and needs of the
community to be served. For this
purpose, the applicant must show by
clear and convincing evidence that any
claimed public benefits would be both
substantial and incremental and
generally available to seekers of banking
services in the relevant geographic
market(s) and that the expected benefits
cannot reasonably be achieved through
other, less anticompetitive means.
Where a proposed merger transaction
is the least costly alternative to the
probable failure of an insured
depository institution, the FDIC may
approve the merger transaction even if
it is anticompetitive.
By Order of the Board of Directors.
Dated at Washington, DC, the 19th day of
December, 2007.
Federal Deposit Insurance Corporation.
Robert E. Feldman,
Executive Secretary.
[FR Doc. E8–2885 Filed 2–14–08; 8:45 am]
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at 10 a.m. on Wednesday, February 20,
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PLACE: Board Room, First Floor, Federal
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The first portion of the meeting
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[FR Doc. 08–742 Filed 2–13–08; 1:24 pm]
BILLING CODE 6725–01–P
DEPARTMENT OF HEALTH AND
HUMAN SERVICES
Agency for Healthcare Research and
Quality
Agency Information Collection
Activities: Proposed Collection;
Comment Request
Agency for Healthcare Research
and Quality, HHS.
ACTION: Notice.
AGENCY:
SUMMARY: This notice announces the
intention of the Agency for Healthcare
Research and Quality (AHRQ) to request
that the Office of Management and
Budget (OMB) approve the proposed
information collection project:
‘‘Feasibility of secure messaging for
pediatric patients with chronic disease:
Pilot implementation in pediatric
respiratory medicine.’’ In accordance
with the Paperwork Reduction Act of
1995, 44 U.S.C. 3506(c)(2)(A), AHRQ
invites the public to comment on this
proposed information collection.
DATES: Comments on this notice must be
received by April 15, 2008.
ADDRESSES: Written comments should
be submitted to: Doris Lefkowitz,
Reports Clearance Officer, AHRQ, by email at doris.lefkowitz@ahrq.hhs.gov.
Copies of the proposed collection
plans, data collection instruments, and
specific details on the estimated burden
can be obtained from the AHRQ Reports
Clearance Officer.
FOR FURTHER INFORMATION CONTACT:
Doris Lefkowitz, AHRQ Reports
Clearance Officer, (301) 427–1477, or by
e-mail at doris.lefkowitz@ahrq.hhs.gov.
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SUPPLEMENTARY INFORMATION:
Proposed Project
Feasibility of Secure Messaging for
Pediatric Patients With Chronic Disease:
Pilot Implementation in Pediatric
Respiratory Medicine
AHRQ proposes to evaluate how the
implementation of a secure email
messaging (e-messaging) system
between clinicians and adolescent
patients affects: (1) Time spent by
providers communicating with patients,
(2) Emergency Department utilization
for medication refills, and (3) qualitative
satisfaction with care of the patients.
The study will be conducted in the Yale
University School of Medicine Pediatric
Respiratory Medicine Clinic.
Several studies have evaluated the use
of e-mail between providers and
patients and found that it is typically
satisfactory to both, has not been abused
by patients, and has not been used
inappropriately for urgent items.
Studies have not evaluated the use of emailing or secure messaging by children
or adolescents with chronic diseases as
well as their families. The setting of
chronic disease provides a natural
forum for discussion about the use of
such technologies since these families
may need more frequent contact with
their care-providers, need more frequent
medication refills, and may have close
relationships with their providers that
encourage a communication genre such
as secure messaging.
In particular, because many
adolescents are comfortable with text
messaging and email, the investigators
hypothesize that adolescent patients
themselves may feel empowered to
contact their providers using this
medium. This potential shift to having
adolescents communicate with the
providers presents two main hypotheses
of interest. (1) Adolescents may be more
prone to send a message that may be of
an urgent nature because of the sense
that messaging is‘‘instant’’ as well as a
possible feeling of more privacy. This
issue presents the concern that
adolescents in particular could send a
secure message about information that is
potentially urgent in nature such as a
severe asthma exacerbation or suicidal
ideation. Such messages will need
immediate attention. (2) Adolescents
may be more apt to disclose questions
about their care that they would not
have otherwise brought up with the
provider. By giving adolescents a
medium where they feel comfortable
communicating, clinicians may be able
to better meet the medical and
psychosocial needs of adolescents and
their families.
E:\FR\FM\15FEN1.SGM
15FEN1
8873
Federal Register / Vol. 73, No. 32 / Friday, February 15, 2008 / Notices
Method of Collection
The project will include 300 patient/
family participants and 138 provider
participants. Data will be collected from
(1) e-messaging content, to understand
what children, adolescents and their
parents will send in secure messages to
their provider; (2) a survey, to determine
the demographic characteristics of the
patients and their family; and (3)
qualitative interviews with patients and
their families and clinic staff, to assess
their attitudes and satisfaction with emessaging.
Estimated Annual Respondent Burden
Exhibit 1 shows the estimated
annualized burden hours. Each of the
300 patient/family participants will
complete a demographic survey and use
the e-messaging system, sending an
average of one e-message per month.
Thirty of the patient/family participants
will be randomly selected to participate
in a qualitative interview. Each of the
138 provider participants will use the e-
messaging system, responding to about
twenty-six e-messages per year, and
keep a pre- and post-intervention log of
patient/provider communications. Ten
provider participants will be randomly
selected to participate in a qualitative
interview. The total burden for all
participants is estimated to be 2,148
hours.
Exhibit 2 shows the estimated
annualized cost burden for the
participants’ time to participate in this
study. The total cost burden for all
participants is estimated to be $72,664.
EXHIBIT 1.—ESTIMATED ANNUALIZED BURDEN HOURS
Number of
respondents
Interview participants
Patient/Family Participants:
Demographic Survey ................................................................................
E-messaging .............................................................................................
Qualitative Interview .................................................................................
Provider Participants:
E-messaging .............................................................................................
Qualitative Interviews ...............................................................................
Pre-intervention Provider Log ...................................................................
Post-intervention Provider Log .................................................................
Number of
responses per
respondent
Hours per
response
Total burden
hours
300
300
30
1
15/60
30/60
300
900
15
138
10
138
138
26
1
1
1
15/60
30/60
6/60
6/60
900
5
14
14
438
Total ...................................................................................................
1
12
1
na
na
2,148
EXHIBIT 2.—ESTIMATED ANNUALIZED COST BURDEN
Number of
respondents
Interview participants
Patient/Family Participants:
Demographic Survey ................................................................................
E-messaging .............................................................................................
Qualitative Survey ....................................................................................
Provider Participants:
E-messaging .............................................................................................
Qualitative Interviews ...............................................................................
Pre-intervention Provider Log ...................................................................
Post-intervention Provider Log .................................................................
Total ...................................................................................................
Total burden
hours
Average
hourly wage
rate*
Total cost
burden
300
300
30
300
900
15
$26.20
26.20
26.20
$7,860
23,580
393
138
10
138
138
900
5
13.8
13.8
43.78
43.78
43.78
43.78
39,402
219
605
605
438
na
na
72,664
rwilkins on PROD1PC63 with NOTICES
* For Patient/Family Participants: Based upon the mean of the average wages for all occupations, National Compensation Survey, ‘‘U.S. Department of Labor, Bureau of Labor Statistics.’’
* For Provider Participants: Based upon the mean of the average wages for physicians ($65.54/hr) and nurses ($43.85/hr) in the New York,
New Jersey, Connecticut and Pennsylvania region, National Compensation Survey, ‘‘U.S. Department of Labor, Bureau of Labor Statistics.’’ For
Pulmonary Fellows: Based upon internal Yale University School of Medicine data.
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8874
Federal Register / Vol. 73, No. 32 / Friday, February 15, 2008 / Notices
Estimated Annual Costs to the Federal
Government
DEPARTMENT OF HEALTH AND
HUMAN SERVICES
The total cost to the Federal
Government for this project is $399,970
over a two year period. The average
annual cost is $199,985. The following
is a breakdown of the average annual
costs:
Agency for Healthcare Research and
Quality
Agency Information Collection
Activities: Proposed Collection;
Comment Request
Agency for Healthcare Research
and Quality, HHS.
$159,488.5 ACTION: Notice.
AGENCY:
Direct Costs:
Personnel ....................
Consultancies ..............
Data support ................
Indirect Costs:
Indirect costs ...............
Total .....................
5,475
5,336.5
29,685
199,985
Request for Comments
In accordance with the above-cited
Paperwork Reduction Act legislation,
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.
Dated: February 6, 2008.
Carolyn M. Clancy,
Director.
[FR Doc.08–659 Filed 2–14–08; 8:45 am]
rwilkins on PROD1PC63 with NOTICES
BILLING CODE 4160–90–M
VerDate Aug<31>2005
15:58 Feb 14, 2008
Jkt 214001
SUMMARY: This notice announces the
intention of the Agency for Healthcare
Research and Quality (AHRQ) to request
that the Office of Management and
Budget (OMB) approve the proposed
information collection project:
‘‘Improving Quality through Health IT:
Testing the Feasibility and Assessing the
Impact of Using Existing Health IT
Infrastructure for Better Care Delivery.’’
In accordance with the Paperwork
Reduction Act of 1995, 44 U.S.C.
3506(c)(2)(A), AHRQ invites the public
to comment on this proposed
information collection.
DATES: Comments on this notice must be
received by April 15, 2008.
ADDRESSES: Written comments should
be submitted to: Doris Lefkowitz,
Reports Clearance Officer, AHRQ, by email at doris.lefkowitz@ahrq.hhs.gov.
Copies of the proposed collection
plans, data collection instruments, and
specific details on the estimated burden
can be obtained from the AHRQ Reports
Clearance Officer.
FOR FURTHER INFORMATION CONTACT:
Doris Lefkowitz, AHRQ Reports
Clearance Officer, (301) 427–1477, or by
e-mail at doris.lefkowitz@ahrq.hhs.gov.
SUPPLEMENTARY INFORMATION:
Proposed Project
Improving Quality Through Health IT:
Testing the Feasibility and Assessing the
Impact of Using Existing Health IT
Infrastructure for Better Care Delivery
AHRQ proposes to assess how the use
of health information technology (IT)
can improve care delivery and outcomes
in community health centers. AHRQ is
specifically interested in improving the
quality of care provided in a community
clinic setting through better
management of laboratory information.
The study will measure the impact of
health IT tools on two problems:
duplicate laboratory tests and the failure
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Sfmt 4703
to follow up on laboratory test results of
HIV patients and women screened for
cervical cancer. In addition, AHRQ will
measure the impact of health IT on
compliance with evidence-based
guidelines for laboratory tests. The
study will also investigate whether
disparities between vulnerable
populations and the general population
exist in both laboratory screening rates
and rates of abnormal laboratory test
results without follow up. To assess the
extent of these problems and the impact
of health IT, AHRQ will evaluate both
quantitative and qualitative
components. The qualitative component
will use interviews with key informants
in two community health centers to
gather data on laboratory information
processes, laboratory information
communication problems and use of
health IT tools.
Method of Collection
Quantitative data will be collected
directly from the clinical data
warehouse used by the participating
community health centers to routinely
collect laboratory data. The collection
will be accomplished using database
reports. Qualitative data will be
collected through key informant
interviews conducted in each of the two
participating community health centers.
Key informants will include physicians,
nurses, medical assistants, IT personnel,
and administrators. The total number of
interviews to be conducted at both sites
is forty-one.
Estimated Annual Respondent Burden
Exhibit 1 shows the estimated
annualized burden hours. A total of
forty-one in-person interviews will be
conducted with administration and
clinical personnel: eighteen interviews
from administrative personnel and
twenty-three interviews from clinical
personnel. The question set is the same
for both clinical and administrative
personnel. The estimated time per
response is 1.5 hours for a total of 61.5
burden hours.
Exhibit 2 shows the estimated
annualized burden for the respondents’
time to provide the requested data. The
hourly rate of $32.13 is a weighted
average of the administrative personnel
hourly wage of $19.68 and the clinical
personnel hourly wage of $41.88. The
total cost burden is $1,976.
E:\FR\FM\15FEN1.SGM
15FEN1
]]>Agencies
[Federal Register Volume 73, Number 32 (Friday, February 15, 2008)]
[Notices]
[Pages 8872-8874]
From the Federal Register Online via the Government Printing Office [www.gpo.gov]
[FR Doc No: 08-659]
=======================================================================
-----------------------------------------------------------------------
DEPARTMENT OF HEALTH AND HUMAN SERVICES
Agency for Healthcare Research and Quality
Agency Information Collection Activities: Proposed Collection;
Comment Request
AGENCY: Agency for Healthcare Research and Quality, HHS.
ACTION: Notice.
-----------------------------------------------------------------------
SUMMARY: This notice announces the intention of the Agency for
Healthcare Research and Quality (AHRQ) to request that the Office of
Management and Budget (OMB) approve the proposed information collection
project: ``Feasibility of secure messaging for pediatric patients with
chronic disease: Pilot implementation in pediatric respiratory
medicine.'' In accordance with the Paperwork Reduction Act of 1995, 44
U.S.C. 3506(c)(2)(A), AHRQ invites the public to comment on this
proposed information collection.
DATES: Comments on this notice must be received by April 15, 2008.
ADDRESSES: Written comments should be submitted to: Doris Lefkowitz,
Reports Clearance Officer, AHRQ, by e-mail at
doris.lefkowitz@ahrq.hhs.gov.
Copies of the proposed collection plans, data collection
instruments, and specific details on the estimated burden can be
obtained from the AHRQ Reports Clearance Officer.
FOR FURTHER INFORMATION CONTACT: Doris Lefkowitz, AHRQ Reports
Clearance Officer, (301) 427-1477, or by e-mail at
doris.lefkowitz@ahrq.hhs.gov.
SUPPLEMENTARY INFORMATION:
Proposed Project
Feasibility of Secure Messaging for Pediatric Patients With Chronic
Disease: Pilot Implementation in Pediatric Respiratory Medicine
AHRQ proposes to evaluate how the implementation of a secure email
messaging (e-messaging) system between clinicians and adolescent
patients affects: (1) Time spent by providers communicating with
patients, (2) Emergency Department utilization for medication refills,
and (3) qualitative satisfaction with care of the patients. The study
will be conducted in the Yale University School of Medicine Pediatric
Respiratory Medicine Clinic.
Several studies have evaluated the use of e-mail between providers
and patients and found that it is typically satisfactory to both, has
not been abused by patients, and has not been used inappropriately for
urgent items. Studies have not evaluated the use of e-mailing or secure
messaging by children or adolescents with chronic diseases as well as
their families. The setting of chronic disease provides a natural forum
for discussion about the use of such technologies since these families
may need more frequent contact with their care-providers, need more
frequent medication refills, and may have close relationships with
their providers that encourage a communication genre such as secure
messaging.
In particular, because many adolescents are comfortable with text
messaging and email, the investigators hypothesize that adolescent
patients themselves may feel empowered to contact their providers using
this medium. This potential shift to having adolescents communicate
with the providers presents two main hypotheses of interest. (1)
Adolescents may be more prone to send a message that may be of an
urgent nature because of the sense that messaging is``instant'' as well
as a possible feeling of more privacy. This issue presents the concern
that adolescents in particular could send a secure message about
information that is potentially urgent in nature such as a severe
asthma exacerbation or suicidal ideation. Such messages will need
immediate attention. (2) Adolescents may be more apt to disclose
questions about their care that they would not have otherwise brought
up with the provider. By giving adolescents a medium where they feel
comfortable communicating, clinicians may be able to better meet the
medical and psychosocial needs of adolescents and their families.
[[Page 8873]]
Method of Collection
The project will include 300 patient/family participants and 138
provider participants. Data will be collected from (1) e-messaging
content, to understand what children, adolescents and their parents
will send in secure messages to their provider; (2) a survey, to
determine the demographic characteristics of the patients and their
family; and (3) qualitative interviews with patients and their families
and clinic staff, to assess their attitudes and satisfaction with e-
messaging.
Estimated Annual Respondent Burden
Exhibit 1 shows the estimated annualized burden hours. Each of the
300 patient/family participants will complete a demographic survey and
use the e-messaging system, sending an average of one e-message per
month. Thirty of the patient/family participants will be randomly
selected to participate in a qualitative interview. Each of the 138
provider participants will use the e-messaging system, responding to
about twenty-six e-messages per year, and keep a pre- and post-
intervention log of patient/provider communications. Ten provider
participants will be randomly selected to participate in a qualitative
interview. The total burden for all participants is estimated to be
2,148 hours.
Exhibit 2 shows the estimated annualized cost burden for the
participants' time to participate in this study. The total cost burden
for all participants is estimated to be $72,664.
Exhibit 1.--Estimated Annualized Burden Hours
----------------------------------------------------------------------------------------------------------------
Number of
Interview participants Number of responses per Hours per Total burden
respondents respondent response hours
----------------------------------------------------------------------------------------------------------------
Patient/Family Participants:
Demographic Survey.......................... 300 1 1 300
E-messaging................................. 300 12 15/60 900
Qualitative Interview....................... 30 1 30/60 15
Provider Participants:
E-messaging................................. 138 26 15/60 900
Qualitative Interviews...................... 10 1 30/60 5
Pre-intervention Provider Log............... 138 1 6/60 14
Post-intervention Provider Log.............. 138 1 6/60 14
---------------------------------------------------------------
Total................................... 438 na na 2,148
----------------------------------------------------------------------------------------------------------------
Exhibit 2.--Estimated Annualized Cost Burden
----------------------------------------------------------------------------------------------------------------
Number of Total burden Average hourly Total cost
Interview participants respondents hours wage rate* burden
----------------------------------------------------------------------------------------------------------------
Patient/Family Participants:
Demographic Survey.......................... 300 300 $26.20 $7,860
E-messaging................................. 300 900 26.20 23,580
Qualitative Survey.......................... 30 15 26.20 393
Provider Participants:
E-messaging................................. 138 900 43.78 39,402
Qualitative Interviews...................... 10 5 43.78 219
Pre-intervention Provider Log............... 138 13.8 43.78 605
Post-intervention Provider Log.............. 138 13.8 43.78 605
---------------------------------------------------------------
Total................................... 438 na na 72,664
----------------------------------------------------------------------------------------------------------------
* For Patient/Family Participants: Based upon the mean of the average wages for all occupations, National
Compensation Survey, ``U.S. Department of Labor, Bureau of Labor Statistics.''
* For Provider Participants: Based upon the mean of the average wages for physicians ($65.54/hr) and nurses
($43.85/hr) in the New York, New Jersey, Connecticut and Pennsylvania region, National Compensation Survey,
``U.S. Department of Labor, Bureau of Labor Statistics.'' For Pulmonary Fellows: Based upon internal Yale
University School of Medicine data.
[[Page 8874]]
Estimated Annual Costs to the Federal Government
The total cost to the Federal Government for this project is
$399,970 over a two year period. The average annual cost is $199,985.
The following is a breakdown of the average annual costs:
------------------------------------------------------------------------
------------------------------------------------------------------------
Direct Costs:
Personnel.......................................... $159,488.5
Consultancies...................................... 5,475
Data support....................................... 5,336.5
Indirect Costs:
Indirect costs..................................... 29,685
----------------
Total.......................................... 199,985
------------------------------------------------------------------------
Request for Comments
In accordance with the above-cited Paperwork Reduction Act
legislation, 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.
Dated: February 6, 2008.
Carolyn M. Clancy,
Director.
[FR Doc.08-659 Filed 2-14-08; 8:45 am]
BILLING CODE 4160-90-M
