Agency Information Collection Activities: Proposed Collection; Comment Request, 70649-70651 [E8-27522]

Download as PDF 70649 Federal Register / Vol. 73, No. 226 / Friday, November 21, 2008 / Notices $35.07 is an average of the administrative personnel hourly wage of $14.53 and the clinical personnel hourly wage of $62.52 for physicians and $28.15 for registered nurses. The total cost burden is about $5,492. EXHIBIT 1—ESTIMATED ANNUALIZED BURDEN HOURS Number of respondents Number of responses per respondent In-person interviews ......................................................................................................... Telephone interviews ....................................................................................................... Digital Diaries ................................................................................................................... Collection of documentation ............................................................................................ 4 4 4 4 25 9 16 1 1.0 30/60 30/60 4 100 18 32 16 Total .......................................................................................................................... 16 .................... .................... 166 Total burden hours Average hourly wage rate * Data collection Hours per response Total burden hours EXHIBIT 2—ESTIMATED ANNUALIZED COST BURDEN Number of respondents Data collection Total cost burden In-person interviews ......................................................................................................... Telephone interviews ....................................................................................................... Digital Diaries ................................................................................................................... Collection of documentation ............................................................................................ 4 4 4 4 100 18 32 16 $35.07 35.07 35.07 14.53 $3,507 631 1,122 232 Total .......................................................................................................................... 16 .................... .................... 5,492 * Based upon the average hourly wages of administrative support personnel, physicians, and registered nurses, National Compensation Survey; Occupational Wages in the United States 2005, U.S. Department of Labor, Bureau of Labor Statistics. Estimated Annual Costs to the Federal Government comments will become a matter of public record. The total cost to the Federal Government for this project is $415,000, with an average annual cost of $207,500. This figure includes the cost of data collection, data analysis, reporting, and government oversight of the contract. Dated: November 6, 2008. Carolyn M. Clancy, Director. [FR Doc. E8–27521 Filed 11–20–08; 8:45 am] dwashington3 on PRODPC61 with NOTICES 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’s 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 VerDate Aug<31>2005 14:24 Nov 20, 2008 Jkt 217001 BILLING CODE 4160–90–M 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: ‘‘Conducting Measurement Activities in Support of the AHRQ Health IT Initiative.’’ 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. This proposed information collection was previously published in the Federal PO 00000 Frm 00038 Fmt 4703 Sfmt 4703 Register on September 19th, 2008 and allowed 60 days for public comment. No comments were received. The purpose of this notice is to allow an additional 30 days for public comment. DATES: Comments on this notice must be received by December 10, 2008. ADDRESSES: Written comments should be submitted to: AHRQ’s OMB Desk Officer by fax at (202) 395–6974 (attention: AHRQV’s desk officer) or by e-mail at OIRA_submissionomb.eop.gov (attention: AHRQ’s desk officer). 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@ahrg.hhs.gov. SUPPLEMENTARY INFORMATION: Proposed Project Conducting Measurement Activities in Support of the AHRQ Health IT Initiative AHRQ-supported research has helped to demonstrate the potential of health IT to enhance health care quality and patient safety. As the lead federal research agency on the quality, safety, efficiency, and effectiveness of health care in America, AHRQ plays a central role in efforts to increase the adoption of health IT. E:\FR\FM\21NON1.SGM 21NON1 70650 Federal Register / Vol. 73, No. 226 / Friday, November 21, 2008 / Notices Consistent with its mission, AHRQ proposes to develop measures of four indicators of performance of its health IT portfolio, namely: 1. Reduction in medication errors due to adoption of electronic prescribing systems; 2. The number of persons who can access their medication information online; 3. The number of clinicians who can electronically access evidence-based prevention or treatment information; and 4. The number of clinician organizations who have adopted evidence-based decision support technologies. While secondary data are available to calculate measures 1, 3 and 4 described above, no national data exist for measure #2. Thus, this proposed information collection relates to measure #2: The number of persons who can access their medication information online. This project is being conducted pursuant to AHRQ’s statutory mandates to conduct and support research, evaluations and initiatives to advance information systems for health care improvement (42 U.S.C. 299b–3) and to promote innovations in evidence-based health care practices and technologies by conducting and supporting research on the development, diffusion, and use of health care technology (42 U.S.C. 299b–5(a)(1)). Method of Collection The data will be collected using a random-digit-dial (RDD) telephone survey of the U.S. adult population. To ensure a representative geographic distribution of the sample, the total sample will be allocated to each Census region in proportion to the total number of adults in each region. The survey will be administered in both English and Spanish. Estimated Annual Respondent Burden Exhibit 1 presents the estimated annualized burden hours for the respondents’ time to participate in this project. The telephone survey will be completed by 1,000 respondents and is expected to require 12 minutes to complete. The cognitive pretest interviews, which are used to refine and validate the survey instrument, will be completed by 18 respondents (9 English-speaking and 9 Spanishspeaking) and are expected to last one hour. The total burden hours are estimated to be 218 hours. Exhibit 2 shows the estimated annualized cost burden for the respondents’ time to participate in this project. The total cost burden is estimated to be $4,205. EXHIBIT 1—ESTIMATED ANNUALIZED BURDEN HOURS Number of responses Data collection Number of responses per respondent Hours per response Total burden hours Telephone Survey ............................................................................................ Cognitive Pretest Interview .............................................................................. 1000 18 1 1 12/60 1 200 18 Total .......................................................................................................... 1018 na na 218 EXHIBIT 2—ESTIMATED ANNUALIZED COST BURDEN Number of respondents Data collection Total burden hours Average hourly wage rate* Total cost burden Telephone Survey ............................................................................................ Cognitive Pretest Interview .............................................................................. 1000 18 200 18 $19.29 19.29 $3,858 347 Total .......................................................................................................... 1018 218 na 4,205 * Based upon the mean of the average wages, National Compensation Survey: Occupational wages in the United States 2006, ‘‘U.S. Department of Labor, Bureau of Labor Statistics.’’ Estimated Annual Costs to the Federal Government We are requesting approval for a onetime, one year, data collection effort. The estimated cost of this data collection is $310,067, which includes the cost of developing, administering and analyzing the survey. Exhibit 3 details labor hours, operational expenses (such as equipment, overhead, printing, and support staff), and any other expenses that would not have been incurred without this collection of information. EXHIBIT 3—ANNUAL COSTS FOR THE ESTIMATE OF THE NUMBER OF PERSONS WHO CAN ACCESS THEIR MEDICATION INFORMATION ONLINE dwashington3 on PRODPC61 with NOTICES Annual Labor: 1,514 hours plus 42% fringe .......................................................................................................................................................... Data collection: Interviewer training, sample purchase, survey administration, data entry, toll calls ....................................................... Other direct costs: Computer charge, telephone/fax/teleconference, printing and duplication, travel ..................................................... Indirect costs: Regular overhead, 46.5%; G&A, 21% ............................................................................................................................... Confract Fee .............................................................................................................................................................................................. 123,998 30,274 28,418 101,775 25,602 Total .................................................................................................................................................................................................... 310,067 VerDate Aug<31>2005 14:24 Nov 20, 2008 Jkt 217001 PO 00000 Frm 00039 Fmt 4703 Sfmt 4703 E:\FR\FM\21NON1.SGM 21NON1 Federal Register / Vol. 73, No. 226 / Friday, November 21, 2008 / Notices 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, quality improvement and 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: November 12, 2008. Carolyn M. Clancy, Director. [FR Doc. E8–27522 Filed 11–20–08; 8:45 am] BILLING CODE 4160–90–M 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. dwashington3 on PRODPC61 with NOTICES 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: ‘‘Improving implementation of the U.S. Preventive Services Task Force recommendation for prophylactic aspirin use among adults at risk for cardiovascular disease.’’ 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 January 20, 2009. VerDate Aug<31>2005 14:24 Nov 20, 2008 Written comments should be submitted to: Doris Lefkowitz, Reports Clearance Officer, AHRQ, by email at doris.lefkowitz@aahrq.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: ADDRESSES: Jkt 217001 Proposed Project ‘‘Improving implementation of the U.S. Preventive Services Task Force recommendation for prophylactic aspirin use among adults at risk for cardiovascular disease.’’ This proposed information collection aims to identify, test and disseminate methods to improve patient-physician communication about aspirin prophylaxis in health care systems. This project falls under AHRQ’s Accelerating Change and Transformation in Organizations and Networks (ACTION) program and will be conducted for AHRQ by Abt Associates in collaboration with Geisinger Health Systems. ACTION promotes innovation in health care delivery by accelerating the development, implementation, diffusion, and uptake of demand-driven and evidence-based products, tools, strategies and findings. ACTION develops and diffuses scientific evidence about what does and does not work to improve health care delivery systems. The program emphasizes projects—that are broadly responsive to user needs and operational interests and which are expected to be generalizable across a number of settings. In this project, a randomized controlled trial with two intervention arms and one control arm will be conducted to evaluate two interventions designed to improve physician-patient communication and decision-making regarding the use of prophylactic aspirin use among adults at risk for cardiovascular disease. Each of the three study arms will take place in one of three similar clinics. The first intervention uses a paper ‘‘pre-visit summary’’ handout describing the benefits and possible harms of daily low-dose aspirin use to prevent heart attack in men and stroke in women. The handout is given to patients in the waiting room of non-emergency outpatient clinics. The content of the handout, including baseline cardiovascular event risk and the magnitude of potential benefits and PO 00000 Frm 00040 Fmt 4703 Sfmt 4703 70651 harms of aspirin use, is generated specifically for each patient using data in his or her electronic health record. The purpose of the handout is to increase the patients’ knowledge of their own cardiovascular risk and increase awareness of prophylactic aspirin regimens as a-treatment option. The study will assess whether the handout is effective in stimulating subsequent discussion with physicians about cardiovascular risk and aspirin. The second intervention also uses the pre-visit summary handout, but adds a computer-based clinical decision support tool. During the patient’s visit with the physician, the electronic health record software used by the physician will alert the physician of the patient’s elevated cardiovascular risk and prompt the physician to discuss prophylactic aspirin use with the patient. If the physician chooses to do so, he or she can use a computer-based tool as a decision aid during the discussion with the patient. The tool displays the patient’s risk of cardiovascular event (heart attack or stroke) and the potential risk-reducing effect of daily aspirin use. The tool also shows the likelihood of potential harms of aspirin use (e.g., gastrointestinal bleeding). The tool is interactive and allows the patient and doctor to explore the expected effects of behavior change related to modifiable cardiovascular risk factors (e.g., smoking cessation) as well as prophylactic aspirin use. The proposed data collection supports the ACTION program mission by promoting health care quality improvement. The overall aim of the study is to explore the effectiveness of innovative health care delivery methods in improving patient health behaviors (i.e., using aspirin prophylaxis). The study has been constructed to produce results that will be helpful in a broad range of clinic settings including those utilizing electronic health records and those that rely on paper-based record systems. The proposed data collection will assess the study’s main outcome: initiating a discussion about prophylactic aspirin use between at-risk patients and their physicians in order to facilitate a shared decision-making process, and is therefore a necessary and integral element of the overall research study and of the ACTION program mission. This project is being conducted pursuant to AHRQ’s statutory authority to conduct and support research on health care and on systems for the delivery of such care, including activities with respect to the quality, effectiveness, efficiency, appropriateness and value of health care E:\FR\FM\21NON1.SGM 21NON1

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[Federal Register Volume 73, Number 226 (Friday, November 21, 2008)]
[Notices]
[Pages 70649-70651]
From the Federal Register Online via the Government Printing Office [www.gpo.gov]
[FR Doc No: E8-27522]

-----------------------------------------------------------------------

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: ``Conducting Measurement Activities in Support of the AHRQ
Health IT Initiative.'' 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.
This proposed information collection was previously published in
the Federal Register on September 19th, 2008 and allowed 60 days for
public comment. No comments were received. The purpose of this notice
is to allow an additional 30 days for public comment.

DATES: Comments on this notice must be received by December 10, 2008.

ADDRESSES: Written comments should be submitted to: AHRQ's OMB Desk
Officer by fax at (202) 395-6974 (attention: AHRQV's desk officer) or
by e-mail at OIRA--submissionomb.eop.gov (attention: AHRQ's desk
officer).
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@ahrg.hhs.gov.

SUPPLEMENTARY INFORMATION:

Proposed Project

Conducting Measurement Activities in Support of the AHRQ Health IT
Initiative

AHRQ-supported research has helped to demonstrate the potential of
health IT to enhance health care quality and patient safety. As the
lead federal research agency on the quality, safety, efficiency, and
effectiveness of health care in America, AHRQ plays a central role in
efforts to increase the adoption of health IT.

[[Page 70650]]

Consistent with its mission, AHRQ proposes to develop measures of
four indicators of performance of its health IT portfolio, namely:
1. Reduction in medication errors due to adoption of electronic
prescribing systems;
2. The number of persons who can access their medication
information online;
3. The number of clinicians who can electronically access evidence-
based prevention or treatment information; and
4. The number of clinician organizations who have adopted evidence-
based decision support technologies.
While secondary data are available to calculate measures 1, 3 and 4
described above, no national data exist for measure 2. Thus,
this proposed information collection relates to measure 2: The
number of persons who can access their medication information online.
This project is being conducted pursuant to AHRQ's statutory
mandates to conduct and support research, evaluations and initiatives
to advance information systems for health care improvement (42 U.S.C.
299b-3) and to promote innovations in evidence-based health care
practices and technologies by conducting and supporting research on the
development, diffusion, and use of health care technology (42 U.S.C.
299b-5(a)(1)).

Method of Collection

The data will be collected using a random-digit-dial (RDD)
telephone survey of the U.S. adult population. To ensure a
representative geographic distribution of the sample, the total sample
will be allocated to each Census region in proportion to the total
number of adults in each region. The survey will be administered in
both English and Spanish.

Estimated Annual Respondent Burden

Exhibit 1 presents the estimated annualized burden hours for the
respondents' time to participate in this project. The telephone survey
will be completed by 1,000 respondents and is expected to require 12
minutes to complete. The cognitive pretest interviews, which are used
to refine and validate the survey instrument, will be completed by 18
respondents (9 English-speaking and 9 Spanish-speaking) and are
expected to last one hour. The total burden hours are estimated to be
218 hours.
Exhibit 2 shows the estimated annualized cost burden for the
respondents' time to participate in this project. The total cost burden
is estimated to be $4,205.

Exhibit 1--Estimated Annualized Burden Hours
----------------------------------------------------------------------------------------------------------------
Number of
Data collection Number of responses per Hours per Total burden
responses respondent response hours
----------------------------------------------------------------------------------------------------------------
Telephone Survey................................ 1000 1 12/60 200
Cognitive Pretest Interview..................... 18 1 1 18
---------------------------------------------------------------
Total....................................... 1018 na na 218
----------------------------------------------------------------------------------------------------------------

Exhibit 2--Estimated Annualized Cost Burden
----------------------------------------------------------------------------------------------------------------
Number of Total burden Average hourly Total cost
Data collection respondents hours wage rate* burden
----------------------------------------------------------------------------------------------------------------
Telephone Survey................................ 1000 200 $19.29 $3,858
Cognitive Pretest Interview..................... 18 18 19.29 347
---------------------------------------------------------------
Total....................................... 1018 218 na 4,205
----------------------------------------------------------------------------------------------------------------
* Based upon the mean of the average wages, National Compensation Survey: Occupational wages in the United
States 2006, ``U.S. Department of Labor, Bureau of Labor Statistics.''

Estimated Annual Costs to the Federal Government

We are requesting approval for a one-time, one year, data
collection effort. The estimated cost of this data collection is
$310,067, which includes the cost of developing, administering and
analyzing the survey. Exhibit 3 details labor hours, operational
expenses (such as equipment, overhead, printing, and support staff),
and any other expenses that would not have been incurred without this
collection of information.

Exhibit 3--Annual Costs for the Estimate of the Number of Persons Who
Can Access Their Medication Information Online
------------------------------------------------------------------------
Annual
------------------------------------------------------------------------
Labor: 1,514 hours plus 42% fringe.......................... 123,998
Data collection: Interviewer training, sample purchase, 30,274
survey administration, data entry, toll calls..............
Other direct costs: Computer charge, telephone/fax/ 28,418
teleconference, printing and duplication, travel...........
Indirect costs: Regular overhead, 46.5%; G&A, 21%........... 101,775
Confract Fee................................................ 25,602
------------------------------------------------------------------------
Total................................................... 310,067
------------------------------------------------------------------------

[[Page 70651]]

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, quality improvement and 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: November 12, 2008.
Carolyn M. Clancy,
Director.
[FR Doc. E8-27522 Filed 11-20-08; 8:45 am]
BILLING CODE 4160-90-M

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