Agency Information Collection Activities: Proposed Collection; Comment Request, 14560-14562 [E9-6956]
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14560
Federal Register / Vol. 74, No. 60 / Tuesday, March 31, 2009 / Notices
Estimated Annual Costs to the Federal
Government
a. AHRQ
By statute, AHRQ must collect and
review certifications from an entity that
seeks listing or continued listing as a
PSO under the Patient Safety Act.
Additional information collection is
also required for entities to remain
listed as a PSO (i.e., submissions
regarding compliance with the two bona
fide contracts requirement and reports
of certain relationships between a PSO
and each of its contracting providers).
The cost to AHRQ of processing the
information collected with the abovedescribed forms is minimal: An
estimated equivalent of approximately
0.05 FTE or $7,500 per year and
virtually no new overhead costs.
Description
Amount
Personnel & Support Staff ..............
Consultant (sub-contractor) services ..............................................
Equipment .......................................
Supplies ..........................................
All other expenses ..........................
$7,500
Average Annual Cost ..............
7,500
0
0
0
0
b. OCR
OCR cannot conduct its work without
collecting information through its
proposed complaint forms. Even if OCR
did not use complaint forms and only
took information orally, it would still
have to capture the same information in
order to begin processing a complaint.
Therefore, the incremental cost to OCR
of processing the information collected
from the complaint form is minimal and
is equivalent to approximately 0.05 FTE
or $7,500 per year with virtually no new
overhead costs.
Description
Amount
$7,500
Average Annual Cost ..............
tjames on PRODPC61 with NOTICES
Personnel & Support Staff ..............
Consultant (sub-contractor) services ..............................................
Equipment .......................................
Supplies ..........................................
All other expenses ..........................
7,500
0
0
0
0
Request for Comments
In accordance with the above-cited
Paperwork Reduction Act legislation,
comments on the above-described
AHRQ and OCR information collection
to implement the Patient Safety Act 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, quality
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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: March 18, 2009.
Carolyn M. Clancy,
Director, AHRQ.
[FR Doc. E9–6955 Filed 3–30–09; 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: 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: ‘‘CAHPS
Field Test of Proposed Health
Information Technology Questions and
Methodology.’’ In accordance with the
Paperwork Reduction Act of 1995,
Public Law 104–13 (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 June 1, 2009.
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
PO 00000
Frm 00049
Fmt 4703
Sfmt 4703
Clearance Officer, (301) 427–1477, or by
e-mail at doris.lefkowitz@ahrq.hhs.gov.
SUPPLEMENTARY INFORMATION:
Proposed Project
‘‘CAHPS Field Test of Proposed Health
Information Technology Questions and
Methodology’’
The Consumer Assessment of
Healthcare Providers and Systems
(CAHPS®) program is a multi-year
initiative of the Agency for Healthcare
Research and Quality. AHRQ first
launched the program in October 1995
in response to concerns about the lack
of good information about the quality of
health plans from the enrollees’
perspective. Numerous public and
private organizations collected
information on enrollee and patient
satisfaction, but the surveys varied from
sponsor to sponsor and often changed
from year to year. The CAHPS® program
was designed to:
• Make it possible to compare survey
results across sponsors and over time;
and
• Generate tools and resources that
sponsors can use to produce
understandable and usable comparative
information for consumers.
Over time, the program has expanded
beyond its original focus on health
plans to address a range of health care
services and meet the various needs of
health care consumers, purchasers,
health plans, providers, and
policymakers. Based on the literature
review and an assessment of currently
available survey instruments, AHRQ
identified the need to develop a new
health information technology module
of the CAHPS® survey. The intent of the
planned module is to examine in greater
detail than previously patients’
perspective on health information
technology use by their health care
professionals. The intent of the new
module is to provide information to
clinicians, group practices, health plans,
and other interested parties regarding
the impact of the use of health
information technology on patients’
experiences with care. The set of
questions about health information
technology will be tested as a part of
CAHPS® Clinician & Group Survey,
Adult Primary Care Questionnaire.
This study, funded through
cooperative agreements with RAND and
Harvard, is being conducted pursuant to
AHRQ’s statutory authority to conduct
research and evaluations on health care
and systems for the delivery of such
care, including activities with respect to
(1) the quality, effectiveness, efficiency,
appropriateness and value of health care
services and (2) health care
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Federal Register / Vol. 74, No. 60 / Tuesday, March 31, 2009 / Notices
technologies, facilities and equipment.
See 42 U.S.C. 299a(a)(1) and (5).
This study is a one-time field test to
be conducted in calendar year 2009. The
field test to be conducted under this
request will be done for the following
purposes:
a. Analysis of revised item wording—
Assess candidate wordings for survey
items
b. Mode Analysis—Evaluate the
equivalence of items administered by
mail, telephone, and internet; compare
the characteristics and responses of
respondents who complete the survey
by different modes of administration.
c. Case mix adjustment analysis—
Evaluate variables that need to be
considered for case mix adjustment of
scores.
d. Psychometric Analysis-Provide
information for the revision and
shortening of questionnaires based on
the assessment of the reliability and
validity of survey items and composites.
The end result will be a data
collection related to the assessment of
patients’ perspective on how well health
information technology is being used by
health care professionals. The field
testing will ensure that the future data
collection yields high quality data and
to ensure a minimization of respondent
burden, increase agency efficiency, and
improve responsiveness to the public.
The survey items will be added to
currently available CAHPS® surveys
and will provide a venue to clinicians
and practitioners to verify the quality of
their services.
Method of Collection
Respondents will be selected from
four purposively chosen sites (health
care providers and health insurance
plans) that have implemented health
information technology systems, such as
electronic health records (EHRs) and
electronic prescription refills, that are
used by sufficient numbers of enrollees
(i.e., at least 2400 enrollees per site).
From each site the potential respondent
universe will be patients who have been
receiving care from a clinician at the
health provider for at least one year
prior to the survey and who have used
one or more features of the health
providers’ EHR system. EHR systems
managers have the ability to track which
patients log on to the system, and which
features (e.g., examine lab results,
request prescription refill, etc.) the
patients used. The sample selection at
each site will be carried out jointly by
senior leadership at the site (e.g., chief
information officer) and a survey vendor
experienced in conducting the CAHPS
survey. We will ask the sites to provide
a list of their enrollees who have seen
a provider in the last 12 months and
who have logged onto the EHR system
in the last 12 months. We will randomly
select a sample of these enrollees for the
field test. We will use common
statistical techniques to select the
sample, e.g., computerized random
number generation applied to a list of
enrollees. When possible, we will
stratify the enrollees at a site based on
extent of HIT exposure to ensure a mix
of different enrollees in the study (e.g.,
enrollees who use many HIT functions
versus those who use few HIT
functions). Institutional Review Boards
(IRBs) at Harvard and RAND evaluated
the study to ensure proper protection of
patients’ right to privacy and
confidentiality as well as avoidance of
harm. The study received approvals
from both IRBs.
The draw will be a sample large
enough to yield approximately 4,800
respondents.
Because we are assuming a 50%
response rate, we will draw
approximately 9,600 patients to achieve
our total of 4,800 respondents.
Sites to be selected will meet the
following requirements:
• As much geographic distribution as
possible
• Substantial number of patients with
exposure to health information
technology
We anticipate a mixed mail-telephone
mode of data collection which will
include the following steps:
• Mailing an advance notification
letter
• Mailing of the questionnaire and
cover letter
• Postal card reminder
• A second mailing of the
questionnaire to non-respondents
• Minimum of six telephone calls to
every mail non-respondent
approximately two weeks after the final
mailing to complete a telephone
interview
We will also administer the survey by
Internet to some of the study
participants. For those assigned to
Internet administration an e-mail
invitation will be sent that includes an
invitation to participate along with a
URL link to a Web-based survey hosted
on a secure server. Sites will be divided
between RAND’s Survey Research
Group and the Center for Survey
Research, University of Massachusetts,
Boston (CSR). RAND will use the
software CfMC to administer the survey,
while CSR will use Snap software.
Estimated Annual Respondent Burden
Exhibit 1 shows the estimated
annualized burden for the respondents’
time to participate in this data
collection. The CAHPS® Clinician &
Group Survey, Adult Primary Care
Questionnaire will be completed by
about 4,800 persons. The estimated
response time of 20 minutes is based on
the written length of the survey and
AHRQ’s experience with previous
CAHPS® surveys of comparable length
that were fielded with a similar,
although not identical, population. The
total burden hours are estimated to be
1,600 hours.
Exhibit 2 shows the respondents’ cost
burden associated with their time to
participate in this data collection. The
total cost burden is estimated to be
$31,296.
EXHIBIT 1—ESTIMATED ANNUALIZED BURDEN HOURS
Number of
respondents
Form name
Number of
responses
per respondent
Hours per
response
Total burden hours
4800
1
20/60
1600
Total ..........................................................................................................................
tjames on PRODPC61 with NOTICES
CAHPS® Clinician & Group Survey, Adult Primary Care Questionnaire ........................
4800
1
na
1600
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Federal Register / Vol. 74, No. 60 / Tuesday, March 31, 2009 / Notices
EXHIBIT 2—ESTIMATED ANNUALIZED COST BURDEN
Number of
respondents
Form name
Total burden hours
Average
hourly wage
rate *
Total cost
burden
CAHPS® Clinician & Group Survey, Adult Primary Care Questionnaire ........................
4800
1600
$19.56
$31,296
Total ..........................................................................................................................
4800
1600
na
31,296
* Based upon the average wages, ‘‘National Compensation Survey: Occupational Wages in the United States, May 2007,’’ U.S. Department of
Labor, Bureau of Labor Statistics.
Estimated Annual Costs to the Federal
Government
The total cost to the Federal
Government for developing the Health
Information Technology questions, and
testing them within the CAHPS®
Clinician & Group Survey, Adult
Primary Care Questionnaire, is
$780,000, including the cost of
reviewing the literature, conducting
focus groups and cognitive interviews,
field testing the instrument, analyzing
the data, finalizing the survey, preparing
reports, writing papers for journal
submission, and project management
(see Exhibit 3). Data collection will not
exceed one year.
EXHIBIT 3—ESTIMATED ANNUAL COST
Cost component
tjames on PRODPC61 with NOTICES
Review of literature ...................
Focus groups ............................
Cognitive interviews ..................
Field test ...................................
Data analyses ...........................
Finalize survey ..........................
Preparation of reports and journal papers .............................
AHRQ project management .....
Total cost
$35,000
60,000
80,000
260,000
80,000
50,000
Comments submitted in response to
this notice will be summarized and
included in the Agency’s subsequent
request for 0MB approval of the
proposed information collection. All
comments will become a matter of
public record.
Dated: March 20, 2009.
Carolyn M. Clancy,
Director.
[FR Doc. E9–6956 Filed 3–30–09; 8:45 am]
BILLING CODE 4160–90–M
DEPARTMENT OF HEALTH AND
HUMAN SERVICES
Centers for Disease Control and
Prevention
[60Day–09–09BH]
Proposed Data Collections Submitted
for Public Comment and
Recommendations
In compliance with the requirement
of Section 3506(c)(2)(A) of the
Paperwork Reduction Act of 1995 for
85,000 opportunity for public comment on
130,000 proposed data collection projects, the
Centers for Disease Control and
Total ...................................
$780,000
Prevention (CDC) will publish periodic
summaries of proposed projects. To
Request for Comments
request more information on the
In accordance with the above-cited
proposed projects or to obtain a copy of
Paperwork Reduction Act legislation,
the data collection plans and
comments on AHRQ’s information
instruments, call 404–639–5960 and
collection are requested with regard to
send comments to Maryam I. Daneshvar,
any of the following: (a) Whether the
CDC Acting Reports Clearance Officer,
proposed collection of information is
1600 Clifton Road, MS–D74, Atlanta,
necessary for the proper performance of GA 30333 or send an email to
AHRQ health care research and health
omb@cdc.gov.
care information dissemination
Comments are invited on: (a) Whether
functions, including whether the
the proposed collection of information
information will have practical utility;
is necessary for the proper performance
(b) the accuracy of AHRQ’ s estimate of
of the functions of the agency, including
burden (including hours and costs) of
whether the information shall have
the proposed collection(s) of
practical utility; (b) the accuracy of the
information; (c) ways to enhance the
agency’s estimate of the burden of the
quality, utility, and clarity of the
proposed collection of information; (c)
information to be collected; and, (d)
ways to enhance the quality, utility, and
ways to minimize the burden of the
clarity of the information to be
collection of information upon the
collected; and (d) ways to minimize the
respondents, including the use of
burden of the collection of information
automated collection techniques or
on respondents, including through the
other forms of information technology.
use of automated collection techniques
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PO 00000
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or other forms of information
technology. Written comments should
be received within 60 days of this
notice.
Proposed Project
Assessing the Safety Culture of
Underground Coal Mining—New—
National Institute for Occupational
Safety and Health, (NIOSH), Centers for
Disease Control and Prevention, (CDC).
Background and Brief Description
NIOSH, under Public Law 91–596,
Sections 20 and 22 (Section 20–22,
Occupational Safety and Health Act of
1970) has the responsibility to conduct
research relating to innovative methods,
techniques, and approaches dealing
with occupational safety and health
problems.
This research would relate to
occupational safety and health problems
in the coal mining industry. In recent
years, coal mining safety has attained
national attention due to highly
publicized disasters. Despite these
threats to worker safety and health, the
U.S. relies on coal mining to meet its
electricity needs. For this reason, the
coal mining industry must continue to
find ways to protect its workers while
maintaining productivity. One way to
do so is through improving the safety
culture at coal mines. In order to
achieve this culture, operators,
employees, the inspectorate, etc. must
share a fundamental commitment to it
as a value. This type of culture is known
in other industries as a ‘‘safety culture’’
and can be defined as the characteristics
of the work environment, such as the
norms, rules, and common
understandings that influence facility
personnel’s perceptions of the
importance that the organization places
on safety.
NIOSH proposes an assessment of the
current safety culture of underground
coal mining in order to identify
recommendations for promoting and
ensuring the existence of a positive
safety culture across the industry. A
total of 6 underground coal mines will
be studied for this assessment. The
assessment includes the collection of
data using several diagnostic tools:
E:\FR\FM\31MRN1.SGM
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]]>Agencies
[Federal Register Volume 74, Number 60 (Tuesday, March 31, 2009)]
[Notices]
[Pages 14560-14562]
From the Federal Register Online via the Government Printing Office [www.gpo.gov]
[FR Doc No: E9-6956]
-----------------------------------------------------------------------
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: ``CAHPS Field Test of Proposed Health Information Technology
Questions and Methodology.'' In accordance with the Paperwork Reduction
Act of 1995, Public Law 104-13 (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 June 1, 2009.
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
``CAHPS Field Test of Proposed Health Information Technology Questions
and Methodology''
The Consumer Assessment of Healthcare Providers and Systems
(CAHPS[supreg]) program is a multi-year initiative of the Agency for
Healthcare Research and Quality. AHRQ first launched the program in
October 1995 in response to concerns about the lack of good information
about the quality of health plans from the enrollees' perspective.
Numerous public and private organizations collected information on
enrollee and patient satisfaction, but the surveys varied from sponsor
to sponsor and often changed from year to year. The CAHPS[supreg]
program was designed to:
Make it possible to compare survey results across sponsors
and over time;
and
Generate tools and resources that sponsors can use to
produce understandable and usable comparative information for
consumers.
Over time, the program has expanded beyond its original focus on
health plans to address a range of health care services and meet the
various needs of health care consumers, purchasers, health plans,
providers, and policymakers. Based on the literature review and an
assessment of currently available survey instruments, AHRQ identified
the need to develop a new health information technology module of the
CAHPS[supreg] survey. The intent of the planned module is to examine in
greater detail than previously patients' perspective on health
information technology use by their health care professionals. The
intent of the new module is to provide information to clinicians, group
practices, health plans, and other interested parties regarding the
impact of the use of health information technology on patients'
experiences with care. The set of questions about health information
technology will be tested as a part of CAHPS[reg] Clinician & Group
Survey, Adult Primary Care Questionnaire.
This study, funded through cooperative agreements with RAND and
Harvard, is being conducted pursuant to AHRQ's statutory authority to
conduct research and evaluations on health care and systems for the
delivery of such care, including activities with respect to (1) the
quality, effectiveness, efficiency, appropriateness and value of health
care services and (2) health care
[[Page 14561]]
technologies, facilities and equipment. See 42 U.S.C. 299a(a)(1) and
(5).
This study is a one-time field test to be conducted in calendar
year 2009. The field test to be conducted under this request will be
done for the following purposes:
a. Analysis of revised item wording--Assess candidate wordings for
survey items
b. Mode Analysis--Evaluate the equivalence of items administered by
mail, telephone, and internet; compare the characteristics and
responses of respondents who complete the survey by different modes of
administration.
c. Case mix adjustment analysis--Evaluate variables that need to be
considered for case mix adjustment of scores.
d. Psychometric Analysis-Provide information for the revision and
shortening of questionnaires based on the assessment of the reliability
and validity of survey items and composites.
The end result will be a data collection related to the assessment
of patients' perspective on how well health information technology is
being used by health care professionals. The field testing will ensure
that the future data collection yields high quality data and to ensure
a minimization of respondent burden, increase agency efficiency, and
improve responsiveness to the public. The survey items will be added to
currently available CAHPS[reg] surveys and will provide a venue to
clinicians and practitioners to verify the quality of their services.
Method of Collection
Respondents will be selected from four purposively chosen sites
(health care providers and health insurance plans) that have
implemented health information technology systems, such as electronic
health records (EHRs) and electronic prescription refills, that are
used by sufficient numbers of enrollees (i.e., at least 2400 enrollees
per site). From each site the potential respondent universe will be
patients who have been receiving care from a clinician at the health
provider for at least one year prior to the survey and who have used
one or more features of the health providers' EHR system. EHR systems
managers have the ability to track which patients log on to the system,
and which features (e.g., examine lab results, request prescription
refill, etc.) the patients used. The sample selection at each site will
be carried out jointly by senior leadership at the site (e.g., chief
information officer) and a survey vendor experienced in conducting the
CAHPS survey. We will ask the sites to provide a list of their
enrollees who have seen a provider in the last 12 months and who have
logged onto the EHR system in the last 12 months. We will randomly
select a sample of these enrollees for the field test. We will use
common statistical techniques to select the sample, e.g., computerized
random number generation applied to a list of enrollees. When possible,
we will stratify the enrollees at a site based on extent of HIT
exposure to ensure a mix of different enrollees in the study (e.g.,
enrollees who use many HIT functions versus those who use few HIT
functions). Institutional Review Boards (IRBs) at Harvard and RAND
evaluated the study to ensure proper protection of patients' right to
privacy and confidentiality as well as avoidance of harm. The study
received approvals from both IRBs.
The draw will be a sample large enough to yield approximately 4,800
respondents.
Because we are assuming a 50% response rate, we will draw
approximately 9,600 patients to achieve our total of 4,800 respondents.
Sites to be selected will meet the following requirements:
As much geographic distribution as possible
Substantial number of patients with exposure to health
information technology
We anticipate a mixed mail-telephone mode of data collection which
will include the following steps:
Mailing an advance notification letter
Mailing of the questionnaire and cover letter
Postal card reminder
A second mailing of the questionnaire to non-respondents
Minimum of six telephone calls to every mail non-
respondent approximately two weeks after the final mailing to complete
a telephone interview
We will also administer the survey by Internet to some of the study
participants. For those assigned to Internet administration an e-mail
invitation will be sent that includes an invitation to participate
along with a URL link to a Web-based survey hosted on a secure server.
Sites will be divided between RAND's Survey Research Group and the
Center for Survey Research, University of Massachusetts, Boston (CSR).
RAND will use the software CfMC to administer the survey, while CSR
will use Snap software.
Estimated Annual Respondent Burden
Exhibit 1 shows the estimated annualized burden for the
respondents' time to participate in this data collection. The
CAHPS[supreg] Clinician & Group Survey, Adult Primary Care
Questionnaire will be completed by about 4,800 persons. The estimated
response time of 20 minutes is based on the written length of the
survey and AHRQ's experience with previous CAHPS[supreg] surveys of
comparable length that were fielded with a similar, although not
identical, population. The total burden hours are estimated to be 1,600
hours.
Exhibit 2 shows the respondents' cost burden associated with their
time to participate in this data collection. The total cost burden is
estimated to be $31,296.
Exhibit 1--Estimated Annualized Burden Hours
----------------------------------------------------------------------------------------------------------------
Number of
Number of responses Hours per Total
Form name respondents per response burden
respondent hours
----------------------------------------------------------------------------------------------------------------
CAHPS[supreg] Clinician & Group Survey, Adult Primary Care 4800 1 20/60 1600
Questionnaire..............................................
---------------------------------------------------
Total................................................... 4800 1 na 1600
----------------------------------------------------------------------------------------------------------------
[[Page 14562]]
Exhibit 2--Estimated annualized cost burden
----------------------------------------------------------------------------------------------------------------
Total Average
Form name Number of burden hourly wage Total cost
respondents hours rate * burden
----------------------------------------------------------------------------------------------------------------
CAHPS[supreg] Clinician & Group Survey, Adult Primary Care 4800 1600 $19.56 $31,296
Questionnaire..............................................
---------------------------------------------------
Total................................................... 4800 1600 na 31,296
----------------------------------------------------------------------------------------------------------------
* Based upon the average wages, ``National Compensation Survey: Occupational Wages in the United States, May
2007,'' U.S. Department of Labor, Bureau of Labor Statistics.
Estimated Annual Costs to the Federal Government
The total cost to the Federal Government for developing the Health
Information Technology questions, and testing them within the
CAHPS[supreg] Clinician & Group Survey, Adult Primary Care
Questionnaire, is $780,000, including the cost of reviewing the
literature, conducting focus groups and cognitive interviews, field
testing the instrument, analyzing the data, finalizing the survey,
preparing reports, writing papers for journal submission, and project
management (see Exhibit 3). Data collection will not exceed one year.
Exhibit 3--Estimated Annual Cost
------------------------------------------------------------------------
Cost component Total cost
------------------------------------------------------------------------
Review of literature....................................... $35,000
Focus groups............................................... 60,000
Cognitive interviews....................................... 80,000
Field test................................................. 260,000
Data analyses.............................................. 80,000
Finalize survey............................................ 50,000
Preparation of reports and journal papers.................. 85,000
AHRQ project management.................................... 130,000
------------
Total.................................................. $780,000
------------------------------------------------------------------------
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 0MB approval of the
proposed information collection. All comments will become a matter of
public record.
Dated: March 20, 2009.
Carolyn M. Clancy,
Director.
[FR Doc. E9-6956 Filed 3-30-09; 8:45 am]
BILLING CODE 4160-90-M
