Agency Information Collection Activities: Proposed Collection; Comment Request, 14560-14562 [E9-6956]

Download as PDF 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 VerDate Nov<24>2008 14:35 Mar 30, 2009 Jkt 217001 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 E:\FR\FM\31MRN1.SGM 31MRN1 14561 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 VerDate Nov<24>2008 14:35 Mar 30, 2009 Jkt 217001 PO 00000 Frm 00050 Fmt 4703 Sfmt 4703 E:\FR\FM\31MRN1.SGM 31MRN1 14562 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 VerDate Nov<24>2008 14:35 Mar 30, 2009 Jkt 217001 PO 00000 Frm 00051 Fmt 4703 Sfmt 4703 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 31MRN1

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
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