Agency Information Collection Activities: Proposed Collection; Comment Request, 20952-20955 [E9-10406]

Download as PDF 20952 Federal Register / Vol. 74, No. 86 / Wednesday, May 6, 2009 / Notices 30 minutes. The self-administered questionnaire will be completed by the focus group participants and the adolescent participants of the semistructured interviews, and will take about 6 minutes to complete. The total burden for all participants is estimated to be 134 hours. Exhibit 2 shows the estimated annualized cost burden for the respondent’s time to participate in the project. The total cost is estimated to be $2,001. EXHIBIT 1—ESTIMATED ANNUALIZED BURDEN HOURS Number of respondents Data collection mode Number of responses per respondent Hours per response Total burden hours Screening form ................................................................................................ Self-administered questionnaire ...................................................................... ´ Focus group with parents of children o8 years of age (4 groups of 8 participants) ........................................................................................................... Focus group with adults (4 groups of 8 participants) ...................................... Semi-structured interviews with adolescents (13 to 20 years of age) ............ Semi-structured interview with primary care physicians ................................. Semi-structured interviews with pharmacists .................................................. 124 84 1 1 3/60 6/60 6 8 32 32 20 20 20 1 1 1 1 1 1.5 1.5 30/60 20/60 20/60 48 48 10 7 7 Total .......................................................................................................... 332 ........................ ........................ 134 Average hourly wage rate* Total cost burden EXHIBIT 2—ESTIMATED ANNUALIZED COST BURDEN Number of respondents Data collection mode Total burden hours Screening form ................................................................................................ Self-administered questionnaire ...................................................................... ´ Focus groups with parents of children o8 years of age (4 groups of 8 participants) ....................................................................................................... Focus groups with adults (4 groups of 8 participants) .................................... Semi-structured interviews with adolescents (13 to 20 years of age) ............ Semi-structured interviews with primary care physicians ................................ Semi-structured interviews with pharmacists .................................................. 124 84 6 8 $10.30 10.30 $62 82 32 32 20 20 20 48 48 10 7 7 10.30 10.30 10.30 61.10 48.22 494 494 103 428 338 Total .......................................................................................................... 332 134 ........................ 2,001 * Patient average hourly wage based on the average per capita income of $21,435 (computed into an hourly wage rate of $10.30) in Harris County, Texas where the study will take place. Provider hourly wage based on the following estimates from National Compensation Survey: Occupational wages in the United States 2006, U.S. Department of Labor, Bureau of Labor Statistics: primary care physician = $61.10/hour; pharmacist = $48.22/hour. Estimates of Annualized Cost to the Government Exhibit 3 shows the estimated cost to the Federal government for this sixmonth project. The total cost is $164,440. This amount includes all direct and indirect costs of the design, data collection, analysis, and reporting phase of the study. EXHIBIT 3—ESTIMATED COST Cost component Total cost mstockstill on PROD1PC66 with NOTICES Project Development .................. Data Collection Activities ............ Data Processing and Analysis ... Publication of Results ................. Project Management .................. Overhead .................................... $13,250 61,699 14,080 750 17,000 57,661 Total ..................................... 164,440 Request for Comments In accordance with the above-cited Paperwork Reduction Act legislation, comments on AHRQ’s information VerDate Nov<24>2008 18:36 May 05, 2009 Jkt 217001 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. PO 00000 Frm 00054 Fmt 4703 Sfmt 4703 Dated: April 23, 2009. Carolyn M. Clancy, Director. [FR Doc. E9–10407 Filed 5–5–09; 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: ‘‘Medical E:\FR\FM\06MYN1.SGM 06MYN1 Federal Register / Vol. 74, No. 86 / Wednesday, May 6, 2009 / Notices Proposed Project MEPS–HC is a sample of households participating in the National Health Interview Survey (NHIS) in the prior calendar year that are interviewed 5 times over a 21⁄2 year period. These 5 interviews yield two years of information on use of and expenditures for health care, sources of payment for that health care, insurance status, employment, health status and health care quality. MEPS–MPC collects information from medical and financial records maintained by hospitals, physicians, pharmacies, health care institutions, and home health agencies named as sources of care by household respondents. Insurance Component (MEPS–IC): The MEPS–IC collects information on establishment characteristics, insurance offerings and premiums from employers. The MEPS–IC is conducted by the Census Bureau for AHRQ and is cleared separately. This request is for the MEPS–HC and MEPS–MPC only. ’’Medical Expenditure Panel Survey (MEPS) Household Component and the MEPS Medical Provider Component Through 2012’’ AHRQ seeks to renew the Medical Expenditure Panel Survey Household Component (MEPS–HC) and the MEPS Medical Provider Component (MEPS– MPC) through the year 2012. For over thirty years, the results of the MEPS and its predecessor surveys (the 1977 National Medical Care Expenditure Survey, the 1980 National Medical Care Utilization and Expenditure Survey and the 1987 National Medical Expenditure Survey) have been used by OMB, DHHS, Congress and a wide number of health services researchers to analyze health care use, expenses and health policy. AHRQ is authorized to conduct the MEPS pursuant to 42 U.S.C. 299b–2. Major changes continue to take place in the health care delivery system. The MEPS is needed to provide information about the current state of the health care system as well as to track changes over time. The current MEPS design, unlike the previous periodic surveys, permits annual estimates of use of health care and expenditures and sources of payment for that health care. It also permits tracking individual change in employment, income, health insurance and health status over two years. The use of the National Health Interview Survey (NHIS) as a sampling frame expands the surveys’ analytic capacity by providing another data point for comparisons over time. The MEPS–HC and MEPS–MPC are two of three components of the MEPS: Method of Collection The MEPS is designed to meet the need for information to estimate health expenses, insurance coverage, access, use and quality. Households selected for participation in the MEPS are interviewed five times in person. These rounds of interviewing are spaced about 5 months apart. The interview will take place with a family respondent who will report for him/herself and for other family members. After a preliminary mail contact containing an advance letter, households will be mailed MEPS record keeping materials (a calendar) and a DVD and brochure. After the advance contact, households will be contacted for the first of five in-person interviews. The interviews are conducted as a computer assisted personal interview (CAPI). The CAPI instrument is organized as a core instrument that will repeat unchanged in each of the rounds. Additional sections are asked only once a year and provide greater depth. Dependent interviewing methods in which respondents are asked to confirm or revise data provided in earlier interviews will be used to update information such as employment and health insurance data after the round in which such data are usually collected. The main data collection modules for the MEPS–HC are as follows: Household Component Core Instrument. The core instrument collects data about persons in sample households. Topical areas asked in each round of interviewing include condition enumeration, health status, health care mstockstill on PROD1PC66 with NOTICES Expenditure Panel Survey (MEPS) Household Component and the MEPS Medical Provider Component Through 2012.’’ 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 July 6, 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 Clearance Officer, (301) 427–1477, or by e-mail at doris.lefkowitz@ahrq.hhs.gov. SUPPLEMENTARY INFORMATION: VerDate Nov<24>2008 18:36 May 05, 2009 Jkt 217001 PO 00000 Frm 00055 Fmt 4703 Sfmt 4703 20953 utilization including prescribed medicines, expense and payment, employment, and health insurance. Other topical areas that are asked only once a year include access to care, priority conditions, income, assets, satisfaction with health plans and providers, childrens health, adult preventive care. While many of the questions are asked about the entire reporting unit (RU), which is typically a family, only one person normally provides this information. Adult Self Administered Questionnaire. A brief self-administered questionnaire (SAQ), administered once a year in rounds 2 and 4, will be used to collect self-reported (rather than through household proxy) information on health status, health opinions and satisfaction with health care for adults 18 and older. Diabetes Care SAQ. A brief self administered questionnaire on the quality of diabetes care is administered once a year in rounds 3 and 5 to persons identified as having diabetes. Permission forms for the MEPS–MPC. As in previous panels of the MEPS, we will ask respondents for permission to obtain supplemental information from their medical providers (hospitals, physicians, health care institutions, home health agencies and pharmacies). MEPS–MPC Instruments The main objective of the MEPS–MPC is a collection of data from medical providers that will serve as an imputation source of medical expenditure and source of payment data reported by household respondents. This data will supplement, replace and verify information provided by household respondents about the charges, payments, and sources of payment associated with specific health care encounters. The questionnaires used in the MEPS–MPC vary according to type of provider. The data collection instruments are as follows: Home Care for Health Care Providers Questionnaire. This questionnaire is used to collect data from home health care agencies which provide medical care services to household respondents. Information collected includes type of personnel providing care, hours or visits provided per month, and the charges and payments for services received. Home Care Provider Questionnaire for Non-Health Care Providers. This is used to collect information about services provided in the home by non-health care workers to household respondents because of a medical condition; for example, cleaning or yard work, transportation, shopping, or child care. E:\FR\FM\06MYN1.SGM 06MYN1 20954 Federal Register / Vol. 74, No. 86 / Wednesday, May 6, 2009 / Notices Office-based Providers Questionnaire. This questionnaire is for the officebased physician sample, including doctors of medicine (MD5) and osteopathy (DOs), as well as providers practicing under the direction or supervision of an MO or DO (e.g., physician assistants and nurse practitioners working in clinics). Providers of care in private offices as well as staff model HMOs are included. Separately Billing Doctors Questionnaire. Information from physicians identified by hospitals as providing care to sampled persons during the course of inpatient stays, outpatient department or emergency room care, but who bill separately from the hospital, is collected in this questionnaire. Hospitals Questionnaire. This questionnaire is used to collect information about hospital events, including inpatient stays, outpatient department, and emergency room visits. Hospital data are collected not only from the billing department, but from medical records and administrative records departments as well. Medical records departments are contacted to determine the names of all the doctors who treated the patient during a stay or visit. In many cases, the hospital administrative office also has to be contacted to determine whether the doctors identified by medical records billed separately from the hospital itself. Institutions Questionnaire. This questionnaire is used to collect data from health care institutions providing care to sampled persons and includes nursing homes, assisted living facilities, rehabilitation facilities, as well as any other health care facilities providing health care to a sampled person. Pharmacies Questionnaire. This questionnaire requests the prescription name, NDC code, date prescription was filled, payments by source, prescription strength, form and quantity, and person for whom the prescription was filled. Most pharmacies have the requested information available in electronic format and respond by providing a computer generated printout of the patient’s prescription information. If the computerized form is unavailable, the pharmacy can report their data to a telephone interviewer. Estimated Annual Respondent Burden Exhibit 1 shows the estimated annualized burden hours for the respondents’ time to participate in the MEPS–HC and MEPS–MPC. The MEPS– HC Core Interview will be completed by 15,000 ‘‘family level’’ respondents, also referred to as RU respondents. Since the MEPS–HC consists of 5 rounds of interviewing covering a full two years of data, the annual average number of responses per respondent is 2.5 responses per year. The MEPS–HC core requires an average response time of 1 and Y2 hours to administer. The Adult SAQ will be completed once a year by each person in the RU that is 18 years old and older, an estimated 21,000 persons. The Adult SAQ requires an average of 7 minutes to complete. The Diabetes care SAQ will be completed once a year by each person in the RU identified as having diabetes, an estimated 1,800 persons and takes about 3 minutes to complete. Permission forms for the MEPS–MPC will be completed once for each medical provider seen by any RU member. Each of the 15,000 RUs in the MEPS–HC will complete an average of 5.2 forms, which require about 3 minutes each to complete. The total annual burden hours for the MEPS–HC is estimated to be 62,690 hours. The MEPS–MPC uses 7 different questionnaires; 6 for medical providers and 1 for pharmacies. Each questionnaire is relatively short and requires 3 to 5 minutes to complete. The total annual burden hours for the MEPS–HC and MPC is estimated to be 82,767 hours. Exhibit 2 shows the estimated annual cost burden associated with the respondents’ time to participate in this information collection. The annual cost burden for the MEPS–HC is estimated to be $1,226,216; the annual cost burden for the MEPS–MPC is estimated to be $285,965. EXHIBIT 1—ESTIMATED ANNUALIZED BURDEN HOURS Number of respondents Form name Number of responses per respondent Hours per response 15,000 21,000 1,800 15,000 2.5 1 1 5.2 1.5 7/60 3/60 3/60 56,250 2,450 90 3,900 MEPS–HC: MEPS–HC Core Interview ........................................................................ Adult SAQ ................................................................................................. Diabetes care SAQ ................................................................................... Permission forms for the MEPS–MPC ..................................................... Total burden hours 52,800 na na 62,690 441 23 13,665 12,450 5,402 72 7,760 6.5 6.6 5.8 2 6.5 1.5 23.3 5/60 5/60 5/60 3/60 5/60 5/60 3/60 239 13 6,605 1,245 2,926 9 9,040 Subtotal for the MEPS–MPC ............................................................. 39,813 na ia 20,077 Grand Total ................................................................................ mstockstill on PROD1PC66 with NOTICES Subtotal for the MEPS–HC ............................................................... MEPS–MPC: Home care for health care providers questionnaire ................................. Home care for non-health care providers questionnaire .......................... Office-based providers questionnaire ....................................................... Separately billing doctors questionnaire ................................................... Hospitals questionnaire ............................................................................ Institutions (non-hospital) questionnaire ................................................... Pharmacies questionnaire ........................................................................ 92,613 na ia 82,767 Average hourly wage rate * Total cost burden $19.56 $1,100,250 EXHIBIT 2—ESTIMATED ANNUALIZED COST BURDEN Number of respondents Form mode MEPS–HC: MEPS–HC Core Interview ........................................................................ VerDate Nov<24>2008 18:36 May 05, 2009 Jkt 217001 PO 00000 Frm 00056 Fmt 4703 Sfmt 4703 15,000 Total burden hours 56,250 E:\FR\FM\06MYN1.SGM 06MYN1 20955 Federal Register / Vol. 74, No. 86 / Wednesday, May 6, 2009 / Notices EXHIBIT 2—ESTIMATED ANNUALIZED COST BURDEN—Continued Number of respondents Form mode Total burden hours Average hourly wage rate * Total cost burden Adult SAQ ................................................................................................. Diabetes care SAQ ................................................................................... Permission forms for the MEPS–MPC ..................................................... 21,000 1,800 15,000 2,450 90 3,900 19.56 19.56 19.56 47,922 1,760 76,284 Subtotal for the MEPS–HC ............................................................... MEPS–MPC: Home care for health care providers questionnaire ................................. Home care for non-health care providers questionnaire .......................... Office-based providers questionnaire ....................................................... Separately billing doctors questionnaire ................................................... Hospitals questionnaire ............................................................................ Institutions (non-hospital) questionnaire ................................................... Pharmacies questionnaire ........................................................................ Subtotal for the MEPS–MPC ............................................................. 52,800 62,690 na 1,226,216 441 23 13,665 12,450 5,402 72 7,760 39,813 239 13 6,605 1,245 2,926 9 9,040 20,077 14.24 19.56 14.24 14.24 14.24 14.24 14.24 na 3,403 254 94,055 17,729 41,666 128 128,730 285,965 Grand Total ................................................................................ 92,613 82,767 na 1,512,181 * Based upon the mean of the average wages for Healthcare Support Workers, All Other (31–9099) and All Occupations (00–0000), Occupational Employment Statistics, May 2007 National Occupational Employment and Wage Estimates United States, U.S. Department of Labor, Bureau of Labor Statistics. http://www.bls.gov/oes/current/oes_nat.htm#b29-0000. Estimated Annual Costs to the Federal Government Exhibit 3 shows the total and annualized cost of this information collection. The cost associated with the design and data collection of the MEPS– HC and MEPS–MPC is estimated to be $47.6 million in each of the next three fiscal years. EXHIBIT 3—ESTIMATED TOTAL AND ANNUALIZED COST Total cost (in million) Cost component Sampling Activities ............................................................................................................................................... Interviewer Recruitment and Training ................................................................................................................. Data Collection Activities ..................................................................................................................................... Data Processing .................................................................................................................................................. Production of Public Use Data Files ................................................................................................................... Project Management ............................................................................................................................................ $2.79 8.52 86.7 21.39 19.53 3.93 mstockstill on PROD1PC66 with NOTICES Total .............................................................................................................................................................. 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 VerDate Nov<24>2008 18:36 May 05, 2009 Jkt 217001 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: April 27, 2009. Carolyn M. Clancy, Director. [FR Doc. E9–10406 Filed 5–5–09; 8:45 am] BILLING CODE 4160–90–M PO 00000 Annualized cost (in million) 142.8 $0.93 2.84 28.9 7.13 6.51 1.31 47.6 DEPARTMENT OF HEALTH AND HUMAN SERVICES Food and Drug Administration [Docket No. FDA–2007–D–0487] (formerly Docket No. 2007D–0260) Compliance Policy Guide; ‘‘Sec. 110.310 Prior Notice of Imported Food Under the Public Health Security and Bioterrorism Preparedness and Response Act of 2002;’’ Availability AGENCY: Food and Drug Administration, HHS. ACTION: Notice. SUMMARY: The Food and Drug Administration (FDA) is announcing the availability of a Compliance Policy Guide (CPG) entitled ‘‘Sec. 110.310 Prior Notice of Imported Food Under the Public Health Security and Bioterrorism Preparedness and Response Act of 2002.’’ The CPG provides written guidance to FDA’s and Frm 00057 Fmt 4703 Sfmt 4703 E:\FR\FM\06MYN1.SGM 06MYN1

Agencies

[Federal Register Volume 74, Number 86 (Wednesday, May 6, 2009)]
[Notices]
[Pages 20952-20955]
From the Federal Register Online via the Government Printing Office [www.gpo.gov]
[FR Doc No: E9-10406]


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

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: ``Medical

[[Page 20953]]

Expenditure Panel Survey (MEPS) Household Component and the MEPS 
Medical Provider Component Through 2012.'' 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 July 6, 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

''Medical Expenditure Panel Survey (MEPS) Household Component and the 
MEPS Medical Provider Component Through 2012''

    AHRQ seeks to renew the Medical Expenditure Panel Survey Household 
Component (MEPS-HC) and the MEPS Medical Provider Component (MEPS-MPC) 
through the year 2012. For over thirty years, the results of the MEPS 
and its predecessor surveys (the 1977 National Medical Care Expenditure 
Survey, the 1980 National Medical Care Utilization and Expenditure 
Survey and the 1987 National Medical Expenditure Survey) have been used 
by OMB, DHHS, Congress and a wide number of health services researchers 
to analyze health care use, expenses and health policy. AHRQ is 
authorized to conduct the MEPS pursuant to 42 U.S.C. 299b-2.
    Major changes continue to take place in the health care delivery 
system. The MEPS is needed to provide information about the current 
state of the health care system as well as to track changes over time. 
The current MEPS design, unlike the previous periodic surveys, permits 
annual estimates of use of health care and expenditures and sources of 
payment for that health care. It also permits tracking individual 
change in employment, income, health insurance and health status over 
two years. The use of the National Health Interview Survey (NHIS) as a 
sampling frame expands the surveys' analytic capacity by providing 
another data point for comparisons over time.
    The MEPS-HC and MEPS-MPC are two of three components of the MEPS:
    MEPS-HC is a sample of households participating in the National 
Health Interview Survey (NHIS) in the prior calendar year that are 
interviewed 5 times over a 2\1/2\ year period. These 5 interviews yield 
two years of information on use of and expenditures for health care, 
sources of payment for that health care, insurance status, employment, 
health status and health care quality.
    MEPS-MPC collects information from medical and financial records 
maintained by hospitals, physicians, pharmacies, health care 
institutions, and home health agencies named as sources of care by 
household respondents.
    Insurance Component (MEPS-IC): The MEPS-IC collects information on 
establishment characteristics, insurance offerings and premiums from 
employers. The MEPS-IC is conducted by the Census Bureau for AHRQ and 
is cleared separately.
    This request is for the MEPS-HC and MEPS-MPC only.

Method of Collection

    The MEPS is designed to meet the need for information to estimate 
health expenses, insurance coverage, access, use and quality. 
Households selected for participation in the MEPS are interviewed five 
times in person. These rounds of interviewing are spaced about 5 months 
apart. The interview will take place with a family respondent who will 
report for him/herself and for other family members.
    After a preliminary mail contact containing an advance letter, 
households will be mailed MEPS record keeping materials (a calendar) 
and a DVD and brochure. After the advance contact, households will be 
contacted for the first of five in-person interviews. The interviews 
are conducted as a computer assisted personal interview (CAPI). The 
CAPI instrument is organized as a core instrument that will repeat 
unchanged in each of the rounds. Additional sections are asked only 
once a year and provide greater depth. Dependent interviewing methods 
in which respondents are asked to confirm or revise data provided in 
earlier interviews will be used to update information such as 
employment and health insurance data after the round in which such data 
are usually collected. The main data collection modules for the MEPS-HC 
are as follows:
    Household Component Core Instrument. The core instrument collects 
data about persons in sample households. Topical areas asked in each 
round of interviewing include condition enumeration, health status, 
health care utilization including prescribed medicines, expense and 
payment, employment, and health insurance. Other topical areas that are 
asked only once a year include access to care, priority conditions, 
income, assets, satisfaction with health plans and providers, childrens 
health, adult preventive care. While many of the questions are asked 
about the entire reporting unit (RU), which is typically a family, only 
one person normally provides this information.
    Adult Self Administered Questionnaire. A brief self-administered 
questionnaire (SAQ), administered once a year in rounds 2 and 4, will 
be used to collect self-reported (rather than through household proxy) 
information on health status, health opinions and satisfaction with 
health care for adults 18 and older.
    Diabetes Care SAQ. A brief self administered questionnaire on the 
quality of diabetes care is administered once a year in rounds 3 and 5 
to persons identified as having diabetes.
    Permission forms for the MEPS-MPC. As in previous panels of the 
MEPS, we will ask respondents for permission to obtain supplemental 
information from their medical providers (hospitals, physicians, health 
care institutions, home health agencies and pharmacies).

MEPS-MPC Instruments

    The main objective of the MEPS-MPC is a collection of data from 
medical providers that will serve as an imputation source of medical 
expenditure and source of payment data reported by household 
respondents. This data will supplement, replace and verify information 
provided by household respondents about the charges, payments, and 
sources of payment associated with specific health care encounters. The 
questionnaires used in the MEPS-MPC vary according to type of provider. 
The data collection instruments are as follows:
    Home Care for Health Care Providers Questionnaire. This 
questionnaire is used to collect data from home health care agencies 
which provide medical care services to household respondents. 
Information collected includes type of personnel providing care, hours 
or visits provided per month, and the charges and payments for services 
received.
    Home Care Provider Questionnaire for Non-Health Care Providers. 
This is used to collect information about services provided in the home 
by non-health care workers to household respondents because of a 
medical condition; for example, cleaning or yard work, transportation, 
shopping, or child care.

[[Page 20954]]

    Office-based Providers Questionnaire. This questionnaire is for the 
office-based physician sample, including doctors of medicine (MD5) and 
osteopathy (DOs), as well as providers practicing under the direction 
or supervision of an MO or DO (e.g., physician assistants and nurse 
practitioners working in clinics). Providers of care in private offices 
as well as staff model HMOs are included.
    Separately Billing Doctors Questionnaire. Information from 
physicians identified by hospitals as providing care to sampled persons 
during the course of inpatient stays, outpatient department or 
emergency room care, but who bill separately from the hospital, is 
collected in this questionnaire.
    Hospitals Questionnaire. This questionnaire is used to collect 
information about hospital events, including inpatient stays, 
outpatient department, and emergency room visits. Hospital data are 
collected not only from the billing department, but from medical 
records and administrative records departments as well. Medical records 
departments are contacted to determine the names of all the doctors who 
treated the patient during a stay or visit. In many cases, the hospital 
administrative office also has to be contacted to determine whether the 
doctors identified by medical records billed separately from the 
hospital itself.
    Institutions Questionnaire. This questionnaire is used to collect 
data from health care institutions providing care to sampled persons 
and includes nursing homes, assisted living facilities, rehabilitation 
facilities, as well as any other health care facilities providing 
health care to a sampled person.
    Pharmacies Questionnaire. This questionnaire requests the 
prescription name, NDC code, date prescription was filled, payments by 
source, prescription strength, form and quantity, and person for whom 
the prescription was filled. Most pharmacies have the requested 
information available in electronic format and respond by providing a 
computer generated printout of the patient's prescription information. 
If the computerized form is unavailable, the pharmacy can report their 
data to a telephone interviewer.

Estimated Annual Respondent Burden

    Exhibit 1 shows the estimated annualized burden hours for the 
respondents' time to participate in the MEPS-HC and MEPS-MPC. The MEPS-
HC Core Interview will be completed by 15,000 ``family level'' 
respondents, also referred to as RU respondents. Since the MEPS-HC 
consists of 5 rounds of interviewing covering a full two years of data, 
the annual average number of responses per respondent is 2.5 responses 
per year. The MEPS-HC core requires an average response time of 1 and 
Y2 hours to administer. The Adult SAQ will be completed once a year by 
each person in the RU that is 18 years old and older, an estimated 
21,000 persons. The Adult SAQ requires an average of 7 minutes to 
complete. The Diabetes care SAQ will be completed once a year by each 
person in the RU identified as having diabetes, an estimated 1,800 
persons and takes about 3 minutes to complete. Permission forms for the 
MEPS-MPC will be completed once for each medical provider seen by any 
RU member. Each of the 15,000 RUs in the MEPS-HC will complete an 
average of 5.2 forms, which require about 3 minutes each to complete. 
The total annual burden hours for the MEPS-HC is estimated to be 62,690 
hours.
    The MEPS-MPC uses 7 different questionnaires; 6 for medical 
providers and 1 for pharmacies. Each questionnaire is relatively short 
and requires 3 to 5 minutes to complete. The total annual burden hours 
for the MEPS-HC and MPC is estimated to be 82,767 hours.
    Exhibit 2 shows the estimated annual cost burden associated with 
the respondents' time to participate in this information collection. 
The annual cost burden for the MEPS-HC is estimated to be $1,226,216; 
the annual cost burden for the MEPS-MPC is estimated to be $285,965.

                                  Exhibit 1--Estimated Annualized Burden Hours
----------------------------------------------------------------------------------------------------------------
                                                                     Number of
                    Form name                        Number of     responses per     Hours per     Total burden
                                                    respondents     respondent       response          hours
----------------------------------------------------------------------------------------------------------------
MEPS-HC:
    MEPS-HC Core Interview......................          15,000             2.5             1.5          56,250
    Adult SAQ...................................          21,000               1            7/60           2,450
    Diabetes care SAQ...........................           1,800               1            3/60              90
    Permission forms for the MEPS-MPC...........          15,000             5.2            3/60           3,900
                                                 ---------------------------------------------------------------
        Subtotal for the MEPS-HC................          52,800              na              na          62,690
 
MEPS-MPC:
    Home care for health care providers                      441             6.5            5/60             239
     questionnaire..............................
    Home care for non-health care providers                   23             6.6            5/60              13
     questionnaire..............................
    Office-based providers questionnaire........          13,665             5.8            5/60           6,605
    Separately billing doctors questionnaire....          12,450               2            3/60           1,245
    Hospitals questionnaire.....................           5,402             6.5            5/60           2,926
    Institutions (non-hospital) questionnaire...              72             1.5            5/60               9
    Pharmacies questionnaire....................           7,760            23.3            3/60           9,040
                                                 ---------------------------------------------------------------
        Subtotal for the MEPS-MPC...............          39,813              na              ia          20,077
                                                 ---------------------------------------------------------------
            Grand Total.........................          92,613              na              ia          82,767
----------------------------------------------------------------------------------------------------------------


                                   Exhibit 2--Estimated Annualized Cost Burden
----------------------------------------------------------------------------------------------------------------
                                                     Number of     Total burden   Average hourly    Total cost
                    Form mode                       respondents        hours        wage rate *       burden
----------------------------------------------------------------------------------------------------------------
MEPS-HC:
    MEPS-HC Core Interview......................          15,000          56,250          $19.56      $1,100,250

[[Page 20955]]

 
    Adult SAQ...................................          21,000           2,450           19.56          47,922
    Diabetes care SAQ...........................           1,800              90           19.56           1,760
    Permission forms for the MEPS-MPC...........          15,000           3,900           19.56          76,284
                                                 ---------------------------------------------------------------
        Subtotal for the MEPS-HC................          52,800          62,690              na       1,226,216
 
MEPS-MPC:
    Home care for health care providers                      441             239           14.24           3,403
     questionnaire..............................
    Home care for non-health care providers                   23              13           19.56             254
     questionnaire..............................
    Office-based providers questionnaire........          13,665           6,605           14.24          94,055
    Separately billing doctors questionnaire....          12,450           1,245           14.24          17,729
    Hospitals questionnaire.....................           5,402           2,926           14.24          41,666
    Institutions (non-hospital) questionnaire...              72               9           14.24             128
    Pharmacies questionnaire....................           7,760           9,040           14.24         128,730
        Subtotal for the MEPS-MPC...............          39,813          20,077              na         285,965
                                                 ---------------------------------------------------------------
            Grand Total.........................          92,613          82,767              na       1,512,181
----------------------------------------------------------------------------------------------------------------
* Based upon the mean of the average wages for Healthcare Support Workers, All Other (31-9099) and All
  Occupations (00-0000), Occupational Employment Statistics, May 2007 National Occupational Employment and Wage
  Estimates United States, U.S. Department of Labor, Bureau of Labor Statistics. http://www.bls.gov/oes/current/oes_nat.htm#b29-0000.

Estimated Annual Costs to the Federal Government

    Exhibit 3 shows the total and annualized cost of this information 
collection. The cost associated with the design and data collection of 
the MEPS-HC and MEPS-MPC is estimated to be $47.6 million in each of 
the next three fiscal years.

             Exhibit 3--Estimated Total and Annualized Cost
------------------------------------------------------------------------
                                                            Annualized
             Cost component               Total cost (in     cost (in
                                             million)        million)
------------------------------------------------------------------------
Sampling Activities.....................           $2.79           $0.93
Interviewer Recruitment and Training....            8.52            2.84
Data Collection Activities..............           86.7            28.9
Data Processing.........................           21.39            7.13
Production of Public Use Data Files.....           19.53            6.51
Project Management......................            3.93            1.31
                                         -------------------------------
    Total...............................          142.8            47.6
------------------------------------------------------------------------

Request for Comments

    In accordance with the above-cited Paperwork Reduction Act 
legislation, comments on AHRQ's information collection are requested 
with regard to any of the following: (a) Whether the proposed 
collection of information is necessary for the proper performance of 
AHRQ health care research and health care information dissemination 
functions, including whether the information will have practical 
utility; (b) the accuracy of AHRQ's estimate of burden (including hours 
and costs) of the proposed collection(s) of information; (c) ways to 
enhance the quality, utility, and clarity of the information to be 
collected; and (d) ways to minimize the burden of the collection of 
information upon the respondents, including the use of automated 
collection techniques or other forms of information technology.
    Comments submitted in response to this notice will be summarized 
and included in the Agency's subsequent request for OMB approval of the 
proposed information collection. All comments will become a matter of 
public record.

    Dated: April 27, 2009.
Carolyn M. Clancy,
Director.
[FR Doc. E9-10406 Filed 5-5-09; 8:45 am]
BILLING CODE 4160-90-M