Agency Information Collection Activities: Proposed Collection; Comment Request, 31281-31283 [E9-15086]
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Federal Register / Vol. 74, No. 124 / Tuesday, June 30, 2009 / Notices
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:
‘‘Building an Implementation Toolset
for E-Prescribing.’’ 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.
This proposed information collection
was previously published in the Federal
Register on April 24th, 2009 and
allowed 60 days for public comment. No
comments were received. The purpose
of this notice is to allow an additional
30 days for public comment.
DATES: Comments on this notice must be
received by July 30, 2009.
ADDRESSES: Written comments should
be submitted to: AHRQ’s OMB Desk
Officer by fax at (202) 395–6974
(attention: AHRQ’s desk officer) or by email at OIRA_submission@omb.eop.gov
(attention: AHRQ’s desk officer).
Copies of the proposed collection
plans, data collection instruments, and
specific details on the estimated burden
can be obtained from the AHRQ Reports
Clearance Officer.
FOR FURTHER INFORMATION CONTACT:
Doris Lefkowitz, AHRQ Reports
Clearance Officer, (301) 427–1477, or by
e-mail at doris.lefkowitz@ahrq.hhs.gov.
SUPPLEMENTARY INFORMATION:
sroberts on PROD1PC70 with NOTICES6
Proposed Project
‘‘Building an Implementation Toolset
for E-Prescribing’’
AHRQ proposes to develop and test
an electronic prescribing (e-prescribing)
toolset to provide information and tools
of sufficient detail to act as a ‘‘how-to
guide’’ for implementing e-prescribing
across various organizational settings.
The current system of prescribing and
dispensing medications in the United
States poses widespread safety and
efficiency problems. E-prescribing
systems have the potential to avert some
of the more than 2 million adverse drug
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19:55 Jun 29, 2009
Jkt 217001
events (ADEs) annually, of which
130,000 are life threatening. Eprescribing also has enormous potential
to create savings in health care costs,
both through reducing ADEs and
through more efficient work processes
of prescribers and pharmacists. One
recent study estimated the potential
savings at $27 billion per year in the
United States. [Johnston D, Pan E,
Middleton B, Walker J, Bates DW. The
value of computerized provider order
entry in ambulatory settings. 2003 [cited
2003/12/10]. Available from: https://
www.citl.org/research/
ACPOE_Executive_Preview.pdf.]
The Medicare Prescription Drug
Improvement and Modernization Act
(MMA) of 2003, Public Law 108–173,
provided that Medicare Part D sponsors
are required to establish electronic
prescription drug programs to provide
for electronic transmittal of certain
information to the prescribing provider
and dispensing pharmacy and the
dispenser. There is no requirement that
prescribers or dispensers implement eprescribing, but those who do
electronically transmit prescription and
certain other prescription-related
information for Medicare Part D covered
drugs prescribed for Medicare Part D
eligible individuals, either directly or
through an intermediary, are required to
comply with any applicable final
standards that are in effect.
However, adoption of e-prescribing
technology remains limited. On the
surface, e-prescribing involves getting a
prescription from point A to point B. In
reality, the complexity of e-prescribing
reflects all aspects of the process from
appropriate prescribing, through
dispensing, to correct patient use.
Much current work has been on the
adoption of technical standards that
establish a common language, contain
technical specifications, and provide
other specific criteria designed to be
used consistently as rules or definitions.
While standards are a necessary
foundation for e-prescribing systems,
they are insufficient in themselves to
insure a successful implementation. Of
equal importance to successful eprescribing implementations are
appropriate workflows and sustainable
commitment from the various
organizations that must participate in
such a system.
This Accelerating Change and
Transformation in Organizations and
Networks (ACTION) project will
produce a toolset to help a diverse range
of provider organizations, from small
independent offices to large medical
groups to ‘‘safety net’’ clinics, to adopt
e-prescribing systems and use them
PO 00000
Frm 00046
Fmt 4703
Sfmt 4703
31281
effectively in ways that advance the
organization’s goals. By enabling the
greater adoption of e-prescribing
systems that are effective in improving
safety, quality and reducing prescription
drug costs, the project will advance each
of the priorities embodied in AHRQ’s
mission, which is to improve the
quality, safety, efficiency, and
effectiveness of health care for all
Americans.
This work is being conducted by the
RAND Corporation under AHRQ
ACTION contract HHSA290200600017,
Task Order #4, period of performance—
8/1/08–1/31/10. It is being conducted
pursuant to AHRQ’s statutory authority
to conduct research and evaluations (1)
on health care and systems for the
delivery of such care, including
activities with respect to health care
technologies, facilities and equipment,
42 U.S.C. 299a(a)(5), and (2) to advance
training for health care practitioners and
researchers in the use of information
systems. 42 U.S.C. 299b–3(a)(2).
Method of Collection
In order to evaluate the draft toolset’s
usability and usefulness, we will pilot
test the toolset by studying its effects
among 6 practices that are attempting to
implement e-prescribing for the first
time. Field researchers will visit each
practice before and after the eprescribing implementation effort to
conduct semi-structured interviews and
observations of work processes. Finally,
selected members of the practices will
be surveyed via a Web-based instrument
regarding the effort’s success and the
degree to which elements of the toolset
were helpful.
Estimated Annual Respondent Burden
Exhibit 1 shows the estimated
annualized burden hours for the
respondent’s time to participate in this
project. Pre-test and post-test interviews
will be conducted with 3 physicians, 3
nurses or clinical support staff and 3
other staff from each of the 6 test sites.
The pre-test and post-test observations
will involve no more than 1 physician,
1 nurse or clinical support staff and 2
other staff from each of the 6 test sites.
Eight physicians from each of the 6 test
sites will complete the physician survey
and 12 other staff from each site will
complete the other staff survey. The
total annual burden is estimated to be
186 hours.
Exhibit 2 shows the estimated
annualized cost burden associated with
the respondent’s time to participate in
this project. The total cost burden is
estimated to be $8,297.
E:\FR\FM\30JNN1.SGM
30JNN1
31282
Federal Register / Vol. 74, No. 124 / Tuesday, June 30, 2009 / Notices
EXHIBIT 1—ESTIMATED ANNUALIZED BURDEN HOURS
Number of
responses per
site
Number of
sites
Form name
Hours per
response
Total burden
hours
Pre-Test Interviews and On-Site Observations
Pre-test interview guide ...................................................................................
Pre-test on-site observation guide ...................................................................
6
6
9
4
1
15/60
54
6
6
6
9
4
1
30/60
54
12
Physician questionnaire ...................................................................................
Other staff questionnaire .................................................................................
6
6
8
12
30/60
30/60
24
36
Total ..........................................................................................................
36
na
na
186
Post-Test Interviews and On-Site Observations
Post-test interview guide .................................................................................
Post-test on-site observation guide .................................................................
Web-Based Survey
EXHIBIT 2—ESTIMATED ANNUALIZED COST BURDEN
Number of
sites
Form name
Total burden
hours
Average hourly wage rate*
Total cost
burden
Pre-Test Interviews and On-Site Observations
Pre-test interview guide ...................................................................................
Pre-test on-site observation guide ...................................................................
6
6
54
6
$41.79
41.79
$2,257
251
6
6
54
12
41.79
41.79
2,257
501
Physician questionnaire ...................................................................................
Other staff questionnaire .................................................................................
6
6
24
36
79.33
31.31
1,904
1,127
Total ..........................................................................................................
36
186
na
8,297
Post-Test Interviews
Post-test interview guide .................................................................................
Post-test on-site observation guide .................................................................
Web-Based Survey
* Based
upon the national average hourly wages for physicians and surgeons, all others (29–1069; $79.33), registered nurses (29–1111;
$31.31), and health care support workers, all others (31–9099; $14.74), National Compensation Survey: Occupational wages in the United States
May 2008, U.S. Department of Labor, Bureau of Labor Statistics.
Estimated Annual Costs to the Federal
Government
Exhibit 3 shows the estimated total
and annual costs of this project. Since
data collection will not exceed one year,
the total and annual costs are the same.
The total cost is estimated to be
$119,976.
EXHIBIT 3—ESTIMATED TOTAL AND ANNUAL COST
Cost component
Total cost
Annualized cost
$12,533
33,422
16,711
16,711
4,178
36,421
$12,533
33,422
16,711
16,711
4,178
36,421
Total ..................................................................................................................................................
sroberts on PROD1PC70 with NOTICES6
Instrument Development ..........................................................................................................................
Data Collection Activities .........................................................................................................................
Data Processing and Analysis .................................................................................................................
Report Preparation/Publication ................................................................................................................
Project Management ................................................................................................................................
Overhead .................................................................................................................................................
119,976
119,976
Request for Comments
In accordance with the above-cited
Paperwork Reduction Act legislation,
comments on AHRQ’s information
collection are requested with regard to
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19:55 Jun 29, 2009
Jkt 217001
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
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Fmt 4703
Sfmt 4703
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
E:\FR\FM\30JNN1.SGM
30JNN1
Federal Register / Vol. 74, No. 124 / Tuesday, June 30, 2009 / Notices
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: June 22, 2009.
Carolyn M. Clancy,
Director.
[FR Doc. E9–15086 Filed 6–29–09; 8:45 am]
BILLING CODE 4160–90–P
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: ‘‘Health
IT Community Tracking Study 2009.’’ In
accordance with the Paperwork
Reduction Act of 1995, 44 U.S.C.
3506(c)(2)(A), AHRQ invites the public
to comment on this proposed
information collection.
DATES: Comments on this notice must be
received by August 31, 2009.
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.
sroberts on PROD1PC70 with NOTICES6
ADDRESSES:
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
19:55 Jun 29, 2009
Jkt 217001
Proposed Project
Health IT Community Tracking Study
2009
Electronic prescribing (e-prescribing)
is a central focus of efforts to promote
health information technology (IT) and
is of particular interest to AHRQ
because of its potential to improve
patient safety by reducing medication
errors. Despite many public- and
private-sector initiatives to support eprescribing, to date, physician adoption
and use has been limited (Friedman,
Schueth and Bell 2009). Recently,
section 132 of the Medicare
Improvements for Patients and
Providers Act of 2008 (MIPPA), Public
Law 110–275, authorized a new
incentive program for eligible
individual providers who are successful
e-prescribers. In addition, section 4101
of the American Recovery and
Reinvestment Act of 2009 (ARRA),
Public Law 111–5, provides incentives
for meaningful use of electronic health
record technology, which includes the
use of e-prescribing.
The potential gains from e-prescribing
assume that prescribers and pharmacists
have access to the required features and
use them. Limited research on the topic
suggests, however, that not all eprescribing systems currently have the
full range of e-prescribing features
required under MIPPA; that even when
the features are available, physician
practices face barriers to implementing
them effectively; and even when they
are implemented at the practice level,
physicians may not use them. For
example, in a small, exploratory
qualitative study by Grossman, et al.
(2005), physicians did not routinely
have access to patient medication
histories or formulary data for a
significant portion of their patients and
when they did, physicians often did not
use the information, instead continuing
to rely on patients for medication
history and pharmacists to identify
formulary issues. Several studies have
identified that IT system limitations,
workflow and training issues, and real
or perceived regulatory barriers present
obstacles in both the physician and
pharmacy settings to electronic
transmission of prescriptions (Grossman
et al. 2007; NORC 2007; Rupp and
Warholak 2008; Warholak and Rupp
2009).
AHRQ proposes to conduct a
qualitative research study designed to
help build knowledge on how the eprescribing features required under
MIPPA are actually being implemented
and used by physicians and pharmacies
in 12 nationally representative
communities. These communities have
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31283
been studied longitudinally since the
mid-1990s as part of the Center for
Studying Health System Change (HSC)
Community Tracking Study (CTS)
(Center for Studying Health System
Change 2007). This qualitative study
will collect data from physician
practices and pharmacies that are using
electronic transmission of prescriptions
to allow a focus on both the facilitators
of and barriers to this critical aspect of
e-prescribing. The study will be the first
to ask questions of physician practices
and pharmacies in the same
communities on the same topics,
providing a much more complete
picture of e-prescribing implementation.
For example, in addition to gaining
physician and pharmacy perspectives
on electronic transmission, the study
will explore how physician practices
use patient formulary data and how
pharmacies perceive changes in the
communication with physician
practices around formulary issues with
e-prescribing.
Information collected by this study
will inform strategies to promote the
adoption and effective use of eprescribing being developed by AHRQ
and other Department of Health and
Human Services agencies, including the
Centers for Medicare & Medicaid
Services (CMS) and the Office of the
National Coordinator for Health IT, as
well as State and local governments and
private health care organizations. In
particular, while physician adoption has
been the focus of most policy efforts,
findings from the study can help
identify and shape strategies to promote
more effective implementation of eprescribing in retail and mail-order
pharmacies. This work will be
conducted by AHRQ’s contractor, the
Center for Studying Health System
Change (HSC), under contract number
290–05–0007–03. This study is being
conducted pursuant to AHRQ’s
statutory authority to conduct and
support research on health care and
systems for the delivery of such care,
including activities with respect to
health care technologies, facilities and
equipment, 42 U.S.C. 299a(a)(5).
Method of Collection
The study will use qualitative
methods, including telephone
interviews with physician practices and
pharmacies, as well as State pharmacy
associations, IT vendors and other eprescribing experts. Using semistructured interview protocols, the
following specific research questions
will be addressed to provide an in-depth
look at unexplored barriers to effective
e-prescribing use in physician practices
and pharmacies, including:
E:\FR\FM\30JNN1.SGM
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]]>Agencies
[Federal Register Volume 74, Number 124 (Tuesday, June 30, 2009)]
[Notices]
[Pages 31281-31283]
From the Federal Register Online via the Government Printing Office [www.gpo.gov]
[FR Doc No: E9-15086]
[[Page 31281]]
-----------------------------------------------------------------------
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: ``Building an Implementation Toolset for E-Prescribing.'' 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.
This proposed information collection was previously published in
the Federal Register on April 24th, 2009 and allowed 60 days for public
comment. No comments were received. The purpose of this notice is to
allow an additional 30 days for public comment.
DATES: Comments on this notice must be received by July 30, 2009.
ADDRESSES: Written comments should be submitted to: AHRQ's OMB Desk
Officer by fax at (202) 395-6974 (attention: AHRQ's desk officer) or by
e-mail at OIRA_submission@omb.eop.gov (attention: AHRQ's desk
officer).
Copies of the proposed collection plans, data collection
instruments, and specific details on the estimated burden can be
obtained from the AHRQ Reports Clearance Officer.
FOR FURTHER INFORMATION CONTACT: Doris Lefkowitz, AHRQ Reports
Clearance Officer, (301) 427-1477, or by e-mail at
doris.lefkowitz@ahrq.hhs.gov.
SUPPLEMENTARY INFORMATION:
Proposed Project
``Building an Implementation Toolset for E-Prescribing''
AHRQ proposes to develop and test an electronic prescribing (e-
prescribing) toolset to provide information and tools of sufficient
detail to act as a ``how-to guide'' for implementing e-prescribing
across various organizational settings.
The current system of prescribing and dispensing medications in the
United States poses widespread safety and efficiency problems. E-
prescribing systems have the potential to avert some of the more than 2
million adverse drug events (ADEs) annually, of which 130,000 are life
threatening. E-prescribing also has enormous potential to create
savings in health care costs, both through reducing ADEs and through
more efficient work processes of prescribers and pharmacists. One
recent study estimated the potential savings at $27 billion per year in
the United States. [Johnston D, Pan E, Middleton B, Walker J, Bates DW.
The value of computerized provider order entry in ambulatory settings.
2003 [cited 2003/12/10]. Available from: https://www.citl.org/research/ACPOE_Executive_Preview.pdf.]
The Medicare Prescription Drug Improvement and Modernization Act
(MMA) of 2003, Public Law 108-173, provided that Medicare Part D
sponsors are required to establish electronic prescription drug
programs to provide for electronic transmittal of certain information
to the prescribing provider and dispensing pharmacy and the dispenser.
There is no requirement that prescribers or dispensers implement e-
prescribing, but those who do electronically transmit prescription and
certain other prescription-related information for Medicare Part D
covered drugs prescribed for Medicare Part D eligible individuals,
either directly or through an intermediary, are required to comply with
any applicable final standards that are in effect.
However, adoption of e-prescribing technology remains limited. On
the surface, e-prescribing involves getting a prescription from point A
to point B. In reality, the complexity of e-prescribing reflects all
aspects of the process from appropriate prescribing, through
dispensing, to correct patient use.
Much current work has been on the adoption of technical standards
that establish a common language, contain technical specifications, and
provide other specific criteria designed to be used consistently as
rules or definitions. While standards are a necessary foundation for e-
prescribing systems, they are insufficient in themselves to insure a
successful implementation. Of equal importance to successful e-
prescribing implementations are appropriate workflows and sustainable
commitment from the various organizations that must participate in such
a system.
This Accelerating Change and Transformation in Organizations and
Networks (ACTION) project will produce a toolset to help a diverse
range of provider organizations, from small independent offices to
large medical groups to ``safety net'' clinics, to adopt e-prescribing
systems and use them effectively in ways that advance the
organization's goals. By enabling the greater adoption of e-prescribing
systems that are effective in improving safety, quality and reducing
prescription drug costs, the project will advance each of the
priorities embodied in AHRQ's mission, which is to improve the quality,
safety, efficiency, and effectiveness of health care for all Americans.
This work is being conducted by the RAND Corporation under AHRQ
ACTION contract HHSA290200600017, Task Order 4, period of
performance--8/1/08-1/31/10. It is being conducted pursuant to AHRQ's
statutory authority to conduct research and evaluations (1) on health
care and systems for the delivery of such care, including activities
with respect to health care technologies, facilities and equipment, 42
U.S.C. 299a(a)(5), and (2) to advance training for health care
practitioners and researchers in the use of information systems. 42
U.S.C. 299b-3(a)(2).
Method of Collection
In order to evaluate the draft toolset's usability and usefulness,
we will pilot test the toolset by studying its effects among 6
practices that are attempting to implement e-prescribing for the first
time. Field researchers will visit each practice before and after the
e-prescribing implementation effort to conduct semi-structured
interviews and observations of work processes. Finally, selected
members of the practices will be surveyed via a Web-based instrument
regarding the effort's success and the degree to which elements of the
toolset were helpful.
Estimated Annual Respondent Burden
Exhibit 1 shows the estimated annualized burden hours for the
respondent's time to participate in this project. Pre-test and post-
test interviews will be conducted with 3 physicians, 3 nurses or
clinical support staff and 3 other staff from each of the 6 test sites.
The pre-test and post-test observations will involve no more than 1
physician, 1 nurse or clinical support staff and 2 other staff from
each of the 6 test sites. Eight physicians from each of the 6 test
sites will complete the physician survey and 12 other staff from each
site will complete the other staff survey. The total annual burden is
estimated to be 186 hours.
Exhibit 2 shows the estimated annualized cost burden associated
with the respondent's time to participate in this project. The total
cost burden is estimated to be $8,297.
[[Page 31282]]
Exhibit 1--Estimated Annualized Burden Hours
----------------------------------------------------------------------------------------------------------------
Number of
Form name Number of responses per Hours per Total burden
sites site response hours
----------------------------------------------------------------------------------------------------------------
Pre-Test Interviews and On-Site Observations
----------------------------------------------------------------------------------------------------------------
Pre-test interview guide........................ 6 9 1 54
Pre-test on-site observation guide.............. 6 4 15/60 6
----------------------------------------------------------------------------------------------------------------
Post-Test Interviews and On-Site Observations
----------------------------------------------------------------------------------------------------------------
Post-test interview guide....................... 6 9 1 54
Post-test on-site observation guide............. 6 4 30/60 12
----------------------------------------------------------------------------------------------------------------
Web-Based Survey
----------------------------------------------------------------------------------------------------------------
Physician questionnaire......................... 6 8 30/60 24
Other staff questionnaire....................... 6 12 30/60 36
---------------------------------------------------------------
Total....................................... 36 na na 186
----------------------------------------------------------------------------------------------------------------
Exhibit 2--Estimated Annualized Cost Burden
----------------------------------------------------------------------------------------------------------------
Number of Total burden Average hourly Total cost
Form name sites hours wage rate\*\ burden
----------------------------------------------------------------------------------------------------------------
Pre-Test Interviews and On-Site Observations
----------------------------------------------------------------------------------------------------------------
Pre-test interview guide........................ 6 54 $41.79 $2,257
Pre-test on-site observation guide.............. 6 6 41.79 251
----------------------------------------------------------------------------------------------------------------
Post-Test Interviews
----------------------------------------------------------------------------------------------------------------
Post-test interview guide....................... 6 54 41.79 2,257
Post-test on-site observation guide............. 6 12 41.79 501
----------------------------------------------------------------------------------------------------------------
Web-Based Survey
----------------------------------------------------------------------------------------------------------------
Physician questionnaire......................... 6 24 79.33 1,904
Other staff questionnaire....................... 6 36 31.31 1,127
---------------------------------------------------------------
Total....................................... 36 186 na 8,297
----------------------------------------------------------------------------------------------------------------
\*\ Based upon the national average hourly wages for physicians and surgeons, all others (29-1069; $79.33),
registered nurses (29-1111; $31.31), and health care support workers, all others (31-9099; $14.74), National
Compensation Survey: Occupational wages in the United States May 2008, U.S. Department of Labor, Bureau of
Labor Statistics.
Estimated Annual Costs to the Federal Government
Exhibit 3 shows the estimated total and annual costs of this
project. Since data collection will not exceed one year, the total and
annual costs are the same. The total cost is estimated to be $119,976.
Exhibit 3--Estimated Total and Annual Cost
------------------------------------------------------------------------
Cost component Total cost Annualized cost
------------------------------------------------------------------------
Instrument Development.......... $12,533 $12,533
Data Collection Activities...... 33,422 33,422
Data Processing and Analysis.... 16,711 16,711
Report Preparation/Publication.. 16,711 16,711
Project Management.............. 4,178 4,178
Overhead........................ 36,421 36,421
---------------------------------------
Total....................... 119,976 119,976
------------------------------------------------------------------------
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
[[Page 31283]]
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: June 22, 2009.
Carolyn M. Clancy,
Director.
[FR Doc. E9-15086 Filed 6-29-09; 8:45 am]
BILLING CODE 4160-90-P
