Agency Information Collection Activities; Proposed Collection; Comment Request, 32207-32209 [2011-13740]

Download as PDF 32207 Federal Register / Vol. 76, No. 107 / Friday, June 3, 2011 / Notices ARRA ADJUSTMENTS TO Q3 FY11 State Hold harmless FY11 FMAP with 1.2% pt increase Alabama ........................... Alaska* ............................. Arizona ............................. Arkansas .......................... California .......................... Colorado ........................... Connecticut ...................... Delaware .......................... Dist of Columbia .............. Florida .............................. Georgia ............................ Hawaii .............................. Idaho ................................ Illinois ............................... Indiana ............................. Iowa .................................. Kansas ............................. Kentucky .......................... Louisiana .......................... Maine ............................... Maryland .......................... Massachusetts ................. Michigan ........................... Minnesota ......................... Mississippi ........................ Missouri ............................ Montana ........................... Nebraska .......................... Nevada ............................. New Hampshire* .............. New Jersey ...................... New Mexico ..................... New York ......................... North Carolina .................. North Dakota .................... Ohio .................................. Oklahoma ......................... Oregon ............................. Pennsylvania .................... Rhode Island .................... South Carolina ................. South Dakota ................... Tennessee ....................... Texas ............................... Utah .................................. Vermont* .......................... Virginia ............................. Washington ...................... West Virginia .................... Wisconsin ......................... Wyoming .......................... 69.74 53.68 67.40 74.14 51.20 51.20 51.20 54.35 71.20 58.03 66.53 57.70 71.07 51.52 67.72 64.71 61.58 72.69 73.67 66.19 51.20 51.20 66.99 51.20 77.49 65.71 69.73 61.76 53.84 51.20 51.20 72.55 51.20 66.33 64.95 64.89 68.30 64.05 56.84 54.17 71.52 63.92 67.05 61.76 72.88 60.65 51.20 52.72 75.45 61.41 51.20 Hold harmless FY11 unemployment tier Adjusted state share State share 31.46 47.52 33.80 27.06 50.00 50.00 50.00 46.85 30.00 43.17 34.67 43.50 30.13 49.68 33.48 36.49 39.62 28.51 27.53 35.01 50.00 50.00 34.21 50.00 23.71 35.49 31.47 39.44 47.36 50.00 50.00 28.65 50.00 34.87 36.25 36.31 32.90 37.15 44.36 47.03 29.68 37.28 34.15 39.44 28.32 40.55 50.00 48.48 25.75 39.79 50.00 30.86 46.92 33.20 26.46 49.40 49.40 49.40 46.25 29.40 42.57 34.07 42.90 29.53 49.08 32.88 35.89 39.02 27.91 26.93 34.41 49.40 49.40 33.61 49.40 23.11 34.89 30.87 38.84 46.76 49.40 49.40 28.05 49.40 34.27 35.65 35.71 32.30 36.55 43.76 46.43 29.08 36.68 33.55 38.84 27.72 39.95 49.40 47.88 25.15 39.19 49.40 Unemployment adjustment Q3 FY11 11.5 8.5 11.5 8.5 11.5 11.5 11.5 11.5 11.5 11.5 11.5 11.5 11.5 11.5 11.5 8.5 8.5 11.5 11.5 11.5 11.5 11.5 11.5 11.5 11.5 11.5 11.5 5.5 11.5 11.5 11.5 11.5 11.5 11.5 0 11.5 11.5 11.5 11.5 11.5 11.5 8.5 11.5 11.5 11.5 11.5 11.5 11.5 11.5 11.5 11.5 3.55 3.99 3.82 2.25 5.68 5.68 5.68 5.32 3.38 4.90 3.92 4.93 3.40 5.64 3.78 3.05 3.32 3.21 3.10 3.96 5.68 5.68 3.87 5.68 2.66 4.01 3.55 2.14 5.38 5.68 5.68 3.23 5.68 3.94 0.00 4.11 3.71 4.20 5.03 5.34 3.34 3.12 3.86 4.47 3.19 4.59 5.68 5.51 2.89 4.51 5.68 Third quarter FY11 FMAP unemployment adjustment 73.29 57.67 71.22 76.39 56.88 56.88 56.88 59.67 74.58 62.93 70.45 62.63 74.47 57.16 71.50 67.76 64.90 75.90 76.77 70.15 56.88 56.88 70.86 56.88 80.15 69.72 73.28 63.90 59.22 56.88 56.88 75.78 56.88 70.27 64.95 69.00 72.01 68.25 61.87 59.51 74.86 67.04 70.91 66.23 76.07 65.24 56.88 58.23 78.34 65.92 56.88 *The unemployment tier for these States decreased but the Department was not able to satisfy the 60 day notice requirement so their unemployment tier was held harmless. [FR Doc. 2011–13783 Filed 6–2–11; 8:45 am] BILLING CODE 4150–05–P DEPARTMENT OF HEALTH AND HUMAN SERVICES ACTION: Notice. 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: ‘‘Barriers to Meaningful Use in Medicaid.’’ In accordance with the Paperwork Reduction Act, 44 U.S.C. 3501–3521, SUMMARY: jlentini on DSK4TPTVN1PROD with NOTICES Agency for Healthcare Research and Quality Agency Information Collection Activities; Proposed Collection; Comment Request Agency for Healthcare Research and Quality, HHS. AGENCY: VerDate Mar<15>2010 15:49 Jun 02, 2011 Jkt 223001 PO 00000 Frm 00073 Fmt 4703 Sfmt 4703 E:\FR\FM\03JNN1.SGM 03JNN1 32208 Federal Register / Vol. 76, No. 107 / Friday, June 3, 2011 / Notices AHRQ invites the public to comment on this proposed information collection. This proposed information collection was previously published in the Federal Register on March 11th, 2011 and allowed 60 days for public comment. One comment was 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 5, 2011. 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: jlentini on DSK4TPTVN1PROD with NOTICES Proposed Project Barriers to Meaningful Use in Medicaid The Health Information Technology for Economic and Clinical Health (HITECH) Act, Title XIII of Division A and Title IV of Division B of the American Recovery and Reinvestment Act of 2009 (ARRA) (Pub. L. 111–5), provides for financial incentives for Medicaid providers to adopt and ‘‘meaningfully use’’ certified electronic health record (EHR) technologies. To ensure that eligible professionals (EPs) are able to qualify for and access these incentives, AHRQ proposes a 2-year project with the objective of understanding the barriers that Medicaid health providers encounter along the way to achieving the meaningful use of EHRs. This proposed information collection will allow AHRQ to synthesize knowledge regarding the barriers that EPs encounter when attempting to achieve meaningful use and translate that knowledge to develop technical assistance and support implementation and use of EHRs. Further, health care providers who serve Medicaid beneficiaries are serving many of AHRQ’s priority populations: Inner city; rural; low income; minority; women; children; elderly; and those with special health care needs. The project is designed to solicit actionable recommendations on what activities can best help Medicaid providers take advantage of incentive payments, achieve meaningful use, and ultimately use health IT to improve health care for VerDate Mar<15>2010 15:49 Jun 02, 2011 Jkt 223001 the Medicaid population. The information gathered under this project will also be used to inform the development of the Stage 2 and 3 Meaningful Use criteria. In order to gather, analyze, and synthesize information on the barriers to the meaningful use criteria experienced by Medicaid providers this research has the following goals: (1) Identify the barriers to eligibility for the incentive payments; barriers to adoption, implementation, or upgrading of EHR systems; and barriers to achieving meaningful use. (2) Develop actionable recommendations to overcoming the barriers identified in #1 above, including, but not limited to, technical assistance that could be made available to Medicaid providers. (3) Provide data to inform the meaningful use objectives being developed by the Center for Medicare & Medicaid Services (CMS) for Stages 2 and 3 of the EHR Incentive Program. This study is being conducted by AHRQ through its contractor, RTI International, pursuant to AHRQ’s statutory authority to conduct and support research to advance both training for health care practitioners in the use of information systems and the use of computer-based health records. 42 U.S.C. 299b–3(a)(2) and (6). Method of Collection To achieve the goals of this project the following data collections will be implemented: (1) A screening questionnaire will be used to identify eligible participants, as part of the sampling procedure for the focus groups. Appended to the screening questionnaire is a series of questions for individuals who have agreed to participate in the focus groups, in order to collect descriptive and demographic information prior to the focus group session, and as part of the analysis plan. (2) A total of 13 focus groups will be conducted with eligible Medicaid providers. Eight focus groups will include a mix of pediatricians, other physicians, dentists, nurse practitioners, physician assistants, and certified nurse midwives who have adopted an EHR. Four of the focus groups will include providers who have not adopted an EHR, and the final group will be comprised of private practice dentists. Private practice dentists are being considered separately due to the fact that their practice patterns are likely to vary substantially from those of primary care physicians and non-physician providers. The purpose of these focus groups is to gather information about PO 00000 Frm 00074 Fmt 4703 Sfmt 4703 adoption issues (factors in the decision to adopt an EHR), implementation issues (organizational or environmental factors that facilitate EHR implementation and training), upgrade issues (challenges to transitioning to certified EHRs), and challenges to achieving meaningful use of EHRs as defined in Federal regulations for Stage 1 (particular functions that are problematic, the source of the challenge). Responses will also address topics related to participants’ knowledge of the EHR incentive program and other factors that may facilitate EHR use. The focus group moderator will use the moderator’s guide to guide discussion. The show cards will provide key reminders of content for discussion. The information will be used to develop actionable recommendations to overcoming barriers to meaningful use of EHRs for Medicaid providers, including but not limited to technical assistance that could be made available to Medicaid providers. Furthermore, the data gathered through this research will inform the meaningful use objectives being developed by CMS for Stages 2 and 3 of the EHR Incentive Program. Three types of information will be collected: List of potential focus group participants, descriptive and demographic information about focus group participants, and the information gathered at each focus group related to the barriers to meaningful use. The information will be synthesized to provide information to the Federal government to inform the future meaningful use regulations and understand any disparities potentially resulting from the implementation of the incentive programs. Estimated Annual Respondent Burden Exhibit 1 shows the estimated annualized burden hours for the respondents’ time to participate in this research. The screening questionnaire will be completed by 300 clinicians and will take 12 minutes to complete on average. Focus groups will be conducted with not more than 89 clinicians and will last about 2 hours, except for the focus groups with non-users, which will last about 90 minutes. The total annual burden hours are estimated to be 228 hours. Exhibit 2 shows the estimated annualized cost burden associated with the respondents’ time to participate in this research. The total annual cost burden is estimated to be $16,795. Exhibit 1. Estimated Annualized Burden Hours E:\FR\FM\03JNN1.SGM 03JNN1 32209 Federal Register / Vol. 76, No. 107 / Friday, June 3, 2011 / Notices Number of respondents Data collection Number of responses per respondent Hours per response Total burden hours Screening Questionnaire ................................................................................. In-Person Focus Groups EHR Users only ...................................................... Virtual Focus Groups EHR Users only ............................................................ Virtual Focus Groups EHR Non-users only ..................................................... 300 40 29 20 1 1 1 1 12/60 2 2 1.5 60 80 58 30 Total .......................................................................................................... 389 na na 228 Exhibit 2. Estimated Annualized Cost Burden Number of respondents Data collection Total burden hours Average hourly wage rate* Total cost burden Screening Questionnaire ................................................................................. In-Person Focus Groups EHR Users only ...................................................... Virtual Focus Groups EHR Users only ............................................................ Virtual Focus Groups EHR Non-users only ..................................................... 300 40 29 20 60 80 58 30 73.66 73.66 73.66 73.66 $4,420 5,893 4,272 2,210 Total .......................................................................................................... 389 228 na $16,795 *Hourly wage rate is the weighted average of hourly rates of the types of professionals who will complete the screening questionnaire and participate in the focus groups. The weighted average includes the following occupational codes and wage rates: 29–1065 (Pediatricians, General), $78.67; 29–1069 (Physicians and Surgeons, all others), $97.35; 29–1021 (Dentists, General), $76.61; 29–1111 (Registered Nurses, includes Certified Nurse Midwives), $32.35; 29–1071 (Physician Assistants), $41.86. Source: ‘‘National Compensation Survey: Occupational Wages in the United States 2009,’’ U.S. Department of Labor, Bureau of Labor Statistics. Estimated Annual Costs to the Federal Government for conducting this research. The total cost is estimated to be $424,493. Exhibit 3. Estimated Total and Annualized Cost Exhibit 3 shows the estimated total and annualized cost to the government Cost component Total cost Annualized cost $79,313 99,464 49,732 38,415 37,601 119,968 $39,657 49,732 24,866 19,208 18,801 59,984 Total .......................................................................................................................................................................... jlentini on DSK4TPTVN1PROD with NOTICES Project Development ....................................................................................................................................................... Data Collection Activities ................................................................................................................................................. Data Processing and Analysis ......................................................................................................................................... Publication of Results ...................................................................................................................................................... Project Management ........................................................................................................................................................ Overhead ......................................................................................................................................................................... $424,493 $212,247 Request for Comments In accordance with the Paperwork Reduction Act, 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 healthcare research and healthcare 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. VerDate Mar<15>2010 15:49 Jun 02, 2011 Jkt 223001 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: May 20, 2011. Carolyn M. Clancy, Director. DEPARTMENT OF HEALTH AND HUMAN SERVICES Agency for Healthcare Research and Quality Agency Information Collection Activities; Proposed Collection; Comment Request Agency for Healthcare Research and Quality, HHS. ACTION: Notice. AGENCY: [FR Doc. 2011–13740 Filed 6–2–11; 8:45 am] BILLING CODE 4160–90–M PO 00000 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: ‘‘Using Nursing Home Antibiograms to Improve Antibiotic Prescribing and Delivery.’’ In accordance with the Paperwork SUMMARY: Frm 00075 Fmt 4703 Sfmt 4703 E:\FR\FM\03JNN1.SGM 03JNN1

Agencies

[Federal Register Volume 76, Number 107 (Friday, June 3, 2011)]
[Notices]
[Pages 32207-32209]
From the Federal Register Online via the Government Printing Office [www.gpo.gov]
[FR Doc No: 2011-13740]


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

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: ``Barriers to Meaningful Use in Medicaid.'' In accordance with 
the Paperwork Reduction Act, 44 U.S.C. 3501-3521,

[[Page 32208]]

AHRQ invites the public to comment on this proposed information 
collection.
    This proposed information collection was previously published in 
the Federal Register on March 11th, 2011 and allowed 60 days for public 
comment. One comment was 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 5, 2011.

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

Barriers to Meaningful Use in Medicaid

    The Health Information Technology for Economic and Clinical Health 
(HITECH) Act, Title XIII of Division A and Title IV of Division B of 
the American Recovery and Reinvestment Act of 2009 (ARRA) (Pub. L. 111-
5), provides for financial incentives for Medicaid providers to adopt 
and ``meaningfully use'' certified electronic health record (EHR) 
technologies. To ensure that eligible professionals (EPs) are able to 
qualify for and access these incentives, AHRQ proposes a 2-year project 
with the objective of understanding the barriers that Medicaid health 
providers encounter along the way to achieving the meaningful use of 
EHRs. This proposed information collection will allow AHRQ to 
synthesize knowledge regarding the barriers that EPs encounter when 
attempting to achieve meaningful use and translate that knowledge to 
develop technical assistance and support implementation and use of 
EHRs.
    Further, health care providers who serve Medicaid beneficiaries are 
serving many of AHRQ's priority populations: Inner city; rural; low 
income; minority; women; children; elderly; and those with special 
health care needs. The project is designed to solicit actionable 
recommendations on what activities can best help Medicaid providers 
take advantage of incentive payments, achieve meaningful use, and 
ultimately use health IT to improve health care for the Medicaid 
population. The information gathered under this project will also be 
used to inform the development of the Stage 2 and 3 Meaningful Use 
criteria.
    In order to gather, analyze, and synthesize information on the 
barriers to the meaningful use criteria experienced by Medicaid 
providers this research has the following goals:
    (1) Identify the barriers to eligibility for the incentive 
payments; barriers to adoption, implementation, or upgrading of EHR 
systems; and barriers to achieving meaningful use.
    (2) Develop actionable recommendations to overcoming the barriers 
identified in 1 above, including, but not limited to, 
technical assistance that could be made available to Medicaid 
providers.
    (3) Provide data to inform the meaningful use objectives being 
developed by the Center for Medicare & Medicaid Services (CMS) for 
Stages 2 and 3 of the EHR Incentive Program.
    This study is being conducted by AHRQ through its contractor, RTI 
International, pursuant to AHRQ's statutory authority to conduct and 
support research to advance both training for health care practitioners 
in the use of information systems and the use of computer-based health 
records. 42 U.S.C. 299b-3(a)(2) and (6).

Method of Collection

    To achieve the goals of this project the following data collections 
will be implemented:
    (1) A screening questionnaire will be used to identify eligible 
participants, as part of the sampling procedure for the focus groups. 
Appended to the screening questionnaire is a series of questions for 
individuals who have agreed to participate in the focus groups, in 
order to collect descriptive and demographic information prior to the 
focus group session, and as part of the analysis plan.
    (2) A total of 13 focus groups will be conducted with eligible 
Medicaid providers. Eight focus groups will include a mix of 
pediatricians, other physicians, dentists, nurse practitioners, 
physician assistants, and certified nurse midwives who have adopted an 
EHR. Four of the focus groups will include providers who have not 
adopted an EHR, and the final group will be comprised of private 
practice dentists. Private practice dentists are being considered 
separately due to the fact that their practice patterns are likely to 
vary substantially from those of primary care physicians and non-
physician providers. The purpose of these focus groups is to gather 
information about adoption issues (factors in the decision to adopt an 
EHR), implementation issues (organizational or environmental factors 
that facilitate EHR implementation and training), upgrade issues 
(challenges to transitioning to certified EHRs), and challenges to 
achieving meaningful use of EHRs as defined in Federal regulations for 
Stage 1 (particular functions that are problematic, the source of the 
challenge). Responses will also address topics related to participants' 
knowledge of the EHR incentive program and other factors that may 
facilitate EHR use. The focus group moderator will use the moderator's 
guide to guide discussion. The show cards will provide key reminders of 
content for discussion.
    The information will be used to develop actionable recommendations 
to overcoming barriers to meaningful use of EHRs for Medicaid 
providers, including but not limited to technical assistance that could 
be made available to Medicaid providers. Furthermore, the data gathered 
through this research will inform the meaningful use objectives being 
developed by CMS for Stages 2 and 3 of the EHR Incentive Program. Three 
types of information will be collected: List of potential focus group 
participants, descriptive and demographic information about focus group 
participants, and the information gathered at each focus group related 
to the barriers to meaningful use. The information will be synthesized 
to provide information to the Federal government to inform the future 
meaningful use regulations and understand any disparities potentially 
resulting from the implementation of the incentive programs.

Estimated Annual Respondent Burden

    Exhibit 1 shows the estimated annualized burden hours for the 
respondents' time to participate in this research. The screening 
questionnaire will be completed by 300 clinicians and will take 12 
minutes to complete on average. Focus groups will be conducted with not 
more than 89 clinicians and will last about 2 hours, except for the 
focus groups with non-users, which will last about 90 minutes. The 
total annual burden hours are estimated to be 228 hours.
    Exhibit 2 shows the estimated annualized cost burden associated 
with the respondents' time to participate in this research. The total 
annual cost burden is estimated to be $16,795.

Exhibit 1. Estimated Annualized Burden Hours

[[Page 32209]]



----------------------------------------------------------------------------------------------------------------
                                                                     Number of
                 Data collection                     Number of     responses per     Hours per     Total burden
                                                    respondents     respondent       response          hours
----------------------------------------------------------------------------------------------------------------
Screening Questionnaire.........................             300               1           12/60              60
In-Person Focus Groups EHR Users only...........              40               1               2              80
Virtual Focus Groups EHR Users only.............              29               1               2              58
Virtual Focus Groups EHR Non-users only.........              20               1             1.5              30
                                                 ---------------------------------------------------------------
    Total.......................................             389              na              na             228
----------------------------------------------------------------------------------------------------------------

Exhibit 2. Estimated Annualized Cost Burden

----------------------------------------------------------------------------------------------------------------
                                                     Number of     Total burden   Average hourly    Total cost
                 Data collection                    respondents        hours        wage rate*        burden
----------------------------------------------------------------------------------------------------------------
Screening Questionnaire.........................             300              60           73.66          $4,420
In-Person Focus Groups EHR Users only...........              40              80           73.66           5,893
Virtual Focus Groups EHR Users only.............              29              58           73.66           4,272
Virtual Focus Groups EHR Non-users only.........              20              30           73.66           2,210
                                                 ---------------------------------------------------------------
    Total.......................................             389             228              na         $16,795
----------------------------------------------------------------------------------------------------------------
*Hourly wage rate is the weighted average of hourly rates of the types of professionals who will complete the
  screening questionnaire and participate in the focus groups. The weighted average includes the following
  occupational codes and wage rates: 29-1065 (Pediatricians, General), $78.67; 29-1069 (Physicians and Surgeons,
  all others), $97.35; 29-1021 (Dentists, General), $76.61; 29-1111 (Registered Nurses, includes Certified Nurse
  Midwives), $32.35; 29-1071 (Physician Assistants), $41.86. Source: ``National Compensation Survey:
  Occupational Wages in the United States 2009,'' U.S. Department of Labor, Bureau of Labor Statistics.

Estimated Annual Costs to the Federal Government

    Exhibit 3 shows the estimated total and annualized cost to the 
government for conducting this research. The total cost is estimated to 
be $424,493.

Exhibit 3. Estimated Total and Annualized Cost

------------------------------------------------------------------------
                                                              Annualized
                Cost component                   Total cost      cost
------------------------------------------------------------------------
Project Development...........................      $79,313      $39,657
Data Collection Activities....................       99,464       49,732
Data Processing and Analysis..................       49,732       24,866
Publication of Results........................       38,415       19,208
Project Management............................       37,601       18,801
Overhead......................................      119,968       59,984
                                               -------------------------
    Total.....................................     $424,493     $212,247
------------------------------------------------------------------------

Request for Comments

    In accordance with the Paperwork Reduction Act, 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 healthcare research and 
healthcare 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: May 20, 2011.
Carolyn M. Clancy,
Director.
[FR Doc. 2011-13740 Filed 6-2-11; 8:45 am]
BILLING CODE 4160-90-M