Agency Information Collection Activities: Proposed Collection; Comment Request, 46811-46813 [2011-19392]
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46811
Federal Register / Vol. 76, No. 149 / Wednesday, August 3, 2011 / Notices
Estimated Annual Costs to the Federal
Government
Exhibit 3 shows the total and
annualized cost for this evaluation. The
total cost to the government of the entire
evaluation contract is $8,258,311
(including a base period and four option
periods); the annualized cost is
$1,651,662 per year (Exhibit 3). These
costs will be incurred from 2010 to
2012.
EXHIBIT 3—ESTIMATED TOTAL AND ANNUAL COST
Cost component
Total cost
Annual cost
Administration ..........................................................................................................................................................
Coordination .............................................................................................................................................................
Stakeholder Feedback .............................................................................................................................................
Technical Expert Panel ............................................................................................................................................
Evaluation Design & Implementation ......................................................................................................................
Technical Assistance Plan .......................................................................................................................................
Data Collection Instruments ....................................................................................................................................
OMB Clearance .......................................................................................................................................................
Section 508 Compliance ..........................................................................................................................................
Data and Analysis Reports ......................................................................................................................................
Interim Evaluation Reports ......................................................................................................................................
Dissemination ..........................................................................................................................................................
Final Report .............................................................................................................................................................
$571,422
38,003
201,637
359,276
3,981,390
934,440
138,997
35,617
13,883
735,426
408,803
736,149
103,269
$114,284
7,601
40,327
71,855
796,278
186,888
27,799
17,808
2,777
147,085
81,761
184,037
103,269
Total ..................................................................................................................................................................
8,258,311
1,651,662
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.
srobinson on DSK4SPTVN1PROD with NOTICES
Dated: July 21, 2011.
Carolyn M. Clancy,
Director.
[FR Doc. 2011–19391 Filed 8–2–11; 8:45 am]
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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:
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:
‘‘Evaluation of the Technical Assistance
to ARRA Complex Patient Grantees
Project’’ In accordance with the
Paperwork Reduction Act, 44 U.S.C.
3501–3521, AHRQ invites the public to
comment on this proposed information
collection.
DATES: Comments on this notice must be
received by October 3, 2011.
ADDRESSES: Written comments should
be submitted to: Doris Lefkowitz,
Reports Clearance Officer, AHRQ, by
e-mail at
doris.lefkowitz@AHRO.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.
SUMMARY:
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SUPPLEMENTARY INFORMATION:
Proposed Project
Evaluation of the Technical
Assistance to ARRA Complex Patient
Grantees Project Under the American
Recovery and Reinvestment Act (ARRA)
of 2009, the Agency for Healthcare
Research and Quality (AHRQ) awarded
$473 million in grants and contracts to
support patient-centered outcomes
research. As part of this investment,
AHRQ funded fourteen R21
(exploratory) grants and thirteen R24
(infrastructure development) grants to
generate new knowledge on individuals
with multiple chronic conditions. This
work is critical to improve the
understanding of how to prioritize
evidence-based services for patients
with multiple co-morbidities and to
suggest appropriate adaptations to
guidelines for their care.
In order to support the R21 and R24
complex patient grantees, AHRQ funded
a Learning Network and Technical
Assistance Center (LN&TAC) to
encourage collaboration among the
researchers and help them share
research methods, definitions and
products through in-person meetings,
small workgroups and network
facilitation. The LN&TAC will provide
the grantees with technical assistance
regarding research design, data
collection, data analysis, public use
dataset development, and
dissemination.
Through the LN&TAC AHRQ will
support work to:
(1) Create and support a Learning
Network of the complex patient grantees
to facilitate advancement of
infrastructure development, as well as
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03AUN1
46812
Federal Register / Vol. 76, No. 149 / Wednesday, August 3, 2011 / Notices
to leverage developments and learning
across the program. The Learning
Network will give these grantees the
opportunity to share information with
and learn from other research teams,
provide resources for data management
and other research-related issues, and
synthesize and disseminate findings
that transcend individual projects.
(2) Provide both group and individual
technical assistance to grantees as they
address issues of ARRA reporting,
infrastructure development, data
sharing, and creation of public use data
sets.
(3) Disseminate results, including
developing materials targeted to
researchers and policy-makers to
describe study results and facilitate
future use of newly created datasets.
This will include a marketing plan to
advertise availability of datasets and
promote their use.
(4) Develop and implement an
evaluation of the above activities
throughout the project.
The purpose of this Information
Collection Request is to evaluate the
effectiveness of the LN&TAC. The goals
of the evaluation are to:
(1) Ascertain whether expected
outcomes of the LN&TAC were
achieved;
(2) Assess whether the LN&TAC met
the needs and expectations of the
grantees;
(3) Identify challenges and lessons
learned, and determine the feasibility
and advisability of developing similar
project models in the future.
This study is being conducted by
AHRQ through its contractor, Abt
Associates, pursuant to AHRQ’s
statutory authority to ‘‘conduct and
support research, evaluations, and
training, support demonstration
projects, research networks and
multidisciplinary centers, provide
technical assistance, and disseminate
information on healthcare and on
systems for the delivery of such care,
including activities with respect to the
quality, effectiveness, efficiency,
appropriateness and value of healthcare
services.’’ 42 U.S.C. 299a(a)(1).
Method of Collection
To meet the goals of this evaluation
the following data collections will be
implemented:
(1) LN Meeting Evaluation—Grantees
who attend the three annual in-person
Learning Network meetings will be
asked to complete the LN Meeting
Evaluation to provide immediate
feedback about their level of satisfaction
with the meeting (including session
topics and speakers) and make
suggestions about how the meeting
could be improved.
(2) Group TA Evaluation—Grantees
who participate in group technical
assistance activities, such as webinars
and the TA given at annual meetings,
will be asked to complete the Group TA
Evaluation to provide feedback about
their level of satisfaction with the group
TA (including session leader), how
effective the TA was, and make
suggestions about how the TA session
could have been better.
(3) Individual TA Evaluation—
Grantees who request individual
technical assistance will be asked to
complete the Individual TA Evaluation
to provide feedback about their level of
satisfaction with the TA (including
session leader), how effective the TA
was, and make suggestions about how
the TA session could have been better.
(4) Annual Survey—All 27 Complex
Patient grantees will be asked to
complete the Annual Survey once a
year. This survey is designed to measure
whether, due to their participation in
the project, grantees have experienced
changes in knowledge, confidence or
attitudes related to research activities
and grant requirements, changes in their
research itself (design, methods, and/or
analyses), and/or if participation has
increased collaboration (e.g., sharing
methods, developing new coding,
merging data sets) among the Complex
Patient researchers, as well as
satisfaction with the LN&TAC in
general.
(5) Annual Interview—The Annual
Interview will be administered with a
small subset of 5 grantees per year, and
will be used to augment the Annual
Survey with more in-depth qualitative
data. Therefore, similar questions will
be asked in the Annual Interview as are
asked in the Annual Survey, but the
interview will allow for probing and
clarification of answers. Different
grantees will be asked to participate in
the interview each year, such that no
grantee participates in the Annual
Interview more than once during the
three year contract.
These evaluation instruments are
designed to capture a combination of
quantitative and qualitative data No
claim is made that the results from this
study will be generalizable in the
statistical sense. Rather, this evaluation
is aimed at determining the
effectiveness of this particular program.
Estimated Annual Respondent Burden
Exhibit 1 shows the estimated
annualized burden hours for the
grantees’ time to participate in the
surveys and interviews. The LN Meeting
Evaluation will be completed by about
22 grantees and takes about 20 minutes
to complete. The Group TA Evaluation
will be completed by 8 grantees 4 times
a year, although not necessarily the
same 8 persons each time and will take
5 minutes to complete. The Individual
TA Evaluation will be completed by
about 15 grantees annually and takes 5
minutes to complete. The Annual
Survey will be completed by 22 grantees
and will take about 10 minutes to
complete. Annual Interviews will be
conducted with 5 persons annually and
will last 45 minutes. The total
annualized burden hours are estimated
to be 19 hours.
Exhibit 2 shows the estimated
annualized cost burden for the grantees’
time to provide the requested data. The
estimated total cost burden is about
$774.
EXHIBIT 1—ESTIMATED ANNUALIZED
No. of
respondents
srobinson on DSK4SPTVN1PROD with NOTICES
Form name
No. of
responses per
respondent
Hours per
response
Total burden
hours
LN Meeting Evaluation ....................................................................................
Group TA Evaluation .......................................................................................
Individual TA Evaluation ..................................................................................
Annual Survey .................................................................................................
Annual Interview ..............................................................................................
22
8
15
22
5
1
4
1
1
1
20/60
5/60
5/60
10/60
45/60
7
3
1
4
4
Total ..........................................................................................................
72
na
na
19
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Federal Register / Vol. 76, No. 149 / Wednesday, August 3, 2011 / Notices
EXHIBIT 2—ESTIMATED ANNUALIZED
No. of
respondents
Form name
Total burden
hours
Average
hourly wage
rate*
Total cost
burden
LN Meeting Evaluation ....................................................................................
Group TA Evaluation .......................................................................................
Individual TA Evaluation ..................................................................................
Annual Survey .................................................................................................
Annual Interview ..............................................................................................
22
8
15
22
5
7
3
1
4
4
$40.75
40.75
40.75
40.75
40.75
$285
122
41
163
163
Total ..........................................................................................................
72
19
40.75
774
* Based upon tne mean hourly wage rate for Medical Scientists, Except Epidemiologists, from the National Compensation Survey: Occupational
wages in the United States May 2009, ‘‘U.S. Department of Labor, Bureau of Labor Statistics,’’ accessed on April 26, 2011.
Estimated Annual Costs to the Federal
Government
The total cost of this contract to the
government is $178,137 over the three
years of the project (September 27, 2010
to September 26, 2013). Therefore, the
annualized cost to the government of
the evaluation of the Complex Patient
LN&TAC is $59,379.
EXHIBIT 3—ESTIMATED TOTAL AND ANNUALIZED COST
Cost component
Total cost
Annualized
cost
Project Development ...............................................................................................................................................
Data Collection Activities .........................................................................................................................................
Data Processing and Analysis .................................................................................................................................
Overhead .................................................................................................................................................................
$70,247
54,636
31,220
22,034
$23,416
18,212
10,406
7,345
Total ..................................................................................................................................................................
178,137
59,379
srobinson on DSK4SPTVN1PROD with NOTICES
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: July 21, 2011.
Carolyn M. Clancy,
Director.
[FR Doc. 2011–19392 Filed 8–2–11; 8:45 am]
BILLING CODE 4160–90–M
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16:24 Aug 02, 2011
Jkt 223001
DEPARTMENT OF HEALTH AND
HUMAN SERVICES
Centers for Disease Control and
Prevention
[60Day-11–11JJ]
Proposed Data Collections Submitted
for Public Comment and
Recommendations
In compliance with the requirement
of Section 3506(c)(2)(A) of the
Paperwork Reduction Act of 1995 for
opportunity for public comment on
proposed data collection projects, the
Centers for Disease Control and
Prevention (CDC) will publish periodic
summaries of proposed projects. To
request more information on the
proposed projects or to obtain a copy of
the data collection plans and
instruments, call 404–639–5960 and
send comments to Daniel L. Holcomb,
CDC Reports Clearance Officer, 1600
Clifton Road, MS–D74, Atlanta, GA
30333 or send an e-mail to
omb@cdc.gov.
Comments are invited on: (a) Whether
the proposed collection of information
is necessary for the proper performance
of the functions of the agency, including
whether the information shall have
practical utility; (b) the accuracy of the
agency’s estimate of the burden of the
PO 00000
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proposed collection 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
on respondents, including through the
use of automated collection techniques
or other forms of information
technology. Written comments should
be received within 60 days of this
notice.
Proposed Project
Evaluating Locally-Developed HIV
Prevention Interventions for AfricanAmerican MSM in Los Angeles—New—
National Center for HIV/AIDS, Viral
Hepatitis, STD, TB Prevention
(NCHHSTP), Centers for Disease Control
and Prevention (CDC).
Background and Brief Description
Data reported from 33 states with HIV
reporting indicate the burden of HIV/
AIDS is most concentrated in the
African American population compared
to other racial/ethnic groups. Of the
49,704 African American males
diagnosed with HIV between 2001 and
2004, 54% of these cases were among
men who have sex with men (MSM). In
Los Angeles County (LAC), the
proportion of HIV/AIDS cases among
African American males attributable to
male-to-male sexual transmission is
E:\FR\FM\03AUN1.SGM
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Agencies
[Federal Register Volume 76, Number 149 (Wednesday, August 3, 2011)]
[Notices]
[Pages 46811-46813]
From the Federal Register Online via the Government Printing Office [www.gpo.gov]
[FR Doc No: 2011-19392]
-----------------------------------------------------------------------
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: ``Evaluation of the Technical Assistance to ARRA Complex
Patient Grantees Project'' In accordance with the Paperwork Reduction
Act, 44 U.S.C. 3501-3521, AHRQ invites the public to comment on this
proposed information collection.
DATES: Comments on this notice must be received by October 3, 2011.
ADDRESSES: Written comments should be submitted to: Doris Lefkowitz,
Reports Clearance Officer, AHRQ, by e-mail at
doris.lefkowitz@AHRO.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
Evaluation of the Technical Assistance to ARRA Complex Patient
Grantees Project Under the American Recovery and Reinvestment Act
(ARRA) of 2009, the Agency for Healthcare Research and Quality (AHRQ)
awarded $473 million in grants and contracts to support patient-
centered outcomes research. As part of this investment, AHRQ funded
fourteen R21 (exploratory) grants and thirteen R24 (infrastructure
development) grants to generate new knowledge on individuals with
multiple chronic conditions. This work is critical to improve the
understanding of how to prioritize evidence-based services for patients
with multiple co-morbidities and to suggest appropriate adaptations to
guidelines for their care.
In order to support the R21 and R24 complex patient grantees, AHRQ
funded a Learning Network and Technical Assistance Center (LN&TAC) to
encourage collaboration among the researchers and help them share
research methods, definitions and products through in-person meetings,
small workgroups and network facilitation. The LN&TAC will provide the
grantees with technical assistance regarding research design, data
collection, data analysis, public use dataset development, and
dissemination.
Through the LN&TAC AHRQ will support work to:
(1) Create and support a Learning Network of the complex patient
grantees to facilitate advancement of infrastructure development, as
well as
[[Page 46812]]
to leverage developments and learning across the program. The Learning
Network will give these grantees the opportunity to share information
with and learn from other research teams, provide resources for data
management and other research-related issues, and synthesize and
disseminate findings that transcend individual projects.
(2) Provide both group and individual technical assistance to
grantees as they address issues of ARRA reporting, infrastructure
development, data sharing, and creation of public use data sets.
(3) Disseminate results, including developing materials targeted to
researchers and policy-makers to describe study results and facilitate
future use of newly created datasets. This will include a marketing
plan to advertise availability of datasets and promote their use.
(4) Develop and implement an evaluation of the above activities
throughout the project.
The purpose of this Information Collection Request is to evaluate
the effectiveness of the LN&TAC. The goals of the evaluation are to:
(1) Ascertain whether expected outcomes of the LN&TAC were
achieved;
(2) Assess whether the LN&TAC met the needs and expectations of the
grantees;
(3) Identify challenges and lessons learned, and determine the
feasibility and advisability of developing similar project models in
the future.
This study is being conducted by AHRQ through its contractor, Abt
Associates, pursuant to AHRQ's statutory authority to ``conduct and
support research, evaluations, and training, support demonstration
projects, research networks and multidisciplinary centers, provide
technical assistance, and disseminate information on healthcare and on
systems for the delivery of such care, including activities with
respect to the quality, effectiveness, efficiency, appropriateness and
value of healthcare services.'' 42 U.S.C. 299a(a)(1).
Method of Collection
To meet the goals of this evaluation the following data collections
will be implemented:
(1) LN Meeting Evaluation--Grantees who attend the three annual in-
person Learning Network meetings will be asked to complete the LN
Meeting Evaluation to provide immediate feedback about their level of
satisfaction with the meeting (including session topics and speakers)
and make suggestions about how the meeting could be improved.
(2) Group TA Evaluation--Grantees who participate in group
technical assistance activities, such as webinars and the TA given at
annual meetings, will be asked to complete the Group TA Evaluation to
provide feedback about their level of satisfaction with the group TA
(including session leader), how effective the TA was, and make
suggestions about how the TA session could have been better.
(3) Individual TA Evaluation--Grantees who request individual
technical assistance will be asked to complete the Individual TA
Evaluation to provide feedback about their level of satisfaction with
the TA (including session leader), how effective the TA was, and make
suggestions about how the TA session could have been better.
(4) Annual Survey--All 27 Complex Patient grantees will be asked to
complete the Annual Survey once a year. This survey is designed to
measure whether, due to their participation in the project, grantees
have experienced changes in knowledge, confidence or attitudes related
to research activities and grant requirements, changes in their
research itself (design, methods, and/or analyses), and/or if
participation has increased collaboration (e.g., sharing methods,
developing new coding, merging data sets) among the Complex Patient
researchers, as well as satisfaction with the LN&TAC in general.
(5) Annual Interview--The Annual Interview will be administered
with a small subset of 5 grantees per year, and will be used to augment
the Annual Survey with more in-depth qualitative data. Therefore,
similar questions will be asked in the Annual Interview as are asked in
the Annual Survey, but the interview will allow for probing and
clarification of answers. Different grantees will be asked to
participate in the interview each year, such that no grantee
participates in the Annual Interview more than once during the three
year contract.
These evaluation instruments are designed to capture a combination
of quantitative and qualitative data No claim is made that the results
from this study will be generalizable in the statistical sense. Rather,
this evaluation is aimed at determining the effectiveness of this
particular program.
Estimated Annual Respondent Burden
Exhibit 1 shows the estimated annualized burden hours for the
grantees' time to participate in the surveys and interviews. The LN
Meeting Evaluation will be completed by about 22 grantees and takes
about 20 minutes to complete. The Group TA Evaluation will be completed
by 8 grantees 4 times a year, although not necessarily the same 8
persons each time and will take 5 minutes to complete. The Individual
TA Evaluation will be completed by about 15 grantees annually and takes
5 minutes to complete. The Annual Survey will be completed by 22
grantees and will take about 10 minutes to complete. Annual Interviews
will be conducted with 5 persons annually and will last 45 minutes. The
total annualized burden hours are estimated to be 19 hours.
Exhibit 2 shows the estimated annualized cost burden for the
grantees' time to provide the requested data. The estimated total cost
burden is about $774.
Exhibit 1--Estimated Annualized
----------------------------------------------------------------------------------------------------------------
No. of
Form name No. of responses per Hours per Total burden
respondents respondent response hours
----------------------------------------------------------------------------------------------------------------
LN Meeting Evaluation........................... 22 1 20/60 7
Group TA Evaluation............................. 8 4 5/60 3
Individual TA Evaluation........................ 15 1 5/60 1
Annual Survey................................... 22 1 10/60 4
Annual Interview................................ 5 1 45/60 4
---------------------------------------------------------------
Total....................................... 72 na na 19
----------------------------------------------------------------------------------------------------------------
[[Page 46813]]
Exhibit 2--Estimated Annualized
----------------------------------------------------------------------------------------------------------------
No. of Total burden Average hourly Total cost
Form name respondents hours wage rate* burden
----------------------------------------------------------------------------------------------------------------
LN Meeting Evaluation........................... 22 7 $40.75 $285
Group TA Evaluation............................. 8 3 40.75 122
Individual TA Evaluation........................ 15 1 40.75 41
Annual Survey................................... 22 4 40.75 163
Annual Interview................................ 5 4 40.75 163
---------------------------------------------------------------
Total....................................... 72 19 40.75 774
----------------------------------------------------------------------------------------------------------------
* Based upon tne mean hourly wage rate for Medical Scientists, Except Epidemiologists, from the National
Compensation Survey: Occupational wages in the United States May 2009, ``U.S. Department of Labor, Bureau of
Labor Statistics,'' accessed on April 26, 2011.
Estimated Annual Costs to the Federal Government
The total cost of this contract to the government is $178,137 over
the three years of the project (September 27, 2010 to September 26,
2013). Therefore, the annualized cost to the government of the
evaluation of the Complex Patient LN&TAC is $59,379.
Exhibit 3--Estimated Total and Annualized Cost
------------------------------------------------------------------------
Annualized
Cost component Total cost cost
------------------------------------------------------------------------
Project Development..................... $70,247 $23,416
Data Collection Activities.............. 54,636 18,212
Data Processing and Analysis............ 31,220 10,406
Overhead................................ 22,034 7,345
-------------------------------
Total............................... 178,137 59,379
------------------------------------------------------------------------
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: July 21, 2011.
Carolyn M. Clancy,
Director.
[FR Doc. 2011-19392 Filed 8-2-11; 8:45 am]
BILLING CODE 4160-90-M