Agency Information Collection Activities: Proposed Collection; Comment Request, 70726-70728 [2011-29382]

Download as PDF 70726 Federal Register / Vol. 76, No. 220 / Tuesday, November 15, 2011 / Notices EXHIBIT 3—ESTIMATED TOTAL AND ANNUALIZED COST—Continued Cost component Total cost Annualized cost Overhead ..................................................................................................................................................... 62,500 31,250 Total ...................................................................................................................................................... 407,063 203,531 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: November 3, 2011. Carolyn M. Clancy, Director. [FR Doc. 2011–29383 Filed 11–14–11; 8:45 am] BILLING CODE 4160–90–M DEPARTMENT OF HEALTH AND HUMAN SERVICES Agency for Healthcare Research and Quality Agency Information Collection Activities: Proposed Collection; Comment Request Agency 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: ‘‘Assessing the Feasibility of Disseminating Effective Health Care Products through a Shared Electronic Medical Record Serving Member mstockstill on DSK4VPTVN1PROD with NOTICES SUMMARY: VerDate Mar<15>2010 19:06 Nov 14, 2011 Jkt 226001 Organization of a Health Information Exchange.’’ 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 January 17, 2012. ADDRESSES: Written comments should be submitted to: Doris Lefkowitz, Reports Clearance Officer, AHRQ, by email at doris.lefkowitz@AHRQ.hhs.gov. Copies of the proposed collection plans, data collection instruments, and specific details on the estimated burden can be obtained from the AHRQ Reports Clearance Officer. FOR FURTHER INFORMATION CONTACT: Doris Lefkowitz, AHRQ Reports Clearance Officer, (301) 427–1477, or by email at doris.lefkowitz@AHRQ.hhs.gov. SUPPLEMENTARY INFORMATION: Proposed Project Assessing the Feasibility of Disseminating Effective Health Care Products through a Shared Electronic Medical Record Serving Member Organization of a Health Information Exchange. The Agency for Healthcare Research and Quality (AHRQ) requests that the Office of Management and Budget (OMB) approve under the Paperwork Reduction Act of 1995 this collection of information from users of work products and services initiated by the John M. Eisenberg Clinical Decisions and Communications Science Center (Eisenberg Center). AHRQ is the lead agency charged with supporting research designed to improve the quality of healthcare, reduce its cost, improve patient safety, decrease medical errors, and broaden access to essential services. AHRQ’s Eisenberg Center’s mission is improving communication of findings to a variety of audiences (‘‘customers’’), including consumers, clinicians, and health care policy makers. The Eisenberg Center compiles research results into useful formats for customer stakeholders. The Eisenberg Center also conducts investigations into effective communication of research findings in order to improve the usability and rapid incorporation of findings into medical practice. The Eisenberg Center is one of PO 00000 Frm 00024 Fmt 4703 Sfmt 4703 three components of AHRQ’s Effective Health Care (EHC) Program. The collections proposed under this clearance include activities to assess the feasibility of disseminating materials developed by the Eisenberg Center through the use of an electronic medical record (EMR) shared by a network of clinical care providers that are part of a Health Information Exchange (HIE) operating in multiple sites in several states. Our Community Health Information Network (OCHIN) members include 30 clinical care organizations operating more than 230 primary care clinics in six states. Data will be gathered from three different OCHINmember organizations representing a total of 10 primary care clinics. The information generated will be provided to AHRQ to guide decision making and planning for additional efforts to foster EHC Program product distribution via EMR prompting and product linkages. This research has the following goals: (1) Identify facilitators and barriers to successful efforts to implement processes that: (a) Support use of EHC Program products by clinicians in practice, and (b) place relevant clinical information in the hands of patients and family members in languages and formats that are appropriate to patients’ information needs; (2) Examine ways in which EHC Program products can be used in concert with other support programs and products (e.g., healthwise® resources available through the EMR; brief patient instructions and letters, including those designed for use with persons having very low literacy skills); (3) Assess the extent to which EHC Program products are used (e.g., accessed by clinicians, provided to patients in relevant formats) in settings where use is supported by automated EMR features, such as on-screen prompts and reminders; and (4) Document the perceived value of integrating EHC Program products into systems of care supported by an EMR system as self-reported by clinicians involved in direct care of patients and clinic support personnel who interact with patients. This study is being conducted by AHRQ through its contractor, the Eisenberg Center—Baylor College of Medicine, pursuant to AHRQ’s statutory E:\FR\FM\15NON1.SGM 15NON1 70727 Federal Register / Vol. 76, No. 220 / Tuesday, November 15, 2011 / Notices authority to conduct and support research, 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 and clinical practice. 42 U.S.C. 299a(a)(1) and (4). Method of Collection To achieve the goals of this project the following data collections will be implemented: (1) Automated Data Capture from EMR Usage Logs. Electronic usage data will be collected to determine the extent to which EHC Program guides for clinicians and patients were accessed to support shared decision making and patient education. The data will be retrieved from the existing EMR-linked database operated by the Kaiser Permanente staff in their coordination of activities related to the OCHIN HIE. Data will include: (a) Number and frequency of retrieval of EHC resource materials; (b) specific types of materials retrieved; and (c) health topic or condition targeted in the EHC materials. These data will inform the development of follow-up questions to be administered to clinicians and patients in the interviews and surveys described below. Because the data will be obtained using automated systems already in place, no special effort will be needed to generate these data, and thus this task is not included in the burden estimates in Exhibits 1 and 2. (2) Interviews with Clinicians. Interviews will be held with clinical service providers for the following purposes: (a) Obtain perceptions of the overall value, relevancy, currency and appropriateness of EHC Program products in addressing the health service needs of patients treated in clinical settings; (b) assess ease of use of the materials in terms of access via the EMR; (c) determine perceived success of efforts to employ EHC Program products and related materials in addressing the needs of patients with limited language skills and/or low literacy levels; and (d) describe the relative success of efforts to use the EHC Program products in concert with other tools (e.g., healthwise® resources) in promoting patient engagement in their own health care or in the care of family members. (3) Interviews with Support Staff. Interviews will be held with nonclinical support staff to characterize perceptions of how the introduction of EHC Program products: (a) Affected clinic workflows and influenced the work that staff was required to do in supporting clinician-patient interactions; and (b) facilitated or impeded efforts to inform patients about actions they could take in being more fully involved in their own health care. (4) Interviews with Patients. Interviews will be held with recruited patients to determine if they: (a) Viewed the EHC Program products that they were provided as useful to them in understanding their health issues; (b) were able to understand the EHC Program-related information that was provided to them sufficiently to take actions in their own health care; and (c) have suggestions about how the EHC Program materials could be changed or the delivery of them done in a different way to make the materials more useful and/or accessible to patients. (5) Survey of Clinicians. A questionnaire will be administered to clinical care providers near the end of the study to gather quantitative data around their assessments of: (a) The relevancy of the EHC Program materials to the patients they serve; (b) the appropriateness of the products in addressing specific clinical issues; (c) the ease of use of the system created to provide access to EHC Program products through the EMR; and (d) overall ratings of the approach in addressing patient needs with regard to specific conditions addressed by the products available. The interviews with clinicians, clinical staff, and patients will be conducted throughout the project period, approximately every three months with different sets of participants, to inform and refine delivery mechanisms and monitor progress. This information will be used to determine the feasibility of: (a) Mounting broader efforts to distribute clinician and consumer guides, as well as other EHC products using EMRs as the primary vehicle for providing product access at the point of care; and (b) initiating additional studies to identify factors that encourage or deter effective integration of EHC products into care processes using electronic tools and care delivery support systems, like the EMR, that are increasingly common in clinical work settings. Estimated Annual Respondent Burden Exhibit 1 shows the estimated annualized burden for the respondents’ time to participate in this research. Three rounds of interviews will be conducted during the project period (each round of interviews to be held approximately every three months with separate sets of participants) to assess progress and adjust methods or refine materials as needed. Interviews will be conducted with 100 patients, 50 clinicians and 50 clinical support staff. Each interview is estimated to last no more than 30 minutes. All clinicians in each participating clinic will have access to the EMR and will be invited to participate in an online questionnaire. Approximately 200 clinicians will complete the 10-minute questionnaire. 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 $6,274. EXHIBIT 1—ESTIMATED ANNUALIZED TOTAL BURDEN HOURS Number of respondents mstockstill on DSK4VPTVN1PROD with NOTICES Type of data collection Number of responses per respondent Hours per response Total burden hours Interviews with Clinicians ................................................................................. Interviews with Support Staff ........................................................................... Interviews with Patients ................................................................................... Survey of Clinicians ......................................................................................... 50 50 100 200 1 1 1 1 30/60 30/60 30/60 30/60 25 25 50 33 Total .......................................................................................................... 400 na na 133 VerDate Mar<15>2010 19:06 Nov 14, 2011 Jkt 226001 PO 00000 Frm 00025 Fmt 4703 Sfmt 4703 E:\FR\FM\15NON1.SGM 15NON1 70728 Federal Register / Vol. 76, No. 220 / Tuesday, November 15, 2011 / Notices EXHIBIT 2—ESTIMATED ANNUALIZED TOTAL COST BURDEN Number of respondents Type of Data Collection Total burden hours Average hourly wage rate Total cost burden Interviews with Clinicians .......................... Interviews with Support Staff .................... Interviews with Patients ............................ Survey of Clinicians .................................. 50 50 100 200 25 25 50 ¥33 $83.59 ....................................................... 14.31 ......................................................... 21.35 ......................................................... 83.59 ......................................................... $2,090 358 1,068 2,758 Total ................................................... 400 133 na .............................................................. 6,274 Based upon the mean wages for clinicians (29–1062 family and general practitioners), clinical team members (31–9092 medical assistants) and patients/consumers (00–0000 all occupations), National Compensation Survey: Occupational wages in the United States May 2010, ‘‘U.S. Department of Labor, Bureau of Labor Statistics.’’ Estimated Annual Costs to the Federal Government The maximum cost to the Federal Government is estimated to be $217,451 annually for two years. Exhibit 3 shows the total and annualized cost by the major cost components. EXHIBIT 3—ESTIMATED TOTAL AND ANNUALIZED COST Cost component Total cost Annualized cost Project Development ....................................................................................................................................... Data Collection Activities ................................................................................................................................. Data Processing and Analysis ......................................................................................................................... Project Management ........................................................................................................................................ Overhead ......................................................................................................................................................... $153,750 162,465 33,563 22,625 62,500 $76,875 81,233 16,781 11,313 31,250 Total .......................................................................................................................................................... 434,903 217,451 mstockstill on DSK4VPTVN1PROD 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: November 3, 2011. Carolyn M. Clancy, Director. [FR Doc. 2011–29382 Filed 11–14–11; 8:45 am] BILLING CODE 4160–90–M VerDate Mar<15>2010 19:06 Nov 14, 2011 Jkt 226001 DEPARTMENT OF HEALTH AND HUMAN SERVICES Centers for Disease Control and Prevention [30-Day–12–09BY] Agency Forms Undergoing Paperwork Reduction Act Review The Centers for Disease Control and Prevention (CDC) publishes a list of information collection requests under review by the Office of Management and Budget (OMB) in compliance with the Paperwork Reduction Act (44 U.S.C. Chapter 35). To request a copy of these requests, call the CDC Reports Clearance Officer at (404) 639–5960 or send an email to omb@cdc.gov. Send written comments to CDC Desk Officer, Office of Management and Budget, Washington, DC 20503 or by fax to (202) 395–5806. Written comments should be received within 30 days of this notice. Proposed Project Healthy Homes and Lead Poisoning Surveillance System (HHLPSS)—New— National Center for Environmental Health (NCEH) and Agency for Toxic Substances and Disease Registry (ATSDR)/Centers for Disease Control and Prevention (CDC). PO 00000 Frm 00026 Fmt 4703 Sfmt 4703 Background and Brief Description The overarching goal of the Healthy Homes and Lead Poisoning Surveillance System (HHLPSS) is to establish Healthy Homes Surveillance Systems at the state and national levels. Currently, 40 state and local Childhood Lead Poisoning Prevention Programs (CLPPP) report information (e.g., presence of lead paint, age of housing, and type of housing) to CDC via the National Blood Lead Surveillance System (NBLSS) (OMB No. 0920–0337, exp. 1/31/2012). The addition of a new panel of housing questions would help to provide a more comprehensive picture of housing stock in the United States and potentially modifiable risk factors. The objectives for developing this new surveillance system are two-fold. First, the HHLPSS will allow the CDC to systematically track how the state and local programs conduct case management and follow-up of residents with housing-related health outcomes. The next objective for the development of this system is to examine potential housing-related risk factors. Childhood lead poisoning is just one of many adverse health conditions that are related to common housing deficiencies. Multiple hazards in housing, e.g., mold, vermin, radon and the lack of safety devices, continue to adversely affect the health of residents. It is in the interest of public health to E:\FR\FM\15NON1.SGM 15NON1

Agencies

[Federal Register Volume 76, Number 220 (Tuesday, November 15, 2011)]
[Notices]
[Pages 70726-70728]
From the Federal Register Online via the Government Printing Office [www.gpo.gov]
[FR Doc No: 2011-29382]


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

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: ``Assessing the Feasibility of Disseminating Effective Health 
Care Products through a Shared Electronic Medical Record Serving Member 
Organization of a Health Information Exchange.'' 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 January 17, 2012.

ADDRESSES: Written comments should be submitted to: Doris Lefkowitz, 
Reports Clearance Officer, AHRQ, by email at 
doris.lefkowitz@AHRQ.hhs.gov.
    Copies of the proposed collection plans, data collection 
instruments, and specific details on the estimated burden can be 
obtained from the AHRQ Reports Clearance Officer.

FOR FURTHER INFORMATION CONTACT: Doris Lefkowitz, AHRQ Reports 
Clearance Officer, (301) 427-1477, or by email at 
doris.lefkowitz@AHRQ.hhs.gov.

SUPPLEMENTARY INFORMATION: 

Proposed Project

    Assessing the Feasibility of Disseminating Effective Health Care 
Products through a Shared Electronic Medical Record Serving Member 
Organization of a Health Information Exchange.
    The Agency for Healthcare Research and Quality (AHRQ) requests that 
the Office of Management and Budget (OMB) approve under the Paperwork 
Reduction Act of 1995 this collection of information from users of work 
products and services initiated by the John M. Eisenberg Clinical 
Decisions and Communications Science Center (Eisenberg Center).
    AHRQ is the lead agency charged with supporting research designed 
to improve the quality of healthcare, reduce its cost, improve patient 
safety, decrease medical errors, and broaden access to essential 
services. AHRQ's Eisenberg Center's mission is improving communication 
of findings to a variety of audiences (``customers''), including 
consumers, clinicians, and health care policy makers. The Eisenberg 
Center compiles research results into useful formats for customer 
stakeholders. The Eisenberg Center also conducts investigations into 
effective communication of research findings in order to improve the 
usability and rapid incorporation of findings into medical practice. 
The Eisenberg Center is one of three components of AHRQ's Effective 
Health Care (EHC) Program. The collections proposed under this 
clearance include activities to assess the feasibility of disseminating 
materials developed by the Eisenberg Center through the use of an 
electronic medical record (EMR) shared by a network of clinical care 
providers that are part of a Health Information Exchange (HIE) 
operating in multiple sites in several states. Our Community Health 
Information Network (OCHIN) members include 30 clinical care 
organizations operating more than 230 primary care clinics in six 
states. Data will be gathered from three different OCHIN-member 
organizations representing a total of 10 primary care clinics. The 
information generated will be provided to AHRQ to guide decision making 
and planning for additional efforts to foster EHC Program product 
distribution via EMR prompting and product linkages.
    This research has the following goals:
    (1) Identify facilitators and barriers to successful efforts to 
implement processes that: (a) Support use of EHC Program products by 
clinicians in practice, and (b) place relevant clinical information in 
the hands of patients and family members in languages and formats that 
are appropriate to patients' information needs;
    (2) Examine ways in which EHC Program products can be used in 
concert with other support programs and products (e.g., 
healthwise[supreg] resources available through the EMR; brief patient 
instructions and letters, including those designed for use with persons 
having very low literacy skills);
    (3) Assess the extent to which EHC Program products are used (e.g., 
accessed by clinicians, provided to patients in relevant formats) in 
settings where use is supported by automated EMR features, such as on-
screen prompts and reminders; and
    (4) Document the perceived value of integrating EHC Program 
products into systems of care supported by an EMR system as self-
reported by clinicians involved in direct care of patients and clinic 
support personnel who interact with patients.
    This study is being conducted by AHRQ through its contractor, the 
Eisenberg Center--Baylor College of Medicine, pursuant to AHRQ's 
statutory

[[Page 70727]]

authority to conduct and support research, 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 and clinical practice. 
42 U.S.C. 299a(a)(1) and (4).

Method of Collection

    To achieve the goals of this project the following data collections 
will be implemented:
    (1) Automated Data Capture from EMR Usage Logs. Electronic usage 
data will be collected to determine the extent to which EHC Program 
guides for clinicians and patients were accessed to support shared 
decision making and patient education. The data will be retrieved from 
the existing EMR-linked database operated by the Kaiser Permanente 
staff in their coordination of activities related to the OCHIN HIE. 
Data will include: (a) Number and frequency of retrieval of EHC 
resource materials; (b) specific types of materials retrieved; and (c) 
health topic or condition targeted in the EHC materials. These data 
will inform the development of follow-up questions to be administered 
to clinicians and patients in the interviews and surveys described 
below. Because the data will be obtained using automated systems 
already in place, no special effort will be needed to generate these 
data, and thus this task is not included in the burden estimates in 
Exhibits 1 and 2.
    (2) Interviews with Clinicians. Interviews will be held with 
clinical service providers for the following purposes: (a) Obtain 
perceptions of the overall value, relevancy, currency and 
appropriateness of EHC Program products in addressing the health 
service needs of patients treated in clinical settings; (b) assess ease 
of use of the materials in terms of access via the EMR; (c) determine 
perceived success of efforts to employ EHC Program products and related 
materials in addressing the needs of patients with limited language 
skills and/or low literacy levels; and (d) describe the relative 
success of efforts to use the EHC Program products in concert with 
other tools (e.g., healthwise[reg] resources) in promoting patient 
engagement in their own health care or in the care of family members.
    (3) Interviews with Support Staff. Interviews will be held with 
non-clinical support staff to characterize perceptions of how the 
introduction of EHC Program products: (a) Affected clinic workflows and 
influenced the work that staff was required to do in supporting 
clinician-patient interactions; and (b) facilitated or impeded efforts 
to inform patients about actions they could take in being more fully 
involved in their own health care.
    (4) Interviews with Patients. Interviews will be held with 
recruited patients to determine if they: (a) Viewed the EHC Program 
products that they were provided as useful to them in understanding 
their health issues; (b) were able to understand the EHC Program-
related information that was provided to them sufficiently to take 
actions in their own health care; and (c) have suggestions about how 
the EHC Program materials could be changed or the delivery of them done 
in a different way to make the materials more useful and/or accessible 
to patients.
    (5) Survey of Clinicians. A questionnaire will be administered to 
clinical care providers near the end of the study to gather 
quantitative data around their assessments of: (a) The relevancy of the 
EHC Program materials to the patients they serve; (b) the 
appropriateness of the products in addressing specific clinical issues; 
(c) the ease of use of the system created to provide access to EHC 
Program products through the EMR; and (d) overall ratings of the 
approach in addressing patient needs with regard to specific conditions 
addressed by the products available.
    The interviews with clinicians, clinical staff, and patients will 
be conducted throughout the project period, approximately every three 
months with different sets of participants, to inform and refine 
delivery mechanisms and monitor progress.
    This information will be used to determine the feasibility of: (a) 
Mounting broader efforts to distribute clinician and consumer guides, 
as well as other EHC products using EMRs as the primary vehicle for 
providing product access at the point of care; and (b) initiating 
additional studies to identify factors that encourage or deter 
effective integration of EHC products into care processes using 
electronic tools and care delivery support systems, like the EMR, that 
are increasingly common in clinical work settings.

Estimated Annual Respondent Burden

    Exhibit 1 shows the estimated annualized burden for the 
respondents' time to participate in this research. Three rounds of 
interviews will be conducted during the project period (each round of 
interviews to be held approximately every three months with separate 
sets of participants) to assess progress and adjust methods or refine 
materials as needed. Interviews will be conducted with 100 patients, 50 
clinicians and 50 clinical support staff. Each interview is estimated 
to last no more than 30 minutes. All clinicians in each participating 
clinic will have access to the EMR and will be invited to participate 
in an online questionnaire. Approximately 200 clinicians will complete 
the 10-minute questionnaire.
    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 $6,274.

                               Exhibit 1--Estimated Annualized Total Burden Hours
----------------------------------------------------------------------------------------------------------------
                                                                     Number of
             Type of data collection                 Number of     responses per     Hours per     Total burden
                                                    respondents     respondent       response          hours
----------------------------------------------------------------------------------------------------------------
Interviews with Clinicians......................              50               1           30/60              25
Interviews with Support Staff...................              50               1           30/60              25
Interviews with Patients........................             100               1           30/60              50
Survey of Clinicians............................             200               1           30/60              33
                                                 ---------------------------------------------------------------
    Total.......................................             400              na              na             133
----------------------------------------------------------------------------------------------------------------


[[Page 70728]]


                                Exhibit 2--Estimated Annualized Total Cost Burden
----------------------------------------------------------------------------------------------------------------
                                         Number of       Total burden     Average hourly wage      Total cost
      Type of Data Collection           respondents          hours                rate               burden
----------------------------------------------------------------------------------------------------------------
Interviews with Clinicians.........                50                25  $83.59...............            $2,090
Interviews with Support Staff......                50                25  14.31................               358
Interviews with Patients...........               100                50  21.35................             1,068
Survey of Clinicians...............               200               -33  83.59................             2,758
                                    ----------------------------------------------------------------------------
    Total..........................               400               133  na...................            6,274
----------------------------------------------------------------------------------------------------------------
Based upon the mean wages for clinicians (29-1062 family and general practitioners), clinical team members (31-
  9092 medical assistants) and patients/consumers (00-0000 all occupations), National Compensation Survey:
  Occupational wages in the United States May 2010, ``U.S. Department of Labor, Bureau of Labor Statistics.''

Estimated Annual Costs to the Federal Government

    The maximum cost to the Federal Government is estimated to be 
$217,451 annually for two years. Exhibit 3 shows the total and 
annualized cost by the major cost components.

             Exhibit 3--Estimated Total and Annualized Cost
------------------------------------------------------------------------
           Cost component                Total cost      Annualized cost
------------------------------------------------------------------------
Project Development.................          $153,750           $76,875
Data Collection Activities..........           162,465            81,233
Data Processing and Analysis........            33,563            16,781
Project Management..................            22,625            11,313
Overhead............................            62,500            31,250
                                     -----------------------------------
    Total...........................           434,903           217,451
------------------------------------------------------------------------

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: November 3, 2011.
Carolyn M. Clancy,
Director.
[FR Doc. 2011-29382 Filed 11-14-11; 8:45 am]
BILLING CODE 4160-90-M