Agency Information Collection Activities: Proposed Collection; Comment Request, 4036-4038 [2012-1402]

Download as PDF 4036 Federal Register / Vol. 77, No. 17 / Thursday, January 26, 2012 / Notices 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 Center Products through Mobile Phone Applications.’’ In accordance with the Paperwork Reduction Act, 44 U.S.C. 3501–3521, AHRQ invites the public to comment on this proposed information collection. This proposed information collection was previously published in the Federal Register on November 15th, 2011 and allowed 60 days for public comment. No comments were received. The purpose of this notice is to allow an additional 30 days for public comment. DATES: Comments on this notice must be received by February 27, 2012. 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 email at doris.lefkowitz@AHRO.hhs.gov. SUPPLEMENTARY INFORMATION: SUMMARY: mstockstill on DSK4VPTVN1PROD with NOTICES Proposed Project Assessing the Feasibility of Disseminating Effective Health Center Products Through Mobile Phone Applications 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). VerDate Mar<15>2010 17:14 Jan 25, 2012 Jkt 226001 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 using specific media and awareness-raising processes to encourage consumers who are at risk for selected health problems for which EHC Program materials are available to access information about such materials using mobile phone technologies. The project will specifically focus on promoting awareness of eight consumer guides developed through the EHC Program. The guides are all published in English and Spanish-language versions. All of the guides are designed to help decision makers, including clinicians and health care consumers, use research evidence to maximize the benefits of health care, minimize harm, and optimize the use of health care resources. The project will test the feasibility of using mobile telephone technology for the dissemination of EHC Program materials to underserved health consumer populations using: (a) Short message services (SMS), usually referred to as texting, that can be provided to people with basic cell phone service and texting support; and (b) mobile Web access that provides access to the Internet via a mobile interface. Different methods and/or vehicles will be used to promote awareness of opportunities to obtain cell phone- or smart phone-based information about the availability of EHC Program materials including: (1) Wall posters in patient service areas of the three (3) participating clinics; (2) flyers about the products distributed in magazine racks and through patient kiosks in some areas of the clinics; (3) flyers/ announcements given to patients at checkout from the clinic; and (4) health fairs convened to address general health issues, where the information can be provided. Promotional materials will PO 00000 Frm 00039 Fmt 4703 Sfmt 4703 invite potential users to send a specific text message with the keyword associated with the relevant health condition to the advertised number. Subjects will receive a response text with a brief message about the condition and an invitation to either (a) request a printed consumer guide or (b) access the mobile Web site to view the guide. This project has the following goals: (1) Summarize marketing efforts in terms of total numbers of posters, flyers, and information sheets distributed through specific venues (e.g., patient waiting areas, patient check-out processes) and numbers of individuals contacted through health fairs and related activities; (2) Summarize the extent to which persons in targeted patient populations responded to marketing efforts; (3) Assess patient satisfaction with: (a) The means by which patients were alerted as to the availability of EHC Program materials; (b) the methods patients used to request and access the EHC Program materials; and (c) the value and relevancy of the information that they obtained; (4) Characterize perceptions of clinical care providers and clinical staff persons in terms of: (a) The value of efforts to promote patient awareness of EHC Program materials using marketing techniques described in this feasibility project; and (b) the effect of these efforts on workflow issues and related aspects of clinic operations. This study is being conducted by AHRQ through its contractor, the Eisenberg Center—Baylor College of Medicine, pursuant to AHRQ’s statutory 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 both 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) Focus Groups with Clinicians. A focus group will be conducted at each of the three participating clinics during regularly scheduled internal clinic meetings, to determine how the introduction of marketing materials and related resources influenced, if at all, delivery of care in the clinical settings. Special emphasis will be placed on determining if introduction of the project materials changed the ways in which patients interacted with clinicians. It is expected that each focus E:\FR\FM\26JAN1.SGM 26JAN1 4037 Federal Register / Vol. 77, No. 17 / Thursday, January 26, 2012 / Notices group will include no more than 10 clinical professionals (e.g., physicians, physician assistants, nurses and nurse practitioners, pharmacists). (2) Focus Groups with Support Staff. A focus group will be conducted with support staff working in each of the three participating clinics, during regularly scheduled meetings, to determine if the introduction of the project materials altered clinic workflows. It is expected that each focus group will include no more than 12 support staff (e.g., receptionists, nursing assistants, other personnel who interact with patients). (3) Patient Interviews. In-person interviews conducted immediately after the patient exits the clinic will be used to determine if patients: (a) Saw and understood the marketing materials (e.g., posters and flyers) in clinic settings; (b) were encouraged by the marketing materials to text and request information about their health issue(s); (c) could identify specific reasons why they did or did not text; and (d) have suggestions about how marketing materials might be changed so that they would be more likely to encourage patients like themselves to text. (4) Feedback Questionnaire for Patients Requesting Mailed Guides. All persons that respond to the marketing materials by requesting any of the eight guides to be mailed to them will be asked to complete a brief paper questionnaire included with the guides. The purpose of the questionnaire is to assess the extent to which the guides were easy to read and understand, whether the guides provided the information they sought, and any suggestions for improving and delivering the guides. (5) Feedback Questionnaire for Patients Visiting the Mobile Web Site. All persons that access the guides via the mobile Web site will be asked to complete a brief online questionnaire. Only subjects exposed to the promotion materials will receive the address of the mobile Web site during the text message conversation, and therefore we expect no other individuals to visit this site. The purpose of the questionnaire is to determine if the guides were useful, the mobile Web site was easy to use, whether they found the information they needed and experienced any difficulty in accessing the guides through their cell phone. (6) Usage Log Data. Data from automated electronic log systems will be collected from two sources: (1) Mobile Commons, the contractor that manages the cell phone-related message delivery and cell phone-based communication; and (2) the Eisenberg Center at Baylor College of Medicine that manages the EHC Web site visits. Usage log data gathered from the cell phone service contractor will include: (1) Counts of text messages received from persons requesting information about consumer guides; (2) the distribution of message counts across originating clinics tracked through the use of distinctive call-in or short code numbers assigned to each clinic; and (3) the numbers and originating clinic-specific distributions of follow-up texts Because text communications will be date and time stamped, Eisenberg Center staff will be able to calculate mean durations in time from receipt of the initial messages and follow-ups, which may be useful in determining navigation patterns and suggesting connectivity barriers. Usage log data gathered from the mobile Web site will allow for identification of: (1) The number of visitors that originate from a specific uniform record locator (URL) associated with each clinic; (2) the duration of visits to the EHC Web site to gather desired information and explore other resources available through the Web site; (3) the number of pages viewed by each visitor; and (4) the number of downloads of the full report associated with each guide, which will also be made available. These data will be obtained using automated systems already in place, and no special effort will be needed to generate these data; this task is not included in the burden estimates in Exhibit 1 below. The Eisenberg Center will determine the feasibility of this approach to encouraging patients and anyone else viewing the marketing materials to access information that may be helpful to them in understanding health care choices and engaging more fully in their own health care, and whether this approach should be pursued further. This information will be used to determine the feasibility of: (a) Mounting broader efforts to distribute consumer guides, as well as other EHC Program products, using mobile technologies as tools to heighten awareness of these resources by potential users who rely on mobile communication devices for information access; and (b) initiating additional studies to identify factors that encourage or deter effective use of increasingly pervasive communication modalities (e.g., cell phones, smart phones) in communicating with care providers and others and to access information from the Internet and health-related Web sites. Estimated Annual Respondent Burden Exhibit 1 shows the estimated annualized burden for the respondents’ time to participate in this research. Focus groups will be conducted with about 10 clinicians per each of the 3 participating clinics (30 total) and about 12 clinical support staff per clinic (36 total), and will last 45 minutes. Interviews will be conducted with about 100 patients per clinic (300 total) upon exit from the clinical visit, with each interview lasting about 15 minutes. The Feedback Questionnaire for the Mailed Guides will be completed by approximately 200 persons and will take 10 minutes to complete and the Feedback Questionnaire for the Mobile site will be completed by about 200 persons and also requires 10 minutes to complete. The total annual burden is estimated to be 191 hours. Exhibit 2 shows the estimated annualized cost burden associated with the respondent’s time to participate in this research. The total annual cost burden is estimated to be $5,320. EXHIBIT 1—ESTIMATED ANNUALIZED TOTAL BURDEN HOURS Number of respondents per respondent mstockstill on DSK4VPTVN1PROD with NOTICES Type of data collection Number of responses Hours per response Total burden hours Focus Groups with Clinicians .......................................................... Focus Groups with Support Staff .................................................... Patient Interviews ............................................................................ Feedback Questionnaire for Patients Requesting Mailed Guides .. Feedback Questionnaire for Patients Visiting Mobile Web site ...... 30 36 300 200 200 1 1 1 1 1 45/60 45/60 15/60 10/60 10/60 23 27 75 33 33 Total .......................................................................................... 766 na na 191 VerDate Mar<15>2010 17:14 Jan 25, 2012 Jkt 226001 PO 00000 Frm 00040 Fmt 4703 Sfmt 4703 E:\FR\FM\26JAN1.SGM 26JAN1 4038 Federal Register / Vol. 77, No. 17 / Thursday, January 26, 2012 / Notices EXHIBIT 2—ESTIMATED ANNUALIZED TOTAL COST BURDEN Type of data collection Number of respondents Average hourly wage rate * Total burden hours Total cost burden Focus Groups with Clinicians .......................................................... Focus Groups with Support Staff .................................................... Patient Interviews ............................................................................ Feedback Questionnaire for Patients Requesting Mailed Guides .. Feedback Questionnaire for Patients Visiting Mobile Web site ...... 30 36 300 200 200 23 27 75 33 33 $83.59 14.31 21.35 21.35 21.35 $1,923 386 1,601 705 705 Total .......................................................................................... 766 191 na 5,320 * Based upon the mean wages for clinicians (29–1062 family and general practitioners), clinical team members (31–9092 medical assistants) and 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 $203,531 annually. 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 ......................................................................................................................................................... $146,175 85,425 65,375 47,588 62,500 $73,088 42,713 32,688 23,794 31,250 Total .......................................................................................................................................................... 407,063 203,531 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. VerDate Mar<15>2010 17:14 Jan 25, 2012 Jkt 226001 Dated: January 17, 2012. Carolyn M. Clancy, Director. [FR Doc. 2012–1402 Filed 1–25–12; 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: ‘‘Nursing Home Survey on Patient Safety Culture Comparative Database.’’ In accordance with the Paperwork Reduction Act, 44 U.S.C. 3501–3521, AHRQ invites the public to comment on this proposed information collection. This proposed information collection was previously published in the Federal SUMMARY: PO 00000 Frm 00041 Fmt 4703 Sfmt 4703 Register on November 2nd, 2011 and allowed 60 days for public comment. No comments were received. The purpose of this notice is to allow an additional 30 days for public comment. DATES: Comments on this notice must be received by February 27, 2012. 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 email at doris.lefkowitz@AHRQ.hhs.gov. SUPPLEMENTARY INFORMATION: Proposed Project Nursing Home Survey on Patient Safety Culture Comparative Database 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, AHRQ’s E:\FR\FM\26JAN1.SGM 26JAN1

Agencies

[Federal Register Volume 77, Number 17 (Thursday, January 26, 2012)]
[Notices]
[Pages 4036-4038]
From the Federal Register Online via the Government Printing Office [www.gpo.gov]
[FR Doc No: 2012-1402]



[[Page 4036]]

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

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 
Center Products through Mobile Phone Applications.'' In accordance with 
the Paperwork Reduction Act, 44 U.S.C. 3501-3521, AHRQ invites the 
public to comment on this proposed information collection.
    This proposed information collection was previously published in 
the Federal Register on November 15th, 2011 and allowed 60 days for 
public comment. No comments were received. The purpose of this notice 
is to allow an additional 30 days for public comment.

DATES: Comments on this notice must be received by February 27, 2012.

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 email at 
doris.lefkowitz@AHRO.hhs.gov.

SUPPLEMENTARY INFORMATION:

Proposed Project

Assessing the Feasibility of Disseminating Effective Health Center 
Products Through Mobile Phone Applications

    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 using 
specific media and awareness-raising processes to encourage consumers 
who are at risk for selected health problems for which EHC Program 
materials are available to access information about such materials 
using mobile phone technologies. The project will specifically focus on 
promoting awareness of eight consumer guides developed through the EHC 
Program. The guides are all published in English and Spanish-language 
versions. All of the guides are designed to help decision makers, 
including clinicians and health care consumers, use research evidence 
to maximize the benefits of health care, minimize harm, and optimize 
the use of health care resources.
    The project will test the feasibility of using mobile telephone 
technology for the dissemination of EHC Program materials to 
underserved health consumer populations using: (a) Short message 
services (SMS), usually referred to as texting, that can be provided to 
people with basic cell phone service and texting support; and (b) 
mobile Web access that provides access to the Internet via a mobile 
interface.
    Different methods and/or vehicles will be used to promote awareness 
of opportunities to obtain cell phone- or smart phone-based information 
about the availability of EHC Program materials including: (1) Wall 
posters in patient service areas of the three (3) participating 
clinics; (2) flyers about the products distributed in magazine racks 
and through patient kiosks in some areas of the clinics; (3) flyers/
announcements given to patients at checkout from the clinic; and (4) 
health fairs convened to address general health issues, where the 
information can be provided. Promotional materials will invite 
potential users to send a specific text message with the keyword 
associated with the relevant health condition to the advertised number. 
Subjects will receive a response text with a brief message about the 
condition and an invitation to either (a) request a printed consumer 
guide or (b) access the mobile Web site to view the guide.
    This project has the following goals:
    (1) Summarize marketing efforts in terms of total numbers of 
posters, flyers, and information sheets distributed through specific 
venues (e.g., patient waiting areas, patient check-out processes) and 
numbers of individuals contacted through health fairs and related 
activities;
    (2) Summarize the extent to which persons in targeted patient 
populations responded to marketing efforts;
    (3) Assess patient satisfaction with: (a) The means by which 
patients were alerted as to the availability of EHC Program materials; 
(b) the methods patients used to request and access the EHC Program 
materials; and (c) the value and relevancy of the information that they 
obtained;
    (4) Characterize perceptions of clinical care providers and 
clinical staff persons in terms of: (a) The value of efforts to promote 
patient awareness of EHC Program materials using marketing techniques 
described in this feasibility project; and (b) the effect of these 
efforts on workflow issues and related aspects of clinic operations.
    This study is being conducted by AHRQ through its contractor, the 
Eisenberg Center--Baylor College of Medicine, pursuant to AHRQ's 
statutory 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 both 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) Focus Groups with Clinicians. A focus group will be conducted 
at each of the three participating clinics during regularly scheduled 
internal clinic meetings, to determine how the introduction of 
marketing materials and related resources influenced, if at all, 
delivery of care in the clinical settings. Special emphasis will be 
placed on determining if introduction of the project materials changed 
the ways in which patients interacted with clinicians. It is expected 
that each focus

[[Page 4037]]

group will include no more than 10 clinical professionals (e.g., 
physicians, physician assistants, nurses and nurse practitioners, 
pharmacists).
    (2) Focus Groups with Support Staff. A focus group will be 
conducted with support staff working in each of the three participating 
clinics, during regularly scheduled meetings, to determine if the 
introduction of the project materials altered clinic workflows. It is 
expected that each focus group will include no more than 12 support 
staff (e.g., receptionists, nursing assistants, other personnel who 
interact with patients).
    (3) Patient Interviews. In-person interviews conducted immediately 
after the patient exits the clinic will be used to determine if 
patients: (a) Saw and understood the marketing materials (e.g., posters 
and flyers) in clinic settings; (b) were encouraged by the marketing 
materials to text and request information about their health issue(s); 
(c) could identify specific reasons why they did or did not text; and 
(d) have suggestions about how marketing materials might be changed so 
that they would be more likely to encourage patients like themselves to 
text.
    (4) Feedback Questionnaire for Patients Requesting Mailed Guides. 
All persons that respond to the marketing materials by requesting any 
of the eight guides to be mailed to them will be asked to complete a 
brief paper questionnaire included with the guides. The purpose of the 
questionnaire is to assess the extent to which the guides were easy to 
read and understand, whether the guides provided the information they 
sought, and any suggestions for improving and delivering the guides.
    (5) Feedback Questionnaire for Patients Visiting the Mobile Web 
Site. All persons that access the guides via the mobile Web site will 
be asked to complete a brief online questionnaire. Only subjects 
exposed to the promotion materials will receive the address of the 
mobile Web site during the text message conversation, and therefore we 
expect no other individuals to visit this site. The purpose of the 
questionnaire is to determine if the guides were useful, the mobile Web 
site was easy to use, whether they found the information they needed 
and experienced any difficulty in accessing the guides through their 
cell phone.
    (6) Usage Log Data. Data from automated electronic log systems will 
be collected from two sources: (1) Mobile Commons, the contractor that 
manages the cell phone-related message delivery and cell phone-based 
communication; and (2) the Eisenberg Center at Baylor College of 
Medicine that manages the EHC Web site visits. Usage log data gathered 
from the cell phone service contractor will include: (1) Counts of text 
messages received from persons requesting information about consumer 
guides; (2) the distribution of message counts across originating 
clinics tracked through the use of distinctive call-in or short code 
numbers assigned to each clinic; and (3) the numbers and originating 
clinic-specific distributions of follow-up texts Because text 
communications will be date and time stamped, Eisenberg Center staff 
will be able to calculate mean durations in time from receipt of the 
initial messages and follow-ups, which may be useful in determining 
navigation patterns and suggesting connectivity barriers. Usage log 
data gathered from the mobile Web site will allow for identification 
of: (1) The number of visitors that originate from a specific uniform 
record locator (URL) associated with each clinic; (2) the duration of 
visits to the EHC Web site to gather desired information and explore 
other resources available through the Web site; (3) the number of pages 
viewed by each visitor; and (4) the number of downloads of the full 
report associated with each guide, which will also be made available. 
These data will be obtained using automated systems already in place, 
and no special effort will be needed to generate these data; this task 
is not included in the burden estimates in Exhibit 1 below.
    The Eisenberg Center will determine the feasibility of this 
approach to encouraging patients and anyone else viewing the marketing 
materials to access information that may be helpful to them in 
understanding health care choices and engaging more fully in their own 
health care, and whether this approach should be pursued further. This 
information will be used to determine the feasibility of: (a) Mounting 
broader efforts to distribute consumer guides, as well as other EHC 
Program products, using mobile technologies as tools to heighten 
awareness of these resources by potential users who rely on mobile 
communication devices for information access; and (b) initiating 
additional studies to identify factors that encourage or deter 
effective use of increasingly pervasive communication modalities (e.g., 
cell phones, smart phones) in communicating with care providers and 
others and to access information from the Internet and health-related 
Web sites.

Estimated Annual Respondent Burden

    Exhibit 1 shows the estimated annualized burden for the 
respondents' time to participate in this research. Focus groups will be 
conducted with about 10 clinicians per each of the 3 participating 
clinics (30 total) and about 12 clinical support staff per clinic (36 
total), and will last 45 minutes. Interviews will be conducted with 
about 100 patients per clinic (300 total) upon exit from the clinical 
visit, with each interview lasting about 15 minutes. The Feedback 
Questionnaire for the Mailed Guides will be completed by approximately 
200 persons and will take 10 minutes to complete and the Feedback 
Questionnaire for the Mobile site will be completed by about 200 
persons and also requires 10 minutes to complete. The total annual 
burden is estimated to be 191 hours. Exhibit 2 shows the estimated 
annualized cost burden associated with the respondent's time to 
participate in this research. The total annual cost burden is estimated 
to be $5,320.

                               Exhibit 1--Estimated Annualized Total Burden Hours
----------------------------------------------------------------------------------------------------------------
                                              Number of
        Type of data  collection           respondents per      Number of         Hours per       Total burden
                                             respondent         responses         response            hours
----------------------------------------------------------------------------------------------------------------
Focus Groups with Clinicians............                30                 1             45/60                23
Focus Groups with Support Staff.........                36                 1             45/60                27
Patient Interviews......................               300                 1             15/60                75
Feedback Questionnaire for Patients                    200                 1             10/60                33
 Requesting Mailed Guides...............
Feedback Questionnaire for Patients                    200                 1             10/60                33
 Visiting Mobile Web site...............
                                         -----------------------------------------------------------------------
    Total...............................               766                na                na               191
----------------------------------------------------------------------------------------------------------------


[[Page 4038]]


                                Exhibit 2--Estimated Annualized Total Cost Burden
----------------------------------------------------------------------------------------------------------------
                                              Number of       Total burden     Average hourly      Total cost
        Type of data  collection             respondents          hours          wage rate *         burden
----------------------------------------------------------------------------------------------------------------
Focus Groups with Clinicians............                30                23            $83.59            $1,923
Focus Groups with Support Staff.........                36                27             14.31               386
Patient Interviews......................               300                75             21.35             1,601
Feedback Questionnaire for Patients                    200                33             21.35               705
 Requesting Mailed Guides...............
Feedback Questionnaire for Patients                    200                33             21.35               705
 Visiting Mobile Web site...............
                                         -----------------------------------------------------------------------
    Total...............................               766               191                na             5,320
----------------------------------------------------------------------------------------------------------------
* Based upon the mean wages for clinicians (29-1062 family and general practitioners), clinical team members (31-
  9092 medical assistants) and 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 
$203,531 annually. 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.................          $146,175           $73,088
Data Collection Activities..........            85,425            42,713
Data Processing and Analysis........            65,375            32,688
Project Management..................            47,588            23,794
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: January 17, 2012.
Carolyn M. Clancy,
Director.
[FR Doc. 2012-1402 Filed 1-25-12; 8:45 am]
BILLING CODE 4160-90-M