Agency Information Collection Activities: Proposed Collection; Comment Request, 49516-49518 [2013-19724]

Download as PDF 49516 Federal Register / Vol. 78, No. 157 / Wednesday, August 14, 2013 / Notices DEPARTMENT OF HEALTH AND HUMAN SERVICES Meeting of the Presidential Advisory Council on HIV/AIDS Office of the Assistant Secretary for Health, Office of the Secretary, Department of Health and Human Services. ACTION: Notice. AGENCY: As stipulated by the Federal Advisory Committee Act, the U.S. Department of Health and Human Service (DHHS) is hereby giving notice that the Presidential Advisory Council on HIV/AIDS (PACHA) will hold a meeting to discuss the Ryan White Program. The meeting will be open to the public. DATES: The meeting will be held on September 18–19, 2013 from 9:00 a.m. to approximately 5:30 p.m. (EDT). ADDRESSES: U.S. Department of Health and Human Services, 200 Independence Avenue SW., Washington, DC 20201. FOR FURTHER INFORMATION CONTACT: Ms. Caroline Talev, Public Health Analyst, Presidential Advisory Council on HIV/ AIDS, Department of Health and Human Services, 200 Independence Avenue SW., Room 443H, Hubert H. Humphrey Building, Washington, DC 20201; phone: (202) 205–1178; email caroline.talev@hhs.gov. More detailed information about PACHA can be obtained by accessing the Council’s Web site www.aids.gov/pacha. SUPPLEMENTARY INFORMATION: PACHA was established by Executive Order 12963, dated June 14, 1995, as amended by Executive Order 13009, dated June 14, 1996. The Council was established to provide advice, information, and recommendations to the Secretary regarding programs and policies intended to promote effective prevention and cure of HIV disease and AIDS. The functions of the Council are solely advisory in nature. The Council consists of not more than 25 members. Council members are selected from prominent community leaders with particular expertise in, or knowledge of, matters concerning HIV and AIDS, public health, global health, philanthropy, marketing or business, as well as other national leaders held in high esteem from other sectors of society. Council members are appointed by the Secretary or designee, in consultation with the White House Office on National AIDS Policy. The agenda for the upcoming meeting will be posted on the Council’s Web site at www.aids.gov/pacha. Public attendance at the meeting is limited to space available. Individuals tkelley on DSK3SPTVN1PROD with NOTICES SUMMARY: VerDate Mar<15>2010 16:16 Aug 13, 2013 Jkt 229001 who plan to attend and need special assistance, such as sign language interpretation or other reasonable accommodations, should notify the designated contact person. Due to space constraints, pre-registration for public attendance is advisable and can be accomplished by contacting Caroline Talev at caroline.talev@hhs.gov by Wednesday, September 11, 2013. Members of the public will have the opportunity to provide comments at the meeting. Any individual who wishes to participate in the public comment session must register with Caroline Talev at caroline.talev@hhs.gov; registration for public comment will not be accepted by telephone. Individuals who register to participate in the public comments session are encouraged to provide a hard copy of their comments to ensure accuracy of this information in the minutes developed for the meeting. The hard copy of the comments can be brought to the meeting and given to the designated PACHA staff member or sent in advance of the meeting to Caroline Talev at caroline.talev@hhs.gov. Public comment will be limited to two minutes per speaker. Any members of the public who wish to have printed material distributed to PACHA members at the meeting should submit, at a minimum, one copy of the materials to Caroline Talev, no later than close of business Wednesday, September 11, 2013. Dated: July 24, 2013. B. Kaye Hayes, Executive Director, Presidential Advisory Council on HIV/AIDS. [FR Doc. 2013–19644 Filed 8–13–13; 8:45 am] BILLING CODE 4150–43–P 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 Children’s Health Insurance Program Reauthorization Act of 2009 (CHIPRA) Quality Demonstration Grant Program: Survey Data Collection.’’ In accordance with SUMMARY: PO 00000 Frm 00073 Fmt 4703 Sfmt 4703 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 May 31st, 2013 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 September 13, 2013. 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 Evaluation of the Children’s Health Insurance Program Reauthorization Act of 2009 (CHIPRA) Quality Demonstration Grant Program: Survey Data Collection The Children’s Health Insurance Program Reauthorization Act of 2009 (CHIPRA), Public Law 111–3, included funding for five-year grants so that States could experiment with and evaluate several promising ideas related to improving the quality of children’s health care in Medicaid and CHIP. In February 2010, the Centers for Medicare & Medicaid Services (CMS) announced the award of 10 demonstration grants to States that convincingly articulated an achievable vision of what they could accomplish by the end of the five-year grant period, described strategies they would use to achieve the objectives, and explained how the strategies would achieve the objectives. Applicants were encouraged by CMS to address multiple grant categories (described below) and to partner with other States in designing and implementing their projects. Of the 10 grantee States selected, six are partnering with other States, for a total of 18 demonstration States. The demonstration States are: Colorado (partnering with New Mexico); Florida (with Illinois); Maine (with Vermont); Maryland (with Wyoming and Georgia); Massachusetts; North Carolina; Oregon E:\FR\FM\14AUN1.SGM 14AUN1 49517 Federal Register / Vol. 78, No. 157 / Wednesday, August 14, 2013 / Notices (with Alaska and West Virginia); Pennsylvania; South Carolina; and Utah (with Idaho). These demonstration States are implementing 51 distinct projects in at least one of five possible grant categories, A to E. Category A grantees are experimenting with and/or evaluating the use of pediatric quality measures, including those in the initial core set of children’s health care quality measures (a group of measures developed for state Medicaid and CHIP agencies to report in a standardized fashion to CMS). Category B grantees are promoting health information technologies for improved care delivery and patient outcomes. Category C grantees are implementing personcentered medical homes or other provider-based levels of service delivery. Category D grantees will evaluate the impact of a model pediatric electronic health record. Category E grantees are testing other State-designed approaches to quality improvement in Medicaid and CHIP. AHRQ’s goal in supporting an evaluation of the CHIPRA Quality Demonstration Grant Program is to provide insight into how best to implement quality improvement programs as well as information on how successful programs can be replicated to improve children’s health care quality in Medicaid and CHIP. The specific goals of this project are as follows: 1. Identify CHIPRA State activities that measurably improve the nation’s health care, especially as it pertains to children. 2. Develop a deep, systematic understanding of how CHIPRA demonstration States carried out their grantfunded projects. 3. Understand why the CHIPRA demonstration States pursued certain strategies. 4. Understand whether and how the CHIPRA demonstration States’ efforts affected outcomes related to knowledge and behavior change in targeted providers and/or consumers of health care. This study is being conducted by AHRQ through its contractor, Mathematica Policy Research Inc., and their subcontractors, the Urban Institute and AcademyHealth, pursuant to AHRQ’s statutory authority to conduct and support research on health care 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 with respect to quality measurement and improvement. 42 U.S.C. 299a(a)(1) and (2). Method of Collection To meet these goals AHRQ has designed a comprehensive evaluation that will make the best use of qualitative and quantitative research methods. The evaluation will include a survey of pediatricians and family physicians. This survey will include a random sample of physicians in Massachusetts, North Carolina, Ohio, and Pennsylvania. The questionnaire includes questions that support an analysis of (1) Physician attitudes towards specific strategies and resources aimed at improving the quality of care provided to pediatric patients; (2) the extent to which physicians’ practices have attempted to implement changes in order to improve the quality of care provided to pediatric patients; (3) physician attitudes towards the utility of receiving performance feedback on nine of measures in the core quality measure set that are most relevant to primary care; (4) perceived usefulness of quality-of-care reports received by physician practices; (5) current practices and attitudes towards pay-for-performance financial incentive systems based on quality measure outcomes; (6) physicians’ uses of and attitudes towards electronic health records (EHR) in quality measurement and improvement; (7) current and expected medical home accreditation processes; and (8) physician and practice demographic information. These data will be analyzed in conjunction with CMS claims data to gain insight on physician perspectives on quality measures and quality reporting and foster understanding of the strategies and resources that seemed to contribute most (or least) to those outcomes. A separate information collection request will be submitted for interviews and focus groups that are part of this evaluation. Administrative and survey data will be analyzed with descriptive and inferential techniques appropriate to answering questions about outcomes and impacts. Estimated Annual Respondent Burden Exhibit 1 shows the estimated annualized burden hours for the respondents’ time to participate in this evaluation. The survey will be completed by 1,200 pediatricians and family physicians working in primary care settings in four States (300 per State) and takes 15 minutes to complete. The total burden is estimated to be 300 hours. EXHIBIT 1—ESTIMATED ANNUALIZED BURDEN HOURS Number of respondents Form name Number of responses per respondent Hours per response Total burden hours Pediatrician and Family Physician Survey ...................................................... 1,200 1 15/60 300 Total .......................................................................................................... 1,200 n/a n/a 300 Exhibit 2 shows the estimated annualized cost burden associated with the respondents’ time to participate in this evaluation. The total cost burden is estimated to be $25,578. tkelley on DSK3SPTVN1PROD with NOTICES EXHIBIT 2—ESTIMATED ANNUALIZED COST BURDEN Number of respondents Form name Pediatrician and Family Physician Survey ...................................................... VerDate Mar<15>2010 16:16 Aug 13, 2013 Jkt 229001 PO 00000 Frm 00074 Fmt 4703 Sfmt 4703 Total burden hours 1,200 E:\FR\FM\14AUN1.SGM 300 14AUN1 Average hourly wage rate * $85.26 Total cost burden $25,578 49518 Federal Register / Vol. 78, No. 157 / Wednesday, August 14, 2013 / Notices EXHIBIT 2—ESTIMATED ANNUALIZED COST BURDEN—Continued Number of respondents Form name Total .......................................................................................................... Total burden hours 1,200 300 Average hourly wage rate * n/a Total cost burden 25,578 * Based upon the higher of the two means of the hourly wages for general and family practitioners and general pediatricians, National Compensation Survey: ‘‘May 2011 National Occupational Employment and Wage Estimates, United States.’’ U.S. Department of Labor, Bureau of Labor Statistics. 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 health care research and health care information dissemination functions, including whether the information will have practical utility; (b) the accuracy of AHRQ’s estimate of burden (including hours and costs) of the proposed collection(s) of 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: August 2, 2013. Carolyn M. Clancy, AHRQ Director. [FR Doc. 2013–19724 Filed 8–13–13; 8:45 am] BILLING CODE 4160–90–P DEPARTMENT OF HEALTH AND HUMAN SERVICES Agency for Healthcare Research and Quality Agency Information Collection Activities: Proposed Collection; Comment Request Agency for Healthcare Research and Quality, HHS. ACTION: Notice. tkelley on DSK3SPTVN1PROD with NOTICES 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: ‘‘Collection of Information for Agency SUMMARY: VerDate Mar<15>2010 16:16 Aug 13, 2013 Jkt 229001 for Healthcare Research and Quality’s (AHRQ) Consumer Assessment of Healthcare Providers and Systems (CAHPS) Health Plan Survey 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. DATES: Comments on this notice must be received by October 15, 2013. 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 Collection of Information for Agency for Healthcare Research and Quality’s (AHRQ) Consumer Assessment of Healthcare Providers and Systems (CAHPS) Health Plan Survey Comparative Database Request for information collection approval. The Agency for Healthcare Research and Quality (AHRQ) requests that the Office of Management and Budget (OMB) reapprove, under the Paperwork Reduction Act of 1995, AHRQ’s collection of information for the AHRQ Consumer Assessment of Healthcare Providers and Systems (CAHPS) Database for Health Plans: OMB Control number 0935–0165, expiration July 31, 2013. The CAHPS Health Plan Database consists of data from the AHRQ CAHPS Health Plan Survey. Health plans in the U.S. are asked to voluntarily submit data from the survey to AHRQ, through its contractor, Westat. The CAHPS Database was developed by AHRQ in 1998 in response to requests from health plans, purchasers, and the Centers for Medicare & Medicaid Services (CMS) to provide comparative data to support PO 00000 Frm 00075 Fmt 4703 Sfmt 4703 public reporting of health plan ratings, health plan accreditation and quality improvement. Background on the CAHPS Health Plan Survey. The CAHPS Health Plan Survey is a tool for collecting standardized information on enrollees’ experiences with health plans and their services. The development of the CAHPS Health Plan Survey began in 1995, when AHRQ awarded the first set of CAHPS grants to Harvard, RTI, and RAND. In 1997 the CAHPS 1.0 survey was released by the CAHPS Consortium. The CAHPS Consortium refers to the research organizations involved in the development, dissemination, and support of CAHPS products. The current Consortium includes AHRQ, CMS, RAND, Yale School of Public Health, and Westat. Since that time, the Consortium has clarified and updated the survey instrument to reflect field test results; feedback from industry experts; reports from health plan participants, data collection vendors, and other users; and evidence from cognitive testing and focus groups. In November 2006, the CAHPS Consortium released the latest version of the instrument: the CAHPS Health Plan Survey 4.0. The development of this update to the Health Plan Survey has been part of the ‘‘Ambulatory CAHPS (A–CAHPS) Initiative,’’ which arose as a result of extensive research conducted with users. AHRQ released the CAHPS Health Plan Survey 4.0, along with guidance on how to customize and administer it. The National Quality Forum endorsed the 4.0 version of the Health Plan Survey in July 2007. Rationale for the information collection. The CAHPS Health Plan Database uses data from AHRQ’s standardized CAHPS Health plan survey to provide comparative results to health care purchasers, consumers, regulators and policy makers across the country. The Database also provides data for AHRQ’s annual National Healthcare Quality and National Healthcare Disparities Reports. Voluntary participants include public and private employers, State Medicaid agencies, State Children’s Health Insurance E:\FR\FM\14AUN1.SGM 14AUN1

Agencies

[Federal Register Volume 78, Number 157 (Wednesday, August 14, 2013)]
[Notices]
[Pages 49516-49518]
From the Federal Register Online via the Government Printing Office [www.gpo.gov]
[FR Doc No: 2013-19724]


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

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 Children's Health Insurance Program 
Reauthorization Act of 2009 (CHIPRA) Quality Demonstration Grant 
Program: Survey Data Collection.'' 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 May 31st, 2013 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 September 13, 2013.

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

Evaluation of the Children's Health Insurance Program Reauthorization 
Act of 2009 (CHIPRA) Quality Demonstration Grant Program: Survey Data 
Collection

    The Children's Health Insurance Program Reauthorization Act of 2009 
(CHIPRA), Public Law 111-3, included funding for five-year grants so 
that States could experiment with and evaluate several promising ideas 
related to improving the quality of children's health care in Medicaid 
and CHIP. In February 2010, the Centers for Medicare & Medicaid 
Services (CMS) announced the award of 10 demonstration grants to States 
that convincingly articulated an achievable vision of what they could 
accomplish by the end of the five-year grant period, described 
strategies they would use to achieve the objectives, and explained how 
the strategies would achieve the objectives. Applicants were encouraged 
by CMS to address multiple grant categories (described below) and to 
partner with other States in designing and implementing their projects.
    Of the 10 grantee States selected, six are partnering with other 
States, for a total of 18 demonstration States. The demonstration 
States are: Colorado (partnering with New Mexico); Florida (with 
Illinois); Maine (with Vermont); Maryland (with Wyoming and Georgia); 
Massachusetts; North Carolina; Oregon

[[Page 49517]]

(with Alaska and West Virginia); Pennsylvania; South Carolina; and Utah 
(with Idaho).
    These demonstration States are implementing 51 distinct projects in 
at least one of five possible grant categories, A to E. Category A 
grantees are experimenting with and/or evaluating the use of pediatric 
quality measures, including those in the initial core set of children's 
health care quality measures (a group of measures developed for state 
Medicaid and CHIP agencies to report in a standardized fashion to CMS). 
Category B grantees are promoting health information technologies for 
improved care delivery and patient outcomes. Category C grantees are 
implementing person-centered medical homes or other provider-based 
levels of service delivery. Category D grantees will evaluate the 
impact of a model pediatric electronic health record. Category E 
grantees are testing other State-designed approaches to quality 
improvement in Medicaid and CHIP.
    AHRQ's goal in supporting an evaluation of the CHIPRA Quality 
Demonstration Grant Program is to provide insight into how best to 
implement quality improvement programs as well as information on how 
successful programs can be replicated to improve children's health care 
quality in Medicaid and CHIP. The specific goals of this project are as 
follows:

    1. Identify CHIPRA State activities that measurably improve the 
nation's health care, especially as it pertains to children.
    2. Develop a deep, systematic understanding of how CHIPRA 
demonstration States carried out their grant-funded projects.
    3. Understand why the CHIPRA demonstration States pursued 
certain strategies.
    4. Understand whether and how the CHIPRA demonstration States' 
efforts affected outcomes related to knowledge and behavior change 
in targeted providers and/or consumers of health care.

    This study is being conducted by AHRQ through its contractor, 
Mathematica Policy Research Inc., and their subcontractors, the Urban 
Institute and AcademyHealth, pursuant to AHRQ's statutory authority to 
conduct and support research on health care 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 with respect to quality measurement and 
improvement. 42 U.S.C. 299a(a)(1) and (2).

Method of Collection

    To meet these goals AHRQ has designed a comprehensive evaluation 
that will make the best use of qualitative and quantitative research 
methods. The evaluation will include a survey of pediatricians and 
family physicians. This survey will include a random sample of 
physicians in Massachusetts, North Carolina, Ohio, and Pennsylvania. 
The questionnaire includes questions that support an analysis of (1) 
Physician attitudes towards specific strategies and resources aimed at 
improving the quality of care provided to pediatric patients; (2) the 
extent to which physicians' practices have attempted to implement 
changes in order to improve the quality of care provided to pediatric 
patients; (3) physician attitudes towards the utility of receiving 
performance feedback on nine of measures in the core quality measure 
set that are most relevant to primary care; (4) perceived usefulness of 
quality-of-care reports received by physician practices; (5) current 
practices and attitudes towards pay-for-performance financial incentive 
systems based on quality measure outcomes; (6) physicians' uses of and 
attitudes towards electronic health records (EHR) in quality 
measurement and improvement; (7) current and expected medical home 
accreditation processes; and (8) physician and practice demographic 
information. These data will be analyzed in conjunction with CMS claims 
data to gain insight on physician perspectives on quality measures and 
quality reporting and foster understanding of the strategies and 
resources that seemed to contribute most (or least) to those outcomes.
    A separate information collection request will be submitted for 
interviews and focus groups that are part of this evaluation. 
Administrative and survey data will be analyzed with descriptive and 
inferential techniques appropriate to answering questions about 
outcomes and impacts.

Estimated Annual Respondent Burden

    Exhibit 1 shows the estimated annualized burden hours for the 
respondents' time to participate in this evaluation. The survey will be 
completed by 1,200 pediatricians and family physicians working in 
primary care settings in four States (300 per State) and takes 15 
minutes to complete. The total burden is estimated to be 300 hours.

                                  Exhibit 1--Estimated Annualized Burden Hours
----------------------------------------------------------------------------------------------------------------
                                                                     Number of
                    Form name                        Number of     responses per     Hours per     Total burden
                                                    respondents     respondent       response          hours
----------------------------------------------------------------------------------------------------------------
Pediatrician and Family Physician Survey........           1,200               1           15/60             300
                                                 ---------------------------------------------------------------
    Total.......................................           1,200             n/a             n/a             300
----------------------------------------------------------------------------------------------------------------

    Exhibit 2 shows the estimated annualized cost burden associated 
with the respondents' time to participate in this evaluation. The total 
cost burden is estimated to be $25,578.

                                   Exhibit 2--Estimated Annualized Cost Burden
----------------------------------------------------------------------------------------------------------------
                                                     Number of     Total burden   Average hourly    Total cost
                    Form name                       respondents        hours        wage rate *       burden
----------------------------------------------------------------------------------------------------------------
Pediatrician and Family Physician Survey........           1,200             300          $85.26         $25,578
                                                 ---------------------------------------------------------------

[[Page 49518]]

 
    Total.......................................           1,200             300             n/a          25,578
----------------------------------------------------------------------------------------------------------------
* Based upon the higher of the two means of the hourly wages for general and family practitioners and general
  pediatricians, National Compensation Survey: ``May 2011 National Occupational Employment and Wage Estimates,
  United States.'' U.S. Department of Labor, Bureau of Labor Statistics.

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 health care research and 
health care information dissemination functions, including whether the 
information will have practical utility; (b) the accuracy of AHRQ's 
estimate of burden (including hours and costs) of the proposed 
collection(s) of 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: August 2, 2013.
Carolyn M. Clancy,
AHRQ Director.
[FR Doc. 2013-19724 Filed 8-13-13; 8:45 am]
BILLING CODE 4160-90-P