Agency Information Collection Activities: Proposed Collection; Comment Request, 9209-9211 [2014-03484]

Download as PDF Federal Register / Vol. 79, No. 32 / Tuesday, February 18, 2014 / Notices 9209 SUBMISSIONS WILL BE JUDGED BASED ON THE FOLLOWING METRIC—Continued Criteria Technical competence and capabilities Use of data to provide effective outcomes Creativity/innovation Valuable information and insights regarding data Level 5 ........... Solver product meets all requirements outlined in the challenge and provides additional, unique, useful capabilities that meet the overall goal of the challenge. Uses the data provided by OGP as well as additional, publicly-available data from a variety of sources to produce outstanding outcomes. Is extremely innovative and creative, leading to new insights and desirable outcomes. Information provided is extensive, well thought-out, valuable, and insightful. Judges There will be six judges, each a senior career official of GSA with expertise in government-wide policy, travel, information technology, and/or acquisition. Each judge will award a score to each submission and the winner(s) of the competition will be decided based on the highest average overall score. GSA will also have a technical advisor from Sabre, Inc who will assist the judges in evaluating the submissions as needed. However, the technical advisor will not vote in determining the prizes. Judges will only participate in judging submissions for which they do not have any conflicts of interest. Judges are: Anne Rung, GSA Associate Administrator for Government-wide Policy—Craig Flynn, Director—Travel Policy Division, Office of Government-wide Policy—Kris Rowley, GSA Office of the Chief Information Officer—Tim Burke, GSA Federal Acquisition Service—Jon Bearscove, GSA FAS Region 10—Sonny Hashmi—Acting Chief Information Officer—GSA Technical Advisor: Sam Gilliland, Sabre Technologies. Registration: Anyone intending to participate in the Travel Data Challenge can register by contacting Katherine Pearlman via katherine.pearlman@gsa.gov. Upon registration, you will be sent the sample data sets to use in solving the challenge. Submission of Entries tkelley on DSK3SPTVN1PROD with NOTICES Entries must be submitted online via ChallengePost by 11:59 p.m. EST on April 11th, 2014. Dated: February 10, 2014. Anne Rung, Associate Administrator, Office of Government-wide Policy, General Services Administration. [FR Doc. 2014–03191 Filed 2–14–14; 8:45 am] BILLING CODE 6820–14–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. AGENCY: ACTION: Notice. This notice announces the intention of the Agency for Healthcare Research and Quality (AHRQ) to request that the Office of Management and Budget (OMB) approve the proposed information collection project: ‘‘Pharmacy Survey on Patient Safety Culture Comparative Database.’’ In accordance with the Paperwork Reduction Act of 1995, 44 U.S.C. 3506(c)(2)(A), AHRQ invites the public to comment on this proposed information collection. This proposed information collection was previously published in the Federal Register on December 6th, 2013 and allowed 60 days for public comment. One comment was received. The purpose of this notice is to allow an additional 30 days for public comment. SUMMARY: Comments on this notice must be received by March 20, 2014. DATES: 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. ADDRESSES: FOR FURTHER INFORMATION CONTACT: Doris Lefkowitz, AHRQ Reports Clearance Officer, (301) 427–1477, or by email at doris.lefkowitz@ahrq.hhs.gov. SUPPLEMENTARY INFORMATION: VerDate Mar<15>2010 20:58 Feb 14, 2014 Jkt 232001 PO 00000 Frm 00053 Fmt 4703 Sfmt 4703 Proposed Project Pharmacy Survey on Patient Safety Culture Comparative Database. In 1999, the Institute of Medicine called for health care organizations to develop a ‘‘culture of safety’’ such that their workforce and processes focus on improving the reliability and safety of care for patients (IOM, 1999; To Err is Human: Building a Safer Health System). To respond to the need for tools to assess patient safety culture in health care, AHRQ developed and pilot tested the Pharmacy Survey on Patient Safety Culture with OMB approval (OMB NO. 0935–0183; Approved 08/12/ 2011). The survey is designed to enable pharmacies to assess staff opinions about patient and medication safety and quality-assurance issues, and includes 36 items that measure 11 dimensions of patient safety culture. AHRQ made the survey publicly available along with a Survey User’s Guide and other toolkit materials in October 2012 on the AHRQ Web site. The AHRQ Pharmacy Survey on Patient Safety Culture (Pharmacy SOPS) Comparative Database consists of data from the AHRQ Pharmacy Survey on Patient Safety Culture. Pharmacies in the U.S. are asked to voluntarily submit data from the survey to AHRQ, through its contractor, Westat. The Pharmacy SOPS Database is modeled after three other SOPS databases: Hospital SOPS [OMB NO. 0935–0162; Approved 05/04/ 2010]; Medical Office SOPS [OMB NO. 0935–0196; Approved 06/12/12]; and Nursing Home SOPS [OMB NO. 0935– 0195; Approved 06/12/12] that were originally developed by AHRQ in response to requests from hospitals, medical offices, and nursing homes interested in knowing how their patient safety culture survey results compare to those of other similar health care organizations. Rationale for the information collection. The Pharmacy SOPS survey and the Pharmacy SOPS Comparative Database will support AHRQ’s goals of promoting improvements in the quality and safety of health care in pharmacy E:\FR\FM\18FEN1.SGM 18FEN1 9210 Federal Register / Vol. 79, No. 32 / Tuesday, February 18, 2014 / Notices settings. The survey, toolkit materials, and comparative database results are all made publicly available on AHRQ’s Web site. Technical assistance is provided by AHRQ through its contractor at no charge to pharmacies, to facilitate the use of these materials for pharmacy patient safety and quality improvement. The goal of this project is to create the Pharmacy SOPS Comparative Database. This database will: (1) Allow pharmacies to compare their patient safety culture survey results with those of other pharmacies, (2) provide data to pharmacies to facilitate internal assessment and learning in the patient safety improvement process, and (3) provide supplemental information to help pharmacies identify their strengths and areas with potential for improvement in patient safety culture. This study is being conducted by AHRQ through its contractor, WESTAT, pursuant to AHRQ’s statutory authority to conduct and support research 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 with respect to quality measurement and improvement. 42 U.S.C. 299a(a)(1) and (2). Method of Collection To achieve these goals the following data collections will be implemented: (1) Registration Form—The point-ofcontact (POC), the pharmacy manager or a survey participating organization, completes a number of data submission steps and forms, beginning with completion of an online Registration Form. The purpose of this form is to collect basic demographic information about the pharmacy and initiate the registration process. (2) Pharmacy Background Characteristics Form—The purpose of this form, completed by the pharmacy manager or a participating organization, is to collect background characteristics of the pharmacy. This information will be used to analyze data collected with the Pharmacy SOPS survey. 3) Data Use Agreement—The purpose of the data use agreement, completed by the pharmacy manager or participating organization is to state how data submitted by pharmacies will be used and provide confidentiality assurances. (4) Data Files Submission –POCs upload their data file(s), using the pharmacy data file specifications, to ensure that users submit standardized and consistent data in the way variables are named, coded, and formatted. The number of submissions to the database is likely to vary each year because pharmacies do not administer the survey and submit data every year. Survey data from the AHRQ Pharmacy Survey on Patient Safety Culture are used to produce three types of products: (1) A Pharmacy SOPS Comparative Database Report that is made publicly available on the AHRQ Web site, (2) Individual Pharmacy Survey Feedback Reports that are confidential, customized reports produced for each pharmacy that submits data to the database (the number of reports produced is based on the number of pharmacies submitting each year); and (3) Research data sets of individual-level and pharmacy-level deidentified data to enable researchers to conduct analyses. Estimated Annual Respondent Burden Exhibit 1 shows the estimated annualized burden hours for the respondent’s time to participate in the database. An estimated 150 POCs, each representing an average of 10 individual pharmacies each, will complete the database submission steps and forms annually. Completing the registration form will take about 5 minutes. The Pharmacy Background Characteristics Form is completed by all POCs for each of their pharmacies (150 x 10 = 1,500 forms in total) and is estimated to take 5 minutes to complete. Each POC will complete a data use agreement which takes 3 minutes to complete and submitting the data will take an hour on average. The total burden is estimated to be 296 hours. Exhibit 2 shows the estimated annualized cost burden based on the respondents’ time to submit their data. The cost burden is estimated to be $14,392 annually. EXHIBIT 1—ESTIMATED ANNUALIZED BURDEN HOURS Number of respondents/ POCs Form name Number of responses per POC Hours per response Total burden hours Registration Form ............................................................................................ Pharmacy Background Characteristics Form .................................................. Data Use Agreement ....................................................................................... Data Files Submission ..................................................................................... 150 150 150 150 1 10 1 1 5/60 5/60 3/60 1 13 125 8 150 Total .......................................................................................................... 600 NA NA 296 EXHIBIT 2—ESTIMATED ANNUALIZED COST BURDEN Number of respondents/ POCs Form name Total burden hours Average hourly wage rate* Total cost burden tkelley on DSK3SPTVN1PROD with NOTICES Registration Form ............................................................................................ Pharmacy Background Characteristics Form .................................................. Data Use Agreement ....................................................................................... Data Files Submission ..................................................................................... 150 150 150 150 13 125 8 150 $48.62 48.62 48.62 48.62 $632 6,078 389 7,293 Total .......................................................................................................... 600 296 NA 14,392 Mean hourly wage rate of $48.62 for General and Operations Managers (SOC code 11–1021) was obtained from the VerDate Mar<15>2010 20:58 Feb 14, 2014 Jkt 232001 May 2012 National Industry-Specific Occupational Employment and Wage Estimates, NAICS 446110—Pharmacies PO 00000 Frm 00054 Fmt 4703 Sfmt 4703 and Drug Stores located at http:// www.bls.gov/oes/current/naics5_ 446110.htm. E:\FR\FM\18FEN1.SGM 18FEN1 Federal Register / Vol. 79, No. 32 / Tuesday, February 18, 2014 / Notices Request for Comments In accordance with the above-cited Paperwork Reduction Act legislation, 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, quality improvement and 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: February 6, 2014. Richard Kronick, AHRQ Director. [FR Doc. 2014–03484 Filed 2–14–14; 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. 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: ‘‘AHRQ Grants Reporting System (GRS).’’ In accordance with the Paperwork Reduction Act, 44 U.S.C. 3501–3520, AHRQ invites the public to comment on this proposed information collection. tkelley on DSK3SPTVN1PROD with NOTICES SUMMARY: VerDate Mar<15>2010 20:58 Feb 14, 2014 Jkt 232001 This proposed information collection was previously published in the Federal Register on December 6th, 2013 and allowed 60 days for public comment. One comment was received. The purpose of this notice is to allow an additional 30 days for public comment. DATES: Comments on this notice must be received by March 20, 2014. 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 AHRQ Grants Reporting System (GRS) AHRQ has developed a systematic method for its grantees to report project progress and important preliminary findings for grants funded by the Agency. This system, the Grants Reporting System (GRS), was first approved by OMB on November 10, 2004. The system addressed the shortfalls in the previous reporting process and established a consistent and comprehensive grants reporting solution for AHRQ. The GRS provides a centralized repository of grants research progress and additional information that can be used to support initiatives within the Agency. This includes future research planning and support to administration activities such as performance monitoring, budgeting, knowledge transfer as well as strategic planning. This Project has the following goals: (1) To promote the transfer of critical information more frequently and efficiently and enhance the Agency’s ability to support research designed to improve the outcomes and quality of health care, reduce its costs, and broaden access to effective services; (2) To increase the efficiency of the Agency in responding to ad-hoc information requests; and (3) To support Executive Branch requirements for increased transparency and public reporting; PO 00000 Frm 00055 Fmt 4703 Sfmt 4703 9211 (4) To establish a consistent approach throughout the Agency for information collection regarding grant progress and a systematic basis for oversight and for facilitating potential collaborations among grantees; and, (5) To decrease the inconvenience and burden on grantees of unanticipated adhoc requests for information by the Agency in response to particular (onetime) internal and external requests for information. Method of Collection Grants Reporting System—Grantees use the GRS to report project progress and important preliminary findings for grants funded by the Agency. Grantees submit a progress report on a quarterly basis which is reviewed by AHRQ personnel. All users access the GRS system through a secure online interface which requires a user id and password entered through the GRS Login screen. When status reports are due, AHRQ notifies Principle Investigators (PI) and Vendors via email. The GRS is an automated userfriendly resource that is utilized by AHRQ staff for preparing, distributing, and reviewing reporting requests to grantees for the purpose of information sharing. AHRQ personnel are able to systematically search on the information collected and stored in the GRS database. Personnel will also use the information to address internal and/or external requests for information regarding grant progress, preliminary findings, and other requests, such as Freedom of Information Act requests, and producing responses related to federally mandated programs and regulations. Estimated Annual Respondent Burden Exhibit 1 shows the estimated annualized burden hours for the respondents. It will take grantees an estimated 10 minutes to enter the necessary data into the Grant Reporting System (GRS) and reporting will occur four times annually. The total annualized burden hours are estimated to be 333 hours. Exhibit 2 shows the estimated annualized cost burden for the respondents. The total estimated cost burden for respondents is $11,772. E:\FR\FM\18FEN1.SGM 18FEN1

Agencies

[Federal Register Volume 79, Number 32 (Tuesday, February 18, 2014)]
[Notices]
[Pages 9209-9211]
From the Federal Register Online via the Government Printing Office [www.gpo.gov]
[FR Doc No: 2014-03484]


=======================================================================
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DEPARTMENT OF HEALTH AND HUMAN SERVICES

Agency for Healthcare Research and Quality


Agency Information Collection Activities: Proposed Collection; 
Comment Request

AGENCY: 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: ``Pharmacy Survey on Patient Safety Culture Comparative 
Database.'' In accordance with the Paperwork Reduction Act of 1995, 44 
U.S.C. 3506(c)(2)(A), AHRQ invites the public to comment on this 
proposed information collection.
    This proposed information collection was previously published in 
the Federal Register on December 6th, 2013 and allowed 60 days for 
public comment. One comment was received. The purpose of this notice is 
to allow an additional 30 days for public comment.

DATES: Comments on this notice must be received by March 20, 2014.

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

Pharmacy Survey on Patient Safety Culture Comparative Database.

    In 1999, the Institute of Medicine called for health care 
organizations to develop a ``culture of safety'' such that their 
workforce and processes focus on improving the reliability and safety 
of care for patients (IOM, 1999; To Err is Human: Building a Safer 
Health System). To respond to the need for tools to assess patient 
safety culture in health care, AHRQ developed and pilot tested the 
Pharmacy Survey on Patient Safety Culture with OMB approval (OMB NO. 
0935-0183; Approved 08/12/2011). The survey is designed to enable 
pharmacies to assess staff opinions about patient and medication safety 
and quality-assurance issues, and includes 36 items that measure 11 
dimensions of patient safety culture. AHRQ made the survey publicly 
available along with a Survey User's Guide and other toolkit materials 
in October 2012 on the AHRQ Web site.
    The AHRQ Pharmacy Survey on Patient Safety Culture (Pharmacy SOPS) 
Comparative Database consists of data from the AHRQ Pharmacy Survey on 
Patient Safety Culture. Pharmacies in the U.S. are asked to voluntarily 
submit data from the survey to AHRQ, through its contractor, Westat. 
The Pharmacy SOPS Database is modeled after three other SOPS databases: 
Hospital SOPS [OMB NO. 0935-0162; Approved 05/04/2010]; Medical Office 
SOPS [OMB NO. 0935-0196; Approved 06/12/12]; and Nursing Home SOPS [OMB 
NO. 0935-0195; Approved 06/12/12] that were originally developed by 
AHRQ in response to requests from hospitals, medical offices, and 
nursing homes interested in knowing how their patient safety culture 
survey results compare to those of other similar health care 
organizations.
    Rationale for the information collection. The Pharmacy SOPS survey 
and the Pharmacy SOPS Comparative Database will support AHRQ's goals of 
promoting improvements in the quality and safety of health care in 
pharmacy

[[Page 9210]]

settings. The survey, toolkit materials, and comparative database 
results are all made publicly available on AHRQ's Web site. Technical 
assistance is provided by AHRQ through its contractor at no charge to 
pharmacies, to facilitate the use of these materials for pharmacy 
patient safety and quality improvement.
    The goal of this project is to create the Pharmacy SOPS Comparative 
Database. This database will:
    (1) Allow pharmacies to compare their patient safety culture survey 
results with those of other pharmacies,
    (2) provide data to pharmacies to facilitate internal assessment 
and learning in the patient safety improvement process, and
    (3) provide supplemental information to help pharmacies identify 
their strengths and areas with potential for improvement in patient 
safety culture.
    This study is being conducted by AHRQ through its contractor, 
WESTAT, pursuant to AHRQ's statutory authority to conduct and support 
research 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 with 
respect to quality measurement and improvement. 42 U.S.C. 299a(a)(1) 
and (2).

Method of Collection

    To achieve these goals the following data collections will be 
implemented:
    (1) Registration Form--The point-of-contact (POC), the pharmacy 
manager or a survey participating organization, completes a number of 
data submission steps and forms, beginning with completion of an online 
Registration Form. The purpose of this form is to collect basic 
demographic information about the pharmacy and initiate the 
registration process.
    (2) Pharmacy Background Characteristics Form--The purpose of this 
form, completed by the pharmacy manager or a participating 
organization, is to collect background characteristics of the pharmacy. 
This information will be used to analyze data collected with the 
Pharmacy SOPS survey.
    3) Data Use Agreement--The purpose of the data use agreement, 
completed by the pharmacy manager or participating organization is to 
state how data submitted by pharmacies will be used and provide 
confidentiality assurances.
    (4) Data Files Submission -POCs upload their data file(s), using 
the pharmacy data file specifications, to ensure that users submit 
standardized and consistent data in the way variables are named, coded, 
and formatted. The number of submissions to the database is likely to 
vary each year because pharmacies do not administer the survey and 
submit data every year.
    Survey data from the AHRQ Pharmacy Survey on Patient Safety Culture 
are used to produce three types of products: (1) A Pharmacy SOPS 
Comparative Database Report that is made publicly available on the AHRQ 
Web site, (2) Individual Pharmacy Survey Feedback Reports that are 
confidential, customized reports produced for each pharmacy that 
submits data to the database (the number of reports produced is based 
on the number of pharmacies submitting each year); and (3) Research 
data sets of individual-level and pharmacy-level de-identified data to 
enable researchers to conduct analyses.

Estimated Annual Respondent Burden

    Exhibit 1 shows the estimated annualized burden hours for the 
respondent's time to participate in the database. An estimated 150 
POCs, each representing an average of 10 individual pharmacies each, 
will complete the database submission steps and forms annually. 
Completing the registration form will take about 5 minutes. The 
Pharmacy Background Characteristics Form is completed by all POCs for 
each of their pharmacies (150 x 10 = 1,500 forms in total) and is 
estimated to take 5 minutes to complete. Each POC will complete a data 
use agreement which takes 3 minutes to complete and submitting the data 
will take an hour on average. The total burden is estimated to be 296 
hours.
    Exhibit 2 shows the estimated annualized cost burden based on the 
respondents' time to submit their data. The cost burden is estimated to 
be $14,392 annually.

                                  Exhibit 1--Estimated Annualized Burden Hours
----------------------------------------------------------------------------------------------------------------
                                                     Number of       Number of
                    Form name                      respondents/   responses  per     Hours per     Total burden
                                                       POCs             POC          response          hours
----------------------------------------------------------------------------------------------------------------
Registration Form...............................             150               1            5/60              13
Pharmacy Background Characteristics Form........             150              10            5/60             125
Data Use Agreement..............................             150               1            3/60               8
Data Files Submission...........................             150               1               1             150
                                                 ---------------------------------------------------------------
    Total.......................................             600              NA              NA             296
----------------------------------------------------------------------------------------------------------------


                                   Exhibit 2--Estimated annualized cost burden
----------------------------------------------------------------------------------------------------------------
                                                     Number of                        Average
                    Form name                      respondents/    Total burden     hourly wage     Total cost
                                                       POCs            hours           rate*          burden
----------------------------------------------------------------------------------------------------------------
Registration Form...............................             150              13          $48.62            $632
Pharmacy Background Characteristics Form........             150             125           48.62           6,078
Data Use Agreement..............................             150               8           48.62             389
Data Files Submission...........................             150             150           48.62           7,293
                                                 ---------------------------------------------------------------
    Total.......................................             600             296              NA          14,392
----------------------------------------------------------------------------------------------------------------

     Mean hourly wage rate of $48.62 for General and Operations 
Managers (SOC code 11-1021) was obtained from the May 2012 National 
Industry-Specific Occupational Employment and Wage Estimates, NAICS 
446110--Pharmacies and Drug Stores located at http://www.bls.gov/oes/current/naics5_446110.htm.

[[Page 9211]]

Request for Comments

    In accordance with the above-cited Paperwork Reduction Act 
legislation, 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, quality improvement and 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: February 6, 2014.
Richard Kronick,
AHRQ Director.
[FR Doc. 2014-03484 Filed 2-14-14; 8:45 am]
BILLING CODE 4160-90-P