Agency Information Collection Activities: Proposed Collection; Comment Request, 17542-17545 [2014-06880]

Download as PDF 17542 Federal Register / Vol. 79, No. 60 / Friday, March 28, 2014 / Notices useable form. For example, an English translation must accompany any material that is not in English and a written transcript must accompany any information submitted as an audiographic or videographic record. Written material may be submitted in paper or electronic form. • Submitters must clearly identify the source of any submitted data or information. • Submitters may request the Agency to reconsider data or information that the Agency rejected in a previous review. However, submitters must explain why they believe the Agency should reconsider the data or information in the pesticide’s registration review. As provided in 40 CFR 155.58, the registration review docket for each pesticide case will remain publicly accessible through the duration of the registration review process; that is, until all actions required in the final decision on the registration review case have been completed. List of Subjects Environmental protection, Pesticides and pests. Dated: March 20, 2014. Richard P. Keigwin, Jr., Director, Pesticide Re-Evaluation Division, Office of Pesticide Programs. [FR Doc. 2014–06814 Filed 3–27–14; 8:45 am] Board of Governors of the Federal Reserve System, March 25, 2014. Michael J. Lewandowski, Assistant Secretary of the Board. BILLING CODE 6560–50–P FEDERAL RESERVE SYSTEM [FR Doc. 2014–06930 Filed 3–27–14; 8:45 am] mstockstill on DSK4VPTVN1PROD with NOTICES Formations of, Acquisitions by, and Mergers of Bank Holding Companies The companies listed in this notice have applied to the Board for approval, pursuant to the Bank Holding Company Act of 1956 (12 U.S.C. 1841 et seq.) (BHC Act), Regulation Y (12 CFR part 225), and all other applicable statutes and regulations to become a bank holding company and/or to acquire the assets or the ownership of, control of, or the power to vote shares of a bank or bank holding company and all of the banks and nonbanking companies owned by the bank holding company, including the companies listed below. The applications listed below, as well as other related filings required by the Board, are available for immediate inspection at the Federal Reserve Bank indicated. The applications will also be available for inspection at the offices of the Board of Governors. Interested persons may express their views in writing on the standards enumerated in the BHC Act (12 U.S.C. 1842(c)). If the proposal also involves the acquisition of VerDate Mar<15>2010 18:57 Mar 27, 2014 Jkt 232001 a nonbanking company, the review also includes whether the acquisition of the nonbanking company complies with the standards in section 4 of the BHC Act (12 U.S.C. 1843). Unless otherwise noted, nonbanking activities will be conducted throughout the United States. Unless otherwise noted, comments regarding each of these applications must be received at the Reserve Bank indicated or the offices of the Board of Governors not later than April 2, 2014. A. Federal Reserve Bank of Chicago (Colette A. Fried, Assistant Vice President) 230 South LaSalle Street, Chicago, Illinois 60690–1414: 1. Minier Financial, Inc. Employee Stock Ownership Plan with 401(k) Provisions, Minier, Illinois; to increase its ownership of Minier Financial, Inc., Minier, Illinois, from 37 percent to 51 percent, and thereby indirectly acquire shares of First Farmers State Bank, Minier, Illinois. B. Federal Reserve Bank of Minneapolis (Jacqueline G. King, Community Affairs Officer) 90 Hennepin Avenue, Minneapolis, Minnesota 55480–0291: 1. Alerus Financial Corporation, Grand Forks, North Dakota, to acquire 100 percent of Private Bancorporation, Inc., Minneapolis, Minnesota, and thereby indirectly acquire Private Bank Minnesota, Minneapolis, Minnesota. BILLING CODE 6210–01–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 Educating the Educator (EtE) Workshop.’’ In accordance with the Paperwork Reduction Act of 1995, Public Law 104– 13 (44 U.S.C. 3506(c)(2)(A)), AHRQ SUMMARY: PO 00000 Frm 00049 Fmt 4703 Sfmt 4703 invites the public to comment on this proposed information collection. DATES: Comments on this notice must be received by May 27, 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 Evaluation of the Educating the Educator (EtE) Workshop AHRQ’s Educating the Educator (EtE) workshop training project is an Agency knowledge translation and dissemination project that aims to increase knowledge about and use of AHRQ’s EHC Program products among health care professionals. For the EtE project, AHRQ is sponsoring the development of an accredited, inperson, train-the-trainer workshop program for health care professionals to educate them on how to use AHRQ’s EHC Program materials and resources in shared decision making (SDM) with patients/caregivers. As a train-thetrainer program, the workshop also provides education on effectively training other health care professionals to facilitate the dissemination of the key competencies taught by the program. Additionally, as part of the EtE project, a collection of new stand-alone tools are being developed to facilitate the implementation and use of AHRQ EHC Program materials. The new tools will be integrated into the EtE workshop training program and made available to workshop participants. These new tools also will be publicly-accessible through the AHRQ Web site for easy referral, access, and use by both workshop participants and other health care professionals. AHRQ recognizes the importance of ensuring that its dissemination activities are useful, well implemented, and effective in achieving their intended goals. Therefore, an evaluation is associated with the EtE project. The EtE evaluation is comprised of two key components. One component has been designed to support both a processoriented formative evaluation and a summative (impact) evaluation of the EtE train-the-trainer workshop program. E:\FR\FM\28MRN1.SGM 28MRN1 mstockstill on DSK4VPTVN1PROD with NOTICES Federal Register / Vol. 79, No. 60 / Friday, March 28, 2014 / Notices The other component is designed to assess the impact of new tools developed through this project in supporting the implementation of AHRQ EHC Program materials. The specific goals of the EtE train-thetrainer workshop evaluation (component 1) are to examine the following: • Who is participating in both the primary train-the-trainer sessions, and in subsequent, secondary trainings offered by primary trainees? • The uptake of and confidence among primary trainees in training others on the key competencies of the curriculum • How the workshop implementation or course content should be modified to improve the quality of the training (e.g., instructor, materials, modules, etc.)? • The extent to which workshop participants have been able to conduct additional trainings, start new PCOR education programs based on the workshop curriculum, or integrate the workshop curriculum into existing training programs in their local settings • What the results of subsequent trainings by workshop participants were among secondary participants (i.e., individuals who received training from a workshop participant) in terms of their use of PCOR information and the practice of SDM with patients? • Whether workshop participants have participated in other project activities, such as ongoing webinars or the learning network that are planned as part of the EtE project • How workshop participants are using what they have learned from the training program in their own practice? The specific goals of the EtE new tools evaluation (component 2) are to examine the following: • If and how workshop trainees and other health care professionals are using the new tools developed during this project to support their implementation of AHRQ EHC Program resources? • How useful clinicians find AHRQ EHC Program resources to be in their practice? • How frequently new tools are being accessed and used by workshop trainees and other health care professionals? • Suggestions for improving tools to meet health care professionals’ needs when serving their patients? This study is being conducted by AHRQ through its contractor, AFYA, Inc., and The Lewin Group, pursuant to AHRQ’s statutory authority to support the agency’s dissemination of comparative clinical effectiveness research findings. 42 U.S.C. 299b–37(a)– (c). VerDate Mar<15>2010 18:57 Mar 27, 2014 Jkt 232001 Method of Collection To achieve the goals of this project the following data collections will be implemented: (1) Pre-Training Survey of Primary Participants. This pen and paper survey will be administered to train-the-trainer workshop participants (also referred to as Primary Workshop Participants) immediately prior to the start of the inperson train-the-trainer workshop sessions. Information collected includes (1) non-identifying demographic information about respondents (e.g., type of clinician; practice setting); (2) participants knowledge of core concepts and objectives of the workshop; and (3) their confidence in training others. This instrument will also collect information about participants’ use of and exposure to AHRQ EHC Program products for comparison at later time points. (2) Post-Training Survey of Primary Participants. This pen and paper survey will be administered to train-the-trainer workshop participants immediately following the conclusion of the inperson train-the-trainer workshop sessions. Information collected includes (1) post-training knowledge of core concepts presented in workshop; and (2) post-training confidence in training others. The post-training instrument will also collect information about participants’ reaction to the training (e.g., instructor, the content, the presentation style, the schedule, etc.), a requirement for accreditation purposes. (3) Six-Month Post-Training Survey of Primary Participants. This survey will be administered to primary workshop participants six months following their participation in the train-the-trainer workshop. The survey will be Webenabled, and a link to the survey will be emailed to participants. Information to be collected includes (1) behaviors and experiences of primary workshop participants in training others (i.e., secondary participants); (2) the numbers of individuals they have trained; and (3) barriers they have encountered in training others. This instrument will also collect (4) data on primary participants’ early experiences in applying what they learned in the workshop training in their own clinical practice with patients; and (5) their use of AHRQ EHC resources and tools which will be compared to baseline measures. (4) One-Year Post-Training Survey of Primary Participants. This survey will be administered to primary workshop participants one year following their participation in the train-the-trainer workshop. The survey will be Webenabled, and a link to the survey will be PO 00000 Frm 00050 Fmt 4703 Sfmt 4703 17543 emailed to participants. This survey will collect the same information as collected in the 6-month survey. This instrument will also collect new information from participants about their use/participation in continued training that will be offered (e.g., participating in training and technical assistance webinars and the learning network that will be created). (5) One-Year Post Survey of Secondary Workshop Participants. This survey will be administered to secondary workshop participants one year following their receipt of continuing education (CE) credits for participating in locally-delivered workshops by primary workshop participants. The questions of interest include (1) non-identifying demographic information about respondents (e.g., type of clinician; practice setting); (2) their use of AHRQ EHC program products; (3) how useful they thought the training they received was in developing their patient engagement and SDM skills; (4) barriers they have encountered when implementing what they learned in practice; (5) the types of changes they or their organization have made related to involving patients in health care decision making and their use of decision support tools, since participating in the workshop; and (6) any changes that they have observed in their patients since they participated in the training. (6) New Tool Users. This survey will be deployed on the AHRQ Web site on a quarterly basis. More specifically, it will be made available on the new tools Web landing page on the AHRQ Web site so that it targets users of the new tools from this project. Information to be collected includes (1) non-identifying demographic information about respondents (e.g., type of clinician; practice setting); (2) whether or not they have participated in the workshop training associated with this project; (3) how often respondents use tools on the AHRQ tools landing page; and (4) how useful respondents find the tools to be and new tools that they would like to see added. AHRQ and the EHC Program staff will use the information collected through this Information Collection Request to assess the short- and long-term progress in achieving the dissemination and implementation aims of the EtE project. The information collected will facilitate real-time adjustments in the strategies and tactics that are used to promote and deliver the new tools and workshop training. The summative evaluation will assess the impact of this EtE workshop training program and new tools on E:\FR\FM\28MRN1.SGM 28MRN1 17544 Federal Register / Vol. 79, No. 60 / Friday, March 28, 2014 / Notices increased awareness, understanding, and use of AHRQ’s EHC Program products in clinical practice with patients. The specific purpose and use of each of the data collection instruments is described below. (1) Pre- and Post-Training Surveys of Primary Workshop Participants—These data collections will be used to assess the effectiveness of the training in transferring course concepts to train-thetrainer participants. They will be used to measure what participants learned during the training relative to their knowledge of core concepts and objectives of the workshop, and their confidence in training others as assessed prior to the training (pre-training survey). The pre-training survey also will establish a baseline level regarding workshop participants’ use and exposure to AHRQ EHC Program products for comparison at later time points. The post-training assessment also will be used to assess workshop participants’ reaction to the training. This is important for the process evaluation component of this project as it will provide information on participants’ reactions to specific components of the program (e.g., instructor, the content, the presentation style, the schedule, etc.), a requirement for accreditation purposes, and help to identify where minor tweaking of the program may be needed to better meet participants’ needs. (2) Six-Month Post-Training Survey of Primary Participants—This data collection will be used to assess the behaviors and experiences of workshop participants in training others (i.e., secondary participants), and whether the training has promoted changes to participants’ use of PCOR resources in SDM with their patients. This survey will also be used to assess whether the use of AHRQ EHC Program products has increased since participating in the survey. (3) One-Year Post-Training Survey of Primary Participants—This data collection will be used to assess the long-term impact of the train-the-trainer workshop on participants’ use of PCOR resources in SDM with patients in clinical practice. The assessment will determine if the training results in or contributes to changes in participants’ continued use of key training concepts relative to baseline and 6-month assessments. This assessment also will provide information on the numbers of other individuals (i.e., secondary participants) who have received training at subsequent time points by the trainthe-trainer workshop participants and the impact of training those secondary participants on their organizational practices regarding using AHRQ EHC Program products in SDM with their patients. (4) One-Year Post Training Survey of Secondary Workshop Participants— This data collection will be used to assess the effectiveness of the train-thetrainer format on disseminating knowledge among the health care community. The questions of interest include the following: Æ Are participants from the train-thetrainer workshop able to effectively transfer or share key competencies from their training to other locally-based health care professionals (i.e., secondary participants)? Æ Do secondary participants taught by AHRQ-sponsored train-the-train workshop participants increase their use of AHRQ EHC Program products in SDM with their patients? (5) New Tool Survey—This data collection will be used to gather information on AHRQ Web site users experiences with the available new tools including who uses these tools and if they are useful. Estimated Annual Respondent Burden Exhibit 1 shows the estimated annualized burden hours for the respondents’ time to participate in this evaluation. For the longitudinal evaluation, four questionnaires will be completed by approximately 1,500 primary trainees who participate in the AHRQ-sponsored EtE train-the-trainer workshop, at the specified intervals, and each will require 10 or 15 minutes to complete. The annual survey of secondary participants will be completed by 3,000 secondary trainees (individuals who receive training from primary trainees) over the 3 years. Based on previous experience with convenience-based Web-based surveys, we estimate that the quarterly Webbased survey of new tool users will be completed by approximately 1,200 respondents over the 3-year period. Exhibit 2 shows the estimated annualized cost burden based on the respondents’ time to participate in this project. The total cost burden is estimated to be $91,668. EXHIBIT 1—ESTIMATED ANNUALIZED BURDEN HOURS Number of respondents Form name Number of responses per respondent Hours per response Total burden hours Pre-training survey (primary trainees) (time point #1) ..................................... Post-training survey (time point #2) ................................................................. 6-month post training survey (time point #3) ................................................... 12-month post training survey (time point #4) ................................................. Annual survey (one-time survey of secondary trainees) ................................. Quarterly survey of new tool users .................................................................. * 1500 * 1500 * 1500 * 1500 3000 1200 1 1 1 1 1 1 15/60 15/60 10/60 10/60 10/60 5/60 375 375 250 250 500 100 Total .......................................................................................................... ** 5,700 NA NA 1850 * These individuals are the same 1500 individuals (primary trainees) and will be assessed at four different time points. ** Estimated total number of unique respondents. mstockstill on DSK4VPTVN1PROD with NOTICES EXHIBIT 2—ESTIMATED ANNUALIZED COST BURDEN Number of respondents Form name Pre-training survey (primary trainees) (time point #1) ..................................... Post-training survey (time point #2) ................................................................. 6-month post training survey (time point #3) ................................................... 12-month post training survey (time point #4) ................................................. Annual survey (one-time survey of secondary trainees) ................................. VerDate Mar<15>2010 18:57 Mar 27, 2014 Jkt 232001 PO 00000 Frm 00051 Fmt 4703 Sfmt 4703 Total burden hours 1500 1500 1500 1500 3000 E:\FR\FM\28MRN1.SGM Average hourly wage rate * 375 375 250 250 500 28MRN1 * $49.55 * 49.55 * 49.55 * 49.55 * 49.55 Total cost burden $18,581 18,581 12,388 12,388 24,775 17545 Federal Register / Vol. 79, No. 60 / Friday, March 28, 2014 / Notices EXHIBIT 2—ESTIMATED ANNUALIZED COST BURDEN—Continued Number of respondents Form name Total burden hours Average hourly wage rate * Total cost burden Quarterly survey of new tool users .................................................................. 1200 100 * 49.55 4,955 Total .......................................................................................................... ** 5,700 1,850 NA 91,668 * Average hourly wage based on the weighted average of wages for 1 Family and General Practitioner (29–1062, $81.78), 1 Internist (29– 1063, $86.20), 1 Physician Assistant (29–1071, $44.96), 1 Psychiatrist (29–1066, $95.33), 1 Nurse Practitioner (29–1171, $44.48), 3 Registered Nurses (29–1141, $34.23), 1 Pharmacist (29–1051, $59.87), 1 Licensed Practical or Licensed Vocational Nurse (29–2061, $21.17), 1 Health Educator (21–1091, $20.52), and 1 Administrative Services Manager (11–3011, $37.61). Data Source: National Occupational Employment and Wage Estimates in the United States, May 2012, ‘‘U.S. Department of Labor, Bureau of Labor Statistics’’ (available at http://www.bls.gov/oes/current/naics4_621400.htm). ** Estimated total number of unique respondents. 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 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: March 19, 2014. Richard Kronick, AHRQ Director. Proposed Project ‘‘The Agency for Healthcare Research and Quality (AHRQ) Health Care Innovations Exchange Innovator Interview and Innovator Email Submission Guidelines.’’ [FR Doc. 2014–06880 Filed 3–27–14; 8:45 am] BILLING CODE 4160–90–P DEPARTMENT OF HEALTH AND HUMAN SERVICES mstockstill on DSK4VPTVN1PROD with NOTICES 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 SUMMARY: VerDate Mar<15>2010 18:57 Mar 27, 2014 Research and Quality (AHRQ) to request that the Office of Management and Budget (OMB) approve the proposed information collection project: ‘‘The Agency for Healthcare Research and Quality (AHRQ) Health Care Innovations Exchange Innovator Interview and Innovator Email Submission Guidelines.’’ 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 May 27, 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: Jkt 232001 This request for Office of Management and Budget (OMB) review is for renewal of the existing collection that is currently approved under OMB Control No. 0935–0147, AHRQ Health Care Innovations Exchange Innovator Interview and AHRQ Health Care Innovations Exchange Innovator Email Submission Guidelines, which expires on May 31, 2014. The Health Care Innovations Exchange provides a national-level information hub to foster the implementation and adaptation of innovative strategies and policies that PO 00000 Frm 00052 Fmt 4703 Sfmt 4703 improve health care quality and reduce disparities in the care received by different populations. The Innovations Exchange’s target audiences, broadly defined, are current and potential change agents in the U.S. health care system, including clinicians (e.g., physicians, nurses, and other providers), health care administrators, quality improvement professionals, researchers, educators, and policymakers. The goals of the Health Care Innovations Exchange are to: (1) Identify health care service delivery and policy innovations and provide a national level repository of searchable innovations and tools that enables health care decision makers to quickly identify ideas and tools that meet their needs. These innovations come from many care settings including inpatient facilities, outpatient facilities, long term care organizations, health plans, and community care settings. They also represent many patient populations, disease conditions, and processes of care such as preventive, acute, and chronic care. (2) Foster the implementation and adoption of health care service delivery and policy innovations that improve health care quality and reduce disparities in the care received by different populations. This data collection is being conducted by AHRQ through its contractor, Westat, pursuant to AHRQ’s statutory authority (1) to conduct and support research on, and disseminate information on, health care and on systems for the delivery of such care, 42 U.S.C. 299a(a), and (2) to promote innovation in evidence-based health care practices and technologies by promoting education and training and providing technical assistance in the use of health care practice results, 42 U.S.C. 299b–5(a)(4). E:\FR\FM\28MRN1.SGM 28MRN1

Agencies

[Federal Register Volume 79, Number 60 (Friday, March 28, 2014)]
[Notices]
[Pages 17542-17545]
From the Federal Register Online via the Government Printing Office [www.gpo.gov]
[FR Doc No: 2014-06880]


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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: ``Evaluation of the Educating the Educator (EtE) Workshop.'' 
In accordance with the Paperwork Reduction Act of 1995, Public Law 104-
13 (44 U.S.C. 3506(c)(2)(A)), AHRQ invites the public to comment on 
this proposed information collection.

DATES: Comments on this notice must be received by May 27, 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

Evaluation of the Educating the Educator (EtE) Workshop

    AHRQ's Educating the Educator (EtE) workshop training project is an 
Agency knowledge translation and dissemination project that aims to 
increase knowledge about and use of AHRQ's EHC Program products among 
health care professionals. For the EtE project, AHRQ is sponsoring the 
development of an accredited, in-person, train-the-trainer workshop 
program for health care professionals to educate them on how to use 
AHRQ's EHC Program materials and resources in shared decision making 
(SDM) with patients/caregivers. As a train-the-trainer program, the 
workshop also provides education on effectively training other health 
care professionals to facilitate the dissemination of the key 
competencies taught by the program. Additionally, as part of the EtE 
project, a collection of new stand-alone tools are being developed to 
facilitate the implementation and use of AHRQ EHC Program materials. 
The new tools will be integrated into the EtE workshop training program 
and made available to workshop participants. These new tools also will 
be publicly-accessible through the AHRQ Web site for easy referral, 
access, and use by both workshop participants and other health care 
professionals.
    AHRQ recognizes the importance of ensuring that its dissemination 
activities are useful, well implemented, and effective in achieving 
their intended goals. Therefore, an evaluation is associated with the 
EtE project. The EtE evaluation is comprised of two key components. One 
component has been designed to support both a process-oriented 
formative evaluation and a summative (impact) evaluation of the EtE 
train-the-trainer workshop program.

[[Page 17543]]

The other component is designed to assess the impact of new tools 
developed through this project in supporting the implementation of AHRQ 
EHC Program materials.
    The specific goals of the EtE train-the-trainer workshop evaluation 
(component 1) are to examine the following:
     Who is participating in both the primary train-the-trainer 
sessions, and in subsequent, secondary trainings offered by primary 
trainees?
     The uptake of and confidence among primary trainees in 
training others on the key competencies of the curriculum
     How the workshop implementation or course content should 
be modified to improve the quality of the training (e.g., instructor, 
materials, modules, etc.)?
     The extent to which workshop participants have been able 
to conduct additional trainings, start new PCOR education programs 
based on the workshop curriculum, or integrate the workshop curriculum 
into existing training programs in their local settings
     What the results of subsequent trainings by workshop 
participants were among secondary participants (i.e., individuals who 
received training from a workshop participant) in terms of their use of 
PCOR information and the practice of SDM with patients?
     Whether workshop participants have participated in other 
project activities, such as ongoing webinars or the learning network 
that are planned as part of the EtE project
     How workshop participants are using what they have learned 
from the training program in their own practice?
    The specific goals of the EtE new tools evaluation (component 2) 
are to examine the following:
     If and how workshop trainees and other health care 
professionals are using the new tools developed during this project to 
support their implementation of AHRQ EHC Program resources?
     How useful clinicians find AHRQ EHC Program resources to 
be in their practice?
     How frequently new tools are being accessed and used by 
workshop trainees and other health care professionals?
     Suggestions for improving tools to meet health care 
professionals' needs when serving their patients?
    This study is being conducted by AHRQ through its contractor, AFYA, 
Inc., and The Lewin Group, pursuant to AHRQ's statutory authority to 
support the agency's dissemination of comparative clinical 
effectiveness research findings. 42 U.S.C. 299b-37(a)-(c).

Method of Collection

    To achieve the goals of this project the following data collections 
will be implemented:
    (1) Pre-Training Survey of Primary Participants. This pen and paper 
survey will be administered to train-the-trainer workshop participants 
(also referred to as Primary Workshop Participants) immediately prior 
to the start of the in-person train-the-trainer workshop sessions. 
Information collected includes (1) non-identifying demographic 
information about respondents (e.g., type of clinician; practice 
setting); (2) participants knowledge of core concepts and objectives of 
the workshop; and (3) their confidence in training others. This 
instrument will also collect information about participants' use of and 
exposure to AHRQ EHC Program products for comparison at later time 
points.
    (2) Post-Training Survey of Primary Participants. This pen and 
paper survey will be administered to train-the-trainer workshop 
participants immediately following the conclusion of the in-person 
train-the-trainer workshop sessions. Information collected includes (1) 
post-training knowledge of core concepts presented in workshop; and (2) 
post-training confidence in training others. The post-training 
instrument will also collect information about participants' reaction 
to the training (e.g., instructor, the content, the presentation style, 
the schedule, etc.), a requirement for accreditation purposes.
    (3) Six-Month Post-Training Survey of Primary Participants. This 
survey will be administered to primary workshop participants six months 
following their participation in the train-the-trainer workshop. The 
survey will be Web-enabled, and a link to the survey will be emailed to 
participants. Information to be collected includes (1) behaviors and 
experiences of primary workshop participants in training others (i.e., 
secondary participants); (2) the numbers of individuals they have 
trained; and (3) barriers they have encountered in training others. 
This instrument will also collect (4) data on primary participants' 
early experiences in applying what they learned in the workshop 
training in their own clinical practice with patients; and (5) their 
use of AHRQ EHC resources and tools which will be compared to baseline 
measures.
    (4) One-Year Post-Training Survey of Primary Participants. This 
survey will be administered to primary workshop participants one year 
following their participation in the train-the-trainer workshop. The 
survey will be Web-enabled, and a link to the survey will be emailed to 
participants. This survey will collect the same information as 
collected in the 6-month survey. This instrument will also collect new 
information from participants about their use/participation in 
continued training that will be offered (e.g., participating in 
training and technical assistance webinars and the learning network 
that will be created).
    (5) One-Year Post Survey of Secondary Workshop Participants. This 
survey will be administered to secondary workshop participants one year 
following their receipt of continuing education (CE) credits for 
participating in locally-delivered workshops by primary workshop 
participants. The questions of interest include (1) non-identifying 
demographic information about respondents (e.g., type of clinician; 
practice setting); (2) their use of AHRQ EHC program products; (3) how 
useful they thought the training they received was in developing their 
patient engagement and SDM skills; (4) barriers they have encountered 
when implementing what they learned in practice; (5) the types of 
changes they or their organization have made related to involving 
patients in health care decision making and their use of decision 
support tools, since participating in the workshop; and (6) any changes 
that they have observed in their patients since they participated in 
the training.
    (6) New Tool Users. This survey will be deployed on the AHRQ Web 
site on a quarterly basis. More specifically, it will be made available 
on the new tools Web landing page on the AHRQ Web site so that it 
targets users of the new tools from this project. Information to be 
collected includes (1) non-identifying demographic information about 
respondents (e.g., type of clinician; practice setting); (2) whether or 
not they have participated in the workshop training associated with 
this project; (3) how often respondents use tools on the AHRQ tools 
landing page; and (4) how useful respondents find the tools to be and 
new tools that they would like to see added.
    AHRQ and the EHC Program staff will use the information collected 
through this Information Collection Request to assess the short- and 
long-term progress in achieving the dissemination and implementation 
aims of the EtE project. The information collected will facilitate 
real-time adjustments in the strategies and tactics that are used to 
promote and deliver the new tools and workshop training. The summative 
evaluation will assess the impact of this EtE workshop training program 
and new tools on

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increased awareness, understanding, and use of AHRQ's EHC Program 
products in clinical practice with patients.
    The specific purpose and use of each of the data collection 
instruments is described below.
    (1) Pre- and Post-Training Surveys of Primary Workshop 
Participants--These data collections will be used to assess the 
effectiveness of the training in transferring course concepts to train-
the-trainer participants. They will be used to measure what 
participants learned during the training relative to their knowledge of 
core concepts and objectives of the workshop, and their confidence in 
training others as assessed prior to the training (pre-training 
survey). The pre-training survey also will establish a baseline level 
regarding workshop participants' use and exposure to AHRQ EHC Program 
products for comparison at later time points. The post-training 
assessment also will be used to assess workshop participants' reaction 
to the training. This is important for the process evaluation component 
of this project as it will provide information on participants' 
reactions to specific components of the program (e.g., instructor, the 
content, the presentation style, the schedule, etc.), a requirement for 
accreditation purposes, and help to identify where minor tweaking of 
the program may be needed to better meet participants' needs.
    (2) Six-Month Post-Training Survey of Primary Participants--This 
data collection will be used to assess the behaviors and experiences of 
workshop participants in training others (i.e., secondary 
participants), and whether the training has promoted changes to 
participants' use of PCOR resources in SDM with their patients. This 
survey will also be used to assess whether the use of AHRQ EHC Program 
products has increased since participating in the survey.
    (3) One-Year Post-Training Survey of Primary Participants--This 
data collection will be used to assess the long-term impact of the 
train-the-trainer workshop on participants' use of PCOR resources in 
SDM with patients in clinical practice. The assessment will determine 
if the training results in or contributes to changes in participants' 
continued use of key training concepts relative to baseline and 6-month 
assessments. This assessment also will provide information on the 
numbers of other individuals (i.e., secondary participants) who have 
received training at subsequent time points by the train-the-trainer 
workshop participants and the impact of training those secondary 
participants on their organizational practices regarding using AHRQ EHC 
Program products in SDM with their patients.
    (4) One-Year Post Training Survey of Secondary Workshop 
Participants--This data collection will be used to assess the 
effectiveness of the train-the-trainer format on disseminating 
knowledge among the health care community. The questions of interest 
include the following:
    [cir] Are participants from the train-the-trainer workshop able to 
effectively transfer or share key competencies from their training to 
other locally-based health care professionals (i.e., secondary 
participants)?
    [cir] Do secondary participants taught by AHRQ-sponsored train-the-
train workshop participants increase their use of AHRQ EHC Program 
products in SDM with their patients?
    (5) New Tool Survey--This data collection will be used to gather 
information on AHRQ Web site users experiences with the available new 
tools including who uses these tools and if they are useful.

Estimated Annual Respondent Burden

    Exhibit 1 shows the estimated annualized burden hours for the 
respondents' time to participate in this evaluation. For the 
longitudinal evaluation, four questionnaires will be completed by 
approximately 1,500 primary trainees who participate in the AHRQ-
sponsored EtE train-the-trainer workshop, at the specified intervals, 
and each will require 10 or 15 minutes to complete. The annual survey 
of secondary participants will be completed by 3,000 secondary trainees 
(individuals who receive training from primary trainees) over the 3 
years. Based on previous experience with convenience-based Web-based 
surveys, we estimate that the quarterly Web-based survey of new tool 
users will be completed by approximately 1,200 respondents over the 3-
year period.
    Exhibit 2 shows the estimated annualized cost burden based on the 
respondents' time to participate in this project. The total cost burden 
is estimated to be $91,668.

                                  Exhibit 1--Estimated Annualized Burden Hours
----------------------------------------------------------------------------------------------------------------
                                                                     Number of
                    Form name                        Number of     responses per     Hours per     Total burden
                                                    respondents     respondent       response          hours
----------------------------------------------------------------------------------------------------------------
Pre-training survey (primary trainees) (time              * 1500               1           15/60             375
 point 1)..............................
Post-training survey (time point 2)....          * 1500               1           15/60             375
6-month post training survey (time point 3)...........................................
12-month post training survey (time point 4)...........................................
Annual survey (one-time survey of secondary                 3000               1           10/60             500
 trainees)......................................
Quarterly survey of new tool users..............            1200               1            5/60             100
                                                 ---------------------------------------------------------------
    Total.......................................        ** 5,700              NA              NA            1850
----------------------------------------------------------------------------------------------------------------
* These individuals are the same 1500 individuals (primary trainees) and will be assessed at four different time
  points.
** Estimated total number of unique respondents.


                                   Exhibit 2--Estimated Annualized Cost Burden
----------------------------------------------------------------------------------------------------------------
                                                     Number of     Total burden   Average hourly    Total cost
                    Form name                       respondents        hours        wage rate *       burden
----------------------------------------------------------------------------------------------------------------
Pre-training survey (primary trainees) (time                1500             375        * $49.55         $18,581
 point 1)..............................
Post-training survey (time point 2)....            1500             375         * 49.55          18,581
6-month post training survey (time point 3)...........................................
12-month post training survey (time point 4)...........................................
Annual survey (one-time survey of secondary                 3000             500         * 49.55          24,775
 trainees)......................................

[[Page 17545]]

 
Quarterly survey of new tool users..............            1200             100         * 49.55           4,955
                                                 ---------------------------------------------------------------
    Total.......................................        ** 5,700           1,850              NA          91,668
----------------------------------------------------------------------------------------------------------------
* Average hourly wage based on the weighted average of wages for 1 Family and General Practitioner (29-1062,
  $81.78), 1 Internist (29-1063, $86.20), 1 Physician Assistant (29-1071, $44.96), 1 Psychiatrist (29-1066,
  $95.33), 1 Nurse Practitioner (29-1171, $44.48), 3 Registered Nurses (29-1141, $34.23), 1 Pharmacist (29-1051,
  $59.87), 1 Licensed Practical or Licensed Vocational Nurse (29-2061, $21.17), 1 Health Educator (21-1091,
  $20.52), and 1 Administrative Services Manager (11-3011, $37.61). Data Source: National Occupational
  Employment and Wage Estimates in the United States, May 2012, ``U.S. Department of Labor, Bureau of Labor
  Statistics'' (available at http://www.bls.gov/oes/current/naics4_621400.htm).
** Estimated total number of unique respondents.

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 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: March 19, 2014.
Richard Kronick,
AHRQ Director.
[FR Doc. 2014-06880 Filed 3-27-14; 8:45 am]
BILLING CODE 4160-90-P