Agency Information Collection Activities: Proposed Collection; Comment Request, 15222-15224 [2015-06450]
Download as PDF
<![CDATA[
15222
Federal Register / Vol. 80, No. 55 / Monday, March 23, 2015 / Notices
DEPARTMENT OF HEALTH AND
HUMAN SERVICES
Agency for Healthcare Research and
Quality
Agency Information Collection
Activities: Proposed Collection;
Comment Request
Agency for Healthcare Research
and Quality, HHS.
ACTION: Notice.
AGENCY:
This notice announces the
intention of the Agency for Healthcare
Research and Quality (AHRQ) to request
that the Office of Management and
Budget (OMB) approve the proposed
information collection project: ‘‘Medical
Office Survey on Patient Safety Culture
Comparative Database.’’ In accordance
with the Paperwork Reduction Act, 44
U.S.C. 3501–3521, AHRQ invites the
public to comment on this proposed
information collection.
DATES: Comments on this notice must be
received by May 22, 2015.
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:
SUMMARY:
Proposed Project
mstockstill on DSK4VPTVN1PROD with NOTICES
Medical Office Survey on Patient Safety
Culture Comparative Database
Background on the Medical Office
Survey on Patient Safety Culture
(Medical Office SOPS). 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 Medical Office
SOPS with OMB approval (OMB NO.
0935–0131; Approved July 5, 2007).
The survey is designed to enable
medical offices to assess provider and
staff opinions about patient safety
issues, medical error, and error
reporting. The survey includes 38 items
that measure 10 composites of patient
safety culture. In addition to the
VerDate Sep<11>2014
16:51 Mar 20, 2015
Jkt 235001
composite items, 14 items measure how
often medical offices have problems
exchanging information with other
settings and other patient safety and
quality issues. AHRQ made the survey
publicly available along with a Survey
User’s Guide and other toolkit materials
in December 2008 on the AHRQ Web
site (located at https://www.ahrq.gov/
professionals/quality-patient-safety/
patientsafetyculture/medical-office/
index.html). Since its release, the survey
has been voluntarily used by hundreds
of medical offices in the U.S.
The Medical Office SOPS
Comparative Database consists of data
from the AHRQ Medical Office Survey
on Patient Safety Culture. Medical
offices in the U.S. are asked to
voluntarily submit data from the survey
to AHRQ, through its contractor Westat.
The Medical Office SOPS Database
(OMB NO. 0935–0196, last approved on
June 12, 2012) was developed by AHRQ
in 2011 in response to requests from
medical offices interested in knowing
how their patient safety culture survey
results compare to those of other
medical offices in their efforts to
improve patient safety.
Rationale for the information
collection. The Medical Office SOPS
and the Comparative Database support
AHRQ’s goals of promoting
improvements in the quality and safety
of health care in medical office 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 medical
offices, to facilitate the use of these
materials for medical office patient
safety and quality improvement.
The goal of this project is to renew the
Medical Office SOPS Comparative
Database. This Database will:
(1) Allow medical offices to compare
their patient safety culture survey
results with those of other medical
offices,
(2) Provide data to medical offices to
facilitate internal assessment and
learning in the patient safety
improvement process, and
(3) Provide supplemental information
to help medical offices 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
health care and on systems for the
delivery of such care, including
activities with respect to: The quality,
effectiveness, efficiency,
appropriateness and value of health care
PO 00000
Frm 00037
Fmt 4703
Sfmt 4703
services; quality measurement and
improvement; and database
development. 42 U.S.C. 299a(a)(1), (2),
and (8).
Method of Collection
To achieve the goal of this project the
following activities and data collections
will be implemented:
(1) Eligibility and Registration Form—
The medical office point-of-contact
(POC) completes a number of data
submission steps and forms, beginning
with the completion of an online
eligibility and registration form. The
purpose of this form is to determine the
eligibility status and initiate the
registration process for medical offices
seeking to voluntarily submit their
Medical Office SOPS data to the
Medical Office SOPS Comparative
Database.
(2) Data Use Agreement—The purpose
of the data use agreement, completed by
the medical office POC, is to state how
data submitted by medical offices will
be used and provides confidentiality
assurances.
(3) Medical Office Site Information
Form—The purpose of the site
information form is to obtain basic
information about the characteristics of
the medical offices submitting their
Medical Office SOPS data to the
Medical Office SOPS Comparative
Database (e.g. number of providers and
staff, ownership, and type of specialty).
The medical office POC completes the
form.
(4) Data Files Submission—The
number of submissions to the database
is likely to vary each year because
medical offices do not administer the
survey and submit data every year. Data
submission is typically handled by one
POC who is either an office manager,
nurse manager, or a survey vendor who
contracts with a medical office to collect
their data. POCs submit data on behalf
of 10 medical offices, on average,
because many medical offices are part of
a health system that includes many
medical office sites, or the POC is a
vendor that is submitting data for
multiple medical offices. After
registering, if registrants are deemed
eligible to submit data, an automated
email is sent to authenticate the account
and update the user password. Next the
POC enters medical office information
and uploads the survey questionnaire
and submits a data use agreement. POCs
then upload their data file(s), using the
medical office data file specifications, to
ensure that users submit standardized
and consistent data in the way variables
are named, coded, and formatted.
Survey data from the AHRQ Medical
Office SOPS are used to produce three
E:\FR\FM\23MRN1.SGM
23MRN1
15223
Federal Register / Vol. 80, No. 55 / Monday, March 23, 2015 / Notices
types of products: (1) A Medical Office
SOPS Comparative Database Report that
is produced periodically and made
publicly available on the AHRQ Web
site (see https://www.ahrq.gov/
professionals/quality-patient-safety/
patientsafetyculture/medical-office/
2014/); (2) Individual
Medical Office Survey Feedback Reports
that are confidential, customized reports
produced for each medical office that
submits data to the database (the
number of reports produced is based on
the number of medical offices
submitting each year); and (3) Research
data sets of individual-level and
medical office-level de-identified data to
enable researchers to conduct analyses.
Medical offices are asked to
voluntarily submit their Medical Office
SOPS survey data to the Comparative
Database. The data are then cleaned and
aggregated and used to produce a
Comparative Database Report that
displays averages, standard deviations,
and percentile scores on the survey’s 38
items that measure 10 composites of
patient safety culture, and 14 items
measuring how often medical offices
have problems exchanging information
with other settings and other patient
safety and quality issues. The report
also displays these results by medical
office characteristics (size of office,
specialty, geographic region, etc.) and
respondent characteristics (staff
position).
Data submitted by medical offices are
used to give each medical office its own
customized survey feedback report that
presents the medical office’s results
compared to the latest comparative
database results.
Medical offices use the Medical Office
SOPS, Comparative Database Reports
and Individual Medical Office Survey
Feedback Reports for a number of
purposes, to
• Raise staff awareness about patient
safety.
• Diagnose and assess the current
status of patient safety culture in their
medical office.
• Identify strengths and areas for
improvement in patient safety culture.
• Evaluate the cultural impact of
patient safety initiatives and
interventions.
• Compare patient safety culture
survey results with other medical offices
in their efforts to improve patient safety
and health care quality.
Estimated Annual Respondent Burden
Exhibit 1 shows the estimated
annualized burden hours for the
respondents’ time to participate in the
database. An estimated 150 POCs, each
representing an average of 10 individual
medical offices each, will complete the
database submission steps and forms
annually. Completing the registration
form will take about 3 minutes. The
Medical Office Information Form is
completed by all POCs for each of their
medical offices (150 × 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 291 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
$13,968 annually.
EXHIBIT 1—ESTIMATED ANNUALIZED BURDEN HOURS
Number of
respondents/
POCs
Form name
Number of
responses
per POC
Hours per
response
Total burden
hours
Eligibility/Registration Form .............................................................................
Data Use Agreement .......................................................................................
Medical Office Information Form .....................................................................
Data Files Submission .....................................................................................
150
150
150
150
1
1
10
1
3/60
3/60
5/60
1
8
8
125
150
Total ..........................................................................................................
600
NA
NA
291
EXHIBIT 2—ESTIMATED ANNUALIZED COST BURDEN
Number of
respondents/
POCs
Form name
Total burden
hours
Average
hourly wage
rate *
Total cost
burden
Registration Form ............................................................................................
Data Use Agreement .......................................................................................
Medical Office Information Form .....................................................................
Data Files Submission .....................................................................................
150
150
150
150
8
8
125
150
$48.00
48.00
48.00
48.00
$384
384
6,000
7,200
Total ..........................................................................................................
600
816
NA
13,968
* Mean hourly wage rate of $48.00 for Medical and Health Services Managers (SOC code 11–9111) was obtained from the May 2013 National
Industry-Specific Occupational Employment and Wage Estimates, NAICS 621100—Offices of Physicians located at https://www.bls.gov/oes/2013/
may/naics4_621100.htm.
mstockstill on DSK4VPTVN1PROD with NOTICES
Request for Comments
In accordance with the Paperwork
Reduction Act, comments on AHRQ’s
information collection are requested
with regard to any of the following: (a)
Whether the proposed collection of
information is necessary for the proper
performance of AHRQ health care
research and health care information
VerDate Sep<11>2014
16:51 Mar 20, 2015
Jkt 235001
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
PO 00000
Frm 00038
Fmt 4703
Sfmt 4703
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.
E:\FR\FM\23MRN1.SGM
23MRN1
15224
Federal Register / Vol. 80, No. 55 / Monday, March 23, 2015 / Notices
Dated: March 17, 2015.
Sharon B. Arnold,
Deputy Director, AHRQ.
[FR Doc. 2015–06450 Filed 3–20–15; 8:45 am]
BILLING CODE 4160–90–P
DEPARTMENT OF HEALTH AND
HUMAN SERVICES
Administration for Children and
Families
Proposed Information Collection
Activity; Comment Request
Proposed Projects:
Title: Supplemental Nutrition
Assistance Program (SNAP) Agency
Matching Program Performance
Reporting Tool.
OMB No.: New Collection.
Description: State agencies
administering a Supplemental Nutrition
Assistance Program (SNAP) are
mandated to participate in a computer
matching program with the federal
Office of Child Support Enforcement
(OCSE). The outcomes of the
computerized comparisons with
information maintained in the National
Directory of New Hires (NDNH) provide
the state SNAP agencies with
information to help administer their
programs and in determining an
individual’s eligibility. State agencies
must enter into a computer matching
agreement and adhere to its terms and
conditions, including providing OCSE
with annual performance outcomes
attributable to the use of NDNH
information.
The Office of Management and Budget
requires OCSE to periodically report
performance measurements
demonstrating how the use of
information in the NDNH supports
OCSE’s strategic mission, goals, and
objectives. OCSE will provide the
annual SNAP performance outcomes to
the Office of Management and Budget.
The information collection activities
for the SNAP reports are authorized by:
(1) Subsection 453 (j)(10) of the Social
Security Act (42 U.S.C. 653(j)(10)),
which allows the Secretary of the U.S.
Department of Health and Human
Services to disclose information
maintained in the NDNH to state
agencies administering SNAP under the
Nutrition Act of 2008, as amended by
the Agriculture Act of 2014; (2) the
Privacy Act of 1974, as amended by the
Computer Matching and Privacy
Protection Act of 1988 (5 U.S.C. 552a),
which sets for the terms and conditions
of a computer matching program; and
(3) the Government Performance and
Results Modernization Act of 2010 (Pub.
L. 111–352), which requires agencies to
report program performance outcomes
to the Office of Management and Budget
and for the reports to be available to the
public.
Respondents: State SNAP agencies.
ANNUAL BURDEN ESTIMATES
Number of
respondents
Number of
responses per
respondent
Average
burden hours
per response
Total burden
hours
SNAP Agency Matching Program Performance Reporting Tool .....................
mstockstill on DSK4VPTVN1PROD with NOTICES
Instrument
54
1
1.625
88
In compliance with the requirements
of Section 506(c)(2)(A) of the Paperwork
Reduction Act of 1995, the
Administration for Children and
Families is soliciting public comment
on the specific aspects of the
information collection described above.
Copies of the proposed collection of
information can be obtained and
comments may be forwarded by writing
to the Administration for Children and
Families, Office of Planning, Research
and Evaluation, 370 L’Enfant
Promenade SW., Washington, DC 20447,
Attn: ACF Reports Clearance Officer.
Email address: infocollection@
acf.hhs.gov. All requests should be
identified by the title of the information
collection.
The Department specifically requests
comments on: (a) Whether the proposed
collection of information is necessary
for the proper performance of the
functions of the agency, including
whether the information shall have
practical utility; (b) the accuracy of the
agency’s estimate of the burden of the
proposed collection of information; (c)
the quality, utility, and clarity of the
information to be collected; and (d)
ways to minimize the burden of the
collection of information on
respondents, including through the use
of automated collection techniques or
VerDate Sep<11>2014
16:51 Mar 20, 2015
Jkt 235001
other forms of information technology.
Consideration will be given to
comments and suggestions submitted
within 60 days of this publication.
by May 15th of a given year to be
considered for appointment to begin in
January of the following year.
Robert Sargis,
Reports Clearance Officer.
Nominations and applications are
kept on file at the Center for Evidence
and Practice Improvement, AHRQ, and
are available for review during business
hours. AHRQ does not reply to
individual nominations, but considers
all nominations in selecting members.
Information regarded as private and
personal, such as a nominee’s social
security number, home and email
addresses, home telephone and fax
numbers, or names of family members
will not be disclosed to the public (in
accord with the Freedom of Information
Act, 5 U.S.C. 552(b)(6); 45 CFR 5.67).
[FR Doc. 2015–06443 Filed 3–20–15; 8:45 am]
BILLING CODE 4184–01–P
DEPARTMENT OF HEALTH AND
HUMAN SERVICES
Agency for Healthcare Research and
Quality
Solicitation for Nominations for
Members of the U.S. Preventive
Services Task Force (USPSTF)
Agency for Healthcare Research
and Quality (AHRQ), HHS.
ACTION: Solicits nominations for new
members of USPSTF.
AGENCY:
The Agency for Healthcare
Research and Quality (AHRQ) invites
nominations of individuals qualified to
serve as members of the U.S. Preventive
Services Task Force (USPSTF).
DATES: All nominations submitted in
writing or electronically will be
considered for appointment to the
USPSTF. Nominations must be received
SUMMARY:
PO 00000
Frm 00039
Fmt 4703
Sfmt 4703
Arrangement for Public Inspection
Nomination Submissions
Nominations may be submitted in
writing or electronically, but should
include:
1. The applicant’s current curriculum
vitae and contact information, including
mailing address, email address, and
telephone number, and
2. A letter explaining how this
individual meets the qualification
requirements and how he/she would
contribute to the USPSTF. The letter
should also attest to the nominee’s
E:\FR\FM\23MRN1.SGM
23MRN1
]]>Agencies
[Federal Register Volume 80, Number 55 (Monday, March 23, 2015)]
[Notices]
[Pages 15222-15224]
From the Federal Register Online via the Government Printing Office [www.gpo.gov]
[FR Doc No: 2015-06450]
[[Page 15222]]
-----------------------------------------------------------------------
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: ``Medical Office Survey on Patient Safety Culture Comparative
Database.'' In accordance with the Paperwork Reduction Act, 44 U.S.C.
3501-3521, AHRQ invites the public to comment on this proposed
information collection.
DATES: Comments on this notice must be received by May 22, 2015.
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
Medical Office Survey on Patient Safety Culture Comparative Database
Background on the Medical Office Survey on Patient Safety Culture
(Medical Office SOPS). 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 Medical Office SOPS with OMB approval (OMB NO. 0935-0131; Approved
July 5, 2007).
The survey is designed to enable medical offices to assess provider
and staff opinions about patient safety issues, medical error, and
error reporting. The survey includes 38 items that measure 10
composites of patient safety culture. In addition to the composite
items, 14 items measure how often medical offices have problems
exchanging information with other settings and other patient safety and
quality issues. AHRQ made the survey publicly available along with a
Survey User's Guide and other toolkit materials in December 2008 on the
AHRQ Web site (located at https://www.ahrq.gov/professionals/quality-patient-safety/patientsafetyculture/medical-office/). Since
its release, the survey has been voluntarily used by hundreds of
medical offices in the U.S.
The Medical Office SOPS Comparative Database consists of data from
the AHRQ Medical Office Survey on Patient Safety Culture. Medical
offices in the U.S. are asked to voluntarily submit data from the
survey to AHRQ, through its contractor Westat. The Medical Office SOPS
Database (OMB NO. 0935-0196, last approved on June 12, 2012) was
developed by AHRQ in 2011 in response to requests from medical offices
interested in knowing how their patient safety culture survey results
compare to those of other medical offices in their efforts to improve
patient safety.
Rationale for the information collection. The Medical Office SOPS
and the Comparative Database support AHRQ's goals of promoting
improvements in the quality and safety of health care in medical office
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
medical offices, to facilitate the use of these materials for medical
office patient safety and quality improvement.
The goal of this project is to renew the Medical Office SOPS
Comparative Database. This Database will:
(1) Allow medical offices to compare their patient safety culture
survey results with those of other medical offices,
(2) Provide data to medical offices to facilitate internal
assessment and learning in the patient safety improvement process, and
(3) Provide supplemental information to help medical offices
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 health care and on systems for the delivery of such care,
including activities with respect to: The quality, effectiveness,
efficiency, appropriateness and value of health care services; quality
measurement and improvement; and database development. 42 U.S.C.
299a(a)(1), (2), and (8).
Method of Collection
To achieve the goal of this project the following activities and
data collections will be implemented:
(1) Eligibility and Registration Form--The medical office point-of-
contact (POC) completes a number of data submission steps and forms,
beginning with the completion of an online eligibility and registration
form. The purpose of this form is to determine the eligibility status
and initiate the registration process for medical offices seeking to
voluntarily submit their Medical Office SOPS data to the Medical Office
SOPS Comparative Database.
(2) Data Use Agreement--The purpose of the data use agreement,
completed by the medical office POC, is to state how data submitted by
medical offices will be used and provides confidentiality assurances.
(3) Medical Office Site Information Form--The purpose of the site
information form is to obtain basic information about the
characteristics of the medical offices submitting their Medical Office
SOPS data to the Medical Office SOPS Comparative Database (e.g. number
of providers and staff, ownership, and type of specialty). The medical
office POC completes the form.
(4) Data Files Submission--The number of submissions to the
database is likely to vary each year because medical offices do not
administer the survey and submit data every year. Data submission is
typically handled by one POC who is either an office manager, nurse
manager, or a survey vendor who contracts with a medical office to
collect their data. POCs submit data on behalf of 10 medical offices,
on average, because many medical offices are part of a health system
that includes many medical office sites, or the POC is a vendor that is
submitting data for multiple medical offices. After registering, if
registrants are deemed eligible to submit data, an automated email is
sent to authenticate the account and update the user password. Next the
POC enters medical office information and uploads the survey
questionnaire and submits a data use agreement. POCs then upload their
data file(s), using the medical office data file specifications, to
ensure that users submit standardized and consistent data in the way
variables are named, coded, and formatted.
Survey data from the AHRQ Medical Office SOPS are used to produce
three
[[Page 15223]]
types of products: (1) A Medical Office SOPS Comparative Database
Report that is produced periodically and made publicly available on the
AHRQ Web site (see https://www.ahrq.gov/professionals/quality-patient-safety/patientsafetyculture/medical-office/2014/); (2)
Individual Medical Office Survey Feedback Reports that are
confidential, customized reports produced for each medical office that
submits data to the database (the number of reports produced is based
on the number of medical offices submitting each year); and (3)
Research data sets of individual-level and medical office-level de-
identified data to enable researchers to conduct analyses.
Medical offices are asked to voluntarily submit their Medical
Office SOPS survey data to the Comparative Database. The data are then
cleaned and aggregated and used to produce a Comparative Database
Report that displays averages, standard deviations, and percentile
scores on the survey's 38 items that measure 10 composites of patient
safety culture, and 14 items measuring how often medical offices have
problems exchanging information with other settings and other patient
safety and quality issues. The report also displays these results by
medical office characteristics (size of office, specialty, geographic
region, etc.) and respondent characteristics (staff position).
Data submitted by medical offices are used to give each medical
office its own customized survey feedback report that presents the
medical office's results compared to the latest comparative database
results.
Medical offices use the Medical Office SOPS, Comparative Database
Reports and Individual Medical Office Survey Feedback Reports for a
number of purposes, to
Raise staff awareness about patient safety.
Diagnose and assess the current status of patient safety
culture in their medical office.
Identify strengths and areas for improvement in patient
safety culture.
Evaluate the cultural impact of patient safety initiatives
and interventions.
Compare patient safety culture survey results with other
medical offices in their efforts to improve patient safety and health
care quality.
Estimated Annual Respondent Burden
Exhibit 1 shows the estimated annualized burden hours for the
respondents' time to participate in the database. An estimated 150
POCs, each representing an average of 10 individual medical offices
each, will complete the database submission steps and forms annually.
Completing the registration form will take about 3 minutes. The Medical
Office Information Form is completed by all POCs for each of their
medical offices (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 291 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 $13,968 annually.
Exhibit 1--Estimated Annualized Burden Hours
----------------------------------------------------------------------------------------------------------------
Number of Number of
Form name respondents/ responses per Hours per Total burden
POCs POC response hours
----------------------------------------------------------------------------------------------------------------
Eligibility/Registration Form................... 150 1 3/60 8
Data Use Agreement.............................. 150 1 3/60 8
Medical Office Information Form................. 150 10 5/60 125
Data Files Submission........................... 150 1 1 150
---------------------------------------------------------------
Total....................................... 600 NA NA 291
----------------------------------------------------------------------------------------------------------------
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 8 $48.00 $384
Data Use Agreement.............................. 150 8 48.00 384
Medical Office Information Form................. 150 125 48.00 6,000
Data Files Submission........................... 150 150 48.00 7,200
---------------------------------------------------------------
Total....................................... 600 816 NA 13,968
----------------------------------------------------------------------------------------------------------------
* Mean hourly wage rate of $48.00 for Medical and Health Services Managers (SOC code 11-9111) was obtained from
the May 2013 National Industry-Specific Occupational Employment and Wage Estimates, NAICS 621100--Offices of
Physicians located at https://www.bls.gov/oes/2013/may/naics4_621100.htm.
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.
[[Page 15224]]
Dated: March 17, 2015.
Sharon B. Arnold,
Deputy Director, AHRQ.
[FR Doc. 2015-06450 Filed 3-20-15; 8:45 am]
BILLING CODE 4160-90-P
