Agency Information Collection Activities: Proposed Collection; Comment Request, 42497-42499 [2015-17635]
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Federal Register / Vol. 80, No. 137 / Friday, July 17, 2015 / Notices
1. Gregory Fred Bormann, Mitchell,
South Dakota; to acquire voting shares
of United Bancorporation, Osseo,
Wisconsin, and thereby indirectly
acquire voting shares of Farmers State
Bank, Stickney, South Dakota; United
Bank, Osseo, Wisconsin, Clarke County
State Bank, Osceola, Iowa; Bank of
Poynette, Poynette, Wisconsin;
Cambridge State Bank, Cambridge,
Wisconsin; and Lincoln Community
Bank, Merrill, Wisconsin.
Board of Governors of the Federal Reserve
System, July 14, 2015.
Michael J. Lewandowski,
Associate Secretary of the Board.
[FR Doc. 2015–17589 Filed 7–16–15; 8:45 am]
BILLING CODE 6210–01–P
DEPARTMENT OF HEALTH AND
HUMAN SERVICES
Agency for Healthcare Research and
Quality
Notice of Meeting
Agency for Healthcare Research
and Quality, HHS.
ACTION: Notice.
AGENCY:
In accordance with section
10(a)(2) of the Federal Advisory
Committee Act (5 U.S.C. App. 2),
announcement is made of an Agency for
Healthcare Research and Quality
(AHRQ) Special Emphasis Panel (SEP)
meeting on ‘‘AHRQ RFA HS15–001
Patient Safety Learning Laboratories:
Innovative Design and Development to
Improve Healthcare Delivery Systems
(P30).’’ Each SEP meeting will
commence in open session before
closing to the public for the duration of
the meeting.
DATES: July 21–22, 2015 (Open on July
21 from 8:00 a.m. to 8:30 a.m. and
closed for the remainder of the meeting).
ADDRESSES: Gaithersburg Marriott
Washingtonian Center, 9751
Washingtonian Boulevard, Gaithersburg,
Maryland 20878.
FOR FURTHER INFORMATION CONTACT:
Anyone wishing to obtain a roster of
members, agenda or minutes of the nonconfidential portions of this meeting
should contact: Mrs. Bonnie Campbell,
Committee Management Officer, Office
of Extramural Research, Education and
Priority Populations, AHRQ, 540
Gaither Road, Room 2038, Rockville,
Maryland 20850, Telephone: (301) 427–
1554.
Agenda items for this meeting are
subject to change as priorities dictate.
SUPPLEMENTARY INFORMATION: A Special
Emphasis Panel is a group of experts in
srobinson on DSK5SPTVN1PROD with NOTICES
SUMMARY:
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fields related to health care research
who are invited by the Agency for
Healthcare Research and Quality
(AHRQ), and agree to be available, to
conduct on an as needed basis,
scientific reviews of applications for
AHRQ support. Individual members of
the Panel do not attend regularly
scheduled meetings and do not serve for
fixed terms or a long period of time.
Rather, they are asked to participate in
particular review meetings which
require their type of expertise.
Each SEP meeting will commence in
open session before closing to the public
for the duration of the meeting. The SEP
meeting referenced above will be closed
to the public in accordance with the
provisions set forth in 5 U.S.C. App. 2,
section 10(d), 5 U.S.C. 552b(c)(4), and 5
U.S.C. 552b(c)(6). Grant applications for
the ‘‘AHRQ RFA HS15–001 Patient
Safety Learning Laboratories: Innovative
Design and Development to Improve
Healthcare Delivery Systems (P30).’’ are
to be reviewed and discussed at this
meeting. The grant applications and the
discussions could disclose confidential
trade secrets or commercial property
such as patentable material, and
personal information concerning
individuals associated with the grant
applications, the disclosure of which
would constitute a clearly unwarranted
invasion of personal privacy.
Sharon B. Arnold,
AHRQ Director.
[FR Doc. 2015–17633 Filed 7–16–15; 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: ‘‘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.
This proposed information collection
was previously published in the Federal
SUMMARY:
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42497
Register on March 23rd, 2014 and
allowed 60 days for public comment. No
comments were received. The purpose
of this notice is to allow an additional
30 days for public comment.
DATES: Comments on this notice must be
received by August 17, 2015.
ADDRESSES: Written comments should
be submitted to: AHRQ’s OMB Desk
Officer by fax at (202) 395–6974
(attention: AHRQ’s desk officer) or by
email at OIRA_submission@
omb.eop.gov (attention: AHRQ’s desk
officer).
Copies of the proposed collection
plans, data collection instruments, and
specific details on the estimated burden
can be obtained from the AHRQ Reports
Clearance Officer.
FOR FURTHER INFORMATION CONTACT:
Doris Lefkowitz, AHRQ Reports
Clearance Officer, (301) 427–1477, or by
email at doris.lefkowitz@AHRQ.hhs.gov.
SUPPLEMENTARY INFORMATION:
Proposed Project
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/
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 SOPS.
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Federal Register / Vol. 80, No. 137 / Friday, July 17, 2015 / Notices
srobinson on DSK5SPTVN1PROD with NOTICES
Medical offices in the U.S. are asked to
submit data voluntarily 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
healthcare 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
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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 their 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
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.
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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.
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Federal Register / Vol. 80, No. 137 / Friday, July 17, 2015 / Notices
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.
srobinson on DSK5SPTVN1PROD 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
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.
Sharon B. Arnold,
Director.
[FR Doc. 2015–17635 Filed 7–16–15; 8:45 am]
BILLING CODE 4160–90–P
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DEPARTMENT OF HEALTH AND
HUMAN SERVICES
Centers for Disease Control and
Prevention
[30Day–15–15BM]
Agency Forms Undergoing Paperwork
Reduction Act Review
The Centers for Disease Control and
Prevention (CDC) has submitted the
following information collection request
to the Office of Management and Budget
(OMB) for review and approval in
accordance with the Paperwork
Reduction Act of 1995. The notice for
the proposed information collection is
published to obtain comments from the
public and affected agencies.
Written comments and suggestions
from the public and affected agencies
concerning the proposed collection of
information are encouraged. Your
comments should address any of the
following: (a) Evaluate whether the
proposed collection of information is
necessary for the proper performance of
the functions of the agency, including
whether the information will have
practical utility; (b) Evaluate the
accuracy of the agencies estimate of the
burden of the proposed collection of
information, including the validity of
the methodology and assumptions used;
(c) Enhance the quality, utility, and
clarity of the information to be
collected; (d) Minimize the burden of
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Sfmt 4703
the collection of information on those
who are to respond, including through
the use of appropriate automated,
electronic, mechanical, or other
technological collection techniques or
other forms of information technology,
e.g., permitting electronic submission of
responses; and (e) Assess information
collection costs.
To request additional information on
the proposed project or to obtain a copy
of the information collection plan and
instruments, call (404) 639–7570 or
send an email to omb@cdc.gov. Direct
written comments and/or suggestions
regarding the items contained in this
notice should be directed to the
Attention: CDC Desk Officer, Office of
Management and Budget, Washington,
DC 20503 or by fax to (202) 395–5806.
Written comments should be received
within 30 days of this notice.
Proposed Project
Assessing the Impact of
Organizational and Personal
Antecedents on Proactive Health/Safety
Decision Making—New—National
Institute for Occupational Safety and
Health (NIOSH), Centers for Disease
Control and Prevention (CDC).
Background and Brief Description
NIOSH, under Public Law 91–596,
Sections 20 and 22 (Section 20–22,
Occupational Safety and Health Act of
1977) has the responsibility to conduct
research relating to innovative methods,
E:\FR\FM\17JYN1.SGM
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]]>Agencies
[Federal Register Volume 80, Number 137 (Friday, July 17, 2015)]
[Notices]
[Pages 42497-42499]
From the Federal Register Online via the Government Publishing Office [www.gpo.gov]
[FR Doc No: 2015-17635]
-----------------------------------------------------------------------
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.
This proposed information collection was previously published in
the Federal Register on March 23rd, 2014 and allowed 60 days for public
comment. No comments were received. The purpose of this notice is to
allow an additional 30 days for public comment.
DATES: Comments on this notice must be received by August 17, 2015.
ADDRESSES: Written comments should be submitted to: AHRQ's OMB Desk
Officer by fax at (202) 395-6974 (attention: AHRQ's desk officer) or by
email at OIRA_submission@omb.eop.gov (attention: AHRQ's desk officer).
Copies of the proposed collection plans, data collection
instruments, and specific details on the estimated burden can be
obtained from the AHRQ Reports Clearance Officer.
FOR FURTHER INFORMATION CONTACT: Doris Lefkowitz, AHRQ Reports
Clearance Officer, (301) 427-1477, or by email at
doris.lefkowitz@AHRQ.hhs.gov.
SUPPLEMENTARY INFORMATION:
Proposed Project
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 SOPS.
[[Page 42498]]
Medical offices in the U.S. are asked to submit data voluntarily 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 healthcare 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 their 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 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.
[[Page 42499]]
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
Form name respondents/ Total burden Average hourly Total cost
POCs hours wage 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.
Sharon B. Arnold,
Director.
[FR Doc. 2015-17635 Filed 7-16-15; 8:45 am]
BILLING CODE 4160-90-P
