Agency Information Collection Activities: Proposed Collection; Comment Request, 81770-81772 [2016-27705]
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Federal Register / Vol. 81, No. 223 / Friday, November 18, 2016 / Notices
Proposed Project
5. Capital Market and L Fund
6. 2017 Proposed Internal Audit
Schedule
7. Blended Retirement Update
Closed Session
Information covered under 5 U.S.C.
552b(c)(4), c(6), and (c)(9)(B).
Adjourn
CONTACT PERSON FOR MORE INFORMATION:
Kimberly Weaver, Director, Office of
External Affairs, (202) 942–1640.
Dated: November 16, 2016.
Megan Grumbine,
General Counsel, Federal Retirement Thrift
Investment Board.
[FR Doc. 2016–27980 Filed 11–16–16; 4:15 pm]
BILLING CODE 6760–01–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.
AGENCY:
ACTION:
Notice.
This notice announces the
intention of the Agency for Healthcare
Research and Quality (AHRQ) to request
that the Office of Management and
Budget (OMB) approve the proposed
information collection project:
‘‘Pharmacy Survey on Patient Safety
Culture Comparative Database.’’ In
accordance with the Paperwork
Reduction Act, 44 U.S.C. 3501–3521,
AHRQ invites the public to comment on
this proposed information collection.
SUMMARY:
Comments on this notice must be
received by January 17, 2017.
DATES:
Written comments should
be submitted to: Doris Lefkowitz,
Reports Clearance Officer, AHRQ, by
email at doris.lefkowitz@AHRQ.hhs.gov.
Copies of the proposed collection
plans, data collection instruments, and
specific details on the estimated burden
can be obtained from the AHRQ Reports
Clearance Officer.
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ADDRESSES:
FOR FURTHER INFORMATION CONTACT:
Doris Lefkowitz, AHRQ Reports
Clearance Officer, (301) 427–1477, or by
email at doris.lefkowitz@AHRQ.hhs.gov.
SUPPLEMENTARY INFORMATION:
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Pharmacy Survey on Patient Safety
Culture Comparative Database
In 1999, the Institute of Medicine
called for health care organizations to
develop a ‘‘culture of safety’’ such that
their workforce and processes focus on
improving the reliability and safety of
care for patients (IOM, 1999; To Err is
Human: Building a Safer Health
System). To respond to the need for
tools to assess patient safety culture in
health care, AHRQ developed and pilot
tested the Pharmacy Survey on Patient
Safety Culture with OMB approval
(OMB NO. 0935–0183; Approved 08/12/
2011). The survey is designed to enable
pharmacies to assess staff opinions
about patient and medication safety and
quality-assurance issuesand includes 36
items that measure 11 dimensions of
patient safety culture. AHRQ made the
survey publicly available along with a
Survey User’s Guide and other toolkit
materials in October 2012 on the AHRQ
Web site.
The AHRQ Pharmacy Survey on
Patient Safety Culture (Pharmacy SOPS)
Comparative Database consists of data
from the AHRQ Pharmacy Survey on
Patient Safety Culture. Pharmacies in
the U.S. are asked to voluntarily submit
data from the survey to AHRQ, through
its contractor, Westat. The Pharmacy
SOPS Database is modeled after three
other SOPS databases: Hospital SOPS
[OMB NO. 0935–0162; Approved 05/04/
2010]; Medical Office SOPS [OMB NO.
0935–0196; Approved 06/12/12]; and
Nursing Home SOPS [OMB NO. 0935–
0195; Approved 06/12/12] that were
originally developed by AHRQ in
response to requests from hospitals,
medical offices, and nursing homes
interested in knowing how their patient
safety culture survey results compare to
those of other similar health care
organizations.
Rationale for the information
collection. The Pharmacy SOPS survey
and the Pharmacy SOPS Comparative
Database will support AHRQ’s goals of
promoting improvements in the quality
and safety of health care in pharmacy
settings. The survey, toolkit materials,
and comparative database results are all
made publicly available on AHRQ’s
Web site. Technical assistance is
provided by AHRQ through its
contractor at no charge to pharmacies, to
facilitate the use of these materials for
pharmacy patient safety and quality
improvement.
Request for information collection
approval. The Agency for Healthcare
Research and Quality (AHRQ) requests
that the Office of Management and
Budget (OMB) reapprove, under the
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Paperwork Reduction Act of 1995,
AHRQ’s collection of information for
the AHRQ Pharmacy Survey on Patient
Safety Culture (Pharmacy SOPS)
Comparative Database; OMB NO. 0935–
0218, last approved on June 12, 2014.
This database will:
(1) Allow pharmacies to compare
their patient safety culture survey
results with those of other pharmacies,
(2) provide data to pharmacies to
facilitate internal assessment and
learning in the patient safety
improvement process, and
(3) provide supplemental information
to help pharmacies identify their
strengths and areas with potential for
improvement in patient safety culture.
This study is being conducted by
AHRQ through its contractor, Westat,
pursuant to AHRQ’s statutory authority
to conduct and support research on
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 measure and
development, 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) Pharmacy Eligibility and
Registration Form—The point of contact
(POC), often the pharmacy manager of a
participating organization, completes a
number of data submission steps and
forms, beginning with completion of an
online Eligibility and Registration Form.
The purpose of this form is to collect
basic demographic information about
the pharmacy and initiate the
registration process.
(2) Data Use Agreement—The purpose
of the data use agreement, completed by
the pharmacy POC, is to state how data
submitted by pharmacies will be used
and provides confidentiality assurances.
(3) Pharmacy Site Information Form—
The purpose of this form, completed by
the pharmacy POC, is to collect
background characteristics of the
pharmacy. This information will be
used to analyze data collected with the
Pharmacy SOPS survey.
(4) Data Files Submission—POCs
upload their data file(s), using the
community pharmacy or hospital
pharmacy data file specifications, to
ensure that users submit standardized
and consistent data in the way variables
are named, coded, and formatted.
The number of submissions to the
database is likely to vary each year
because pharmacies do not administer
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Federal Register / Vol. 81, No. 223 / Friday, November 18, 2016 / Notices
the survey and submit data every year.
Data submission is typically handled by
one POC who is either a pharmacy
manager or a survey vendor who
contracts with a pharmacy to collect and
submit its data. POCs submit data on
behalf of 3 pharmacies, on average,
because many pharmacies are part of a
multi-pharmacy system, or the POC is a
vendor that is submitting data for
multiple pharmacies.
Survey data from the AHRQ
Pharmacy Survey on Patient Safety
Culture are used to produce three types
of products: (1) A Pharmacy SOPS
Comparative Database Report that is
made publicly available on the AHRQ
Web site (see https://www.ahrq.gov/
professionals/quality-patient-safety/
patientsafetyculture/pharmacy/pharmreports.html), (2) Individual Pharmacy
Survey Feedback Reports that are
confidential, customized reports
produced for each pharmacy that
submits data to the database (the
number of reports produced is based on
the number of pharmacies submitting
each year); and (3) Research data sets of
individual-level and pharmacy-level de-
identified data to enable researchers to
conduct analyses. Pharmacies are asked
to voluntarily submit their Pharmacy
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 36
items and 11 patient safety culture
dimensions, as well as displaying these
results by pharmacy characteristics
(pharmacy type, number of locations,
average number of prescriptions
dispensed per week, etc.) and
respondent characteristics (staff
position, tenure, and hours worked per
week).
Data submitted by pharmacies are also
used to give each pharmacy its own
customized survey feedback report that
presents the pharmacy’s results
compared to the latest comparative
database results. If a pharmacy submits
data more than once, its survey feedback
report also presents trend data,
comparing its previous and most recent
data.
Estimated Annual Respondent Burden
Exhibit 1 shows the estimated
annualized burden hours for the
respondents’ time to participate in the
database. An estimated 100 POCs from
community pharmacies and 50 POCs
from hospital pharmacies, each
representing an average of 3 individual
pharmacies, will complete the database
submission steps and forms. Completing
the eligibility and registration form will
take about 5 minutes. The Pharmacy
Site Information Form is completed by
all POCs for each of their pharmacies
(150 × 3 = 450 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 209 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
$11,222 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 and Registration Form ......................................................................
Data Use Agreement .......................................................................................
Pharmacy Site Information Form .....................................................................
Data Files Submission .....................................................................................
150
150
150
150
1
1
3
1
5/60
3/60
5/60
1
13
8
38
150
Total ..........................................................................................................
NA
NA
NA
209
EXHIBIT 2—ESTIMATED ANNUALIZED COST BURDEN
Number of
respondents/
POCs
Form name
Total burden
hours
Average
hourly wage
rate *
Total cost
burden
Eligibility and Registration Form ......................................................................
Data Use Agreement .......................................................................................
Pharmacy Site Information Form .....................................................................
Data Files Submission .....................................................................................
150
150
150
150
13
8
38
150
$53.69
53.69
53.69
53.69
$698
430
2,040
8,054
Total ..........................................................................................................
NA
209
NA
11,222
* Based on the weighted average hourly wage in community pharmacies for 100 General and Operations Managers (11–1021; $49.26) and 50
General and Operations Managers (11–1021; $62.56) obtained from the May 2015 National Industry-Specific Occupational Employment and
Wage Estimates: NAICS 446110—Pharmacies and Drug Stores (located at https://www.bls.gov/oes/current/naics5_446110.htm) and NAICS
622000—Hospitals (located at https://www.bls.gov/oes/current/naics3_622000.htm).
mstockstill on DSK3G9T082PROD 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
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20:21 Nov 17, 2016
Jkt 241001
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
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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
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Federal Register / Vol. 81, No. 223 / Friday, November 18, 2016 / Notices
comments will become a matter of
public record.
Sharon B. Arnold,
Deputy Director.
[FR Doc. 2016–27705 Filed 11–17–16; 8:45 am]
BILLING CODE 4160–90–P
DEPARTMENT OF HEALTH AND
HUMAN SERVICES
Centers for Medicare & Medicaid
Services
[Document Identifier: CMS–R–244]
Agency Information Collection
Activities: Proposed Collection;
Comment Request
Centers for Medicare &
Medicaid Services, HHS.
ACTION: Notice.
AGENCY:
The Centers for Medicare &
Medicaid Services (CMS) is announcing
an opportunity for the public to
comment on CMS’ intention to collect
information from the public. Under the
Paperwork Reduction Act of 1995 (the
PRA), federal agencies are required to
publish notice in the Federal Register
concerning each proposed collection of
information (including each proposed
extension or reinstatement of an existing
collection of information) and to allow
60 days for public comment on the
proposed action. Interested persons are
invited to send comments regarding our
burden estimates or any other aspect of
this collection of information, including
any of the following subjects: (1) The
necessity and utility of the proposed
information collection for the proper
performance of the agency’s functions;
(2) the accuracy of the estimated
burden; (3) ways to enhance the quality,
utility, and clarity of the information to
be collected; and (4) the use of
automated collection techniques or
other forms of information technology to
minimize the information collection
burden.
DATES: Comments must be received by
January 17, 2017.
ADDRESSES: When commenting, please
reference the document identifier or
OMB control number. To be assured
consideration, comments and
recommendations must be submitted in
any one of the following ways:
1. Electronically. You may send your
comments electronically to https://
www.regulations.gov. Follow the
instructions for ‘‘Comment or
Submission’’ or ‘‘More Search Options’’
to find the information collection
document(s) that are accepting
comments.
mstockstill on DSK3G9T082PROD with NOTICES
SUMMARY:
VerDate Sep<11>2014
20:21 Nov 17, 2016
Jkt 241001
2. By regular mail. You may mail
written comments to the following
address: CMS, Office of Strategic
Operations and Regulatory Affairs,
Division of Regulations Development,
Attention: Document Identifier/OMB
Control Number lll, Room C4–26–
05, 7500 Security Boulevard, Baltimore,
Maryland 21244–1850.
To obtain copies of a supporting
statement and any related forms for the
proposed collection(s) summarized in
this notice, you may make your request
using one of following:
1. Access CMS’ Web site address at
https://www.cms.hhs.gov/
PaperworkReductionActof1995.
2. Email your request, including your
address, phone number, OMB number,
and CMS document identifier, to
Paperwork@cms.hhs.gov.
3. Call the Reports Clearance Office at
(410) 786–1326.
FOR FURTHER INFORMATION CONTACT:
Reports Clearance Office at (410) 786–
1326.
SUPPLEMENTARY INFORMATION:
Contents
This notice sets out a summary of the
use and burden associated with the
following information collections. More
detailed information can be found in
each collection’s supporting statement
and associated materials (see
ADDRESSES).
CMS–R–244 Programs for AllInclusive Care of the Elderly (PACE) and
Supporting Regulations in 42 CFR Part
460
Under the PRA (44 U.S.C. 3501–
3520), federal agencies must obtain
approval from the Office of Management
and Budget (OMB) for each collection of
information they conduct or sponsor.
The term ‘‘collection of information’’ is
defined in 44 U.S.C. 3502(3) and 5 CFR
1320.3(c) and includes agency requests
or requirements that members of the
public submit reports, keep records, or
provide information to a third party.
Section 3506(c)(2)(A) of the PRA
requires federal agencies to publish a
60-day notice in the Federal Register
concerning each proposed collection of
information, including each proposed
extension or reinstatement of an existing
collection of information, before
submitting the collection to OMB for
approval. To comply with this
requirement, CMS is publishing this
notice.
Information Collection: Programs for
All-inclusive Care of the Elderly (PACE)
and Supporting Regulations in 42 CFR
part 460; Use: This information
collection addresses all operational
components of the PACE program (as
defined in 42 CFR part 460) with the
exception of the application process
(§ 460.12). In this iteration the
application is removed from this control
number and moved under a new
information collection request with a
new CMS identification number (CMS–
10631). An OMB control number
specific to the application process is
pending.
The CMS–10631 information
collection request was submitted to
OMB on October 6, 2016, under ICR
Reference No: 201610–0938–001. When
approved, the control number can be
found on www.reginfo.gov/public/.
We are removing the application
requirements and burden since this
CMS–R–244 package is lengthy and we
recognize that it can be somewhat time
consuming to review. We believe the
change will help streamline the public
and OMB’s review of the application as
well as the remaining requirements and
burden under this CMS–R–244 package.
Form Number: CMS–R–244 (OMB
control number: 0938–0790); Frequency:
Once and occasionally; Affected Public:
Private sector (Business or other forprofits and Not-for-profit institutions);
Number of Respondents: 130; Total
Annual Responses: 145,455; Total
Annual Hours: 61,350. (For policy
questions regarding this collection
contact Debbie Van Hoven at 410–786–
6625).
Dated: November 15, 2016.
William N. Parham, III,
Director, Paperwork Reduction Staff, Office
of Strategic Operations and Regulatory
Affairs.
[FR Doc. 2016–27836 Filed 11–17–16; 8:45 am]
BILLING CODE 4120–01–P
DEPARTMENT OF HEALTH AND
HUMAN SERVICES
Food and Drug Administration
[Docket No. FDA–2013–N–0804]
Agency Information Collection
Activities; Proposed Collection;
Comment Request; Premarket
Notification
AGENCY:
Food and Drug Administration,
HHS.
Notice.
Information Collection
ACTION:
1. Type of Information Collection
Request: Revision of a currently
approved collection; Title of
SUMMARY:
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The Food and Drug
Administration (FDA) is announcing an
opportunity for public comment on the
E:\FR\FM\18NON1.SGM
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Agencies
[Federal Register Volume 81, Number 223 (Friday, November 18, 2016)]
[Notices]
[Pages 81770-81772]
From the Federal Register Online via the Government Publishing Office [www.gpo.gov]
[FR Doc No: 2016-27705]
=======================================================================
-----------------------------------------------------------------------
DEPARTMENT OF HEALTH AND HUMAN SERVICES
Agency for Healthcare Research and Quality
Agency Information Collection Activities: Proposed Collection;
Comment Request
AGENCY: Agency for Healthcare Research and Quality, HHS.
ACTION: Notice.
-----------------------------------------------------------------------
SUMMARY: This notice announces the intention of the Agency for
Healthcare Research and Quality (AHRQ) to request that the Office of
Management and Budget (OMB) approve the proposed information collection
project: ``Pharmacy Survey on Patient Safety Culture Comparative
Database.'' In accordance with the Paperwork Reduction Act, 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 January 17, 2017.
ADDRESSES: Written comments should be submitted to: Doris Lefkowitz,
Reports Clearance Officer, AHRQ, by email at
doris.lefkowitz@AHRQ.hhs.gov.
Copies of the proposed collection plans, data collection
instruments, and specific details on the estimated burden can be
obtained from the AHRQ Reports Clearance Officer.
FOR FURTHER INFORMATION CONTACT: Doris Lefkowitz, AHRQ Reports
Clearance Officer, (301) 427-1477, or by email at
doris.lefkowitz@AHRQ.hhs.gov.
SUPPLEMENTARY INFORMATION:
Proposed Project
Pharmacy Survey on Patient Safety Culture Comparative Database
In 1999, the Institute of Medicine called for health care
organizations to develop a ``culture of safety'' such that their
workforce and processes focus on improving the reliability and safety
of care for patients (IOM, 1999; To Err is Human: Building a Safer
Health System). To respond to the need for tools to assess patient
safety culture in health care, AHRQ developed and pilot tested the
Pharmacy Survey on Patient Safety Culture with OMB approval (OMB NO.
0935-0183; Approved 08/12/2011). The survey is designed to enable
pharmacies to assess staff opinions about patient and medication safety
and quality-assurance issuesand includes 36 items that measure 11
dimensions of patient safety culture. AHRQ made the survey publicly
available along with a Survey User's Guide and other toolkit materials
in October 2012 on the AHRQ Web site.
The AHRQ Pharmacy Survey on Patient Safety Culture (Pharmacy SOPS)
Comparative Database consists of data from the AHRQ Pharmacy Survey on
Patient Safety Culture. Pharmacies in the U.S. are asked to voluntarily
submit data from the survey to AHRQ, through its contractor, Westat.
The Pharmacy SOPS Database is modeled after three other SOPS databases:
Hospital SOPS [OMB NO. 0935-0162; Approved 05/04/2010]; Medical Office
SOPS [OMB NO. 0935-0196; Approved 06/12/12]; and Nursing Home SOPS [OMB
NO. 0935-0195; Approved 06/12/12] that were originally developed by
AHRQ in response to requests from hospitals, medical offices, and
nursing homes interested in knowing how their patient safety culture
survey results compare to those of other similar health care
organizations.
Rationale for the information collection. The Pharmacy SOPS survey
and the Pharmacy SOPS Comparative Database will support AHRQ's goals of
promoting improvements in the quality and safety of health care in
pharmacy settings. The survey, toolkit materials, and comparative
database results are all made publicly available on AHRQ's Web site.
Technical assistance is provided by AHRQ through its contractor at no
charge to pharmacies, to facilitate the use of these materials for
pharmacy patient safety and quality improvement.
Request for information collection approval. The Agency for
Healthcare Research and Quality (AHRQ) requests that the Office of
Management and Budget (OMB) reapprove, under the Paperwork Reduction
Act of 1995, AHRQ's collection of information for the AHRQ Pharmacy
Survey on Patient Safety Culture (Pharmacy SOPS) Comparative Database;
OMB NO. 0935-0218, last approved on June 12, 2014.
This database will:
(1) Allow pharmacies to compare their patient safety culture survey
results with those of other pharmacies,
(2) provide data to pharmacies to facilitate internal assessment
and learning in the patient safety improvement process, and
(3) provide supplemental information to help pharmacies identify
their strengths and areas with potential for improvement in patient
safety culture.
This study is being conducted by AHRQ through its contractor,
Westat, pursuant to AHRQ's statutory authority to conduct and support
research on 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
measure and development, 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) Pharmacy Eligibility and Registration Form--The point of
contact (POC), often the pharmacy manager of a participating
organization, completes a number of data submission steps and forms,
beginning with completion of an online Eligibility and Registration
Form. The purpose of this form is to collect basic demographic
information about the pharmacy and initiate the registration process.
(2) Data Use Agreement--The purpose of the data use agreement,
completed by the pharmacy POC, is to state how data submitted by
pharmacies will be used and provides confidentiality assurances.
(3) Pharmacy Site Information Form--The purpose of this form,
completed by the pharmacy POC, is to collect background characteristics
of the pharmacy. This information will be used to analyze data
collected with the Pharmacy SOPS survey.
(4) Data Files Submission--POCs upload their data file(s), using
the community pharmacy or hospital pharmacy data file specifications,
to ensure that users submit standardized and consistent data in the way
variables are named, coded, and formatted.
The number of submissions to the database is likely to vary each
year because pharmacies do not administer
[[Page 81771]]
the survey and submit data every year. Data submission is typically
handled by one POC who is either a pharmacy manager or a survey vendor
who contracts with a pharmacy to collect and submit its data. POCs
submit data on behalf of 3 pharmacies, on average, because many
pharmacies are part of a multi-pharmacy system, or the POC is a vendor
that is submitting data for multiple pharmacies.
Survey data from the AHRQ Pharmacy Survey on Patient Safety Culture
are used to produce three types of products: (1) A Pharmacy SOPS
Comparative Database Report that is made publicly available on the AHRQ
Web site (see https://www.ahrq.gov/professionals/quality-patient-safety/patientsafetyculture/pharmacy/pharm-reports.html), (2) Individual
Pharmacy Survey Feedback Reports that are confidential, customized
reports produced for each pharmacy that submits data to the database
(the number of reports produced is based on the number of pharmacies
submitting each year); and (3) Research data sets of individual-level
and pharmacy-level de-identified data to enable researchers to conduct
analyses. Pharmacies are asked to voluntarily submit their Pharmacy
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 36 items and 11 patient safety culture dimensions, as well as
displaying these results by pharmacy characteristics (pharmacy type,
number of locations, average number of prescriptions dispensed per
week, etc.) and respondent characteristics (staff position, tenure, and
hours worked per week).
Data submitted by pharmacies are also used to give each pharmacy
its own customized survey feedback report that presents the pharmacy's
results compared to the latest comparative database results. If a
pharmacy submits data more than once, its survey feedback report also
presents trend data, comparing its previous and most recent data.
Estimated Annual Respondent Burden
Exhibit 1 shows the estimated annualized burden hours for the
respondents' time to participate in the database. An estimated 100 POCs
from community pharmacies and 50 POCs from hospital pharmacies, each
representing an average of 3 individual pharmacies, will complete the
database submission steps and forms. Completing the eligibility and
registration form will take about 5 minutes. The Pharmacy Site
Information Form is completed by all POCs for each of their pharmacies
(150 x 3 = 450 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 209 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 $11,222 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 and Registration Form............... 150 1 5/60 13
Data Use Agreement.............................. 150 1 3/60 8
Pharmacy Site Information Form.................. 150 3 5/60 38
Data Files Submission........................... 150 1 1 150
---------------------------------------------------------------
Total....................................... NA NA NA 209
----------------------------------------------------------------------------------------------------------------
Exhibit 2--Estimated Annualized Cost Burden
----------------------------------------------------------------------------------------------------------------
Number of
Form name respondents/ Total burden Average hourly Total cost
POCs hours wage rate * burden
----------------------------------------------------------------------------------------------------------------
Eligibility and Registration Form............... 150 13 $53.69 $698
Data Use Agreement.............................. 150 8 53.69 430
Pharmacy Site Information Form.................. 150 38 53.69 2,040
Data Files Submission........................... 150 150 53.69 8,054
---------------------------------------------------------------
Total....................................... NA 209 NA 11,222
----------------------------------------------------------------------------------------------------------------
* Based on the weighted average hourly wage in community pharmacies for 100 General and Operations Managers (11-
1021; $49.26) and 50 General and Operations Managers (11-1021; $62.56) obtained from the May 2015 National
Industry-Specific Occupational Employment and Wage Estimates: NAICS 446110--Pharmacies and Drug Stores
(located at https://www.bls.gov/oes/current/naics5_446110.htm) and NAICS 622000--Hospitals (located at https://www.bls.gov/oes/current/naics3_622000.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
[[Page 81772]]
comments will become a matter of public record.
Sharon B. Arnold,
Deputy Director.
[FR Doc. 2016-27705 Filed 11-17-16; 8:45 am]
BILLING CODE 4160-90-P