Agency Information Collection Activities: Proposed Collection; Comment Request, 84581-84583 [2016-28155]

Download as PDF Federal Register / Vol. 81, No. 226 / Wednesday, November 23, 2016 / Notices submit your paper comment to the Commission by courier or overnight service. Visit the Commission Web site at http://www.ftc.gov to read this Notice. The FTC Act and other laws that the Commission administers permit the collection of public comments to consider and use in this proceeding as appropriate. The Commission will consider all timely and responsive public comments that it receives on or before December 23, 2016. You can find more information, including routine uses permitted by the Privacy Act, in the Commission’s privacy policy, at http://www.ftc.gov/ftc/privacy.shtm. Comments on the information collection requirements subject to review under the PRA should also be submitted to OMB. If sent by U.S. mail, address comments to: Office of Information and Regulatory Affairs, Office of Management and Budget, Attention: Desk Officer for the Federal Trade Commission, New Executive Office Building, Docket Library, Room 10102, 725 17th Street NW., Washington, DC 20503. Comments sent to OMB by U.S. postal mail, however, are subject to delays due to heightened security precautions. Thus, comments instead should be sent by facsimile to (202) 395–5167. David C. Shonka, Principal Deputy General Counsel. [FR Doc. 2016–28208 Filed 11–22–16; 8:45 am] BILLING CODE 6750–01–P GULF COAST ECOSYSTEM RESTORATION COUNCIL Notice of Proposed Subaward Under a Council-Selected Restoration Component Award Gulf Coast Ecosystem Restoration Council. ACTION: Notice. AGENCY: The Gulf Coast Ecosystem Restoration Council (Council) publishes notice of a proposed subaward from the Texas Commission on Environmental Quality (TCEQ) to the Nature Conservancy (TNC), a nonprofit organization, for the purpose of acquiring three properties in the Bahia Grande Coastal Corridor in accordance with the Bahia Grande Coastal Corridor Implementation Award as approved in the Initial Funded Priority List. FOR FURTHER INFORMATION CONTACT: Please send questions by email to raams_pgmsupport@restorethegulf.gov. SUPPLEMENTARY INFORMATION: Section 1321(t)(2)(E)(ii)(III) of the RESTORE Act mstockstill on DSK3G9T082PROD with NOTICES SUMMARY: VerDate Sep<11>2014 18:04 Nov 22, 2016 Jkt 241001 (33 U.S.C. 1321(t)(2)(E)(ii)(III)) and Treasury’s implementing regulation at 31 CFR 34.401(b) require that, for purposes of awards made under the Council-Selected Restoration Component, a State or Federal award recipient may make a grant or subaward to or enter into a cooperative agreement with a nongovernmental entity that equals or exceeds 10 percent of the total amount of the award provided to the State or Federal award recipient only if certain notice requirements are met. Specifically, at least 30 days before the State or Federal award recipient enters into such an agreement, the Council must publish in the Federal Register and deliver to specified Congressional Committees the name of the recipient and subrecipient; a brief description of the activity, including its purpose; and the amount of the award. This notice accomplishes the Federal Register requirement. Description of Proposed Action As specified in the Initial Funded Priority List, which is available on the Council’s Web site at https:// www.restorethegulf.gov/councilselected-restoration-component/fundedpriorities-list, RESTORE Act funds will support the Bahia Grande Coastal Corridor Implementation Award (Bahia Grande Award) to TCEQ. Through this Award of $4,378,500, approximately 1,852 acres of land will be conserved through fee title acquisition from willing sellers and added to a 105,000 acre corridor of conservation lands that includes the Laguna Atascosa National Wildlife Refuge (NWR), Boca Chica State Park, and the Lower Rio Grande Valley NWR. Property acquisitions under the Bahia Grande Award will be accomplished through a subaward in the amount of $4,363,391 from TCEQ to TNC. Through the subaward, TNC will acquire three properties in the Bahia Grande Coastal Corridor, which are expected to ultimately become part of the Laguna Atascosa NWR. These properties will connect Laguna Atascosa NWR, Lower Rio Grande Valley NWR, and Boca Chica State Park, as well as over 2 million acres of intact habitat on private ranchland with the 1.3 million acre Rio Bravo Protected Area. The connection provided by these properties will provide additional protection for, and could prevent future listing of Statethreatened species like the reddish egret, Botteri’s sparrow, white-tailed hawk, white-faced ibis, Texas tortoise, Texas indigo snake and Texas horned lizard. Conserving additional portions of the Bahia Grande wetland system and portions of its watershed will secure valuable freshwater inflows and allow PO 00000 Frm 00035 Fmt 4703 Sfmt 4703 84581 partners to complete hydrological restoration needed to increase tidal flows and divert freshwater inflows needed to fully restore this system. Will D. Spoon, Program Analyst, Gulf Coast Ecosystem Restoration Council. [FR Doc. 2016–28316 Filed 11–22–16; 8:45 am] BILLING CODE 6560–58–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: ‘‘The Consumer Assessment of Healthcare Providers and Systems (CAHPS) PatientCentered Medical Home (PCMH) Items Demonstration Study.’’ In accordance with the Paperwork Reduction Act, AHRQ invites the public to comment on this proposed information collection. This proposed information collection was previously published in the Federal Register on August 3rd, 2016 and allowed 60 days for public comment. AHRQ did not receive any substantive comments. The purpose of this notice is to allow an additional 30 days for public comment. SUMMARY: Comments on this notice must be received by December 23, 2016. DATES: 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). 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: E:\FR\FM\23NON1.SGM 23NON1 84582 Federal Register / Vol. 81, No. 226 / Wednesday, November 23, 2016 / Notices Proposed Project ‘‘The Consumer Assessment of Healthcare Providers and Systems (CAHPS) Patient-Centered Medical Home (PCMH) Items Demonstration Study.’’ This study is being conducted by AHRQ through its contractor, RAND, pursuant to AHRQ’s statutory authority to conduct and support research on healthcare and on systems for the delivery of such care, including activities with respect to the quality, effectiveness, efficiency, appropriateness and value of healthcare services and with respect to quality measurement and improvement. 42 U.S.C. 299a(a)(1) and (2). mstockstill on DSK3G9T082PROD with NOTICES Method of Collection The patient-centered medical home (PCMH) is a model for delivering primary care that is patient-centered, comprehensive, coordinated, accessible, and continuously improved through a systems-based approach to quality and safety. As primary care practices across the United States seek National Committee for Quality Assurance (NCQA) recognition as patient-centered medical homes (PCMH), they can choose to administer the Consumer Assessment of Healthcare Providers and Systems (CAHPS®) Clinician and Group (CG– CAHPS) survey with or without the PCMH supplemental item set (AHRQ, 2010; Hays et al., 2014; Ng et al., 2016; Scholle et al., 2012). NCQA offers a special patient experience distinction to practices that opt to use the CAHPS PCMH items set in their CG–CAHPS survey tool. While over 11,000 practices, representing an estimated 15– 18% of primary care physicians, are currently recognized for PCMH by NCQA (NCQA, 2015), fewer than 3% of them submit patient experience surveys to NCQA when applying for recognition under NCQA’s PCMH recognition program. Despite the rapid movement toward PCMH primary care transformation and the increasing use of CAHPS PCMH items, little is known about the ways in which practices are using these CAHPS data and the PCMH supplemental item information (about access, comprehensiveness, self-management, shared decision making, coordination of care, and information about care and appointments) to understand and improve their patients’ experiences during PCMH transformation. The PCMH Items Demonstration Study will investigate: VerDate Sep<11>2014 18:04 Nov 22, 2016 Jkt 241001 • How practices across the U.S. use CAHPS and the PCMH item set during PCMH transformation, • How practices assemble and select items for inclusion in their patient experience surveys (e.g. core, PCMH, supplemental, and custom items), • Primary care practice leaders’ perspectives on NCQA PCMH Recognition and CAHPS Patient Experience Distinction, • Effects of changes made during PCMH transformation on patient experiences reported on CAHPS surveys and any PCMH items, and • Associations between PCMH transformation and patient experience scores. To achieve the goals of this project the following data collections will be implemented: (1) Office Manager Questions administered via phone about the participating practice’s characteristics to describe the type of practices in the study and to understand how practice characteristics influence PCMH transformation and patient experience. (2) Physician Interviews administered via phone with the lead PCMH clinical expert about the details, decisions and processes of PCMH transformation, NCQA PCMH Recognition and CAHPS Patient Experience Distinction and their use of patient experience data during the transformation process. (3) PCMH–A Assessment Tool to be completed by the lead PCMH clinical expert (before or after the interview on the standardized form via fax or email) to collect validated metrics on the ‘‘PCMH-ness’’ of the practice. (4) CAHPS Patient Experience Data Files, which are patient-level deidentified CAHPS patient experience data covering the period of PCMH transformation for the participating practice. These data are collected independently of this study by the practice (or network) via their current vendor. We will work with the PCMH clinical expert (or a person they designate who handles their data) in each of the participating practices to submit these CAHPS data files securely to RAND to understand practices’ CAHPS patient experience trends and associations with PCMH implementation during practices’ PCMH journey. Characterizing primary care practices’ use of CAHPS and PCMH items will provide important insight into the activities practices conduct during PCMH transformation to improve patient experience scores. This information may be useful in supporting practices that lag behind their peers, learning from practices with PO 00000 Frm 00036 Fmt 4703 Sfmt 4703 outstanding records of patient experience, and providing recommendations that may be used to refine the content of the CAHPS survey items. Estimated Annual Respondent Burden Table 1 shows the estimated annualized burden and cost for the respondents’ time to participate in this data collection. These burden estimates are based on tests of data collection conducted on nine or fewer entities. As indicated below, the annual total burden hours are estimated to be 179 hours. The annual total cost associated with the annual total burden hours is estimated to be $16,899. Table 1 shows the estimated annualized burden for the respondents’ time to participate in this data collection. The PCMH Items Demonstration Study will recruit 150 practices including the participating practices’ office managers and one physician/lead PCMH clinical expert. We will recruit and administer the Office Manager Questions by phone to 150 office managers, recruit all sampled physicians by sending them a recruitment packet that includes a cover letter, an AHRQ endorsement letter and an info sheet, and then administer the Physician Interview protocol questions by phone to 150 physicians, and 150 physicians will self-administer the PCMH–A Assessment Tool. We have calculated our burden estimate for Office Manager Questions asked during physician recruitment using an estimate of 3–5 questions a minute as the Office Manager Questions are closed-ended survey questions. The Office Manager Questions contains 17 questions and is estimated to require an average of 5 minutes; this estimate is supported by the information gathered during a pilot of these questions. For the Physician Interview, we have calculated the burden estimate to require an average of 40 minutes per interview. For the PCMH–A Assessment Tool, we calculated our burden using a conservative estimate of 4.5 items per minute. Prior work suggests that 3–5 items on an assessment tool can typically be completed per minute, depending on item complexity and respondent characteristics (Berry, 2009; Hays & Reeve, 2010). The PCMH–A Assessment tool contains 36 items and is estimated to require an average completion time of 8–10 minutes. Participating practices will be asked to submit any available CAHPS Patient Experience data files (e.g. submission of de-identified data including a data dictionary via encrypted transfer) for the period of time covering their NCQA E:\FR\FM\23NON1.SGM 23NON1 Federal Register / Vol. 81, No. 226 / Wednesday, November 23, 2016 / Notices PCMH Recognition history. Each practice will have an average estimate of 3 CAHPS Patient Experience data files to submit per one submission, which we based on the average number of years of PCMH history of the sample. In addition, we conservatively estimate that half of the control practices (25/50) administer CG–CAHPS data, as this percentage is unknown; while 90% of the participating current and past CAHPS practices (90/100) will submit 84583 CAHPS data, yielding 115 submissions of CAHPS patient experience data files. As indicated below, the annual total burden is estimated to be 179 hours. EXHIBIT 1—ESTIMATED ANNUALIZED BURDEN HOURS Data collection task Number of respondents Number of responses per respondent Office Manager Questions .......................................... Physician Interview ...................................................... PCMH–A Assessment Tool ......................................... 150 ................................... 150 ................................... 150 (Same Physicians as above). 115 ................................... 415 ................................... 1 ....................................... 1 ....................................... 1 (same person as above). 1 per practice ................... 1 ....................................... CAHPS Patient Experience Data Files ....................... Total .............................................................. Hours per response Total burden hours 5/60 40/60 15/60 12.5 100 37.5 15/60 75/60 28.75 178.75 + The same respondent completes the Physician Interview and PCMH–A Assessment Tool and submits the CAHPS Patient Experience Data Files. EXHIBIT 2—ESTIMATED ANNUALIZED COST BURDEN Number of requests Data collection task Office Manager Questions ........................................................................... Physician Interview ...................................................................................... PCMH–A Assessment Tool ......................................................................... CAHPS Patient Experience Data Files ........................................................ Total ............................................................................................................. Total burden hours 150 150 150 115 300 Average hourly wage rate * 12.5 100 37.5 28.75 178.75 $57.44 a 97.33 b 97.33 b 97.33 b 55.48 Total cost burden $718.00 9,733.00 3,649.88 2,798.24 16,899.12 + The same respondent completes the Physician Interview and PCMH–A Assessment Tool and submits the CAHPS Patient Experience Data Files. * Occupational Employment Statistics, May 2015 National Occupational Employment and Wage Estimates United States, U.S. Department of Labor, Bureau of Labor Statistics. http://www.bls.gov/oes/current/oes_nat.htm aBased on the mean wages for General and Operations Managers, 11–1021 within Healthcare Support Occupations, the occupational group most likely tasked with completing the Office Manager Questions. aBased on the mean wages for Physicians and Surgeons, 29–1060, the occupational group most likely tasked with completing the Physician Interview, PCMH–A Assessment Tool, and submitting the CAHPS Patient Experience Data Files. 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 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 VerDate Sep<11>2014 18:04 Nov 22, 2016 Jkt 241001 comments will become a matter of public record. Sharon B. Arnold, Deputy Director. [FR Doc. 2016–28155 Filed 11–22–16; 8:45 am] BILLING CODE 4160–90–P DEPARTMENT OF HEALTH AND HUMAN SERVICES Centers for Disease Control and Prevention Statement of Organization, Functions, and Delegations of Authority Part C (Centers for Disease Control and Prevention) of the Statement of Organization, Functions, and Delegations of Authority of the Department of Health and Human Services (45 FR 67772–76, dated October 14, 1980, and corrected at 45 FR 69296, October 20, 1980, as amended most recently at 81 FR 66284–66285, dated September 27, 2016) is amended to reflect the reorganization of the Human Resources Office, Office of the PO 00000 Frm 00037 Fmt 4703 Sfmt 4703 Chief Operating Officer, Centers for Disease Control and Prevention. Section C–B, Organization and Functions, is hereby amended as follows: Delete in its entirety the title and the mission and function statements for the Human Resources Office (CAJQ) and insert the following: Human Resources Office (CAJQ). (1) Provides leadership, policy formation, oversight, guidance, service, and advisory support and assistance to the Centers for Disease Control and Prevention (CDC) and the Agency for Toxic Substances and Disease Registry (ATSDR); (2) collaborates as appropriate, with the CDC Office of the Director (OD), Centers/Institute/Offices (CIOs), domestic and international agencies and organizations; and provides a focus for short- and longterm planning within the Human Resource Office (HRO); (3) develops and administers human capital and human resource management policies; (4) serves as the business steward for all CDC developed human capital and human resources management systems and applications; (5) develops, E:\FR\FM\23NON1.SGM 23NON1

Agencies

[Federal Register Volume 81, Number 226 (Wednesday, November 23, 2016)]
[Notices]
[Pages 84581-84583]
From the Federal Register Online via the Government Publishing Office [www.gpo.gov]
[FR Doc No: 2016-28155]


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

Agency for Healthcare Research and Quality


Agency Information Collection Activities: Proposed Collection; 
Comment Request

AGENCY: Agency for Healthcare Research and Quality, HHS.

ACTION: Notice.

-----------------------------------------------------------------------

SUMMARY: This notice announces the intention of the Agency for 
Healthcare Research and Quality (AHRQ) to request that the Office of 
Management and Budget (OMB) approve the proposed information collection 
project: ``The Consumer Assessment of Healthcare Providers and Systems 
(CAHPS) Patient-Centered Medical Home (PCMH) Items Demonstration 
Study.'' In accordance with the Paperwork Reduction Act, AHRQ invites 
the public to comment on this proposed information collection.
    This proposed information collection was previously published in 
the Federal Register on August 3rd, 2016 and allowed 60 days for public 
comment. AHRQ did not receive any substantive comments. The purpose of 
this notice is to allow an additional 30 days for public comment.

DATES: Comments on this notice must be received by December 23, 2016.

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).

FOR FURTHER INFORMATION CONTACT: Doris Lefkowitz, AHRQ Reports 
Clearance Officer, (301) 427-1477, or by email at 
doris.lefkowitz@AHRQ.hhs.gov.

SUPPLEMENTARY INFORMATION: 

[[Page 84582]]

Proposed Project

``The Consumer Assessment of Healthcare Providers and Systems (CAHPS) 
Patient-Centered Medical Home (PCMH) Items Demonstration Study.''

    This study is being conducted by AHRQ through its contractor, RAND, 
pursuant to AHRQ's statutory authority to conduct and support research 
on healthcare and on systems for the delivery of such care, including 
activities with respect to the quality, effectiveness, efficiency, 
appropriateness and value of healthcare services and with respect to 
quality measurement and improvement. 42 U.S.C. 299a(a)(1) and (2).

Method of Collection

    The patient-centered medical home (PCMH) is a model for delivering 
primary care that is patient-centered, comprehensive, coordinated, 
accessible, and continuously improved through a systems-based approach 
to quality and safety.
    As primary care practices across the United States seek National 
Committee for Quality Assurance (NCQA) recognition as patient-centered 
medical homes (PCMH), they can choose to administer the Consumer 
Assessment of Healthcare Providers and Systems (CAHPS[supreg]) 
Clinician and Group (CG-CAHPS) survey with or without the PCMH 
supplemental item set (AHRQ, 2010; Hays et al., 2014; Ng et al., 2016; 
Scholle et al., 2012). NCQA offers a special patient experience 
distinction to practices that opt to use the CAHPS PCMH items set in 
their CG-CAHPS survey tool. While over 11,000 practices, representing 
an estimated 15-18% of primary care physicians, are currently 
recognized for PCMH by NCQA (NCQA, 2015), fewer than 3% of them submit 
patient experience surveys to NCQA when applying for recognition under 
NCQA's PCMH recognition program.
    Despite the rapid movement toward PCMH primary care transformation 
and the increasing use of CAHPS PCMH items, little is known about the 
ways in which practices are using these CAHPS data and the PCMH 
supplemental item information (about access, comprehensiveness, self-
management, shared decision making, coordination of care, and 
information about care and appointments) to understand and improve 
their patients' experiences during PCMH transformation. The PCMH Items 
Demonstration Study will investigate:
     How practices across the U.S. use CAHPS and the PCMH item 
set during PCMH transformation,
     How practices assemble and select items for inclusion in 
their patient experience surveys (e.g. core, PCMH, supplemental, and 
custom items),
     Primary care practice leaders' perspectives on NCQA PCMH 
Recognition and CAHPS Patient Experience Distinction,
     Effects of changes made during PCMH transformation on 
patient experiences reported on CAHPS surveys and any PCMH items, and
     Associations between PCMH transformation and patient 
experience scores.
    To achieve the goals of this project the following data collections 
will be implemented:
    (1) Office Manager Questions administered via phone about the 
participating practice's characteristics to describe the type of 
practices in the study and to understand how practice characteristics 
influence PCMH transformation and patient experience.
    (2) Physician Interviews administered via phone with the lead PCMH 
clinical expert about the details, decisions and processes of PCMH 
transformation, NCQA PCMH Recognition and CAHPS Patient Experience 
Distinction and their use of patient experience data during the 
transformation process.
    (3) PCMH-A Assessment Tool to be completed by the lead PCMH 
clinical expert (before or after the interview on the standardized form 
via fax or email) to collect validated metrics on the ``PCMH-ness'' of 
the practice.
    (4) CAHPS Patient Experience Data Files, which are patient-level 
de-identified CAHPS patient experience data covering the period of PCMH 
transformation for the participating practice. These data are collected 
independently of this study by the practice (or network) via their 
current vendor. We will work with the PCMH clinical expert (or a person 
they designate who handles their data) in each of the participating 
practices to submit these CAHPS data files securely to RAND to 
understand practices' CAHPS patient experience trends and associations 
with PCMH implementation during practices' PCMH journey.
    Characterizing primary care practices' use of CAHPS and PCMH items 
will provide important insight into the activities practices conduct 
during PCMH transformation to improve patient experience scores. This 
information may be useful in supporting practices that lag behind their 
peers, learning from practices with outstanding records of patient 
experience, and providing recommendations that may be used to refine 
the content of the CAHPS survey items.

Estimated Annual Respondent Burden

    Table 1 shows the estimated annualized burden and cost for the 
respondents' time to participate in this data collection. These burden 
estimates are based on tests of data collection conducted on nine or 
fewer entities. As indicated below, the annual total burden hours are 
estimated to be 179 hours. The annual total cost associated with the 
annual total burden hours is estimated to be $16,899.
    Table 1 shows the estimated annualized burden for the respondents' 
time to participate in this data collection. The PCMH Items 
Demonstration Study will recruit 150 practices including the 
participating practices' office managers and one physician/lead PCMH 
clinical expert. We will recruit and administer the Office Manager 
Questions by phone to 150 office managers, recruit all sampled 
physicians by sending them a recruitment packet that includes a cover 
letter, an AHRQ endorsement letter and an info sheet, and then 
administer the Physician Interview protocol questions by phone to 150 
physicians, and 150 physicians will self-administer the PCMH-A 
Assessment Tool.
    We have calculated our burden estimate for Office Manager Questions 
asked during physician recruitment using an estimate of 3-5 questions a 
minute as the Office Manager Questions are closed-ended survey 
questions. The Office Manager Questions contains 17 questions and is 
estimated to require an average of 5 minutes; this estimate is 
supported by the information gathered during a pilot of these 
questions. For the Physician Interview, we have calculated the burden 
estimate to require an average of 40 minutes per interview. For the 
PCMH-A Assessment Tool, we calculated our burden using a conservative 
estimate of 4.5 items per minute. Prior work suggests that 3-5 items on 
an assessment tool can typically be completed per minute, depending on 
item complexity and respondent characteristics (Berry, 2009; Hays & 
Reeve, 2010). The PCMH-A Assessment tool contains 36 items and is 
estimated to require an average completion time of 8-10 minutes.
    Participating practices will be asked to submit any available CAHPS 
Patient Experience data files (e.g. submission of de-identified data 
including a data dictionary via encrypted transfer) for the period of 
time covering their NCQA

[[Page 84583]]

PCMH Recognition history. Each practice will have an average estimate 
of 3 CAHPS Patient Experience data files to submit per one submission, 
which we based on the average number of years of PCMH history of the 
sample. In addition, we conservatively estimate that half of the 
control practices (25/50) administer CG-CAHPS data, as this percentage 
is unknown; while 90% of the participating current and past CAHPS 
practices (90/100) will submit CAHPS data, yielding 115 submissions of 
CAHPS patient experience data files. As indicated below, the annual 
total burden is estimated to be 179 hours.

                                  Exhibit 1--Estimated Annualized Burden Hours
----------------------------------------------------------------------------------------------------------------
                                                            Number of responses      Hours per     Total burden
       Data collection task         Number of respondents      per respondent        response          hours
----------------------------------------------------------------------------------------------------------------
Office Manager Questions..........  150..................  1....................            5/60            12.5
Physician Interview...............  150..................  1....................           40/60             100
PCMH-A Assessment Tool............  150 (Same Physicians   1 (same person as               15/60            37.5
                                     as above).             above).
CAHPS Patient Experience Data       115..................  1 per practice.......           15/60           28.75
 Files.
        Total.....................  415..................  1....................           75/60          178.75
----------------------------------------------------------------------------------------------------------------
+ The same respondent completes the Physician Interview and PCMH-A Assessment Tool and submits the CAHPS Patient
  Experience Data Files.


                                   Exhibit 2--Estimated Annualized Cost Burden
----------------------------------------------------------------------------------------------------------------
                                                   Number of     Total burden    Average hourly     Total cost
             Data collection task                  requests          hours         wage rate *        burden
----------------------------------------------------------------------------------------------------------------
Office Manager Questions......................             150            12.5        $57.44 \a\         $718.00
Physician Interview...........................             150             100         97.33 \b\        9,733.00
PCMH-A Assessment Tool........................             150            37.5         97.33 \b\        3,649.88
CAHPS Patient Experience Data Files...........             115           28.75         97.33 \b\        2,798.24
Total.........................................             300          178.75             55.48       16,899.12
----------------------------------------------------------------------------------------------------------------
+ The same respondent completes the Physician Interview and PCMH-A Assessment Tool and submits the CAHPS Patient
  Experience Data Files.
* Occupational Employment Statistics, May 2015 National Occupational Employment and Wage Estimates United
  States, U.S. Department of Labor, Bureau of Labor Statistics. http://www.bls.gov/oes/current/oes_nat.htm
\a\Based on the mean wages for General and Operations Managers, 11-1021 within Healthcare Support Occupations,
  the occupational group most likely tasked with completing the Office Manager Questions.
\a\Based on the mean wages for Physicians and Surgeons, 29-1060, the occupational group most likely tasked with
  completing the Physician Interview, PCMH-A Assessment Tool, and submitting the CAHPS Patient Experience Data
  Files.

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,
Deputy Director.
[FR Doc. 2016-28155 Filed 11-22-16; 8:45 am]
 BILLING CODE 4160-90-P