Agency Information Collection Activities: Proposed Collection; Comment Request, 22831-22833 [2017-10065]

Download as PDF Federal Register / Vol. 82, No. 95 / Thursday, May 18, 2017 / Notices jstallworth on DSK7TPTVN1PROD with NOTICES Service, National Institutes of Health, National Library of Medicine, Office of the National Coordinator for Health Information Technology, Office of Public Health and Science, and Substance Abuse and Mental Health Services Administration—as well as the DoD and VA. Since the initial release of the Common Formats in August 2008, AHRQ has regularly revised the formats based upon public comment. First, AHRQ reviews existing patient safety practices and event reporting systems. Then, AHRQ works in collaboration with the PSWG and Federal subject matter experts to develop and draft the Common Formats. In addition, the PSWG assists AHRQ with assuring the consistency of definitions/formats with those of relevant government agencies. Next, AHRQ solicits feedback from private sector organizations and individuals. Finally, based upon the feedback received, AHRQ further revises the Common Formats. Participation by the private sector in the development and subsequent revision of the Common Formats is achieved through work with the NQF. The Agency engages the NQF, a nonprofit organization focused on health care quality, to solicit comments and advice regarding proposed versions of the Common Formats. AHRQ began this process with the NQF in 2008, receiving feedback on AHRQ’s 0.1 Beta release of the Common Formats for Event Reporting—Hospital. After receiving public comment, the NQF solicits the review and advice of its Common Formats Expert Panel and subsequently provides feedback to AHRQ. The Agency then revises and refines the Common Formats and issues them as a production version. AHRQ has continued to employ this process for all subsequent versions of the Common Formats. Beginning with this version, AHRQ will no longer publish aggregate report specifications, which were initially provided for versions 1.0, 1.1, and 1.2 as a local resource for providers, because the report specifications are no longer needed to guide providers regarding aggregating output. The Common Formats for Event Reporting—Hospital Version 2.0 constitutes a major release of the AHRQ Common Formats and reflects these key changes: • Data elements are designated as either ‘core’ or ‘supplemental’ for reporting purposes; • Event descriptions for each module are condensed; and • Module-specific paper forms are eliminated. The formats have two tiers, or data sets. The first tier, or core data set, contains elements that are collected for submission at the national level to the PSOPPC. The second tier, or supplemental data set, is optional for use at the local level to support additional analyses, and is not required for transmission to the PSOPPC. All documentation for the Common Formats for Event Reporting—Hospital Version 2.0 is posted on the PSOPPC Web site. https://www.psoppc.org/psoppc_web. More information on the Common Formats can be obtained through AHRQ’s PSO Web site: http:// www.pso.ahrq.gov/. Common Formats for Event Reporting— Hospital Version 2.0 On April 8, 2016, AHRQ announced the availability of the Common Formats for Event Reporting—Hospital Version 2.0 for review and comment in the Federal Register (81 FR 20642–20643). At the time of the initial release of the formats, only the event descriptions— which define adverse events of interest in the inpatient hospital setting—were made available. Based on public comment and NQF Expert Panel advice, AHRQ updated the event descriptions and developed additional documentation for the Common Formats for Event Reporting—Hospital Version 2.0, including data element definitions, algorithms, and technical specifications. Agency Information Collection Activities: Proposed Collection; Comment Request VerDate Sep<11>2014 13:43 May 17, 2017 Jkt 241001 Sharon B. Arnold, Deputy Director. [FR Doc. 2017–10068 Filed 5–17–17; 8:45 am] BILLING CODE 4160–90–P DEPARTMENT OF HEALTH AND HUMAN SERVICES Agency for Healthcare Research and Quality 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: ‘‘The AHRQ Safety Program for Enhancing Surgical Care and Recovery.’’ DATES: Comments on this notice must be received by July 17, 2017. ADDRESSES: Written comments should be submitted to: Doris Lefkowitz, SUMMARY: PO 00000 Frm 00030 Fmt 4703 Sfmt 4703 22831 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 In accordance with the Paperwork Reduction Act, 44 U.S.C. 3501–3521, AHRQ invites the public to comment on this proposed information collection. The AHRQ Safety Program for Enhancing Surgical Care and Recovery is a quality improvement project that aims to provide technical assistance to hospitals to help them implement evidence-based practices to improve outcomes and prevent complications among patients who undergo surgery. Enhanced recovery pathways are a constellation of preoperative, intraoperative, and postoperative practices that decrease complications and accelerate recovery. A number of studies and meta-analyses have demonstrated successful results. In order to facilitate broader adoption of these evidence-based practices among U.S. hospitals, this AHRQ project will adapt the Comprehensive Unit-based Safety Program (CUSP), which has been demonstrated to be an effective approach to reducing other patient harms, to enhanced recovery after surgery. The approach uses a combination of clinical and cultural (i.e., technical and adaptive) intervention components, which include promoting leadership and frontline staff engagement, close teamwork among surgeons, anesthesia providers, and nurses, as well as enhancing patient communication and engagement. Interested hospitals will voluntarily participate. This project has the following goals: • Improve outcomes of surgical patients by disseminating and supporting implementation of evidence-based enhanced recovery practices within the CUSP framework • Develop a bundle of technical and adaptive interventions and associated tools and educational materials to support implementation • Provide technical assistance and training to hospitals for implementing enhanced recovery practices • Assess the adoption, and evaluate the effectiveness of, the intervention among the participating hospitals E:\FR\FM\18MYN1.SGM 18MYN1 22832 Federal Register / Vol. 82, No. 95 / Thursday, May 18, 2017 / Notices This project is being conducted by AHRQ through its contractor Johns Hopkins University; with subcontractors Westat, and the American College of Surgeons. The AHRQ Safety Program for Enhancing Surgical Care and Recovery is being undertaken pursuant to AHRQ’s mission to enhance the quality, appropriateness, and effectiveness of health services, and access to such services, through the establishment of a broad base of scientific research and through the promotion of improvements in clinical and health systems practices, including the prevention of diseases and other health conditions. 42 U.S.C. 299. Method of Collection To achieve the goals of this project the following data collections will be implemented: (1) Safety Culture Survey. Hospitals will assess the impact of participation in the project on perioperative safety culture by having their staff members who will be part of the enhanced recovery program complete a survey from the AHRQ Surveys on Patient Safety Culture (SOPS) at the beginning and end of the program. The hospital’s enhanced recovery project team will receive their survey results and then debrief their staff on their safety culture and identify opportunities for further improvement. The national project team will provide technical assistance for this effort. Participating hospitals will promote awareness of the survey among their staff, coordinate implementation of the survey, encourage and provide staff the time to complete the survey, and organize a local debrief of the reports of their hospital’s results. The national project team will assist this effort by providing an electronic portal for hospital staff to anonymously complete the survey and by analyzing the data and sending a report to the hospital. Data will also be analyzed in aggregate across all participating hospitals to evaluate the impact of the overall quality improvement effort on measured safety culture. (2) Patient Experience Survey— Hospitals will also assess the impact of participation in the project on patients’ experience with care. This will be done via administration of a patient experience survey to patients discharged after a qualifying surgery. Patients will receive a preimplementation assessment of patient experience after a qualifying surgery and a post-implementation assessment of patient experience will be administered to patients were treated in the enhanced recovery program at participating hospitals. The survey will be administered by the national project team. Hospitals will provide patient contact information to the project team after execution of a data use agreement. This information will be provided to the national project team to send the survey to patients on behalf of the hospital. The national project team will provide a summative report to each hospital with the hospital’s results to promote additional local quality improvement work. Data will also be analyzed in aggregate across all participating hospitals to evaluate the impact of the overall quality improvement effort on patient experience of care. (3) Readiness and Implementation Assessments: Semi-structured qualitative interviews. Semi-structured qualitative interviews will be conducted with key stakeholders at participating hospitals (e.g., project leads, physician project champions, etc.). These include a readiness assessment conducted after a hospital’s enrollment in the project and an implementation assessment conducted after a period of implementation. The readiness assessment will help identify which, if any, technical components of the enhanced recovery after surgery intervention already exist at the hospital, project management and resources, clinician engagement, leadership engagement and potential barriers and facilitators to implementation. The implementation assessment will evaluate what elements of the enhanced recovery practices have been adopted, resources invested, team participation, major barriers (e.g., medications, equipment, trained personnel), and leadership participation. These assessments will help identify training needs of hospitals and inform the national team’s approach. In addition, the results will inform the national team’s understanding of local adaptations of the intervention and the degree to which intervention impacts changes in outcomes. (4) Site visits—Semi-structured site visits will be conducted at a subset of participating hospitals. Findings will help inform the national project implementation strategy. Information from these visits will be critical in understanding if and how team and/or leadership issues may affect implementation of enhanced recovery after surgery practices, including how this may differ across surgical services. Interviews will help uncover and clarify misalignments in roles, needed time and resources, best practices, and potential enablers of and barriers to enhanced recovery after surgery implementation. Site visits will be conducted at approximately 4 hospitals per year, and each will be 1-day long. The types of hospital personnel anticipated to be involved in part or all of the site visit include senior leadership, perioperative leadership, and patient safety and quality staff. Participating hospitals will receive a structured debriefing and brief summary report at the end of the oneday visit. Estimated Annual Respondent Burden EXHIBIT 1—ESTIMATED ANNUALIZED BURDEN HOURS Number of respondents Form name Number of responses per respondent Hours per response Total burden hours jstallworth on DSK7TPTVN1PROD with NOTICES Safety culture survey ....................................................................................... Patient experience survey ............................................................................... Readiness and Implementation assessment ................................................... Site visits .......................................................................................................... 12,000 1,800 720 40 1 1 1 1 0.25 0.37 1 8 3,000 666 720 320 Total .......................................................................................................... 14,560 N/A N/A 4,706 VerDate Sep<11>2014 13:43 May 17, 2017 Jkt 241001 PO 00000 Frm 00031 Fmt 4703 Sfmt 4703 E:\FR\FM\18MYN1.SGM 18MYN1 22833 Federal Register / Vol. 82, No. 95 / Thursday, May 18, 2017 / Notices EXHIBIT 2—ESTIMATED ANNUALIZED COST BURDEN Number of respondents Form name Total burden hours Average hourly wage rate * Total cost burden Safety culture survey ....................................................................................... Safety culture survey ....................................................................................... Patient experience survey ............................................................................... Readiness and Implementation assessment ................................................... Readiness and Implementation assessment ................................................... Site visits .......................................................................................................... Site visits .......................................................................................................... 6,000 6,000 1,800 360 360 20 20 1,500 1,500 666 360 360 160 160 a $101.04 c 52.58 $151,560 52,050 15,891 36,374 18,929 16,166 8,413 Total .......................................................................................................... 14,560 4,706 N/A 299,383 b 34.70 d 23.86 a 101.04 c 52.58 a 101.04 National Compensation Survey: Occupational wages in the United States May 2016 ‘‘U.S. Department of Labor, Bureau of Labor Statistics:’’ http://www.bls.gov/oes/current/oes_stru.htm. a Based on the mean wages for 29–1060 Physicians and Surgeons. b Based on the mean wages for 29–1141 Registered Nurse. c Based on the mean wages for 11–9111 Medical and Health Services Managers. d Based on the mean wages for 00–0000 All Occupations. 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. 2017–10065 Filed 5–17–17; 8:45 am] jstallworth on DSK7TPTVN1PROD with NOTICES BILLING CODE 4160–90–P VerDate Sep<11>2014 13:43 May 17, 2017 Jkt 241001 DEPARTMENT OF HEALTH AND HUMAN SERVICES Centers for Disease Control and Prevention [60Day–17–17ADT; Docket No. CDC–2017– 0046] Proposed Data Collection Submitted for Public Comment and Recommendations Centers for Disease Control and Prevention (CDC), Department of Health and Human Services (HHS). ACTION: Notice with comment period. AGENCY: The Centers for Disease Control and Prevention (CDC), as part of its continuing efforts to reduce public burden and maximize the utility of government information, invites the general public and other Federal agencies to take this opportunity to comment on proposed and/or continuing information collections, as required by the Paperwork Reduction Act of 1995. This notice invites comment on the proposed information collection project titled ‘‘Who’s at Risk: From Hazards to Communities—An Approach for Operationalizing CDC Guidelines to Determine Risks, and Define, Locate and Reach At-Risk Populations in Public Health Emergencies.’’ The data collection will include invitations to subject matter experts for public health and medical emergency planning. The data collection efforts will include a focus group format and also investigate at-risk population needs through an anonymous survey. DATES: Written comments must be received on or before July 17, 2017. ADDRESSES: You may submit comments, identified by Docket No. CDC–2017– 0046 by any of the following methods: SUMMARY: PO 00000 Frm 00032 Fmt 4703 Sfmt 4703 • Federal eRulemaking Portal: Regulations.gov. Follow the instructions for submitting comments. • Mail: Leroy A. Richardson, Information Collection Review Office, Centers for Disease Control and Prevention, 1600 Clifton Road NE., MS– D74, Atlanta, Georgia 30329. Instructions: All submissions received must include the agency name and Docket Number. All relevant comments received will be posted without change to Regulations.gov, including any personal information provided. For access to the docket to read background documents or comments received, go to Regulations.gov. Please note: All public comment should be submitted through the Federal eRulemaking portal (Regulations.gov) or by U.S. mail to the address listed above. To request more information on the proposed project or to obtain a copy of the information collection plan and instruments, contact Leroy A. Richardson, Information Collection Review Office, Centers for Disease Control and Prevention, 1600 Clifton Road NE., MS–D74, Atlanta, Georgia 30329; phone: 404–639–7570; Email: omb@cdc.gov. SUPPLEMENTARY INFORMATION: Under the Paperwork Reduction Act of 1995 (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. In addition, the PRA also requires Federal agencies to provide a 60-day notice in the Federal Register concerning each proposed collection of information, including each new proposed collection, each proposed extension of existing collection of information, and each reinstatement of previously approved information FOR FURTHER INFORMATION CONTACT: E:\FR\FM\18MYN1.SGM 18MYN1

Agencies

[Federal Register Volume 82, Number 95 (Thursday, May 18, 2017)]
[Notices]
[Pages 22831-22833]
From the Federal Register Online via the Government Publishing Office [www.gpo.gov]
[FR Doc No: 2017-10065]


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

 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 AHRQ Safety Program for Enhancing Surgical Care and 
Recovery.''

DATES: Comments on this notice must be received by July 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

    In accordance with the Paperwork Reduction Act, 44 U.S.C. 3501-
3521, AHRQ invites the public to comment on this proposed information 
collection. The AHRQ Safety Program for Enhancing Surgical Care and 
Recovery is a quality improvement project that aims to provide 
technical assistance to hospitals to help them implement evidence-based 
practices to improve outcomes and prevent complications among patients 
who undergo surgery. Enhanced recovery pathways are a constellation of 
preoperative, intraoperative, and postoperative practices that decrease 
complications and accelerate recovery. A number of studies and meta-
analyses have demonstrated successful results. In order to facilitate 
broader adoption of these evidence-based practices among U.S. 
hospitals, this AHRQ project will adapt the Comprehensive Unit-based 
Safety Program (CUSP), which has been demonstrated to be an effective 
approach to reducing other patient harms, to enhanced recovery after 
surgery. The approach uses a combination of clinical and cultural 
(i.e., technical and adaptive) intervention components, which include 
promoting leadership and frontline staff engagement, close teamwork 
among surgeons, anesthesia providers, and nurses, as well as enhancing 
patient communication and engagement. Interested hospitals will 
voluntarily participate.
    This project has the following goals:

 Improve outcomes of surgical patients by disseminating and 
supporting implementation of evidence-based enhanced recovery practices 
within the CUSP framework
 Develop a bundle of technical and adaptive interventions and 
associated tools and educational materials to support implementation
 Provide technical assistance and training to hospitals for 
implementing enhanced recovery practices
 Assess the adoption, and evaluate the effectiveness of, the 
intervention among the participating hospitals


[[Page 22832]]


    This project is being conducted by AHRQ through its contractor 
Johns Hopkins University; with subcontractors Westat, and the American 
College of Surgeons. The AHRQ Safety Program for Enhancing Surgical 
Care and Recovery is being undertaken pursuant to AHRQ's mission to 
enhance the quality, appropriateness, and effectiveness of health 
services, and access to such services, through the establishment of a 
broad base of scientific research and through the promotion of 
improvements in clinical and health systems practices, including the 
prevention of diseases and other health conditions. 42 U.S.C. 299.

Method of Collection

    To achieve the goals of this project the following data collections 
will be implemented: (1) Safety Culture Survey. Hospitals will assess 
the impact of participation in the project on perioperative safety 
culture by having their staff members who will be part of the enhanced 
recovery program complete a survey from the AHRQ Surveys on Patient 
Safety Culture (SOPS) at the beginning and end of the program. The 
hospital's enhanced recovery project team will receive their survey 
results and then debrief their staff on their safety culture and 
identify opportunities for further improvement. The national project 
team will provide technical assistance for this effort. Participating 
hospitals will promote awareness of the survey among their staff, 
coordinate implementation of the survey, encourage and provide staff 
the time to complete the survey, and organize a local debrief of the 
reports of their hospital's results. The national project team will 
assist this effort by providing an electronic portal for hospital staff 
to anonymously complete the survey and by analyzing the data and 
sending a report to the hospital. Data will also be analyzed in 
aggregate across all participating hospitals to evaluate the impact of 
the overall quality improvement effort on measured safety culture.
    (2) Patient Experience Survey--Hospitals will also assess the 
impact of participation in the project on patients' experience with 
care. This will be done via administration of a patient experience 
survey to patients discharged after a qualifying surgery. Patients will 
receive a pre-implementation assessment of patient experience after a 
qualifying surgery and a post-implementation assessment of patient 
experience will be administered to patients were treated in the 
enhanced recovery program at participating hospitals. The survey will 
be administered by the national project team. Hospitals will provide 
patient contact information to the project team after execution of a 
data use agreement. This information will be provided to the national 
project team to send the survey to patients on behalf of the hospital. 
The national project team will provide a summative report to each 
hospital with the hospital's results to promote additional local 
quality improvement work. Data will also be analyzed in aggregate 
across all participating hospitals to evaluate the impact of the 
overall quality improvement effort on patient experience of care.
    (3) Readiness and Implementation Assessments: Semi-structured 
qualitative interviews. Semi-structured qualitative interviews will be 
conducted with key stakeholders at participating hospitals (e.g., 
project leads, physician project champions, etc.). These include a 
readiness assessment conducted after a hospital's enrollment in the 
project and an implementation assessment conducted after a period of 
implementation. The readiness assessment will help identify which, if 
any, technical components of the enhanced recovery after surgery 
intervention already exist at the hospital, project management and 
resources, clinician engagement, leadership engagement and potential 
barriers and facilitators to implementation. The implementation 
assessment will evaluate what elements of the enhanced recovery 
practices have been adopted, resources invested, team participation, 
major barriers (e.g., medications, equipment, trained personnel), and 
leadership participation. These assessments will help identify training 
needs of hospitals and inform the national team's approach. In 
addition, the results will inform the national team's understanding of 
local adaptations of the intervention and the degree to which 
intervention impacts changes in outcomes.
    (4) Site visits--Semi-structured site visits will be conducted at a 
subset of participating hospitals. Findings will help inform the 
national project implementation strategy. Information from these visits 
will be critical in understanding if and how team and/or leadership 
issues may affect implementation of enhanced recovery after surgery 
practices, including how this may differ across surgical services. 
Interviews will help uncover and clarify misalignments in roles, needed 
time and resources, best practices, and potential enablers of and 
barriers to enhanced recovery after surgery implementation. Site visits 
will be conducted at approximately 4 hospitals per year, and each will 
be 1-day long. The types of hospital personnel anticipated to be 
involved in part or all of the site visit include senior leadership, 
perioperative leadership, and patient safety and quality staff. 
Participating hospitals will receive a structured debriefing and brief 
summary report at the end of the one-day visit.

Estimated Annual Respondent Burden

                                  Exhibit 1--Estimated Annualized Burden Hours
----------------------------------------------------------------------------------------------------------------
                                                                     Number of
                    Form name                        Number of     responses per     Hours per     Total burden
                                                    respondents     respondent       response          hours
----------------------------------------------------------------------------------------------------------------
Safety culture survey...........................          12,000               1            0.25           3,000
Patient experience survey.......................           1,800               1            0.37             666
Readiness and Implementation assessment.........             720               1               1             720
Site visits.....................................              40               1               8             320
                                                 ---------------------------------------------------------------
    Total.......................................          14,560             N/A             N/A           4,706
----------------------------------------------------------------------------------------------------------------


[[Page 22833]]


                                   Exhibit 2--Estimated Annualized Cost Burden
----------------------------------------------------------------------------------------------------------------
                                                                                      Average
                    Form name                        Number of     Total burden     hourly wage     Total cost
                                                    respondents        hours          rate *          burden
----------------------------------------------------------------------------------------------------------------
Safety culture survey...........................           6,000           1,500     \a\ $101.04        $151,560
Safety culture survey...........................           6,000           1,500       \b\ 34.70          52,050
Patient experience survey.......................           1,800             666       \d\ 23.86          15,891
Readiness and Implementation assessment.........             360             360      \a\ 101.04          36,374
Readiness and Implementation assessment.........             360             360       \c\ 52.58          18,929
Site visits.....................................              20             160      \a\ 101.04          16,166
Site visits.....................................              20             160       \c\ 52.58           8,413
                                                 ---------------------------------------------------------------
    Total.......................................          14,560           4,706             N/A         299,383
----------------------------------------------------------------------------------------------------------------
National Compensation Survey: Occupational wages in the United States May 2016 ``U.S. Department of Labor,
  Bureau of Labor Statistics:'' http://www.bls.gov/oes/current/oes_stru.htm.
\a\ Based on the mean wages for 29-1060 Physicians and Surgeons.
\b\ Based on the mean wages for 29-1141 Registered Nurse.
\c\ Based on the mean wages for 11-9111 Medical and Health Services Managers.
\d\ Based on the mean wages for 00-0000 All Occupations.

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. 2017-10065 Filed 5-17-17; 8:45 am]
 BILLING CODE 4160-90-P