Agency Information Collection Activities: Proposed Collection; Comment Request, 21774-21776 [2018-09934]

Download as PDF 21774 Federal Register / Vol. 83, No. 91 / Thursday, May 10, 2018 / Notices at (202)–523–5793 or tradeanalysis@ fmc.gov. Agreement No.: 012479–002. Title: Maersk/CMA CGM WCCA Vessel Sharing Agreement. Parties: Maersk Line A/S and CMA CGM S.A. Filing Party: Wayne Rohde; Cozen O’Connor; 1200 19th Street NW; Washington, DC 20036. Synopsis: The amendment deletes Hamburg Sudamerkanische Dampschefffahrts-Gesellschaft KG as a party and replaces it with Maersk Line A/S, changes the name of the Agreement, and restates the Agreement. Agreement No.: 201103–013. Title: Memorandum Agreement of the Pacific Maritime Association of December 14, 1983 Concerning Assessments to Pay ILWU–PMA Employee Benefit Costs, As Amended, Through May 1, 2018. Parties: Pacific Maritime Association. Filing Party: David F. Smith, Esq.; Cozen O’Connor; 1200 19th Street NW; Washington, DC 20036. Synopsis: The amendment revises how the man-hour base assessment will be calculated. Dated: May 7, 2018. Rachel E. Dickon, Secretary. BILLING CODE 6731–AA–P FEDERAL RESERVE SYSTEM daltland on DSKBBV9HB2PROD with NOTICES Change in Bank Control Notices; Acquisitions of Shares of a Bank or Bank Holding Company The notificants listed below have applied under the Change in Bank Control Act (12 U.S.C. 1817(j)) and § 225.41 of the Board’s Regulation Y (12 CFR 225.41) to acquire shares of a bank or bank holding company. The factors that are considered in acting on the notices are set forth in paragraph 7 of the Act (12 U.S.C. 1817(j)(7)). The notices are available for immediate inspection at the Federal Reserve Bank indicated. The notices also will be available for inspection at the offices of the Board of Governors. Interested persons may express their views in writing to the Reserve Bank indicated for that notice or to the offices of the Board of Governors. Comments must be received not later than May 25, 2018. A. Federal Reserve Bank of Kansas City (Dennis Denney, Assistant Vice President) 1 Memorial Drive, Kansas City, Missouri 64198–0001: 1. Keith E. Doss, Holt, Missouri, individually, and as trustee of the Keith 16:29 May 09, 2018 Jkt 244001 Board of Governors of the Federal Reserve System, May 7, 2018. Yao-Chin Chao, Assistant Secretary of the Board. [FR Doc. 2018–09944 Filed 5–9–18; 8:45 am] BILLING CODE P DEPARTMENT OF HEALTH AND HUMAN SERVICES Agency for Healthcare Research and Quality Agency Information Collection Activities: Proposed Collection; Comment Request Agency for Healthcare Research and Quality, HHS. ACTION: Notice. AGENCY: This notice announces the intention of the Agency for Healthcare Research and Quality (AHRQ) to request that the Office of Management and Budget (OMB) approve the proposed information collection project ‘‘Medical Office Survey on Patient Safety Culture Database.’’ DATES: Comments on this notice must be received by July 9, 2018. ADDRESSES: Written comments should be submitted to: Doris Lefkowitz, Reports Clearance Officer, AHRQ, by email at doris.lefkowitz@AHRQ.hhs.gov. Copies of the proposed collection plans, data collection instruments, and specific details on the estimated burden can be obtained from the AHRQ Reports Clearance Officer. FOR FURTHER INFORMATION CONTACT: Doris Lefkowitz, AHRQ Reports Clearance Officer, (301) 427–1477, or by email at doris.lefkowitz@AHRQ.hhs.gov. SUPPLEMENTARY INFORMATION: SUMMARY: [FR Doc. 2018–09936 Filed 5–9–18; 8:45 am] VerDate Sep<11>2014 E. Doss Revocable Trust dated February 8, 2018; to retain voting shares of Trustco Bankshares, Inc., Kearney, Missouri, and thereby retain shares of Kearney Trust Company, Kearney, Missouri. Additionally, Janice A. Doss, Holt, Missouri, individually, and as trustee of the Janice A. Doss Revocable Trust dated February 8, 2018, to retain shares of Trustco Bankshares, Inc. Proposed Project Medical Office Survey on Patient Safety Culture 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. In 1999, the Institute of Medicine called for health care organizations to develop a ‘‘culture of safety’’ such that their PO 00000 Frm 00013 Fmt 4703 Sfmt 4703 workforce and processes focus on improving the reliability and safety of care for patients (IOM, 1999; To Err is Human: Building a Safer Health System). To respond to the need for tools to assess patient safety culture in health care, AHRQ developed and pilot tested the Medical Office Survey on Patient Safety Culture with OMB approval (OMB NO.0935–0131; Approved July 5, 2007). The survey is designed to enable medical offices to assess provider and staff perspectives about patient safety issues, medical error, and error reporting. The survey includes 38 items that measure 10 composites of patient safety culture. In addition to the composite items, 14 items measure staff perceptions of how often medical offices have problems exchanging information with other settings as well as other patient safety and quality issues. AHRQ made the survey publicly available along with a Survey User’s Guide and other toolkit materials in December, 2008 on the AHRQ website (located at https://www.ahrq.gov/sops/qualitypatient-safety/patientsafetyculture/ medical-office/index.html). The AHRQ Medical Office SOPS Database consists of data from the AHRQ Medical Office Survey on Patient Safety Culture and may include reportable, non-required supplemental items. Medical offices in the U.S. can voluntarily submit data from the survey to AHRQ, through its contractor, Westat. The Medical Office SOPS Database (OMB NO. 0935–0196, last approved on August 25, 2015) was developed by AHRQ in 2011 in response to requests from medical offices interested in tracking their own survey results. Those organizations submitting data receive a feedback report, as well as a report of the aggregated, de-identified findings of the other medical offices submitting data. These reports are used to assist medical office staff in their efforts to improve patient safety culture in their organizations. Rationale for the information collection. The Medical Office SOPS and the Medical Office SOPS Database support AHRQ’s goals of promoting improvements in the quality and safety of health care in medical office settings. The survey, toolkit materials, and database results are all made publicly available on AHRQ’s website. Technical assistance is provided by AHRQ through its contractor at no charge to medical offices, to facilitate the use of these materials for medical office patient safety and quality improvement. Request for information collection approval. The Agency for Healthcare Research and Quality (AHRQ) requests E:\FR\FM\10MYN1.SGM 10MYN1 21775 Federal Register / Vol. 83, No. 91 / Thursday, May 10, 2018 / Notices that the Office of Management and Budget (OMB) reapprove, under the Paperwork Reduction Act of 1995, AHRQ’s collection of information for the AHRQ Medical Office SOPS Database; OMB NO. 0935–0196, last approved on August, 25, 2015. This database will: (1) Present results from medical offices that voluntarily submit their data, (2) Provide data to medical offices to facilitate internal assessment and learning in the patient safety improvement process, and (3) Provide supplemental information to help medical offices identify their strengths and areas with potential for improvement in patient safety culture. This study is being conducted by AHRQ through its contractor, Westat, pursuant to AHRQ’s statutory authority to conduct and support research on health care and on systems for the delivery of such care, including activities with respect to: The quality, effectiveness, efficiency, appropriateness and value of health care services; quality measurement and improvement; and database development. 42 U.S.C. 299a(a)(1), (2), and (8). Method of Collection daltland on DSKBBV9HB2PROD with NOTICES To achieve the goal of this project the following activities and data collections will be implemented: (1) Eligibility and Registration Form— The medical office point-of-contact (POC) completes a number of data submission steps and forms, beginning with the completion of an online Eligibility and Registration Form. The purpose of this form is to collect basic demographic information about the medical office and initiate the registration process. (2) Data Use Agreement—The purpose of the data use agreement, completed by the medical office POC, is to state how data submitted by medical offices will be used and provide privacy assurances. (3) Medical Office Site Information Form—The purpose of the site information form, also completed by the medical office POC, is to collect background characteristics of the medical office. This information will be used to analyze data collected with the Medical Office SOPS survey. (4) Data Files Submission—POCs upload their data file(s), using the medical office data file specifications, to ensure that users submit standardized and consistent data in the way variables are named, coded, and formatted. The number of submissions to the database is likely to vary each year because medical offices do not administer the survey and submit data every year. Data submission is typically handled by one POC who is either an office manager or a survey vendor who contracts with a medical office to collect their data. POCs submit data on behalf of 35 medical offices, on average, because many medical offices are part of a health system that includes many medical office sites, or the POC is a vendor that is submitting data for multiple medical offices. Survey data from the AHRQ Medical Office Survey on Patient Safety Culture are used to produce three types of products: (1) A Medical Office SOPS Database Report that is made publicly available on the AHRQ website (see Medical Office User Database Report); (2) Individual Medical Office Survey Feedback Reports that are customized for each medical office that submits data to the database; and (3) Research data sets of individuallevel and medical office-level deidentified data to enable researchers to conduct analyses. All data released in a data set are de-identified at the individual-level and the medical officelevel. Medical offices will be invited to voluntarily submit their Medical Office SOPS survey data to the database. AHRQ’s contractor, Westat, then cleans and aggregates the data to produce a PDF-formatted Database Report displaying averages, standard deviations, and percentile scores on the survey’s 38 items and 10 patient safety culture composites of patient safety culture, and 14 items measuring how often medical offices have problems exchanging information with other settings and other patient safety and quality issues. The report also displays these results by medical office characteristics (size of office, specialty, geographic region, etc.) and respondent characteristics (staff position). The Database Report includes a section on data limitations, emphasizing that the report does not reflect a representative sampling of the U.S. medical office population. Because participating medical offices will choose to voluntarily submit their data into the database and therefore are not a random or national sample of medical offices, estimates based on this self-selected group might be biased estimates. We recommend that users review the database results with these caveats in mind. Each medical office that submits its data receives a customized survey feedback report that presents their results alongside the aggregated results from other participating medical offices. Medical offices use the Medical Office SOPS, Database Reports, and Individual Medical Office Survey Feedback Reports for a number of purposes, to: • Raise staff awareness about patient safety; • Elucidate and assess the current status of patient safety culture in their medical office; • Identify strengths and areas for patient safety culture improvement; • Evaluate trends in patient safety culture change over time; and • Evaluate the cultural impact of patient safety initiatives and interventions. Estimated Annual Respondent Burden Exhibit 1 shows the estimated annualized burden hours for the respondents’ time to participate in the database. An estimated 70 POCs, each representing an average of 35 individual medical offices each, will complete the database submission steps and forms. Each POC will submit the following: • Eligibility and registration form (completion is estimated to take about 3 minutes). • Data Use Agreement (completion is estimated to take about 3 minutes). • Medical Office Information Form (completion is estimated to take about 5 minutes). • Survey data submission will take an average of one hour. The total burden is estimated to be 283 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 $14,880 annually. EXHIBIT 1—ESTIMATED ANNUALIZED BURDEN HOURS Number of respondents/ POCs Form name Eligibility/Registration Form ............................................................................. VerDate Sep<11>2014 16:29 May 09, 2018 Jkt 244001 PO 00000 Frm 00014 Fmt 4703 Sfmt 4703 Number of responses per POC 70 E:\FR\FM\10MYN1.SGM Hours per response 1 10MYN1 3/60 Total burden hours 4 21776 Federal Register / Vol. 83, No. 91 / Thursday, May 10, 2018 / Notices EXHIBIT 1—ESTIMATED ANNUALIZED BURDEN HOURS—Continued Number of respondents/ POCs Form name Number of responses per POC Hours per response Total burden hours Data Use Agreement ....................................................................................... Medical Office Information Form ..................................................................... Data Files Submission ..................................................................................... 70 70 70 1 35 1 3/60 5/60 1 4 205 70 Total .......................................................................................................... NA NA NA 283 EXHIBIT 2—ESTIMATED ANNUALIZED COST BURDEN Number of respondents/ POCs Form name Total burden hours Average hourly wage rate * ($) Total cost burden ($) Registration Form ............................................................................................ Data Use Agreement ....................................................................................... Medical Office Information Form ..................................................................... Data Files Submission ..................................................................................... 70 70 70 70 4 4 205 70 52.58 52.58 52.58 52.58 210 210 10,779 3,680 Total .......................................................................................................... NA 213 NA 14,880 * Mean hourly wage rate of $52.58 for Medical and Health Services Managers (SOC code 11–9111) was obtained from the May 2016 National Industry-Specific Occupational Employment and Wage Estimates, NAICS 621100—Offices of Physicians located at https://www.bls.gov/oes/current/oes119111.htm. Request for Comments daltland on DSKBBV9HB2PROD with NOTICES 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’s 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. Francis D. Chesley, Jr., Acting Deputy Director. [FR Doc. 2018–09934 Filed 5–9–18; 8:45 am] BILLING CODE 4160–90–P VerDate Sep<11>2014 16:29 May 09, 2018 Jkt 244001 DEPARTMENT OF HEALTH AND HUMAN SERVICES Centers for Disease Control and Prevention [60Day–18–0572; Docket No. CDC–2018– 0026] 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 effort to reduce public burden and maximize the utility of government information, invites the general public and other Federal agencies the opportunity to comment on a proposed and/or continuing information collection, as required by the Paperwork Reduction Act of 1995. This notice invites comment on a proposed information collection project titled Health Message Testing System (HMTS). The Health Message Testing System (HMTS), a Generic information collection, that enables programs across CDC to collect the information they require in a timely manner. DATES: CDC must receive written comments on or before July 9, 2018. ADDRESSES: You may submit comments, identified by Docket No. CDC–2018– 0026 by any of the following methods: SUMMARY: PO 00000 Frm 00015 Fmt 4703 Sfmt 4703 • Federal eRulemaking Portal: Regulations.gov. Follow the instructions for submitting comments. • Mail: Jeffrey M. Zirger, 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. CDC will post, without change, all relevant comments to Regulations.gov. Please note: Submit all comments through the Federal eRulemaking portal (regulations.gov) or by U.S. mail to the address listed above. FOR FURTHER INFORMATION CONTACT: 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 E:\FR\FM\10MYN1.SGM 10MYN1

Agencies

[Federal Register Volume 83, Number 91 (Thursday, May 10, 2018)]
[Notices]
[Pages 21774-21776]
From the Federal Register Online via the Government Publishing Office [www.gpo.gov]
[FR Doc No: 2018-09934]


=======================================================================
-----------------------------------------------------------------------

DEPARTMENT OF HEALTH AND HUMAN SERVICES

Agency for Healthcare Research and Quality


Agency Information Collection Activities: Proposed Collection; 
Comment Request

AGENCY: Agency for Healthcare Research and Quality, HHS.

ACTION: Notice.

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

SUMMARY: This notice announces the intention of the Agency for 
Healthcare Research and Quality (AHRQ) to request that the Office of 
Management and Budget (OMB) approve the proposed information collection 
project ``Medical Office Survey on Patient Safety Culture Database.''

DATES: Comments on this notice must be received by July 9, 2018.

ADDRESSES: Written comments should be submitted to: Doris Lefkowitz, 
Reports Clearance Officer, AHRQ, by email at 
[email protected].
    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 
[email protected].

SUPPLEMENTARY INFORMATION: 

Proposed Project

Medical Office Survey on Patient Safety Culture 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. In 1999, the Institute of Medicine called for health care 
organizations to develop a ``culture of safety'' such that their 
workforce and processes focus on improving the reliability and safety 
of care for patients (IOM, 1999; To Err is Human: Building a Safer 
Health System). To respond to the need for tools to assess patient 
safety culture in health care, AHRQ developed and pilot tested the 
Medical Office Survey on Patient Safety Culture with OMB approval (OMB 
NO.0935-0131; Approved July 5, 2007).
    The survey is designed to enable medical offices to assess provider 
and staff perspectives about patient safety issues, medical error, and 
error reporting. The survey includes 38 items that measure 10 
composites of patient safety culture. In addition to the composite 
items, 14 items measure staff perceptions of how often medical offices 
have problems exchanging information with other settings as well as 
other patient safety and quality issues. AHRQ made the survey publicly 
available along with a Survey User's Guide and other toolkit materials 
in December, 2008 on the AHRQ website (located at https://www.ahrq.gov/sops/quality-patient-safety/patientsafetyculture/medical-office/index.html).
    The AHRQ Medical Office SOPS Database consists of data from the 
AHRQ Medical Office Survey on Patient Safety Culture and may include 
reportable, non-required supplemental items. Medical offices in the 
U.S. can voluntarily submit data from the survey to AHRQ, through its 
contractor, Westat. The Medical Office SOPS Database (OMB NO. 0935-
0196, last approved on August 25, 2015) was developed by AHRQ in 2011 
in response to requests from medical offices interested in tracking 
their own survey results. Those organizations submitting data receive a 
feedback report, as well as a report of the aggregated, de-identified 
findings of the other medical offices submitting data. These reports 
are used to assist medical office staff in their efforts to improve 
patient safety culture in their organizations.
    Rationale for the information collection. The Medical Office SOPS 
and the Medical Office SOPS Database support AHRQ's goals of promoting 
improvements in the quality and safety of health care in medical office 
settings. The survey, toolkit materials, and database results are all 
made publicly available on AHRQ's website. Technical assistance is 
provided by AHRQ through its contractor at no charge to medical 
offices, to facilitate the use of these materials for medical office 
patient safety and quality improvement.
    Request for information collection approval. The Agency for 
Healthcare Research and Quality (AHRQ) requests

[[Page 21775]]

that the Office of Management and Budget (OMB) reapprove, under the 
Paperwork Reduction Act of 1995, AHRQ's collection of information for 
the AHRQ Medical Office SOPS Database; OMB NO. 0935-0196, last approved 
on August, 25, 2015.
    This database will:
    (1) Present results from medical offices that voluntarily submit 
their data,
    (2) Provide data to medical offices to facilitate internal 
assessment and learning in the patient safety improvement process, and
    (3) Provide supplemental information to help medical offices 
identify their strengths and areas with potential for improvement in 
patient safety culture.
    This study is being conducted by AHRQ through its contractor, 
Westat, pursuant to AHRQ's statutory authority to conduct and support 
research on health care and on systems for the delivery of such care, 
including activities with respect to: The quality, effectiveness, 
efficiency, appropriateness and value of health care services; quality 
measurement and improvement; and database development. 42 U.S.C. 
299a(a)(1), (2), and (8).

Method of Collection

    To achieve the goal of this project the following activities and 
data collections will be implemented:
    (1) Eligibility and Registration Form--The medical office point-of-
contact (POC) completes a number of data submission steps and forms, 
beginning with the completion of an online Eligibility and Registration 
Form. The purpose of this form is to collect basic demographic 
information about the medical office and initiate the registration 
process.
    (2) Data Use Agreement--The purpose of the data use agreement, 
completed by the medical office POC, is to state how data submitted by 
medical offices will be used and provide privacy assurances.
    (3) Medical Office Site Information Form--The purpose of the site 
information form, also completed by the medical office POC, is to 
collect background characteristics of the medical office. This 
information will be used to analyze data collected with the Medical 
Office SOPS survey.
    (4) Data Files Submission--POCs upload their data file(s), using 
the medical office data file specifications, to ensure that users 
submit standardized and consistent data in the way variables are named, 
coded, and formatted. The number of submissions to the database is 
likely to vary each year because medical offices do not administer the 
survey and submit data every year. Data submission is typically handled 
by one POC who is either an office manager or a survey vendor who 
contracts with a medical office to collect their data. POCs submit data 
on behalf of 35 medical offices, on average, because many medical 
offices are part of a health system that includes many medical office 
sites, or the POC is a vendor that is submitting data for multiple 
medical offices.
    Survey data from the AHRQ Medical Office Survey on Patient Safety 
Culture are used to produce three types of products:
    (1) A Medical Office SOPS Database Report that is made publicly 
available on the AHRQ website (see Medical Office User Database 
Report);
    (2) Individual Medical Office Survey Feedback Reports that are 
customized for each medical office that submits data to the database; 
and
    (3) Research data sets of individual-level and medical office-level 
de-identified data to enable researchers to conduct analyses. All data 
released in a data set are de-identified at the individual-level and 
the medical office-level.
    Medical offices will be invited to voluntarily submit their Medical 
Office SOPS survey data to the database. AHRQ's contractor, Westat, 
then cleans and aggregates the data to produce a PDF-formatted Database 
Report displaying averages, standard deviations, and percentile scores 
on the survey's 38 items and 10 patient safety culture composites of 
patient safety culture, and 14 items measuring how often medical 
offices have problems exchanging information with other settings and 
other patient safety and quality issues. The report also displays these 
results by medical office characteristics (size of office, specialty, 
geographic region, etc.) and respondent characteristics (staff 
position).
    The Database Report includes a section on data limitations, 
emphasizing that the report does not reflect a representative sampling 
of the U.S. medical office population. Because participating medical 
offices will choose to voluntarily submit their data into the database 
and therefore are not a random or national sample of medical offices, 
estimates based on this self-selected group might be biased estimates. 
We recommend that users review the database results with these caveats 
in mind.
    Each medical office that submits its data receives a customized 
survey feedback report that presents their results alongside the 
aggregated results from other participating medical offices.
    Medical offices use the Medical Office SOPS, Database Reports, and 
Individual Medical Office Survey Feedback Reports for a number of 
purposes, to:
     Raise staff awareness about patient safety;
     Elucidate and assess the current status of patient safety 
culture in their medical office;
     Identify strengths and areas for patient safety culture 
improvement;
     Evaluate trends in patient safety culture change over 
time; and
     Evaluate the cultural impact of patient safety initiatives 
and interventions.

Estimated Annual Respondent Burden

    Exhibit 1 shows the estimated annualized burden hours for the 
respondents' time to participate in the database. An estimated 70 POCs, 
each representing an average of 35 individual medical offices each, 
will complete the database submission steps and forms. Each POC will 
submit the following:
     Eligibility and registration form (completion is estimated 
to take about 3 minutes).
     Data Use Agreement (completion is estimated to take about 
3 minutes).
     Medical Office Information Form (completion is estimated 
to take about 5 minutes).
     Survey data submission will take an average of one hour.
    The total burden is estimated to be 283 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 $14,880 annually.

                                  Exhibit 1--Estimated Annualized Burden Hours
----------------------------------------------------------------------------------------------------------------
                                                     Number of       Number of
                    Form name                      respondents/    responses per     Hours per     Total burden
                                                       POCs             POC          response          hours
----------------------------------------------------------------------------------------------------------------
Eligibility/Registration Form...................              70               1            3/60               4

[[Page 21776]]

 
Data Use Agreement..............................              70               1            3/60               4
Medical Office Information Form.................              70              35            5/60             205
Data Files Submission...........................              70               1               1              70
                                                 ---------------------------------------------------------------
    Total.......................................              NA              NA              NA             283
----------------------------------------------------------------------------------------------------------------


                                   Exhibit 2--Estimated Annualized Cost Burden
----------------------------------------------------------------------------------------------------------------
                                                     Number of                    Average hourly
                    Form name                      respondents/    Total burden     wage rate *     Total cost
                                                       POCs            hours            ($)         burden ($)
----------------------------------------------------------------------------------------------------------------
Registration Form...............................              70               4           52.58             210
Data Use Agreement..............................              70               4           52.58             210
Medical Office Information Form.................              70             205           52.58          10,779
Data Files Submission...........................              70              70           52.58           3,680
                                                 ---------------------------------------------------------------
    Total.......................................              NA             213              NA          14,880
----------------------------------------------------------------------------------------------------------------
* Mean hourly wage rate of $52.58 for Medical and Health Services Managers (SOC code 11-9111) was obtained from
  the May 2016 National Industry-Specific Occupational Employment and Wage Estimates, NAICS 621100--Offices of
  Physicians located at https://www.bls.gov/oes/current/oes119111.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's 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.

Francis D. Chesley, Jr.,
Acting Deputy Director.
[FR Doc. 2018-09934 Filed 5-9-18; 8:45 am]
 BILLING CODE 4160-90-P