Agency Information Collection Activities: Proposed Collection; Comment Request, 32872-32874 [2018-15104]

Download as PDF 32872 Federal Register / Vol. 83, No. 136 / Monday, July 16, 2018 / Notices 1456. For press-related information, please contact Alison Hunt at (301) 427– 1244 or Alison.Hunt@ahrq.hhs.gov. If sign language interpretation or other reasonable accommodation for a disability is needed, please contact the Food and Drug Administration (FDA) Office of Equal Employment Opportunity and Diversity Management on (301) 827–4840, no later than Tuesday, July 3, 2018. The agenda, roster, and minutes will be available from Ms. Bonnie Campbell, Committee Management Officer, Agency for Healthcare Research and Quality, 5600 Fishers Lane, Rockville, Maryland 20857. Ms. Campbell’s phone number is (301) 427–1554. SUPPLEMENTARY INFORMATION: I. Purpose The National Advisory Council for Healthcare Research and Quality is authorized by Section 941 of the Public Health Service Act, 42 U.S.C. 299c. In accordance with its statutory mandate, the Council is to advise the Secretary of the Department of Health and Human Services and the Director of AHRQ on matters related to AHRQ’s conduct of its mission including providing guidance on (A) priorities for health care research, (B) the field of health care research including training needs and information dissemination on health care quality and (C) the role of the Agency in light of private sector activity and opportunities for public private partnerships. The Council is composed of members of the public, appointed by the Secretary, and Federal ex-officio members specified in the authorizing legislation. sradovich on DSK3GMQ082PROD with NOTICES II. Agenda On Wednesday, July 18, 2018, the Council meeting will convene at 8:30 a.m., with the call to order by the Council Chair and approval of previous Council summary notes. The meeting is open to the public and will be available via webcast at www.webconferences. com/ahrq. The meeting will begin with an update on AHRQ’s current research, programs, and initiatives. The agenda will also include updates on: AHRQ Data, Analytics, and Insights; Making Health Services Research Relevant to the C-Suite; and AHRQ’s Opioids efforts. The final agenda will be available on the AHRQ website at www.AHRQ.gov no later than Friday, July 13, 2018. Francis D. Chesley, Jr., Acting Deputy Director. [FR Doc. 2018–15105 Filed 7–13–18; 8:45 am] BILLING CODE 4160–90–P VerDate Sep<11>2014 17:31 Jul 13, 2018 Jkt 244001 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 ‘‘Consumer Assessment of Healthcare Providers and Systems (CAHPS) Clinician and Group Survey Database.’’ DATES: Comments on this notice must be received by September 14, 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 emails at doris.lefkowitz@ AHRQ.hhs.gov. SUMMARY: SUPPLEMENTARY INFORMATION: Proposed Project Renewal of the Consumer Assessment of Healthcare Providers and Systems (CAHPS) Clinician and Group Survey 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. The CAHPS Database is a repository for data from selected CAHPS surveys. The primary purpose of the CAHPS Database is to facilitate comparisons of CAHPS survey results by survey users. This voluntary compilation of survey results from a large pool of data into a single database enables survey users to compare their own results to relevant Database results. The CAHPS Database also offers an important source of primary data for research related to consumer assessments of quality as measured by CAHPS surveys. The CAHPS Clinician & Group Survey (CG–CAHPS) Database is the newest component of the CAHPS Database. It was developed in response to the PO 00000 Frm 00041 Fmt 4703 Sfmt 4703 growing demand for Database results for the various versions of the CG–CAHPS Survey, including the 12-month and Visit versions. In May 2011, the first set of Database results for both the 12month and Visit versions was released through the CAHPS Database Online Reporting System. AHRQ developed the database for CAHPS CG Survey data following the CAHPS Health Plan Database as a model. The CAHPS Health Plan Database was developed in 1998 in response to requests from health plans, purchasers, and CMS for survey data to support public reporting of health plan ratings, health plan accreditation and quality improvement (OMB Control Number 0935–0165, expiration 5/31/ 2020). Demand for survey results from the CG Survey has grown as well, and therefore AHRQ developed a dedicated Clinician and Group Database to support benchmarking, quality improvement, and research (OMB Control Number 0935–0197, expiration 02/28/2019). The CAHPS Database contains data from AHRQ’s standardized CAHPS Surveys which provide survey measures of quality to health care purchasers, consumers, regulators, and policy makers. The Health Plan Database also provides data for AHRQ’s annual National Healthcare Quality and Disparities Reports. The goal of this project is to renew the CAHPS CG Survey Database. This database will continue to update the CAHPS CG Database with the latest results of the CAHPS CG Survey. These results consist of 31 items that measure 5 areas or composites of patients’ experiences with physicians and staff in outpatient medical practices. This database can be used to do the following: (1) Improve care provided by individual providers, sites of care, medical groups, or provider networks. (2) Offer several products and services, including providing survey results presented through an Online Reporting System, summary chartbooks, custom analyses, private reports in Excel format, and data for research purposes. (3) Provides information to help identify strengths and areas with potential for improvement in patient care. The five composite measures are: Getting Timely Appointments, Care, and Information How Well Providers Communicate With Patients Helpful, Courteous, and Respectful Office Staff Providers’ Use of Information to Coordinate Patient Care E:\FR\FM\16JYN1.SGM 16JYN1 Federal Register / Vol. 83, No. 136 / Monday, July 16, 2018 / Notices Patients’ Rating of the Provider 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 and with respect to quality measurement and improvement, and health surveys and database development. 42 U.S.C. 299a(a)(1), (2), and (8). sradovich on DSK3GMQ082PROD with NOTICES Method of Collection To achieve the goal of this project, the following activities and data collections will be implemented: (1) Registration Form—The purpose of this form is to determine the eligibility status and initiate the registration process for participating organizations seeking to submit their CAHPS CG survey data voluntarily to the CAHPS CG Survey Database. The point of contact (POC) at the participating organization (or parent organization) will complete the form. The POC is either a corporate-level health manager or a survey vendor who contracts with a participating organization to collect the CAHPS CG survey data. (2) Data Use Agreement—The purpose of the Data Use Agreement (DUA) is to obtain authorization from participating organizations to use their voluntarily submitted CAHPS CG survey data for analysis and reporting according to the terms specified in the DUA. The DUA states how data submitted by participating organizations will be used and provides confidentiality assurances. The POC at the organization will complete the form. Vendors do not sign the DUA. (3) Data Submission—The number of submissions to the database may vary each year because medical groups and practices may not administer the survey and submit data each year. Data submission is typically handled by one POC who is either a health system, a medical group or practice or a survey vendor who contracts with the medical group or practice to collect data on their behalf. After the POC has completed the Registration Form and the DUA, they will submit patient-level data collected from the CAHPS CG survey to the CAHPS CG Survey Database. Data on organizational characteristics such as ownership, number of patient visits per week, provider specialty, and information related to survey VerDate Sep<11>2014 17:31 Jul 13, 2018 Jkt 244001 administration such as mode, dates of survey administration, sample size, and response rate, which are collected as part of CAHPS CG survey operations are also submitted. Each submission will consist of 3 data files: (1) A Group File that contains information about the group ownership, (2) a Practice File containing the practice ownership and affiliation (i.e., commercial, hospital or health system, university or academic medical center, community health center, military or county), number of providers working each week, sampling information, number of patient visits per week, contact information and (3) a Sample File that contains one record for each patient surveyed, the date of visit, survey disposition code, information about survey completion, and survey responses. Survey data from the CAHPS CG Database is used to produce four types of products: (1) An online reporting of results available to the public on the CAHPS Database website; (2) individual participant reports (in Excel format), used for comparing a participating organization’s CAHPS survey results to the database averages, that are confidential and customized for each participating organization that submits their data, (3) an annual Chartbook that presents summary-level results in a downloadable file in PDF format; and (4) a de-identified dataset that is made available to researchers for additional analyses. Information for the CAHPS CG Database has been collected by AHRQ on an annual basis since 2010. Participating organizations are asked to submit their data voluntarily to the database each year. The data are cleaned with standardized programs, then aggregated and used to produce summarized results. In addition, reports in Excel format are produced that compare the participating organizations’ results to the overall database results. These reports are sent via a secured FTP site upon the participating organization’s request. Database results and individual participant reports can serve a variety of purposes: • Identifying areas for quality improvement at multiple levels, including medical group, practice site, and individual practitioner. • Briefing senior leadership on patients’ views of the health care they receive. • Supporting public reporting of patients’ assessments of care. PO 00000 Frm 00042 Fmt 4703 Sfmt 4703 32873 • Combining with other quality measures to examine health care outcomes. The CAHPS CG Database supports research by providing a de-identified analytic database. Much like the CAHPS Health Plan Database developed in 1998 (OMB Control Number 0935–0165, Expiration Date 5/31/2020), researchers can use the CAHPS CG Survey Database to examine: • Disparities in CAHPS satisfaction scores by racial and ethnic characteristics of patients. • Comparisons of adult and child CAHPS survey results. Analysis of case-mix factors affecting CAHPS scores, such as patient age, education, and self-reported health status. Estimated Annual Respondent Burden Exhibit 1 shows the estimated burden hours for the participating in the CG database. The 11 POCs in exhibit 1 are the number of estimated vendors. Survey vendors assist the Health/ Medical entities with submitting data submission materials. Survey vendors generally submit all required survey data and other materials other than the DUA. The 86 POCs in exhibit 1 are the number of estimated participating Health/Medical entities based on 2017 submission. Each vendor will register online for submission. The online Registration Form will require about 5 minutes to complete. The DUA will be completed by the 86 participating Health/Medical entities. Vendors do not sign DUAs. The DUA process requires about 15 minutes to sign and return by fax, mail or to upload directly to the submission system and includes an accompanying practice site excel file that is uploaded to the submission system. Each submitter will provide a copy of their questionnaire and the survey data file in the required file format. Survey data files must conform to the data file layout specifications provided by the CAHPS Database. The average number of data submissions per vendor is estimated to be 10. Once a data file is uploaded, the file will be automatically checked to ensure it conforms to the specifications and a data file status report will be produced and made available to the submitter. Submitters will review each report and will be expected to fix any errors in their data file and resubmit if necessary. It will take about one hour to complete each file submission. The total burden is estimated to be 133 hours annually. E:\FR\FM\16JYN1.SGM 16JYN1 32874 Federal Register / Vol. 83, No. 136 / Monday, July 16, 2018 / Notices Number of respondents/ POCs Form name Number of responses for each POC Hours per response Total burden hours Registration Form ............................................................................................ Data Use Agreement ....................................................................................... Data Submission .............................................................................................. 11 86 11 1 1 10 5/60 15/60 1 1 22 110 Total .......................................................................................................... 108 NA NA 133 Exhibit 2 shows the estimated annualized cost burden based on the respondents’ time to complete the submission process. The cost burden is estimated to be $6,602 annually. Number of respondents/ POCs Form name Registration Form ............................................................................................ Data Use Agreement ....................................................................................... Data Files Submission ..................................................................................... Total .......................................................................................................... Exhibit 2—Estimated Annualized Cost Burden Total burden hours 11 86 11 108 Average hourly wage rate * 1 22 110 133 a 40.95 b 93.44 c 40.95 NA Total cost burden $41 2,056 4,505 6,602 * National Compensation Survey: Occupational wages in the United States May 2016, ‘‘U.S. Department of Labor, Bureau of Labor Statistics.’’ (a) and (c) Based on the mean hourly wages for Computer Programmer (15–1131). (b) Based on the mean hourly wage for Chief Executives (11–1011). https://www.bls.gov/oes/current/oes_nat.htm. Request for Comments sradovich on DSK3GMQ082PROD 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. 2018–15104 Filed 7–13–18; 8:45 am] BILLING CODE 4160–90–P VerDate Sep<11>2014 17:31 Jul 13, 2018 Jkt 244001 DEPARTMENT OF HEALTH AND HUMAN SERVICES Centers for Medicare & Medicaid Services [Document Identifiers: CMS–10669] Agency Information Collection Activities: Submission for OMB Review; Comment Request Centers for Medicare & Medicaid Services, Department of Health and Human Services. ACTION: Notice. AGENCY: The Centers for Medicare & Medicaid Services (CMS) is announcing an opportunity for the public to comment on CMS’ intention to collect information from the public. Under the Paperwork Reduction Act of 1995 (PRA), federal agencies are required to publish notice in the Federal Register concerning each proposed collection of information, including each proposed extension or reinstatement of an existing collection of information, and to allow a second opportunity for public comment on the notice. Interested persons are invited to send comments regarding the burden estimate or any other aspect of this collection of information, including the necessity and utility of the proposed information collection for the proper performance of the agency’s functions, the accuracy of the estimated burden, ways to enhance the quality, utility, and clarity of the information to be collected and the use of automated collection techniques or SUMMARY: PO 00000 Frm 00043 Fmt 4703 Sfmt 4703 other forms of information technology to minimize the information collection burden. DATES: Comments on the collection(s) of information must be received by the OMB desk officer by August 15, 2018. ADDRESSES: When commenting on the proposed information collections, please reference the document identifier or OMB control number. To be assured consideration, comments and recommendations must be received by the OMB desk officer via one of the following transmissions: OMB, Office of Information and Regulatory Affairs, Attention: CMS Desk Officer, Fax Number: (202) 395– 5806, OR Email: OIRA_submission@ omb.eop.gov. To obtain copies of a supporting statement and any related forms for the proposed collection(s) summarized in this notice, you may make your request using one of the following: 1. Access CMS’ website address at http://www.cms.hhs.gov/Paperwork ReductionActof1995. 2. Email your request, including your address, phone number, OMB number, and CMS document identifier, to Paperwork@cms.hhs.gov. 3. Call the Reports Clearance Office at (410) 786–1326. FOR FURTHER INFORMATION CONTACT: Reports Clearance Office at (410) 786– 1326. Under the Paperwork Reduction Act of 1995 (PRA) (44 U.S.C. 3501–3520), federal agencies SUPPLEMENTARY INFORMATION: E:\FR\FM\16JYN1.SGM 16JYN1

Agencies

[Federal Register Volume 83, Number 136 (Monday, July 16, 2018)]
[Notices]
[Pages 32872-32874]
From the Federal Register Online via the Government Publishing Office [www.gpo.gov]
[FR Doc No: 2018-15104]


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

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 ``Consumer Assessment of Healthcare Providers and Systems 
(CAHPS) Clinician and Group Survey Database.''

DATES: Comments on this notice must be received by September 14, 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 emails at 
[email protected].

SUPPLEMENTARY INFORMATION:

Proposed Project

Renewal of the Consumer Assessment of Healthcare Providers and Systems 
(CAHPS) Clinician and Group Survey 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. The CAHPS Database is a repository for data from selected 
CAHPS surveys. The primary purpose of the CAHPS Database is to 
facilitate comparisons of CAHPS survey results by survey users. This 
voluntary compilation of survey results from a large pool of data into 
a single database enables survey users to compare their own results to 
relevant Database results. The CAHPS Database also offers an important 
source of primary data for research related to consumer assessments of 
quality as measured by CAHPS surveys.
    The CAHPS Clinician & Group Survey (CG-CAHPS) Database is the 
newest component of the CAHPS Database. It was developed in response to 
the growing demand for Database results for the various versions of the 
CG-CAHPS Survey, including the 12-month and Visit versions. In May 
2011, the first set of Database results for both the 12-month and Visit 
versions was released through the CAHPS Database Online Reporting 
System.
    AHRQ developed the database for CAHPS CG Survey data following the 
CAHPS Health Plan Database as a model. The CAHPS Health Plan Database 
was developed in 1998 in response to requests from health plans, 
purchasers, and CMS for survey data to support public reporting of 
health plan ratings, health plan accreditation and quality improvement 
(OMB Control Number 0935-0165, expiration 5/31/2020). Demand for survey 
results from the CG Survey has grown as well, and therefore AHRQ 
developed a dedicated Clinician and Group Database to support 
benchmarking, quality improvement, and research (OMB Control Number 
0935-0197, expiration 02/28/2019).
    The CAHPS Database contains data from AHRQ's standardized CAHPS 
Surveys which provide survey measures of quality to health care 
purchasers, consumers, regulators, and policy makers. The Health Plan 
Database also provides data for AHRQ's annual National Healthcare 
Quality and Disparities Reports.
    The goal of this project is to renew the CAHPS CG Survey Database. 
This database will continue to update the CAHPS CG Database with the 
latest results of the CAHPS CG Survey. These results consist of 31 
items that measure 5 areas or composites of patients' experiences with 
physicians and staff in outpatient medical practices. This database can 
be used to do the following:
    (1) Improve care provided by individual providers, sites of care, 
medical groups, or provider networks.
    (2) Offer several products and services, including providing survey 
results presented through an Online Reporting System, summary 
chartbooks, custom analyses, private reports in Excel format, and data 
for research purposes.
    (3) Provides information to help identify strengths and areas with 
potential for improvement in patient care. The five composite measures 
are:

Getting Timely Appointments, Care, and Information
How Well Providers Communicate With Patients
Helpful, Courteous, and Respectful Office Staff
Providers' Use of Information to Coordinate Patient Care

[[Page 32873]]

Patients' Rating of the Provider

    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 and with 
respect to quality measurement and improvement, and health surveys 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) Registration Form--The purpose of this form is to determine the 
eligibility status and initiate the registration process for 
participating organizations seeking to submit their CAHPS CG survey 
data voluntarily to the CAHPS CG Survey Database. The point of contact 
(POC) at the participating organization (or parent organization) will 
complete the form. The POC is either a corporate-level health manager 
or a survey vendor who contracts with a participating organization to 
collect the CAHPS CG survey data.
    (2) Data Use Agreement--The purpose of the Data Use Agreement (DUA) 
is to obtain authorization from participating organizations to use 
their voluntarily submitted CAHPS CG survey data for analysis and 
reporting according to the terms specified in the DUA. The DUA states 
how data submitted by participating organizations will be used and 
provides confidentiality assurances. The POC at the organization will 
complete the form. Vendors do not sign the DUA.
    (3) Data Submission--The number of submissions to the database may 
vary each year because medical groups and practices may not administer 
the survey and submit data each year. Data submission is typically 
handled by one POC who is either a health system, a medical group or 
practice or a survey vendor who contracts with the medical group or 
practice to collect data on their behalf. After the POC has completed 
the Registration Form and the DUA, they will submit patient-level data 
collected from the CAHPS CG survey to the CAHPS CG Survey Database. 
Data on organizational characteristics such as ownership, number of 
patient visits per week, provider specialty, and information related to 
survey administration such as mode, dates of survey administration, 
sample size, and response rate, which are collected as part of CAHPS CG 
survey operations are also submitted.
    Each submission will consist of 3 data files: (1) A Group File that 
contains information about the group ownership, (2) a Practice File 
containing the practice ownership and affiliation (i.e., commercial, 
hospital or health system, university or academic medical center, 
community health center, military or county), number of providers 
working each week, sampling information, number of patient visits per 
week, contact information and (3) a Sample File that contains one 
record for each patient surveyed, the date of visit, survey disposition 
code, information about survey completion, and survey responses.
    Survey data from the CAHPS CG Database is used to produce four 
types of products: (1) An online reporting of results available to the 
public on the CAHPS Database website; (2) individual participant 
reports (in Excel format), used for comparing a participating 
organization's CAHPS survey results to the database averages, that are 
confidential and customized for each participating organization that 
submits their data, (3) an annual Chartbook that presents summary-level 
results in a downloadable file in PDF format; and (4) a de-identified 
dataset that is made available to researchers for additional analyses.
    Information for the CAHPS CG Database has been collected by AHRQ on 
an annual basis since 2010. Participating organizations are asked to 
submit their data voluntarily to the database each year. The data are 
cleaned with standardized programs, then aggregated and used to produce 
summarized results. In addition, reports in Excel format are produced 
that compare the participating organizations' results to the overall 
database results. These reports are sent via a secured FTP site upon 
the participating organization's request.
    Database results and individual participant reports can serve a 
variety of purposes:
     Identifying areas for quality improvement at multiple 
levels, including medical group, practice site, and individual 
practitioner.
     Briefing senior leadership on patients' views of the 
health care they receive.
     Supporting public reporting of patients' assessments of 
care.
     Combining with other quality measures to examine health 
care outcomes.
    The CAHPS CG Database supports research by providing a de-
identified analytic database. Much like the CAHPS Health Plan Database 
developed in 1998 (OMB Control Number 0935-0165, Expiration Date 5/31/
2020), researchers can use the CAHPS CG Survey Database to examine:
     Disparities in CAHPS satisfaction scores by racial and 
ethnic characteristics of patients.
     Comparisons of adult and child CAHPS survey results.
    Analysis of case-mix factors affecting CAHPS scores, such as 
patient age, education, and self-reported health status.

Estimated Annual Respondent Burden

    Exhibit 1 shows the estimated burden hours for the participating in 
the CG database. The 11 POCs in exhibit 1 are the number of estimated 
vendors. Survey vendors assist the Health/Medical entities with 
submitting data submission materials. Survey vendors generally submit 
all required survey data and other materials other than the DUA. The 86 
POCs in exhibit 1 are the number of estimated participating Health/
Medical entities based on 2017 submission.
    Each vendor will register online for submission. The online 
Registration Form will require about 5 minutes to complete. The DUA 
will be completed by the 86 participating Health/Medical entities. 
Vendors do not sign DUAs. The DUA process requires about 15 minutes to 
sign and return by fax, mail or to upload directly to the submission 
system and includes an accompanying practice site excel file that is 
uploaded to the submission system. Each submitter will provide a copy 
of their questionnaire and the survey data file in the required file 
format. Survey data files must conform to the data file layout 
specifications provided by the CAHPS Database. The average number of 
data submissions per vendor is estimated to be 10. Once a data file is 
uploaded, the file will be automatically checked to ensure it conforms 
to the specifications and a data file status report will be produced 
and made available to the submitter. Submitters will review each report 
and will be expected to fix any errors in their data file and resubmit 
if necessary. It will take about one hour to complete each file 
submission. The total burden is estimated to be 133 hours annually.

[[Page 32874]]



 
----------------------------------------------------------------------------------------------------------------
                                                     Number of       Number of
                    Form name                      respondents/    responses for     Hours per     Total  burden
                                                       POCs          each POC        response          hours
----------------------------------------------------------------------------------------------------------------
Registration Form...............................              11               1            5/60               1
Data Use Agreement..............................              86               1           15/60              22
Data Submission.................................              11              10               1             110
                                                 ---------------------------------------------------------------
    Total.......................................             108              NA              NA             133
----------------------------------------------------------------------------------------------------------------

    Exhibit 2 shows the estimated annualized cost burden based on the 
respondents' time to complete the submission process. The cost burden 
is estimated to be $6,602 annually.

Exhibit 2--Estimated Annualized Cost Burden

----------------------------------------------------------------------------------------------------------------
                                                     Number of                        Average
                    Form name                      respondents/    Total  burden    hourly wage     Total cost
                                                       POCs            hours          rate *          burden
----------------------------------------------------------------------------------------------------------------
Registration Form...............................              11               1         a 40.95             $41
Data Use Agreement..............................              86              22         b 93.44           2,056
Data Files Submission...........................              11             110         c 40.95           4,505
    Total.......................................             108             133              NA           6,602
----------------------------------------------------------------------------------------------------------------
* National Compensation Survey: Occupational wages in the United States May 2016, ``U.S. Department of Labor,
  Bureau of Labor Statistics.'' (a) and (c) Based on the mean hourly wages for Computer Programmer (15-1131).
  (b) Based on the mean hourly wage for Chief Executives (11-1011). https://www.bls.gov/oes/current/oes_nat.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. 2018-15104 Filed 7-13-18; 8:45 am]
BILLING CODE 4160-90-P