80 FR 72063 - Agency Information Collection Activities: Proposed Collection; Comment Request

DEPARTMENT OF HEALTH AND HUMAN SERVICES
Agency for Healthcare Research and Quality

Federal Register Volume 80, Issue 222 (November 18, 2015)

Page Range		72063-72066
FR Document		2015-29440

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 changes to the currently approved information collection project: ``Consumer Assessment of Healthcare Providers and Systems (CAHPS) Clinician and Group Survey Comparative Database.'' In accordance with the Paperwork Reduction Act, 44 U.S.C. 3501-3521, AHRQ invites the public to comment on this proposed information collection. This proposed information collection was previously published in the Federal Register on August 11, 2015 and allowed 60 days for public comment. AHRQ received one substantive comment from the public. The purpose of this notice is to allow an additional 30 days for public comment.

Federal Register, Volume 80 Issue 222 (Wednesday, November 18, 2015)

[Federal Register Volume 80, Number 222 (Wednesday, November 18, 2015)]
[Notices]
[Pages 72063-72066]
From the Federal Register Online [www.thefederalregister.org]
[FR Doc No: 2015-29440]

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DEPARTMENT OF HEALTH AND HUMAN SERVICES

Agency for Healthcare Research and Quality

Agency Information Collection Activities: Proposed Collection;
Comment Request

AGENCY: Agency for Healthcare Research and Quality, HHS.

ACTION: Notice.

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SUMMARY: This notice announces the intention of the Agency for
Healthcare

[[Page 72064]]

Research and Quality (AHRQ) to request that the Office of Management
and Budget (OMB) approve the proposed changes to the currently approved
information collection project: ``Consumer Assessment of Healthcare
Providers and Systems (CAHPS) Clinician and Group Survey Comparative
Database.'' In accordance with the Paperwork Reduction Act, 44 U.S.C.
3501-3521, AHRQ invites the public to comment on this proposed
information collection.
This proposed information collection was previously published in
the Federal Register on August 11, 2015 and allowed 60 days for public
comment. AHRQ received one substantive comment from the public.
The purpose of this notice is to allow an additional 30 days for
public comment.

DATES: Comments on this notice must be received by December 18, 2015.

ADDRESSES: Written comments should be submitted to: AHRQ's OMB Desk
Officer by fax at (202) 395-6974 (attention: AHRQ's desk officer) or by
email at OIRA_submission@omb.eop.gov (attention: AHRQ's desk officer).

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

SUPPLEMENTARY INFORMATION:

Proposed Project

Consumer Assessment of Healthcare Providers and Systems (CAHPS)
Clinician and Group Survey Comparative Database

The CAHPS Clinician and Group Survey (``the CAHPS CG Survey'') is a
tool for collecting standardized information on patients' experiences
with physicians and staff in outpatient medical practices, enabling
clinicians and administrators to assess and improve patients'
experiences with medical care. The CAHPS CG survey is a product of the
CAHPS[supreg] program, which is funded and administered by AHRQ. AHRQ
works closely with a consortium of public and private research
organizations to develop and maintain surveys and tools to advance
patient-centered care. CAHPS[supreg] is a registered trademark of AHRQ.
In 1999, the CAHPS Consortium began work on a survey that would assess
patients' experiences with medical groups and clinicians. The CAHPS
Consortium developed a preliminary instrument known as the CAHPS Group
Practices Survey (G-CAHPS), with input from the Pacific Business Group
on Health, whose Consumer Assessment Survey established a precedent for
this type of instrument.
In August 2004, AHRQ issued a notice in the Federal Register
inviting organizations to test the CAHPS CG Survey. These field-test
organizations were crucial partners in the evolution and development of
the instrument, and provided critical data illuminating key aspects of
survey design and administration. In July 2007 the CAHPS CG Survey was
endorsed by the National Quality Forum (NQF), an organization
established to standardize health care quality measurement and
reporting. The endorsement represents the consensus of many health care
providers, consumer groups, professional associations, purchasers,
Federal agencies, and research and quality organizations. The CAHPS CG
Survey and related toolkit materials are available on the CAHPS Web
site at https://cahps.ahrq.gov/surveys-guidance/cg/instructions/index.html. Since its release, the survey has been used by thousands of
physicians and medical practices across the U.S.
The current CAHPS Consortium includes AHRQ, the Centers for
Medicare & Medicaid Services (CMS), RAND, Yale School of Public Health,
and Westat.
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 comparative data to support public reporting of
health plan ratings, health plan accreditation and quality improvement
(OMB Control Number 0935-0165, expiration 5/31/2017). Demand for
comparative results from the CG Survey has grown as well, and therefore
AHRQ developed a dedicated CAHPS Clinician and Group Database to
support benchmarking, quality improvement, and research (OMB Control
Number 0935-0197, expiration 06/30/2015).
The CAHPS Database contains data from AHRQ's standardized CAHPS
Surveys which provide comparative measures of quality to health care
purchasers, consumers, regulators, and policy makers. The CAHPS
Database also provides data for AHRQ's annual National Healthcare
Quality and Disparities Report.
Health systems, medical groups and practices that administer the
CAHPS Clinician & Group Survey according to CAHPS specifications can
participate in this project. A health system is a complex of
facilities, organizations, and providers of health care in a specified
geographic area. A medical group is defined as a medical group,
Accountable Care Organization (ACO), State organization or some other
grouping of medical practices. A practice is an outpatient facility in
a specific location whose physicians and other providers share
administrative and clinical support staff. Each practice located in a
building containing multiple medical offices is considered a separate
practice.
The goal of this project is to renew the CAHPS CG Database. This
database will continue to update the CAHPS CG Database with the latest
results of the CAHPS CG Survey. These results consist of 34 items that
measure 5 areas or composites of patients' experiences with physicians
and staff in outpatient medical practices. This database:
(1) Allows participating organizations to compare their survey
results with those of other outpatient medical groups;
(2) Provides data to medical groups and practices to facilitate
internal assessment and learning in the quality improvement process;
and
(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
Care Coordination
Patients' Rating of the Provider

The collection of information for the CAHPS CG Database for
Clinicians and Groups is being conducted pursuant to AHRQ's statutory
authority to conduct and support research on health care and 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 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 voluntarily submit their CAHPS
CG Survey data to the CAHPS CG Database. The point of contact (POC) at
the participating organization (or parent organization) will complete
the

[[Page 72065]]

form. The POC is either a corporate-level health care 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 this 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 Data Use Agreement (DUA). 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 either is a health system, medical group or
practice or a survey vendor who contracts with the medical group or
practice to collect their data. After the POC has completed the
Registration Form and the Data Use Agreement, they will submit their
patient-level data from the CAHPS CG Survey to the CAHPS CG Database.
Data on the organizational characteristics such as ownership, number of
patient visits per year, medical 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 and size of group, (2) a Practice File containing type of
practice, the practice ownership and affiliation (i.e., commercial,
hospital or integrated delivery system, insurance company, university
or medical school, community health center, VA or military) and number
of patient visits per year, and (3) a Sample File that contains one
record for each patient surveyed, the date of visit, survey disposition
code and information about survey completion.
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 Web site; (2) individual participant
comparative reports 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 PDF
file; and (4) a dataset available to researchers for additional
analyses.
Information for the CAHPS CG Database has been collected by AHRQ
through its contractor Westat on an annual basis since 2010.
Participating organizations are asked to voluntarily submit their data
to the CAHPS CG Database each year. The data is cleaned with
standardized programs, then aggregated and used to produce comparative
results. In addition, reports are produced that compare the
participating organizations' results to the database in a password-
protected section of the CAHPS CG Database online reporting system.

Estimated Annual Respondent Burden

Exhibit 1 shows the estimated burden hours for the respondent to
participate in the CAHPS CG Database. The 20 POCs in exhibit 1 are the
number of estimated vendors. The 240 POCs in exhibit 1 are the number
of estimated participating Health/Medical entities.
Each vendor will register online for submission. The online
Registration form will require about 5 minutes to complete. The data
use agreement will be completed by the 240 participating Health/Medical
entities. Vendors do not sign DUAs. The DUA requires about 3 minutes to
sign and return by fax, mail or to upload directly in 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 CG Database. The number of data submissions per POC will vary
because some may submit data for multiple practices, while others may
submit data for only one. 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 454 hours annually.

Exhibit 1--Estimated annualized burden hours
----------------------------------------------------------------------------------------------------------------
Number of Number of
Form name respondents/ responses for Hours per Total burden
POCs each POC response hours
----------------------------------------------------------------------------------------------------------------
Registration Form............................... 20 1 5/60 2
Data Use Agreement.............................. 240 1 3/60 12
Data Files Submission........................... 440 1 1 440
---------------------------------------------------------------
Total....................................... 700 NA NA 454
----------------------------------------------------------------------------------------------------------------

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 $18,613 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............................... 20 2 39.75\a\ $80
Data Use Agreement.............................. 240 12 86.88\b\ $1043
Data Files Submission........................... 20 440 39.75\c\ $17,490
---------------------------------------------------------------

[[Page 72066]]

Total....................................... 280 454 NA $18,613
----------------------------------------------------------------------------------------------------------------
* National Compensation Survey: Occupational wages in the United States May 2014, ``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). http://www.bls.gov/oes/current/oes_nat.htm#15-0000 0000.

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
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. 2015-29440 Filed 11-17-15; 8:45 am]
BILLING CODE 4160-90-P

Federal Register / Vol. 80, No. 222 / Wednesday, November 18, 2015 / Notices 72063

lighter lift contractors (600 hours provided by respondents to the GSA Average Hours per Response: 26.14
divided by 20 years). FSS contracting officer survey. While Total Time Burden (Hours): 11,685
In FY2014, there were 17,302 the 77 survey respondents provided Total Cost Burden: $794,551
contractors, 3,460 (20 percent) with a estimates regarding the amount of time Option Modifications—Lighter Lift
heavier lift and 13,842 (80 percent) with it takes FSS contracting officers to
a lighter lift: complete CSP-related tasks, GSA Total Annual Responses: 1,790
believes FSS contractors bear a similar Average Hours per Response: 22.32
Compliance Systems—Heavier Lift Total Time Burden (Hours): 39,953
burden for these tasks and is therefore Total Cost Burden: $2,716,790
Total Annual Responses: 3,460 using the same burden estimates.
Average Hours per Response: 55 Pre-award Disclosures: In FY2014, Total Annual Burden
Total Time Burden (Hours): 190,322 contractors submitted 3,464 offers for
Total Cost Burden: $12,940,400 The total estimated burden imposed
FSS contracts, with 693 (20 percent)
by Federal Supply Schedule pricing
Compliance Systems—Lighter Lift offerors having a heavier lift (20
disclosures is as follows:
percent) and 2,771 (80 percent) with a
Total Annual Responses: 13,842 lighter lift: Estimated Annual Time Burden (Hours)
Average Hours per Response: 30
Total Time Burden (Hours): 415,248 Pre-award Disclosures—Heavier Lift Price Reductions Clause: 1,056,774
Total Cost Burden: $28,237,680 CSP Disclosures: 267,569
Total Annual Responses: 693 Total Annual Time Burden: 1,324,343
Audits: The GSA Office of Inspector Average Hours per Response: 41.48
General (OIG) performed an average of Total Time Burden (Hours): 28,746 Estimated Annual Cost Burden
59 pre-award audits of FSS contracts Total Cost Burden: $1,954,704 Price Reductions Clause: $71,860,632
between FY2012 and FY2014, according CSP Disclosures: $18,194,721
to the OIG’s Semiannual Congressional Pre-award Disclosures—Lighter Lift
Total Annual Cost Burden: $90,055,353
Reports over that time period. Total Annual Responses: 2,771
Respondents to a 2012 Coalition for Average Hours per Response: 32.41 C. Public Comments
Government Procurement survey Total Time Burden (Hours): 89,808 Public comments are particularly
estimated that approximately 440–470 Total Cost Burden: $6,106,951
invited on: Whether this collection of
hours were spent preparing for audits Price Increase Modifications: In information is necessary and whether it
involving the PRC; the 455 hour figure FY2014, 2,509 price increase will have practical utility; whether our
is the median point in the range: modifications were processed, including estimate of the public burden of this
502 (20 percent) with a heavier lift and collection of information is accurate,
GSA OIG Audits 2,007 (80 percent) with a lighter lift: and based on valid assumptions and
Total Annual Responses: 59 methodology; ways to enhance the
Price Increases—Heavier Lift
Average Hours per Response: 455 quality, utility, and clarity of the
Total Time Burden (Hours): 26,845 Total Annual Responses: 502
information to be collected.
Total Cost Burden: $1,825,460 Average Hours per Response: 10.45
Obtaining Copies Of Proposals:
Price Reduction Notifications: 2,148 Total Time Burden (Hours): 5,246
Total Cost Burden: $356,721 Requesters may obtain a copy of the
price reduction modifications were information collection documents from
completed in FY14, with each Price Increases—Lighter Lift the General Services Administration,
modification requiring a notification Regulatory Secretariat Division (MVCB),
Total Annual Responses: 2,007
from the contractor. In a survey Average Hours per Response: 9.71 1800 F Street NW., Washington, DC
conducted among GSA FSS contracting Total Time Burden (Hours): 18,404 20405, telephone 202–501–4755. Please
officers, respondents estimated it took Total Cost Burden: $1,251,485 cite OMB Control No. 3090–0235, Price
an average of 4.25 hours to complete a Adding Items and Special Item Reductions Clause, in all
price reduction modification. GSA Numbers (SINs): In FY2014, 6,861 correspondence.
believes FSS contractors bear a similar modifications to add contract items or Dated: November 12, 2015.
burden for this task and is therefore SINs were processed, including 1,372 Jeffrey A. Koses,
using the same burden estimate. (20 percent) with a heavier lift and Director, Office of Acquisition Policy, Office
Price Reduction Notifications 5,489 (80 percent) with a lighter lift: of Government-wide Policy.
Total Annual Responses: 2,148 Addition Modifications—Heavier Lift [FR Doc. 2015–29396 Filed 11–17–15; 8:45 am]
Average Hours per Response: 4.25 Total Annual Responses: 1,372
BILLING CODE 6820–61–P
Total Time Burden (Hours): 9,129 Average Hours per Response: 11.13
Total Cost Burden: $620,772 Total Time Burden (Hours): 15,270
Total Cost Burden: $1,038,384 DEPARTMENT OF HEALTH AND
Commercial Sales Practices Disclosures HUMAN SERVICES
The CSP burden results from Addition Modifications—Lighter Lift
disclosures required of any contractor Total Annual Responses: 5,489 Agency for Healthcare Research and
submitting an offer for an FSS contract Average Hours per Response: 10.65 Quality
or modifying an FSS contract to increase Total Time Burden (Hours): 58,458
prices, add items and Special Item Total Cost Burden: $3,975,134 Agency Information Collection
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Numbers, or exercise options. GSA Exercising Options: In FY2014, 2,237 Activities: Proposed Collection;
attributed a negotiations burden to the modifications to exercise options were Comment Request
PRC in the previous information processed, including 447 (20 percent) AGENCY: Agency for Healthcare Research
collection, but is now including that with a heavier lift and 1,790 (80 and Quality, HHS.
burden within the CSP disclosure percent) with a lighter lift: ACTION: Notice.
estimates.
The burden estimates for CSP Option Modifications—Heavier Lift SUMMARY: This notice announces the
disclosures are based upon the estimates Total Annual Responses: 447 intention of the Agency for Healthcare

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Federal Register / Vol. 80, No. 222 / Wednesday, November 18, 2015 / Notices 72065

form. The POC is either a corporate- a Practice File containing type of Estimated Annual Respondent Burden
level health care manager or a survey practice, the practice ownership and
vendor who contracts with a affiliation (i.e., commercial, hospital or Exhibit 1 shows the estimated burden
participating organization to collect the integrated delivery system, insurance hours for the respondent to participate
CAHPS CG Survey data. company, university or medical school, in the CAHPS CG Database. The 20
(2) Data Use Agreement—The purpose community health center, VA or POCs in exhibit 1 are the number of
of this DUA is to obtain authorization military) and number of patient visits estimated vendors. The 240 POCs in
from participating organizations to use per year, and (3) a Sample File that exhibit 1 are the number of estimated
their voluntarily submitted CAHPS CG contains one record for each patient participating Health/Medical entities.
Survey data for analysis and reporting surveyed, the date of visit, survey Each vendor will register online for
according to the terms specified in the disposition code and information about submission. The online Registration
Data Use Agreement (DUA). The POC at survey completion.
the organization will complete the form. Survey data from the CAHPS CG form will require about 5 minutes to
Vendors do not sign the DUA. Database is used to produce four types complete. The data use agreement will
(3) Data Submission—The number of of products: (1) An online reporting of be completed by the 240 participating
submissions to the database may vary results available to the public on the Health/Medical entities. Vendors do not
each year because medical groups and CAHPS Database Web site; (2) sign DUAs. The DUA requires about 3
practices may not administer the survey individual participant comparative minutes to sign and return by fax, mail
and submit data each year. Data reports that are confidential and or to upload directly in the submission
submission is typically handled by one customized for each participating system. Each submitter will provide a
POC who either is a health system, organization that submits their data, (3) copy of their questionnaire and the
medical group or practice or a survey an annual Chartbook that presents survey data file in the required file
vendor who contracts with the medical summary-level results in a format. Survey data files must conform
group or practice to collect their data. downloadable PDF file; and (4) a dataset to the data file layout specifications
After the POC has completed the available to researchers for additional provided by the CAHPS CG Database.
Registration Form and the Data Use analyses. The number of data submissions per
Agreement, they will submit their Information for the CAHPS CG POC will vary because some may submit
patient-level data from the CAHPS CG Database has been collected by AHRQ data for multiple practices, while others
Survey to the CAHPS CG Database. Data through its contractor Westat on an may submit data for only one. Once a
on the organizational characteristics annual basis since 2010. Participating
data file is uploaded the file will be
such as ownership, number of patient organizations are asked to voluntarily
automatically checked to ensure it
visits per year, medical specialty, and submit their data to the CAHPS CG
information related to survey Database each year. The data is cleaned conforms to the specifications and a
administration such as mode, dates of with standardized programs, then data file status report will be produced
survey administration, sample size, and aggregated and used to produce and made available to the submitter.
response rate, which are collected as comparative results. In addition, reports Submitters will review each report and
part of CAHPS CG Survey operations are are produced that compare the will be expected to fix any errors in
also submitted. Each submission will participating organizations’ results to their data file and resubmit if necessary.
consist of 3 data files: (1) A Group File the database in a password-protected It will take about one hour to complete
that contains information about the section of the CAHPS CG Database each file submission. The total burden
group ownership and size of group, (2) online reporting system. is estimated to be 454 hours annually.

EXHIBIT 1—ESTIMATED ANNUALIZED BURDEN HOURS
Number of Number of Hours per Total burden
Form name respondents/ responses for response hours
POCs each POC

Registration Form ............................................................................................ 20 1 5/60 2
Data Use Agreement ....................................................................................... 240 1 3/60 12
Data Files Submission ..................................................................................... 440 1 1 440

Total .......................................................................................................... 700 NA NA 454

Exhibit 2 shows the estimated submission process. The cost burden is
annualized cost burden based on the estimated to be $18,613 annually.
respondents’ time to complete the

EXHIBIT 2—ESTIMATED ANNUALIZED COST BURDEN
Number of Average
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Total burden Total cost
Form name respondents/ hourly wage
hours burden
POCs rate*

Registration Form ............................................................................................ 20 2 39.75a $80
Data Use Agreement ....................................................................................... 240 12 86.88b $1043
Data Files Submission ..................................................................................... 20 440 39.75c $17,490

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72066 Federal Register / Vol. 80, No. 222 / Wednesday, November 18, 2015 / Notices

EXHIBIT 2—ESTIMATED ANNUALIZED COST BURDEN—Continued
Number of Average
Total burden Total cost
Form name respondents/ hourly wage
hours burden
POCs rate*

Total .......................................................................................................... 280 454 NA $18,613
* National Compensation Survey: Occupational wages in the United States May 2014, ‘‘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). http://www.bls.gov/oes/current/oes_nat.htm#15–0000.

Request for Comments information, including each proposed must obtain approval from the Office of
In accordance with the Paperwork extension or reinstatement of an existing Management and Budget (OMB) for each
Reduction Act, comments on AHRQ’s collection of information, and to allow collection of information they conduct
information collection are requested a second opportunity for public or sponsor. The term ‘‘collection of
with regard to any of the following: (a) comment on the notice. Interested information’’ is defined in 44 U.S.C.
Whether the proposed collection of persons are invited to send comments 3502(3) and 5 CFR 1320.3(c) and
information is necessary for the proper regarding the burden estimate or any includes agency requests or
performance of AHRQ health care other aspect of this collection of requirements that members of the public
research and information dissemination information, including any of the submit reports, keep records, or provide
functions, including whether the following subjects: (1) The necessity and information to a third party. Section
information will have practical utility; utility of the proposed information 3506(c)(2)(A) of the PRA (44 U.S.C.
(b) the accuracy of AHRQ’s estimate of collection for the proper performance of 3506(c)(2)(A)) requires federal agencies
burden (including hours and costs) of the agency’s functions; (2) the accuracy to publish a 30-day notice in the
the proposed collection(s) of of the estimated burden; (3) ways to Federal Register concerning each
information; (c) ways to enhance the enhance the quality, utility, and clarity proposed collection of information,
quality, utility, and clarity of the of the information to be collected; and including each proposed extension or
information to be collected; and (d) (4) the use of automated collection reinstatement of an existing collection
ways to minimize the burden of the techniques or other forms of information of information, before submitting the
collection of information upon the technology to minimize the information collection to OMB for approval. To
respondents, including the use of collection burden. comply with this requirement, CMS is
automated collection techniques or DATES: Comments on the collection(s) of publishing this notice that summarizes
other forms of information technology. information must be received by the the following proposed collection(s) of
Comments submitted in response to OMB desk officer by December 18, 2015: information for public comment:
this notice will be summarized and ADDRESSES: When commenting on the 1. Type of Information Collection
included in the Agency’s subsequent proposed information collections, Request: Revision of a currently
request for OMB approval of the please reference the document identifier approved information collection; Title
proposed information collection. All or OMB control number. To be assured of Information Collection: Initial Plan
comments will become a matter of consideration, comments and Data Collection to Support Qualified
public record. recommendations must be received by Health Plan (QHP) Certification and
the OMB desk officer via one of the Other Financial Management and
Sharon B. Arnold, Exchange Operations; Use: As required
following transmissions:
Deputy Director. by the CMS–9989–F, Patient Protection
OMB, Office of Information and
[FR Doc. 2015–29440 Filed 11–17–15; 8:45 am] Regulatory Affairs and Affordable Care Act; Establishment
BILLING CODE 4160–90–P Attention: CMS Desk Officer of Exchanges and Qualified Health
Fax Number: (202) 395–5806 OR Plans; Exchange Standards for
Email: OIRA_submission@ Employers (77 FR 18310) (Exchange
DEPARTMENT OF HEALTH AND omb.eop.gov Establishment Rule), published on
HUMAN SERVICES To obtain copies of a supporting March 27, 2012, each Exchange must
statement and any related forms for the assume responsibilities related to the
Centers for Medicare & Medicaid proposed collection(s) summarized in certification and offering of Qualified
Services this notice, you may make your request Health Plans (QHPs). To offer insurance
[Document Identifiers: CMS–10433] using one of following: through an Exchange, a health insurance
1. Access CMS’ Web site address at issuer must have its health plans
Agency Information Collection http://www.cms.hhs.gov/ certified as QHPs by the Exchange.
Activities: Submission for OMB PaperworkReductionActof1995. A QHP must meet certain minimum
Review; Comment Request 2. Email your request, including your certification standards, such as those
address, phone number, OMB number, pertaining to essential community
ACTION: Notice. and CMS document identifier, to providers, essential health benefits, and
SUMMARY: The Centers for Medicare & Paperwork@cms.hhs.gov. actuarial value. In order to meet those
asabaliauskas on DSK5VPTVN1PROD with NOTICES

3. Call the Reports Clearance Office at
Medicaid Services (CMS) is announcing standards, the Exchange is responsible
(410) 786–1326.
an opportunity for the public to for collecting data and validating that
comment on CMS’ intention to collect FOR FURTHER INFORMATION CONTACT: QHPs meet these minimum
information from the public. Under the Reports Clearance Office at (410) 786– requirements as described in the
Paperwork Reduction Act of 1995 1326. Exchange rule under 45 CFR parts 155
(PRA), federal agencies are required to SUPPLEMENTARY INFORMATION: Under the and 156, based on the Affordable Care
publish notice in the Federal Register Paperwork Reduction Act of 1995 (PRA) Act, as well as other requirements
concerning each proposed collection of (44 U.S.C. 3501–3520), federal agencies determined by the Exchange. In

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Category		Regulatory Information
Collection		Federal Register
sudoc Class		AE 2.7: GS 4.107: AE 2.106:
Publisher		Office of the Federal Register, National Archives and Records Administration
Section		Notices
Action		Notice.
Dates		Comments on this notice must be received by December 18, 2015.
Contact		Doris Lefkowitz, AHRQ Reports Clearance Officer, (301) 427-1477, or by email at [email protected]
FR Citation		80 FR 72063

80 FR 72063 - Agency Information Collection Activities: Proposed Collection; Comment Request

DEPARTMENT OF HEALTH AND HUMAN SERVICESAgency for Healthcare Research and Quality

Federal Register Volume 80, Issue 222 (November 18, 2015)

DEPARTMENT OF HEALTH AND HUMAN SERVICES
Agency for Healthcare Research and Quality