82 FR 11359 - Agency Information Collection Activities: Proposed Collection; Comment Request

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

Federal Register Volume 82, Issue 34 (February 22, 2017)

Page Range		11359-11361
FR Document		2017-03463

This notice announces the intention of the Agency for Healthcare Research and Quality (AHRQ) to request that the Office of Management and Budget (OMB) to review again proposed information collection project: Pharmacy Survey on Patient Safety Culture Comparative Database.'' This proposed information collection was previously published in the Federal Register on November 18, 2016 and allowed 60 days for public comment. AHRQ did not receive any substantive comments. The purpose of this notice is to allow an additional 30 days for public comment.

Federal Register, Volume 82 Issue 34 (Wednesday, February 22, 2017)

[Federal Register Volume 82, Number 34 (Wednesday, February 22, 2017)]
[Notices]
[Pages 11359-11361]
From the Federal Register Online  [www.thefederalregister.org]
[FR Doc No: 2017-03463]


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DEPARTMENT OF HEALTH AND HUMAN SERVICES

Agency for Healthcare Research and Quality


Agency Information Collection Activities: Proposed Collection; 
Comment Request

AGENCY: Agency for Healthcare Research and Quality, HHS.

ACTION: Notice.

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

SUMMARY: This notice announces the intention of the Agency for 
Healthcare Research and Quality (AHRQ) to request that the Office of 
Management and Budget (OMB) to review again proposed information 
collection project: Pharmacy Survey on Patient Safety Culture 
Comparative Database.'' This proposed information collection was 
previously published in the Federal Register on November 18, 2016 and 
allowed 60 days for public comment. AHRQ did not receive any 
substantive comments. The purpose of this notice is to allow an 
additional 30 days for public comment.

DATES: Comments on this notice must be received by March 24, 2017.

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 [email protected] (attention: AHRQ's desk officer).

FOR FURTHER INFORMATION CONTACT: Doris Lefkowitz, AHRQ Reports 
Clearance Officer, (301) 427-1477, or by email at 
[email protected].

SUPPLEMENTARY INFORMATION: 

Proposed Project

Pharmacy Survey on Patient Safety Culture Comparative Database

    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

[[Page 11360]]

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 Pharmacy 
Survey on Patient Safety Culture with OMB approval (OMB NO. 0935-0183; 
Approved 08/12/2011). The survey is designed to enable pharmacies to 
assess staff opinions about patient and medication safety and quality-
assurance issues, and includes 36 items that measure 11 dimensions of 
patient safety culture. AHRQ made the survey publicly available along 
with a Survey User's Guide and other toolkit materials in October 2012 
on the AHRQ Web site.
    The AHRQ Pharmacy Survey on Patient Safety Culture (Pharmacy SOPS) 
Comparative Database consists of data from the AHRQ Pharmacy SOPS 
Pharmacies in the U.S. are asked to voluntarily submit data from the 
survey to AHRQ, through its contractor, Westat. The Pharmacy SOPS 
Database is modeled after three other SOPS databases: Hospital SOPS 
[OMB NO. 0935-0162; Approved 05/04/2010]; Medical Office SOPS [OMB NO. 
0935-0196; Approved 06/12/12]; and Nursing Home SOPS [OMB NO. 0935-
0195; Approved 06/12/12] that were originally developed by AHRQ in 
response to requests from hospitals, medical offices, and nursing homes 
interested in knowing how their patient safety culture survey results 
compare to those of other similar health care organizations.
    Rationale for the information collection. The Pharmacy SOPS survey 
and the Pharmacy SOPS Comparative Database will support AHRQ's goals of 
promoting improvements in the quality and safety of health care in 
pharmacy settings. The survey, toolkit materials, and comparative 
database results are all made publicly available on AHRQ's Web site. 
Technical assistance is provided by AHRQ through its contractor at no 
charge to pharmacies, to facilitate the use of these materials for 
pharmacy patient safety and quality improvement.
    Request for information collection approval: AHRQ requests that the 
OMB reapprove, under the Paperwork Reduction Act of 1995, AHRQ's 
collection of information for the AHRQ Pharmacy SOPS Comparative 
Database; OMB NO. 0935-0218, last approved on June 12, 2014.
    This database will:
    (1) Allow pharmacies to compare their patient safety culture survey 
results with those of other pharmacies,
    (2) Provide data to pharmacies to facilitate internal assessment 
and learning in the patient safety improvement process, and
    (3) Provide supplemental information to help pharmacies 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 
measure and development, 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) Pharmacy Eligibility and Registration Form--The point of 
contact (POC), often the pharmacy manager of a participating 
organization, completes a number of data submission steps and forms, 
beginning with completion of an online Eligibility and Registration 
Form. The purpose of this form is to collect basic demographic 
information about the pharmacy and initiate the registration process.
    (2) Data Use Agreement--The purpose of the data use agreement, 
completed by the pharmacy POC, is to state how data submitted by 
pharmacies will be used and provides confidentiality assurances.
    (3) Pharmacy Site Information Form--The purpose of this form, 
completed by the pharmacy POC, is to collect background characteristics 
of the pharmacy. This information will be used to analyze data 
collected with the Pharmacy SOPS survey.
    (4) Data Files Submission--POCs upload their data file(s), using 
the community pharmacy or hospital pharmacy 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 pharmacies do not administer the survey and submit data 
every year. Data submission is typically handled by one POC who is 
either a pharmacy manager or a survey vendor who contracts with a 
pharmacy to collect and submit its data. POCs submit data on behalf of 
3 pharmacies, on average, because many pharmacies are part of a multi-
pharmacy system, or the POC is a vendor that is submitting data for 
multiple pharmacies.
    Survey data from the AHRQ Pharmacy SOPS are used to produce three 
types of products: (1) A Pharmacy SOPS Comparative Database Report that 
is made publicly available on the AHRQ Web site (see http://www.ahrq.gov/professionals/quality-patient-safety/patientsafetyculture/pharmacy/pharm-reports.html), (2) Individual Pharmacy Survey Feedback 
Reports that are confidential, customized reports produced for each 
pharmacy that submits data to the database (the number of reports 
produced is based on the number of pharmacies submitting each year); 
and (3) Research data sets of individual-level and pharmacy-level de-
identified data to enable researchers to conduct analyses.
    Pharmacies are asked to voluntarily submit their Pharmacy SOPS 
survey data to the comparative database. The data are then cleaned and 
aggregated and used to produce a Comparative Database Report that 
displays averages, standard deviations, and percentile scores on the 
survey's 36 items and 11 patient safety culture dimensions, as well as 
displaying these results by pharmacy characteristics (pharmacy type, 
number of locations, average number of prescriptions dispensed per 
week, etc.) and respondent characteristics (staff position, tenure, and 
hours worked per week).
    Data submitted by pharmacies are also used to give each pharmacy 
its own customized survey feedback report that presents the pharmacy's 
results compared to the latest comparative database results. If a 
pharmacy submits data more than once, its survey feedback report also 
presents trend data, comparing its previous and most recent data.

Estimated Annual Respondent Burden

    Exhibit 1 shows the estimated annualized burden hours for the 
respondents' time to participate in the database. An estimated 100 POCs 
from community pharmacies and 50 POCs from hospital pharmacies, each 
representing an average of 3 individual pharmacies, will complete the 
database submission steps and forms. Completing the eligibility and 
registration form will take about 5 minutes. The Pharmacy Site 
Information Form is completed by all POCs for each of their pharmacies 
(150 x 3 = 450 forms in total) and is estimated to take 5 minutes to 
complete. Each POC will complete a data use agreement which takes 3 
minutes to complete and submitting the data will take an hour on 
average. The total burden is estimated to be 209 hours.
    Exhibit 2 shows the estimated annualized cost burden based on the

[[Page 11361]]

respondents' time to submit their data. The cost burden is estimated to 
be $11,222 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 and Registration Form...............             150               1            5/60              13
Data Use Agreement..............................             150               1            3/60               8
Pharmacy Site Information Form..................             150               3            5/60              38
Data Files Submission...........................             150               1               1             150
                                                 ---------------------------------------------------------------
    Total.......................................              NA              NA              NA             209
----------------------------------------------------------------------------------------------------------------


                                   Exhibit 2--Estimated Annualized Cost Burden
----------------------------------------------------------------------------------------------------------------
                                                     Number of
                    Form name                      respondents/    Total burden   Average hourly    Total cost
                                                       POCs            hours        wage rate *       burden
----------------------------------------------------------------------------------------------------------------
Eligibility and Registration Form...............             150              13          $53.69            $698
Data Use Agreement..............................             150               8           53.69             430
Pharmacy Site Information Form..................             150              38           53.69           2,040
Data Files Submission...........................             150             150           53.69           8,054
                                                 ---------------------------------------------------------------
    Total.......................................              NA             209              NA          11,222
----------------------------------------------------------------------------------------------------------------
* Based on the weighted average hourly wage in community pharmacies for 100 General and Operations Managers (11-
  1021; $49.26) and 50 General and Operations Managers (11-1021; $62.56) obtained from the May 2015 National
  Industry-Specific Occupational Employment and Wage Estimates: NAICS 446110--Pharmacies and Drug Stores
  (located at http://www.bls.gov/oes/current/naics5_446110.htm) and NAICS 622000--Hospitals (located at http://www.bls.gov/oes/current/naics3_622000.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 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.
    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 is a second review opportunity.
    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,
Acting Director.
[FR Doc. 2017-03463 Filed 2-21-17; 8:45 am]
 BILLING CODE 4160-90-P

Federal Register / Vol. 82, No. 34 / Wednesday, February 22, 2017 / Notices 11359

as a group acting in concert, to acquire Governors not later than March 14, 1. Pinnacle Financial Partners, Inc.,
voting shares of Citizens Bancshares, 2017. Nashville, Tennessee; to merge with
Inc. Walnut, Illinois, and thereby A. Federal Reserve Bank of BNC Bancorp, High Point, North
indirectly acquire shares of Citizens Minneapolis (Jacquelyn K. Brunmeier, Carolina, and thereby acquire Bank of
First State Bank of Walnut, Walnut, Assistant Vice President) 90 Hennepin North Carolina, Thomasville, North
Illinois. Avenue, Minneapolis, Minnesota Carolina.
B. Federal Reserve Bank of 55480–0291: Board of Governors of the Federal Reserve
Minneapolis (Jacquelyn K. Brunmeier, 1. First Interstate BancSystem, Inc., System, February 15, 2017.
Assistant Vice President) 90 Hennepin Billings, Montana; to acquire 100
Yao-Chin Chao,
Avenue, Minneapolis, Minnesota percent of Cascade Bancorp, Inc., Bend,
Assistant Secretary of the Board.
55480–0291: Oregon, and thereby acquire Bank of the
Cascades, Bend, Oregon. [FR Doc. 2017–03375 Filed 2–21–17; 8:45 am]
1. Patrick Artz, Richard Kornkven, BILLING CODE 6210–01–P
and Monte Mikkelsen, all of Bottineau, Board of Governors of the Federal Reserve
North Dakota; to each acquire voting System, February 16, 2017.
shares of State Bank of Bottineau Yao-Chin Chao,
DEPARTMENT OF HEALTH AND
Holding Company, Bottineau, North Assistant Secretary of the Board.
HUMAN SERVICES
Dakota, and thereby indirectly acquire [FR Doc. 2017–03450 Filed 2–21–17; 8:45 am]
shares of State Bank of Bottineau, BILLING CODE 6210–01–P Agency for Healthcare Research and
Bottineau, North Dakota. Quality
Board of Governors of the Federal Reserve
System, February 15, 2017. FEDERAL RESERVE SYSTEM Agency Information Collection
Yao-Chin Chao, Activities: Proposed Collection;
Formations of, Acquisitions by, and Comment Request
Assistant Secretary of the Board. Mergers of Bank Holding Companies
[FR Doc. 2017–03376 Filed 2–21–17; 8:45 am] AGENCY: Agency for Healthcare Research
BILLING CODE 6210–01–P
The companies listed in this notice and Quality, HHS.
have applied to the Board for approval,
pursuant to the Bank Holding Company ACTION: Notice.

FEDERAL RESERVE SYSTEM Act of 1956 (12 U.S.C. 1841 et seq.) SUMMARY: This notice announces the
(BHC Act), Regulation Y (12 CFR part intention of the Agency for Healthcare
Formations of, Acquisitions by, and 225), and all other applicable statutes Research and Quality (AHRQ) to request
Mergers of Bank Holding Companies and regulations to become a bank that the Office of Management and
holding company and/or to acquire the Budget (OMB) to review again proposed
The companies listed in this notice assets or the ownership of, control of, or
have applied to the Board for approval, information collection project:
the power to vote shares of a bank or Pharmacy Survey on Patient Safety
pursuant to the Bank Holding Company bank holding company and all of the
Act of 1956 (12 U.S.C. 1841 et seq.) Culture Comparative Database.’’ This
banks and nonbanking companies proposed information collection was
(BHC Act), Regulation Y (12 CFR part owned by the bank holding company,
225), and all other applicable statutes previously published in the Federal
including the companies listed below. Register on November 18, 2016 and
and regulations to become a bank The applications listed below, as well
holding company and/or to acquire the allowed 60 days for public comment.
as other related filings required by the AHRQ did not receive any substantive
assets or the ownership of, control of, or Board, are available for immediate
the power to vote shares of a bank or comments. The purpose of this notice is
inspection at the Federal Reserve Bank to allow an additional 30 days for public
bank holding company and all of the indicated. The applications will also be
banks and nonbanking companies comment.
available for inspection at the offices of
owned by the bank holding company, the Board of Governors. Interested DATES: Comments on this notice must be
including the companies listed below. persons may express their views in received by March 24, 2017.
The applications listed below, as well writing on the standards enumerated in ADDRESSES: Written comments should
as other related filings required by the the BHC Act (12 U.S.C. 1842(c)). If the be submitted to: AHRQ’s OMB Desk
Board, are available for immediate proposal also involves the acquisition of Officer by fax at (202) 395–6974
inspection at the Federal Reserve Bank a nonbanking company, the review also (attention: AHRQ’s desk officer) or by
indicated. The applications will also be includes whether the acquisition of the email at OIRA_submission@
available for inspection at the offices of nonbanking company complies with the omb.eop.gov (attention: AHRQ’s desk
the Board of Governors. Interested standards in section 4 of the BHC Act officer).
persons may express their views in (12 U.S.C. 1843). Unless otherwise FOR FURTHER INFORMATION CONTACT:
writing on the standards enumerated in noted, nonbanking activities will be Doris Lefkowitz, AHRQ Reports
the BHC Act (12 U.S.C. 1842(c)). If the conducted throughout the United States. Clearance Officer, (301) 427–1477, or by
proposal also involves the acquisition of Unless otherwise noted, comments email at doris.lefkowitz@AHRQ.hhs.gov.
a nonbanking company, the review also regarding each of these applications
includes whether the acquisition of the SUPPLEMENTARY INFORMATION:
must be received at the Reserve Bank
nonbanking company complies with the indicated or the offices of the Board of Proposed Project
standards in section 4 of the BHC Act
sradovich on DSK3GMQ082PROD with NOTICES

Governors not later than March 13,
(12 U.S.C. 1843). Unless otherwise Pharmacy Survey on Patient Safety
2017.
noted, nonbanking activities will be A. Federal Reserve Bank of Atlanta Culture Comparative Database
conducted throughout the United States. (Chapelle Davis, Assistant Vice In 1999, the Institute of Medicine
Unless otherwise noted, comments President) 1000 Peachtree Street NE., called for health care organizations to
regarding each of these applications Atlanta, Georgia 30309. Comments can develop a ‘‘culture of safety’’ such that
must be received at the Reserve Bank also be sent electronically to their workforce and processes focus on
indicated or the offices of the Board of Applications.Comments@atl.frb.org: improving the reliability and safety of

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11360 Federal Register / Vol. 82, No. 34 / Wednesday, February 22, 2017 / Notices

care for patients (IOM, 1999; To Err is learning in the patient safety Survey data from the AHRQ
Human: Building a Safer Health improvement process, and Pharmacy SOPS are used to produce
System). To respond to the need for (3) Provide supplemental information three types of products: (1) A Pharmacy
tools to assess patient safety culture in to help pharmacies identify their SOPS Comparative Database Report that
health care, AHRQ developed and pilot strengths and areas with potential for is made publicly available on the AHRQ
tested the Pharmacy Survey on Patient improvement in patient safety culture. Web site (see http://www.ahrq.gov/
Safety Culture with OMB approval This study is being conducted by professionals/quality-patient-safety/
(OMB NO. 0935–0183; Approved 08/12/ AHRQ through its contractor, Westat, patientsafetyculture/pharmacy/pharm-
2011). The survey is designed to enable pursuant to AHRQ’s statutory authority reports.html), (2) Individual Pharmacy
pharmacies to assess staff opinions to conduct and support research on Survey Feedback Reports that are
about patient and medication safety and health care and on systems for the confidential, customized reports
quality-assurance issues, and includes delivery of such care, including produced for each pharmacy that
36 items that measure 11 dimensions of activities with respect to the quality, submits data to the database (the
patient safety culture. AHRQ made the effectiveness, efficiency, number of reports produced is based on
survey publicly available along with a appropriateness and value of health care the number of pharmacies submitting
Survey User’s Guide and other toolkit services; quality measure and each year); and (3) Research data sets of
materials in October 2012 on the AHRQ development, and database individual-level and pharmacy-level de-
Web site. development. 42 U.S.C. 299a(a)(1), (2), identified data to enable researchers to
The AHRQ Pharmacy Survey on and 8. conduct analyses.
Patient Safety Culture (Pharmacy SOPS) Pharmacies are asked to voluntarily
Comparative Database consists of data Method of Collection submit their Pharmacy SOPS survey
from the AHRQ Pharmacy SOPS To achieve the goal of this project the data to the comparative database. The
Pharmacies in the U.S. are asked to following activities and data collections data are then cleaned and aggregated
voluntarily submit data from the survey will be implemented: and used to produce a Comparative
to AHRQ, through its contractor, Westat. (1) Pharmacy Eligibility and Database Report that displays averages,
The Pharmacy SOPS Database is Registration Form—The point of contact standard deviations, and percentile
modeled after three other SOPS (POC), often the pharmacy manager of a scores on the survey’s 36 items and 11
databases: Hospital SOPS [OMB NO. participating organization, completes a patient safety culture dimensions, as
0935–0162; Approved 05/04/2010]; number of data submission steps and well as displaying these results by
Medical Office SOPS [OMB NO. 0935– forms, beginning with completion of an pharmacy characteristics (pharmacy
0196; Approved 06/12/12]; and Nursing online Eligibility and Registration Form. type, number of locations, average
Home SOPS [OMB NO. 0935–0195; The purpose of this form is to collect number of prescriptions dispensed per
Approved 06/12/12] that were originally week, etc.) and respondent
basic demographic information about
developed by AHRQ in response to characteristics (staff position, tenure,
the pharmacy and initiate the
requests from hospitals, medical offices, and hours worked per week).
registration process. Data submitted by pharmacies are also
and nursing homes interested in
(2) Data Use Agreement—The purpose used to give each pharmacy its own
knowing how their patient safety
of the data use agreement, completed by customized survey feedback report that
culture survey results compare to those
the pharmacy POC, is to state how data presents the pharmacy’s results
of other similar health care
submitted by pharmacies will be used compared to the latest comparative
organizations.
Rationale for the information and provides confidentiality assurances. database results. If a pharmacy submits
collection. The Pharmacy SOPS survey (3) Pharmacy Site Information Form— data more than once, its survey feedback
and the Pharmacy SOPS Comparative The purpose of this form, completed by report also presents trend data,
Database will support AHRQ’s goals of the pharmacy POC, is to collect comparing its previous and most recent
promoting improvements in the quality background characteristics of the data.
and safety of health care in pharmacy pharmacy. This information will be
used to analyze data collected with the Estimated Annual Respondent Burden
settings. The survey, toolkit materials,
and comparative database results are all Pharmacy SOPS survey. Exhibit 1 shows the estimated
made publicly available on AHRQ’s (4) Data Files Submission—POCs annualized burden hours for the
Web site. Technical assistance is upload their data file(s), using the respondents’ time to participate in the
provided by AHRQ through its community pharmacy or hospital database. An estimated 100 POCs from
contractor at no charge to pharmacies, to pharmacy data file specifications, to community pharmacies and 50 POCs
facilitate the use of these materials for ensure that users submit standardized from hospital pharmacies, each
pharmacy patient safety and quality and consistent data in the way variables representing an average of 3 individual
improvement. are named, coded, and formatted. pharmacies, will complete the database
Request for information collection The number of submissions to the submission steps and forms. Completing
approval: AHRQ requests that the OMB database is likely to vary each year the eligibility and registration form will
reapprove, under the Paperwork because pharmacies do not administer take about 5 minutes. The Pharmacy
Reduction Act of 1995, AHRQ’s the survey and submit data every year. Site Information Form is completed by
collection of information for the AHRQ Data submission is typically handled by all POCs for each of their pharmacies
Pharmacy SOPS Comparative Database; one POC who is either a pharmacy (150 × 3 = 450 forms in total) and is
manager or a survey vendor who
sradovich on DSK3GMQ082PROD with NOTICES

OMB NO. 0935–0218, last approved on estimated to take 5 minutes to complete.
June 12, 2014. contracts with a pharmacy to collect and Each POC will complete a data use
This database will: submit its data. POCs submit data on agreement which takes 3 minutes to
(1) Allow pharmacies to compare behalf of 3 pharmacies, on average, complete and submitting the data will
their patient safety culture survey because many pharmacies are part of a take an hour on average. The total
results with those of other pharmacies, multi-pharmacy system, or the POC is a burden is estimated to be 209 hours.
(2) Provide data to pharmacies to vendor that is submitting data for Exhibit 2 shows the estimated
facilitate internal assessment and multiple pharmacies. annualized cost burden based on the

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Federal Register / Vol. 82, No. 34 / Wednesday, February 22, 2017 / Notices 11361

respondents’ time to submit their data. The cost burden is estimated to be
$11,222 annually.

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

Eligibility and Registration Form ...................................................................... 150 1 5/60 13
Data Use Agreement ....................................................................................... 150 1 3/60 8
Pharmacy Site Information Form ..................................................................... 150 3 5/60 38
Data Files Submission ..................................................................................... 150 1 1 150

Total .......................................................................................................... NA NA NA 209

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

Eligibility and Registration Form ...................................................................... 150 13 $53.69 $698
Data Use Agreement ....................................................................................... 150 8 53.69 430
Pharmacy Site Information Form ..................................................................... 150 38 53.69 2,040
Data Files Submission ..................................................................................... 150 150 53.69 8,054

Total .......................................................................................................... NA 209 NA 11,222
* Based on the weighted average hourly wage in community pharmacies for 100 General and Operations Managers (11–1021; $49.26) and 50
General and Operations Managers (11–1021; $62.56) obtained from the May 2015 National Industry-Specific Occupational Employment and
Wage Estimates: NAICS 446110—Pharmacies and Drug Stores (located at http://www.bls.gov/oes/current/naics5_446110.htm) and NAICS
622000—Hospitals (located at http://www.bls.gov/oes/current/naics3_622000.htm).

Request for Comments comments will become a matter of available at www.regulations.gov (see
public record. Docket ID [IHS–2017–0001]).
In accordance with the Paperwork DATES: April 24, 2017. Your comments
Reduction Act, comments on AHRQ’s Sharon B. Arnold,
regarding this information collection are
information collection are requested Acting Director.
best assured of having full effect if
with regard to any of the following: (a) [FR Doc. 2017–03463 Filed 2–21–17; 8:45 am] received within 60 days of the date of
Whether the proposed collection of BILLING CODE 4160–90–P this publication.
information is necessary for the proper ADDRESSES: Send your written
performance of AHRQ health care comments, requests for more
research and health care information DEPARTMENT OF HEALTH AND
information on the collection, or
dissemination functions, including HUMAN SERVICES
requests to obtain a copy of the data
whether the information will have Indian Health Service collection instrument and instructions
practical utility; (b) the accuracy of to Rita Gonsalves by one of the
AHRQ’s estimate of burden (including Request for Public Comment; 60 Day following methods:
hours and costs) of the proposed Proposed Information Collection: • Mail: Ms. Rita Gonsalves, CEO,
collection(s) of information; (c) ways to Mashpee Wampanoag Indian Health Mashpee Wampanoag Health Service
enhance the quality, utility, and clarity Service Unit Community Health Unit, Indian Health Service, 483B Great
of the information to be collected; and Assessment Neck Rd. South, Mashpee, MA 02346.
(d) ways to minimize the burden of the • Phone: 508–477–6913.
AGENCY: Indian Health Service, HHS. • Email: Rita.Gonsalves@ihs.gov.
collection of information upon the • Fax: 508–477–0156.
respondents, including the use of Notice and request for
ACTION: SUPPLEMENTARY INFORMATION: The
automated collection techniques or comments. Indian Health Service Mashpee
other forms of information technology. Wampanoag Service Unit is submitting
In accordance with the Paperwork SUMMARY: In compliance with the the proposed information collection to
Reduction Act, 44 U.S.C. 3501–3521, Paperwork Reduction Act of 1995, the OMB for review, as required by section
AHRQ invites the public to comment on Indian Health Service (IHS) invites the 3507(a)(1)(D) of the Paperwork
this proposed information collection. general public to take this opportunity Reduction Act of 1995. This notice is
This is a second review opportunity. to comment on the new information soliciting comments from members of
collection Office of Management and the public and affected agencies as
sradovich on DSK3GMQ082PROD with NOTICES

Comments submitted in response to
Budget (OMB) Control Number 0917– required by 44 U.S.C. 3506(c)(2)(A)
this notice will be summarized and
NEW, titled, ‘‘Mashpee Wampanoag concerning the proposed collection of
included in the Agency’s subsequent Community Health Assessment.’’ The information to: (1) Evaluate whether the
request for OMB approval of the purpose of this notice is to allow 60 proposed collection of information is
proposed information collection. All days for public comment to be necessary for the proper performance of
submitted directly to OMB. A copy of the functions of the agency, including
the draft supporting statement is whether the information will have

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Document Created: 2017-02-22 00:08:34
Document Modified: 2017-02-22 00:08:34

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 March 24, 2017.
Contact		Doris Lefkowitz, AHRQ Reports Clearance Officer, (301) 427-1477, or by email at [email protected]
FR Citation		82 FR 11359

82 FR 11359 - Agency Information Collection Activities: Proposed Collection; Comment Request

DEPARTMENT OF HEALTH AND HUMAN SERVICESAgency for Healthcare Research and Quality

Federal Register Volume 82, Issue 34 (February 22, 2017)

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