82_FR_39594 82 FR 39435 - Agency Information Collection Activities: Proposed Collection; Comment Request

82 FR 39435 - 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 159 (August 18, 2017)

Page Range39435-39436
FR Document2017-17502

This notice announces the intention of the Agency for Healthcare Research and Quality to request that the Office of Management and Budget approve the proposed information collection project: ``TeamSTEPPS 2.0 Online Master Trainer Course.'' This proposed information collection was previously published in the Federal Register on May 18, 2017, 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 159 (Friday, August 18, 2017)
[Federal Register Volume 82, Number 159 (Friday, August 18, 2017)]
[Notices]
[Pages 39435-39436]
From the Federal Register Online  [www.thefederalregister.org]
[FR Doc No: 2017-17502]


=======================================================================
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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 to request that the Office of 
Management and Budget approve the proposed information collection 
project: ``TeamSTEPPS 2.0 Online Master Trainer Course.''
    This proposed information collection was previously published in 
the Federal Register on May 18, 2017, 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 September 18, 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 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

TeamSTEPPS 2.0 Online Master Trainer Course

    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: 
``TeamSTEPPS 2.0 Online Master Trainer Course.'' In accordance with the 
Paperwork Reduction Act, 44 U.S.C. 3501-3521, AHRQ invites the public 
to comment on this proposed information collection.
    In accordance with the Paperwork Reduction Act of 1995, Public Law 
104-13 (44 U.S.C. 3506(c)(2)(A)), AHRQ invites the public to comment on 
this proposed information collection. As part of its effort to fulfill 
its mission goals, AHRQ, in collaboration with the U.S. Department of 
Defense's TRICARE Management Activity, developed TeamSTEPPS[supreg] 
(Team Strategies and Tools for Enhancing Performance and Patient 
Safety) to provide an evidence-based suite of tools and strategies for 
training teamwork-based patient safety to health care professionals. 
TeamSTEPPS includes multiple toolkits, which are all tied to, or are 
variants of, the core curriculum. TeamSTEPPS resources have been 
developed for primary care, rapid response systems, long-term care, and 
patients with limited English proficiency.
    The main objective of the TeamSTEPPS program is to improve patient 
safety by training health care staff in various teamwork, 
communication, and patient safety concepts, tools, and techniques and 
ultimately helping to build national capacity for supporting teamwork-
based patient safety efforts in health care organizations.
    Created in 2007, AHRQ's National Implementation Program trains 
Master Trainers who have stimulated the use and adoption of TeamSTEPPS 
in health care delivery systems. These individuals were trained during 
two-day, in-person classes using the TeamSTEPPS core curriculum at 
regional training centers across the U.S. AHRQ has also provided 
technical assistance and consultation on implementing TeamSTEPPS and 
has developed user networks, various educational venues, and other 
channels of learning for continued support and the improvement of 
teamwork in health care. Since the inception of the National 
Implementation Program, AHRQ has trained more than 6,000 participants 
to serve as TeamSTEPPS Master Trainers.
    The success of the National Implementation Program resulted in 
increased requests for in-person training, with wait lists for training 
at times exceeding 500 individuals. AHRQ has been unable to match the 
demand for TeamSTEPPS Master Training.
    To address this prevailing need, AHRQ developed TeamSTEPPS 2.0 
Online Master Trainer course, which mirrors the TeamSTEPPS 2.0 core 
curriculum and provides equivalent training to the in-person classes 
offered through the National Implementation Program.
    As part of this initiative, AHRQ seeks to continue to conduct an 
evaluation of the TeamSTEPPS 2.0 Online Master Trainer program. This 
evaluation seeks to understand the effectiveness of TeamSTEPPS 2.0 
Online Master Training and what revisions might be required to improve 
the training program.
    This research has the following goals:
    (1) Conduct a formative assessment of the TeamSTEPPS 2.0 Online 
Master Trainer program to determine what improvements should be made to 
the training and how it is delivered, and
    (2) Identify how trained participants use and implement the 
TeamSTEPPS tools and resources.
    The TeamSTEPPS 2.0 Online Master Trainer program is led by 
Reingold, Inc. This study is being conducted by Reingold's 
subcontractor, IMPAQ International (IMPAQ). This study is being 
conducted 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, 42 U.S.C. 299a(a)(1) 
and (2).

Method of Collection

    To achieve this project's goals, AHRQ will train participants using 
the TeamSTEPPS 2.0 Online Master Trainer program and then survey these 
participants 6 months post-training. Each activity is briefly described 
below.
    1. TeamSTEPPS 2.0 Online Master Trainer Course. This training 
program, which includes 13 accredited hours of

[[Page 39436]]

training, is based on the TeamSTEPPS 2.0 instructional materials and 
will be delivered online to 3,000 participants. The training will cover 
the core TeamSTEPPS tools and strategies, coaching, organizational 
change, and implementation science.
    2. TeamSTEPPS 2.0 Online Post-Training Survey. This online 
instrument will be administered to all participants who complete the 
TeamSTEPPS 2.0 Online Master Training. The survey will be administered 
6 months after participants complete the training program.
    This data collection is for the purpose of conducting an evaluation 
of the TeamSTEPPS 2.0 Online Master Trainer program which was last 
approved by OMB on November 14, 2014 (OMB Control Number is 0935-0224), 
and will expire November 30, 2017. The evaluation is primarily 
formative in nature as AHRQ seeks information to improve the delivery 
of the training.
    This is a new data collection for the purpose of conducting an 
evaluation of TeamSTEPPS 2.0 Online Master Trainer program. The 
evaluation will be primarily formative in nature as AHRQ seeks 
information to improve the delivery of the training.
    The OMB Control Number for the MEPS-HC and MPC is 0935-0118, which 
was last approved by OMB on December 20, 2012, and will expire on 
December 31, 2015.
    To conduct the evaluation, the TeamSTEPPS 2.0 Online Post-Training 
Survey will be administered to all individuals who completed the 
TeamSTEPPS 2.0 Online Master Trainer program, 6 months after completing 
training. The purpose of the survey is to assess the degree to which 
participants felt prepared by the training and what they did to 
implement TeamSTEPPS. Specifically, participants will be asked about 
their reasons for participating in the program; the degree to which 
they feel the training prepared them to train others in and use 
TeamSTEPPS; what tools they have implemented in their organizations; 
and resulting changes they have observed in the delivery of care.

Estimated Annual Respondent Burden

    Exhibit 1 shows the estimated annualized burden hours for the 
respondent's time to participate in the study. The TeamSTEPPS 2.0 
Online Post-Training Survey will be completed by approximately 3,000 
individuals. We estimate that each respondent will require 20 minutes 
to complete the survey. The total annualized burden is estimated to be 
1,000 hours.
    Exhibit 2 shows the estimated annualized cost burden based on the 
respondents' time to participate in the study. The total cost burden is 
estimated to be $45,320.

                                  Exhibit 1--Estimated Annualized Burden Hours
----------------------------------------------------------------------------------------------------------------
                                                                     Number of
                    Form name                        Number of     responses per     Hours per     Total burden
                                                    respondents     respondent       response          hours
----------------------------------------------------------------------------------------------------------------
Training participant questionnaire..............           3,000               1           20/60           1,000
                                                 ---------------------------------------------------------------
    Total.......................................           3,000             N/A             N/A           1,000
----------------------------------------------------------------------------------------------------------------


                                   Exhibit 2--Estimated Annualized Cost Burden
----------------------------------------------------------------------------------------------------------------
                                                                                      Average
                    Form name                        Number of     Total burden     hourly wage     Total cost
                                                    respondents        hours          rate *          burden
----------------------------------------------------------------------------------------------------------------
Training participant questionnaire..............           3,000           1,000          $45.32         $45,320
                                                 ---------------------------------------------------------------
    Total.......................................           3,000           1,000             N/A         $45,320
----------------------------------------------------------------------------------------------------------------
* Based on the mean of the average wages for all health professionals (29-0000) and wages for medical and health
  services managers (11-9111) for the training participant questionnaire presented in the National Compensation
  Survey: Occupational Wages in the United States, May 2016, U.S. Department of Labor, Bureau of Labor
  Statistics (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 health care research and 
health care information dissemination functions, including whether the 
information will have practical utility; (b) the accuracy of AHRQ's 
estimate of burden (including hours and costs) of the proposed 
collection(s) of information; (c) ways to enhance the quality, utility, 
and clarity of the information to be collected; and (d) ways to 
minimize the burden of the collection of information upon the 
respondents, including the use of automated collection techniques or 
other forms of information technology.
    Comments submitted in response to this notice will be summarized 
and included in the Agency's subsequent request for OMB approval of the 
proposed information collection. All comments will become a matter of 
public record.

Sharon B. Arnold,
Deputy Director.
[FR Doc. 2017-17502 Filed 8-17-17; 8:45 am]
BILLING CODE 4160-90-P



                                                                                Federal Register / Vol. 82, No. 159 / Friday, August 18, 2017 / Notices                                          39435

                                                    The FTC Act and other laws that the                   Officer by fax at (202) 395–6974                      technical assistance and consultation on
                                                  Commission administers permit the                       (attention: AHRQ’s desk officer) or by                implementing TeamSTEPPS and has
                                                  collection of public comments to                        email at OIRA_submission@                             developed user networks, various
                                                  consider and use in this proceeding as                  omb.eop.gov (attention: AHRQ’s desk                   educational venues, and other channels
                                                  appropriate. The Commission will                        officer).                                             of learning for continued support and
                                                  consider all timely and responsive                      FOR FURTHER INFORMATION CONTACT:                      the improvement of teamwork in health
                                                  public comments that it receives on or                  Doris Lefkowitz, AHRQ Reports                         care. Since the inception of the National
                                                  before September 18, 2017. For                          Clearance Officer, (301) 427–1477, or by              Implementation Program, AHRQ has
                                                  information on the Commission’s                         email at doris.lefkowitz@AHRQ.hhs.gov.                trained more than 6,000 participants to
                                                  privacy policy, including routine uses                  SUPPLEMENTARY INFORMATION:
                                                                                                                                                                serve as TeamSTEPPS Master Trainers.
                                                  permitted by the Privacy Act, see                                                                                The success of the National
                                                  https://www.ftc.gov/site-information/                   Proposed Project                                      Implementation Program resulted in
                                                  privacy-policy.                                         TeamSTEPPS 2.0 Online Master Trainer                  increased requests for in-person
                                                    Comments on the information                           Course                                                training, with wait lists for training at
                                                  collection requirements subject to                                                                            times exceeding 500 individuals. AHRQ
                                                  review under the PRA should                                This notice announces the intention                has been unable to match the demand
                                                  additionally be submitted to OMB. If                    of the Agency for Healthcare Research                 for TeamSTEPPS Master Training.
                                                  sent by U.S. mail, they should be                       and Quality (AHRQ) to request that the                   To address this prevailing need,
                                                  addressed to Office of Information and                  Office of Management and Budget                       AHRQ developed TeamSTEPPS 2.0
                                                  Regulatory Affairs, Office of                           (OMB) approve the proposed                            Online Master Trainer course, which
                                                  Management and Budget, Attention:                       information collection project:                       mirrors the TeamSTEPPS 2.0 core
                                                  Desk Officer for the Federal Trade                      ‘‘TeamSTEPPS 2.0 Online Master                        curriculum and provides equivalent
                                                  Commission, New Executive Office                        Trainer Course.’’ In accordance with the              training to the in-person classes offered
                                                  Building, Docket Library, Room 10102,                   Paperwork Reduction Act, 44 U.S.C.                    through the National Implementation
                                                  725 17th Street NW., Washington, DC                     3501–3521, AHRQ invites the public to                 Program.
                                                  20503. Comments sent to OMB by U.S.                     comment on this proposed information                     As part of this initiative, AHRQ seeks
                                                  postal mail are subject to delays due to                collection.                                           to continue to conduct an evaluation of
                                                                                                             In accordance with the Paperwork                   the TeamSTEPPS 2.0 Online Master
                                                  heightened security precautions. Thus,
                                                                                                          Reduction Act of 1995, Public Law 104–                Trainer program. This evaluation seeks
                                                  comments instead can also be sent via
                                                                                                          13 (44 U.S.C. 3506(c)(2)(A)), AHRQ                    to understand the effectiveness of
                                                  email to wliberante@omb.eop.gov.
                                                                                                          invites the public to comment on this                 TeamSTEPPS 2.0 Online Master
                                                  David C. Shonka,                                        proposed information collection. As                   Training and what revisions might be
                                                  Acting General Counsel.                                 part of its effort to fulfill its mission             required to improve the training
                                                  [FR Doc. 2017–17445 Filed 8–17–17; 8:45 am]             goals, AHRQ, in collaboration with the                program.
                                                  BILLING CODE 6750–01–P
                                                                                                          U.S. Department of Defense’s TRICARE                     This research has the following goals:
                                                                                                          Management Activity, developed                           (1) Conduct a formative assessment of
                                                                                                          TeamSTEPPS® (Team Strategies and                      the TeamSTEPPS 2.0 Online Master
                                                                                                          Tools for Enhancing Performance and                   Trainer program to determine what
                                                  DEPARTMENT OF HEALTH AND
                                                                                                          Patient Safety) to provide an evidence-               improvements should be made to the
                                                  HUMAN SERVICES
                                                                                                          based suite of tools and strategies for               training and how it is delivered, and
                                                  Agency for Healthcare Research and                      training teamwork-based patient safety                   (2) Identify how trained participants
                                                  Quality                                                 to health care professionals.                         use and implement the TeamSTEPPS
                                                                                                          TeamSTEPPS includes multiple                          tools and resources.
                                                  Agency Information Collection                           toolkits, which are all tied to, or are                  The TeamSTEPPS 2.0 Online Master
                                                  Activities: Proposed Collection;                        variants of, the core curriculum.                     Trainer program is led by Reingold, Inc.
                                                  Comment Request                                         TeamSTEPPS resources have been                        This study is being conducted by
                                                                                                          developed for primary care, rapid                     Reingold’s subcontractor, IMPAQ
                                                  AGENCY: Agency for Healthcare Research                  response systems, long-term care, and                 International (IMPAQ). This study is
                                                  and Quality, HHS.                                       patients with limited English                         being conducted pursuant to AHRQ’s
                                                  ACTION: Notice.                                         proficiency.                                          statutory authority to conduct and
                                                                                                             The main objective of the                          support research on health care and on
                                                  SUMMARY:   This notice announces the                    TeamSTEPPS program is to improve                      systems for the delivery of such care,
                                                  intention of the Agency for Healthcare                  patient safety by training health care                including activities with respect to the
                                                  Research and Quality to request that the                staff in various teamwork,                            quality, effectiveness, efficiency,
                                                  Office of Management and Budget                         communication, and patient safety                     appropriateness, and value of health
                                                  approve the proposed information                        concepts, tools, and techniques and                   care services and with respect to quality
                                                  collection project: ‘‘TeamSTEPPS 2.0                    ultimately helping to build national                  measurement and improvement, 42
                                                  Online Master Trainer Course.’’                         capacity for supporting teamwork-based
                                                    This proposed information collection                                                                        U.S.C. 299a(a)(1) and (2).
                                                                                                          patient safety efforts in health care
                                                  was previously published in the Federal                 organizations.                                        Method of Collection
                                                  Register on May 18, 2017, and allowed                      Created in 2007, AHRQ’s National                     To achieve this project’s goals, AHRQ
                                                  60 days for public comment. AHRQ did                    Implementation Program trains Master                  will train participants using the
mstockstill on DSK30JT082PROD with NOTICES




                                                  not receive any substantive comments.                   Trainers who have stimulated the use                  TeamSTEPPS 2.0 Online Master Trainer
                                                  The purpose of this notice is to allow an               and adoption of TeamSTEPPS in health                  program and then survey these
                                                  additional 30 days for public comment.                  care delivery systems. These individuals              participants 6 months post-training.
                                                  DATES: Comments on this notice must be                  were trained during two-day, in-person                Each activity is briefly described below.
                                                  received by September 18, 2017.                         classes using the TeamSTEPPS core                       1. TeamSTEPPS 2.0 Online Master
                                                  ADDRESSES: Written comments should                      curriculum at regional training centers               Trainer Course. This training program,
                                                  be submitted to: AHRQ’s OMB Desk                        across the U.S. AHRQ has also provided                which includes 13 accredited hours of


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                                                  39436                                   Federal Register / Vol. 82, No. 159 / Friday, August 18, 2017 / Notices

                                                  training, is based on the TeamSTEPPS                                          This is a new data collection for the                        feel the training prepared them to train
                                                  2.0 instructional materials and will be                                    purpose of conducting an evaluation of                          others in and use TeamSTEPPS; what
                                                  delivered online to 3,000 participants.                                    TeamSTEPPS 2.0 Online Master Trainer                            tools they have implemented in their
                                                  The training will cover the core                                           program. The evaluation will be                                 organizations; and resulting changes
                                                  TeamSTEPPS tools and strategies,                                           primarily formative in nature as AHRQ                           they have observed in the delivery of
                                                  coaching, organizational change, and                                       seeks information to improve the                                care.
                                                  implementation science.                                                    delivery of the training.
                                                     2. TeamSTEPPS 2.0 Online Post-                                             The OMB Control Number for the                               Estimated Annual Respondent Burden
                                                  Training Survey. This online instrument                                    MEPS–HC and MPC is 0935–0118,
                                                  will be administered to all participants                                   which was last approved by OMB on                                 Exhibit 1 shows the estimated
                                                  who complete the TeamSTEPPS 2.0                                            December 20, 2012, and will expire on                           annualized burden hours for the
                                                  Online Master Training. The survey will                                    December 31, 2015.                                              respondent’s time to participate in the
                                                  be administered 6 months after                                                To conduct the evaluation, the                               study. The TeamSTEPPS 2.0 Online
                                                  participants complete the training                                         TeamSTEPPS 2.0 Online Post-Training                             Post-Training Survey will be completed
                                                  program.                                                                   Survey will be administered to all                              by approximately 3,000 individuals. We
                                                     This data collection is for the purpose                                 individuals who completed the                                   estimate that each respondent will
                                                  of conducting an evaluation of the                                         TeamSTEPPS 2.0 Online Master Trainer                            require 20 minutes to complete the
                                                  TeamSTEPPS 2.0 Online Master Trainer                                       program, 6 months after completing                              survey. The total annualized burden is
                                                  program which was last approved by                                         training. The purpose of the survey is to                       estimated to be 1,000 hours.
                                                  OMB on November 14, 2014 (OMB                                              assess the degree to which participants
                                                                                                                                                                                               Exhibit 2 shows the estimated
                                                  Control Number is 0935–0224), and will                                     felt prepared by the training and what
                                                  expire November 30, 2017. The                                              they did to implement TeamSTEPPS.                               annualized cost burden based on the
                                                  evaluation is primarily formative in                                       Specifically, participants will be asked                        respondents’ time to participate in the
                                                  nature as AHRQ seeks information to                                        about their reasons for participating in                        study. The total cost burden is estimated
                                                  improve the delivery of the training.                                      the program; the degree to which they                           to be $45,320.

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

                                                  Training participant questionnaire ...................................................................                           3,000                 1            20/60          1,000

                                                       Total ..........................................................................................................            3,000               N/A             N/A           1,000


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

                                                  Training participant questionnaire ...................................................................                           3,000              1,000          $45.32        $45,320

                                                       Total ..........................................................................................................            3,000              1,000            N/A         $45,320
                                                    * Based on the mean of the average wages for all health professionals (29–0000) and wages for medical and health services managers (11–
                                                  9111) for the training participant questionnaire presented in the National Compensation Survey: Occupational Wages in the United States, May
                                                  2016, U.S. Department of Labor, Bureau of Labor Statistics (https://www.bls.gov/oes/current/oes_nat.htm).


                                                  Request for Comments                                                       automated collection techniques or                              DEPARTMENT OF HEALTH AND
                                                    In accordance with the Paperwork                                         other forms of information technology.                          HUMAN SERVICES
                                                  Reduction Act, comments on AHRQ’s                                            Comments submitted in response to
                                                                                                                                                                                             Centers for Disease Control and
                                                  information collection are requested                                       this notice will be summarized and
                                                                                                                                                                                             Prevention
                                                  with regard to any of the following: (a)                                   included in the Agency’s subsequent
                                                  Whether the proposed collection of                                         request for OMB approval of the
                                                  information is necessary for the proper                                                                                                    [30Day–17–17ABD]
                                                                                                                             proposed information collection. All
                                                  performance of AHRQ health care                                            comments will become a matter of                                Agency Forms Undergoing Paperwork
                                                  research and health care information                                       public record.                                                  Reduction Act Review
                                                  dissemination functions, including
                                                  whether the information will have                                          Sharon B. Arnold,                                                 The Centers for Disease Control and
                                                  practical utility; (b) the accuracy of                                     Deputy Director.                                                Prevention (CDC) has submitted the
                                                  AHRQ’s estimate of burden (including                                       [FR Doc. 2017–17502 Filed 8–17–17; 8:45 am]                     following information collection request
mstockstill on DSK30JT082PROD with NOTICES




                                                  hours and costs) of the proposed                                           BILLING CODE 4160–90–P                                          to the Office of Management and Budget
                                                  collection(s) of information; (c) ways to                                                                                                  (OMB) for review and approval in
                                                  enhance the quality, utility, and clarity                                                                                                  accordance with the Paperwork
                                                  of the information to be collected; and                                                                                                    Reduction Act of 1995. The notice for
                                                  (d) ways to minimize the burden of the                                                                                                     the proposed information collection is
                                                  collection of information upon the                                                                                                         published to obtain comments from the
                                                  respondents, including the use of                                                                                                          public and affected agencies.


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Document Created: 2017-08-18 07:41:02
Document Modified: 2017-08-18 07:41:02
CategoryRegulatory Information
CollectionFederal Register
sudoc ClassAE 2.7:
GS 4.107:
AE 2.106:
PublisherOffice of the Federal Register, National Archives and Records Administration
SectionNotices
ActionNotice.
DatesComments on this notice must be received by September 18, 2017.
ContactDoris Lefkowitz, AHRQ Reports Clearance Officer, (301) 427-1477, or by email at [email protected]
FR Citation82 FR 39435 

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