83 FR 5262 - Agency Information Collection Activities: Proposed Collection; Comment Request

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

Federal Register Volume 83, Issue 25 (February 6, 2018)

Page Range		5262-5264
FR Document		2018-02289

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 ``Expanding the Comprehensive Unit-based Safety Program (CUSP) to Reduce Central Line-Associated Blood Stream Infections (CLABSI) and Catheter-Associated Urinary Tract Infections (CAUTI) in Intensive Care Units (ICU) with Persistently Elevated Infection Rates.'' This proposed information collection was previously published in the Federal Register on July 28, 2017, and allowed 60 days for public comment. AHRQ did not receive any substantive public comments. In response to internal project team feedback, the proposed data collection has been modified in order to increase efficiency and decrease respondent burden. Modifications include consolidation of two data collection tools (the Team Checkup Tool and the ICU Assessment) into one ICU Assessment and decreasing the frequency of administration. The modifications also now require broad administration of the ICU Action Plan, which previously was administered only to those sites that had a site visit. The purpose of this notice is to allow an additional 30 days for public comment.

Federal Register, Volume 83 Issue 25 (Tuesday, February 6, 2018)

[Federal Register Volume 83, Number 25 (Tuesday, February 6, 2018)]
[Notices]
[Pages 5262-5264]
From the Federal Register Online [www.thefederalregister.org]
[FR Doc No: 2018-02289]

=======================================================================
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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) approve the proposed information collection
project ``Expanding the Comprehensive Unit-based Safety Program (CUSP)
to Reduce Central Line-Associated Blood Stream Infections (CLABSI) and
Catheter-Associated Urinary Tract Infections (CAUTI) in Intensive Care
Units (ICU) with Persistently Elevated Infection Rates.''
This proposed information collection was previously published in
the Federal Register on July 28, 2017, and allowed 60 days for public
comment. AHRQ did not receive any substantive public comments. In
response to internal project team feedback, the proposed data
collection has been modified in order to increase efficiency and
decrease respondent burden. Modifications include consolidation of two
data collection tools (the Team Checkup Tool and the ICU Assessment)
into one ICU Assessment and decreasing the frequency of administration.
The modifications also now require broad administration of the ICU
Action Plan, which previously was administered only to those sites that
had a site visit. 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 8, 2018.

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

Expanding the Comprehensive Unit-based Safety Program (CUSP) to
reduce Central Line-Associated Blood Stream Infections (CLABSI) and
Catheter-Associated Urinary Tract Infections (CAUTI) in Intensive Care
Units (ICU) with persistently elevated infection rates.
In accordance with the Paperwork Reduction Act, 44 U.S.C. 3501-
3521, AHRQ invites the public to comment on this proposed information
collection.
Healthcare-associated infections, or HAIs, are a highly significant
cause of illness and death for patients in the U.S. health care system.
At any given time, HAIs affect one out of every 25 hospital inpatients.
More than a million of these infections occur across the health care
system every year, leading to significant patient harm and the annual
loss of tens of thousands of lives, and costing billions of dollars
each year. Some of the most prevalent HAIs include: Surgical site
infections (SSIs), catheter-associated urinary tract infections,
central-line associated blood stream infections, and ventilator-
associated pneumonia (VAP). It is estimated that CAUTIs affect
approximately 250,000 hospital patients per year, and approximately
40,000 CLABSI cases occur annually with a mortality rate from 12 to 25
percent.
From 2008-2012, AHRQ supported the National Implementation of the
Comprehensive Unit-Based Safety Program (CUSP) to reduce Central Line-
Associated Blood Stream Infections (CLABSI) under an ACTION contract
with the Health Research and Educational Trust (HRET), in partnership
with Johns Hopkins University and the Michigan Hospital Association.
From 2011-2015, AHRQ expanded its CUSP efforts to include the national
implementation of CUSP for CAUTI in hospitals across the United States.
This effort was carried out under an ACTION II contract with HRET, in
partnership with Johns Hopkins University and the Michigan Hospital
Association.
As part of the Department of Health and Human Services National
Action Plan to Prevent Healthcare-Associated Infections, AHRQ has
supported the implementation and adoption of the CUSP for CLABSI and
CUSP for CAUTI, and is applying the principles and concepts that have
been learned from these HAI reduction efforts to ICUs with persistently
elevated infection rates.

[[Page 5263]]

Results of Implementation of CUSP for CLABSI and CAUTI

The nationwide CUSP for CLABSI project was implemented with teams
at more than 1,100 adult ICUs in 44 states over a 4-year period. ICUs
participating in this project reduced the rate of CLABSIs nationally
from 1.915 infections per 1,000 central line days to 1.133 infections
per 1,000 line days, an overall reduction of 41 percent. However, not
all ICUs performed equally well.
The CUSP for CAUTI project implemented CUSP in nine cohorts,
representing over 1,600 hospital units in over 1,200 hospitals located
across 40 states, the District of Columbia, and Puerto Rico. Inpatient
CAUTI rates in non-ICUs were decreased by 30%. However, CAUTI rates in
ICUs were not reduced significantly.
In other words, while the overall results of the implementation of
CUSP for CLABSI and CUSP for CAUTI have shown remarkable progress, not
all ICUs in the projects have achieved the intended rate reductions,
nor have all ICUs participated in the two projects. Moreover, a
significant number of institutions and ICUs continue to have
persistently elevated infection rates. There are institutions that have
varying rates of infections within the same institution, indicating
that infection control is often a unit-based issue.
In sum, despite the significant overall reductions in CLABSI and
CAUTI rates that have been achieved in these two projects, there is
evidence that ICUs have generally faced challenges in reducing CAUTI
rates, and that many hospitals still are not where they should be in
reducing CLABSI rates. Modified approaches and strategies for the CUSP
intervention need to be developed and implemented to reach ICUs with
persistently elevated CLABSI and CAUTI rates and help them succeed in
preventing these infections. To address this need, AHRQ will launch
this project aimed at spreading nationally implementation of an
adaptation of CUSP for CLABSI and CAUTI for ICUs with persistently
elevated rates, optimizing the approach to maximize effectiveness and
further preventing these infections throughout the United States.
This project has the following goals:
Reduce CLABSI and CAUTI in ICUs with persistently elevated
rates.
Revise and augment current CUSP training resources and
materials for CUSP for CLABSI and CAUTI in ICUs with persistently
elevated rates. The resulting toolkit will be intended for use in ICUs
whose infection rates for either or both of these HAIs are persistently
elevated compared to other ICUs.
Recruit 450-600 ICUs nationally with persistently elevated
rates to demonstrate the utility of applying a modified CUSP for CLABSI
and CUSP for CAUTI during the performance period to reduce rates of
CLABSI and CAUTI in these ICUs.
Assess the adoption of the modified CUSP for CLABSI and
CAUTI and evaluate the effectiveness of the intervention in the
participating ICUs.
This study is being conducted by AHRQ through its contractor HRET.
Expanding the Comprehensive Unit-based Safety Program (CUSP) to reduce
Central Line-Associated Blood Stream Infections (CLABSI) and Catheter-
Associated Urinary Tract Infections (CAUTI) in Intensive Care Units
(ICU) with persistently elevated infection rates is being undertaken
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 the goals of this project the following data collections
will be implemented:
(1) ICU Assessment Tool: The ICU assessment tool will be completed
by the unit project team leader in collaboration with individuals with
strong knowledge of current clinical and safety practices in the ICU,
such as the ICU manager, infection preventionist, quality leader,
clinical educator, or clinical nurse specialist at the start of the
cohort. The purpose of this assessment is to understand current HAI
prevention practices, policies, and procedures to tailor the
educational program to meet the needs of the ICU. The assessment also
addresses unit safety culture and CUSP safety practices with questions
from the AHRQ Team Checkup Tool. Results from this assessment will be
one of the key tools participating ICUs will use in developing their
action plans.
(2) Action plans: After completing and receiving the results of
their ICU assessment, the unit team members (such as the ICU manager,
quality leader, clinical educator, or clinical nurse specialist) will
complete an action plan. The unit team will be encouraged to use other
data sources (e.g., CAUTI and/or CLABSI rates from the National
Healthcare Safety Network [NHSN], culture assessments) to identify gaps
that they plan to address through participation in the project. ICU
teams, with coaching support from their state lead, clinical mentor,
and subject matter experts, will determine which educational materials
will help the ICU achieve its action plan goals. ICU teams, state
leads, and clinical mentors will refer to these action plans to monitor
progress in achieving the goals.
(3) Site Visits: State leads and clinical mentors will coordinate
state-level, in-person site visits for 200 participating hospital units
over the entire project. Site visits are an opportunity for state leads
and clinical mentors to meet with ICU teams and their leadership to
strengthen relationships, engage in open discussion about infection
prevention, and discuss the unit's progress in implementing its action
plan. The Site Visit Guidance document helps state leads identify ICUs
to visit, plan agendas, schedule visits, prepare for visits, and plan
discussion questions.
This data collection effort will be part of a comprehensive
evaluation strategy to assess the adoption of the Expansion of the
Comprehensive Unit-Based Safety Program (CUSP) for CLABSI and CAUTI in
ICUs with persistently elevated rates; measure the effectiveness of the
interventions in the participating units; and evaluate the
characteristics of teams that are associated with successful
implementation and improvements in outcomes.
The evaluation of this data collection is largely foundational in
nature as AHRQ seeks information on the implementation and
effectiveness of the CUSP for CLABSI and CAUTI in ICUs with
persistently elevated rates. The evaluation of the tools above will
utilize a pre-post design, comparing practices, policies and procedures
before and after participating in the program.

Estimated Annual Respondent Burden

[[Page 5264]]

Exhibit 1--Estimated Annualized Burden Hours
----------------------------------------------------------------------------------------------------------------
Number of
Form name Number of responses per Hours per Total burden
respondents respondent response hours
----------------------------------------------------------------------------------------------------------------
ICU Assessment.................................. 150 1 1.25 187.5
ICU Action Plan................................. 150 1 2 300
Site Visits..................................... 100 1 4 400
---------------------------------------------------------------
Total....................................... 400 N/A N/A 887.5
----------------------------------------------------------------------------------------------------------------

Exhibit 2--Estimated Annualized Cost Burden
----------------------------------------------------------------------------------------------------------------
Average
Form name Number of Total burden hourly wage Total cost
respondents hours rate * burden
----------------------------------------------------------------------------------------------------------------
ICU Assessment Tool............................. 150 187.5 \a\ $52.58 $9,858.75
ICU Action Plan................................. 150 300 \a\ 52.58 15,774
Site Visits..................................... 100 100 \b\ 27.87 2,787
.............. 200 \c\ 34.70 6,940
.............. 50 \a\ 52.58 2,629
.............. 50 \d\ 98.83 4,941.50
---------------------------------------------------------------
Total....................................... 400 887.5 N/A 42,930.25
----------------------------------------------------------------------------------------------------------------
\a\ Based on the mean wages for 11-9111 Medical and Health Services Managers.
\b\ Based on the mean wages for 29-9099 Miscellaneous Health Practitioners and Technical Workers: Healthcare
Practitioners and Technical Workers, All Other.
\c\ Based on the mean wages for 29-1141 Registered Nurse.
\d\ Based on the mean wages for 29-1069 Physicians and Surgeons, All other.
National Compensation Survey: Occupational wages in the United States May 2016 ``U.S. Department of Labor,
Bureau of Labor Statistics:'' http://www.bls.gov/oes/current/oes_stru.htm.

Request for Comments

In accordance with the Paperwork Reduction Act, comments on AHRQ's
information collection are requested with regard to any of the
following: (a) Whether the proposed collection of information is
necessary for the proper performance of AHRQ's health care research and
health care information dissemination functions, including whether the
information will have practical utility; (b) the accuracy of AHRQ's
estimate of burden (including hours and costs) of the proposed
collection(s) of information; (c) ways to enhance the quality, utility
and clarity of the information to be collected; and (d) ways to
minimize the burden of the collection of information upon the
respondents, including the use of automated collection techniques or
other forms of information technology.
Comments submitted in response to this notice will be summarized
and included in the Agency's subsequent request for OMB approval of the
proposed information collection. All comments will become a matter of
public record.

Karen J. Migdail,
Chief of Staff.
[FR Doc. 2018-02289 Filed 2-5-18; 8:45 am]
BILLING CODE 4160-90-P

5262 Federal Register / Vol. 83, No. 25 / Tuesday, February 6, 2018 / Notices

NOTICE OF TERMINATION OF RECEIVERSHIPS—Continued
Termination
Fund Receivership name City State date

10301 ................ First Suburban National Maywood ............................................................................................ IL 2/1/2018
Bank.
10341 ................ Peoples State Bank ........... Hamtramck ......................................................................................... MI 2/1/2018
10345 ................ Habersham Bank ............... Clarksville ........................................................................................... GA 2/1/2018
10359 ................ Community Central Bank ... Mount Clemens .................................................................................. MI 2/1/2018
10409 ................ All American Bank .............. Des Plaines ........................................................................................ IL 2/1/2018
10445 ................ Putnam State Bank ............ Palatka ............................................................................................... FL 2/1/2018
10464 ................ Citizens First National Bank Princeton ............................................................................................ IL 2/1/2018
10491 ................ Texas Community Bank, The Woodlands .................................................................................. TX 2/1/2018
National Association.
10515 ................ Premier Bank ..................... Denver ................................................................................................ CO 2/1/2018

The Receiver has further irrevocably This proposed information collection illness and death for patients in the U.S.
authorized and appointed FDIC- was previously published in the Federal health care system. At any given time,
Corporate as its attorney-in-fact to Register on July 28, 2017, and allowed HAIs affect one out of every 25 hospital
execute and file any and all documents 60 days for public comment. AHRQ did inpatients. More than a million of these
that may be required to be executed by not receive any substantive public infections occur across the health care
the Receiver which FDIC-Corporate, in comments. In response to internal system every year, leading to significant
its sole discretion, deems necessary, project team feedback, the proposed patient harm and the annual loss of tens
including but not limited to releases, data collection has been modified in of thousands of lives, and costing
discharges, satisfactions, endorsements, order to increase efficiency and decrease billions of dollars each year. Some of
assignments, and deeds. Effective on the respondent burden. Modifications the most prevalent HAIs include:
termination dates listed above, the include consolidation of two data Surgical site infections (SSIs), catheter-
Receiverships have been terminated, the collection tools (the Team Checkup Tool associated urinary tract infections,
Receiver has been discharged, and the and the ICU Assessment) into one ICU
central-line associated blood stream
Receiverships have ceased to exist as Assessment and decreasing the
infections, and ventilator-associated
legal entities. frequency of administration. The
modifications also now require broad pneumonia (VAP). It is estimated that
Dated: February 1, 2018. CAUTIs affect approximately 250,000
Federal Deposit Insurance Corporation.
administration of the ICU Action Plan,
which previously was administered hospital patients per year, and
Robert E. Feldman, approximately 40,000 CLABSI cases
only to those sites that had a site visit.
Executive Secretary. The purpose of this notice is to allow an occur annually with a mortality rate
[FR Doc. 2018–02286 Filed 2–5–18; 8:45 am] additional 30 days for public comment. from 12 to 25 percent.
BILLING CODE 6714–01–P From 2008–2012, AHRQ supported
DATES: Comments on this notice must be
received by March 8, 2018. the National Implementation of the
ADDRESSES: Written comments should Comprehensive Unit-Based Safety
DEPARTMENT OF HEALTH AND be submitted to: AHRQ’s OMB Desk Program (CUSP) to reduce Central Line-
HUMAN SERVICES Officer by fax at (202) 395–6974 Associated Blood Stream Infections
(attention: AHRQ’s desk officer) or by (CLABSI) under an ACTION contract
Agency for Healthcare Research and email at OIRA_submission@ with the Health Research and
Quality omb.eop.gov (attention: AHRQ’s desk Educational Trust (HRET), in
officer). partnership with Johns Hopkins
Agency Information Collection
Activities: Proposed Collection; FOR FURTHER INFORMATION CONTACT: University and the Michigan Hospital
Comment Request Doris Lefkowitz, AHRQ Reports Association. From 2011–2015, AHRQ
Clearance Officer, (301) 427–1477, or by expanded its CUSP efforts to include the
AGENCY: Agency for Healthcare Research email at doris.lefkowitz@AHRQ.hhs.gov. national implementation of CUSP for
and Quality, HHS. SUPPLEMENTARY INFORMATION: CAUTI in hospitals across the United
ACTION: Notice. States. This effort was carried out under
Proposed Project
an ACTION II contract with HRET, in
SUMMARY: This notice announces the Expanding the Comprehensive Unit- partnership with Johns Hopkins
intention of the Agency for Healthcare based Safety Program (CUSP) to reduce University and the Michigan Hospital
Research and Quality (AHRQ) to request Central Line-Associated Blood Stream Association.
that the Office of Management and Infections (CLABSI) and Catheter-
Budget (OMB) approve the proposed Associated Urinary Tract Infections As part of the Department of Health
information collection project (CAUTI) in Intensive Care Units (ICU) and Human Services National Action
‘‘Expanding the Comprehensive Unit- with persistently elevated infection Plan to Prevent Healthcare-Associated
daltland on DSKBBV9HB2PROD with NOTICES

based Safety Program (CUSP) to Reduce rates. Infections, AHRQ has supported the
Central Line-Associated Blood Stream In accordance with the Paperwork implementation and adoption of the
Infections (CLABSI) and Catheter- Reduction Act, 44 U.S.C. 3501–3521, CUSP for CLABSI and CUSP for CAUTI,
Associated Urinary Tract Infections AHRQ invites the public to comment on and is applying the principles and
(CAUTI) in Intensive Care Units (ICU) this proposed information collection. concepts that have been learned from
with Persistently Elevated Infection Healthcare-associated infections, or these HAI reduction efforts to ICUs with
Rates.’’ HAIs, are a highly significant cause of persistently elevated infection rates.

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Federal Register / Vol. 83, No. 25 / Tuesday, February 6, 2018 / Notices 5263

Results of Implementation of CUSP for • Revise and augment current CUSP participating ICUs will use in
CLABSI and CAUTI training resources and materials for developing their action plans.
The nationwide CUSP for CLABSI CUSP for CLABSI and CAUTI in ICUs (2) Action plans: After completing
project was implemented with teams at with persistently elevated rates. The and receiving the results of their ICU
more than 1,100 adult ICUs in 44 states resulting toolkit will be intended for use assessment, the unit team members
over a 4-year period. ICUs participating in ICUs whose infection rates for either (such as the ICU manager, quality
in this project reduced the rate of or both of these HAIs are persistently leader, clinical educator, or clinical
CLABSIs nationally from 1.915 elevated compared to other ICUs. nurse specialist) will complete an action
infections per 1,000 central line days to • Recruit 450–600 ICUs nationally plan. The unit team will be encouraged
1.133 infections per 1,000 line days, an with persistently elevated rates to to use other data sources (e.g., CAUTI
overall reduction of 41 percent. demonstrate the utility of applying a and/or CLABSI rates from the National
However, not all ICUs performed modified CUSP for CLABSI and CUSP Healthcare Safety Network [NHSN],
equally well. for CAUTI during the performance culture assessments) to identify gaps
The CUSP for CAUTI project period to reduce rates of CLABSI and that they plan to address through
implemented CUSP in nine cohorts, CAUTI in these ICUs. participation in the project. ICU teams,
representing over 1,600 hospital units in • Assess the adoption of the modified with coaching support from their state
over 1,200 hospitals located across 40 CUSP for CLABSI and CAUTI and lead, clinical mentor, and subject matter
states, the District of Columbia, and evaluate the effectiveness of the experts, will determine which
Puerto Rico. Inpatient CAUTI rates in intervention in the participating ICUs. educational materials will help the ICU
non-ICUs were decreased by 30%. This study is being conducted by achieve its action plan goals. ICU teams,
However, CAUTI rates in ICUs were not AHRQ through its contractor HRET. state leads, and clinical mentors will
reduced significantly. Expanding the Comprehensive Unit- refer to these action plans to monitor
In other words, while the overall based Safety Program (CUSP) to reduce progress in achieving the goals.
results of the implementation of CUSP Central Line-Associated Blood Stream (3) Site Visits: State leads and clinical
for CLABSI and CUSP for CAUTI have Infections (CLABSI) and Catheter- mentors will coordinate state-level, in-
shown remarkable progress, not all ICUs Associated Urinary Tract Infections person site visits for 200 participating
in the projects have achieved the (CAUTI) in Intensive Care Units (ICU) hospital units over the entire project.
intended rate reductions, nor have all with persistently elevated infection rates Site visits are an opportunity for state
ICUs participated in the two projects. is being undertaken pursuant to AHRQ’s leads and clinical mentors to meet with
Moreover, a significant number of statutory authority to conduct and ICU teams and their leadership to
institutions and ICUs continue to have support research on health care and on strengthen relationships, engage in open
persistently elevated infection rates. systems for the delivery of such care, discussion about infection prevention,
There are institutions that have varying including activities with respect to the and discuss the unit’s progress in
rates of infections within the same quality, effectiveness, efficiency, implementing its action plan. The Site
institution, indicating that infection appropriateness and value of health care Visit Guidance document helps state
control is often a unit-based issue. services and with respect to quality leads identify ICUs to visit, plan
In sum, despite the significant overall measurement and improvement. agendas, schedule visits, prepare for
reductions in CLABSI and CAUTI rates 42 U.S.C. 299a(a)(1) and (2). visits, and plan discussion questions.
that have been achieved in these two Method of Collection This data collection effort will be part
projects, there is evidence that ICUs of a comprehensive evaluation strategy
have generally faced challenges in To achieve the goals of this project the to assess the adoption of the Expansion
reducing CAUTI rates, and that many following data collections will be of the Comprehensive Unit-Based Safety
hospitals still are not where they should implemented: Program (CUSP) for CLABSI and CAUTI
be in reducing CLABSI rates. Modified (1) ICU Assessment Tool: The ICU in ICUs with persistently elevated rates;
approaches and strategies for the CUSP assessment tool will be completed by measure the effectiveness of the
intervention need to be developed and the unit project team leader in interventions in the participating units;
implemented to reach ICUs with collaboration with individuals with and evaluate the characteristics of teams
persistently elevated CLABSI and strong knowledge of current clinical and that are associated with successful
CAUTI rates and help them succeed in safety practices in the ICU, such as the implementation and improvements in
preventing these infections. To address ICU manager, infection preventionist, outcomes.
this need, AHRQ will launch this quality leader, clinical educator, or
The evaluation of this data collection
project aimed at spreading nationally clinical nurse specialist at the start of
is largely foundational in nature as
implementation of an adaptation of the cohort. The purpose of this
AHRQ seeks information on the
CUSP for CLABSI and CAUTI for ICUs assessment is to understand current HAI
implementation and effectiveness of the
with persistently elevated rates, prevention practices, policies, and
CUSP for CLABSI and CAUTI in ICUs
optimizing the approach to maximize procedures to tailor the educational
with persistently elevated rates. The
effectiveness and further preventing program to meet the needs of the ICU.
evaluation of the tools above will utilize
these infections throughout the United The assessment also addresses unit
a pre-post design, comparing practices,
States. safety culture and CUSP safety practices
policies and procedures before and after
This project has the following goals: with questions from the AHRQ Team
participating in the program.
• Reduce CLABSI and CAUTI in ICUs Checkup Tool. Results from this
daltland on DSKBBV9HB2PROD with NOTICES

with persistently elevated rates. assessment will be one of the key tools Estimated Annual Respondent Burden

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5264 Federal Register / Vol. 83, No. 25 / Tuesday, February 6, 2018 / Notices

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

ICU Assessment .............................................................................................. 150 1 1.25 187.5
ICU Action Plan ............................................................................................... 150 1 2 300
Site Visits ......................................................................................................... 100 1 4 400

Total .......................................................................................................... 400 N/A N/A 887.5

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

ICU Assessment Tool ...................................................................................... 150 187.5 a $52.58 $9,858.75
ICU Action Plan ............................................................................................... 150 300 a 52.58 15,774
Site Visits ......................................................................................................... 100 100 b 27.87 2,787
........................ 200 c 34.70 6,940
........................ 50 a 52.58 2,629
........................ 50 d 98.83 4,941.50

Total .......................................................................................................... 400 887.5 N/A 42,930.25
a Based on the mean wages for 11–9111 Medical and Health Services Managers.
b Based on the mean wages for 29–9099 Miscellaneous Health Practitioners and Technical Workers: Healthcare Practitioners and Technical
Workers, All Other.
c Based on the mean wages for 29–1141 Registered Nurse.
d Based on the mean wages for 29–1069 Physicians and Surgeons, All other.
National Compensation Survey: Occupational wages in the United States May 2016 ‘‘U.S. Department of Labor, Bureau of Labor Statistics:’’
http://www.bls.gov/oes/current/oes_stru.htm.

Request for Comments DEPARTMENT OF HEALTH AND received 10 business days in advance of
HUMAN SERVICES the meeting will be included in the
In accordance with the Paperwork official record of the meeting. Public
Reduction Act, comments on AHRQ’s Centers for Disease Control and comments made in attendance must be
information collection are requested Prevention no longer than 3 minutes and the person
with regard to any of the following: (a) giving comments must attend the public
Whether the proposed collection of Advisory Committee on Immunization comment session at the start time listed
information is necessary for the proper Practices (ACIP) on the agenda. Time for public
performance of AHRQ’s health care AGENCY: Centers for Disease Control and comments may start before the time
research and health care information Prevention (CDC), Department of Health indicated on the agenda. The meeting
dissemination functions, including and Human Services (HHS). will be webcast live via the World Wide
whether the information will have Web; for instructions and more
ACTION: Notice of meeting.
practical utility; (b) the accuracy of information on ACIP please visit the
AHRQ’s estimate of burden (including SUMMARY: In accordance with the ACIP website: http://www.cdc.gov/
hours and costs) of the proposed Federal Advisory Committee Act, the vaccines/acip/index.html.
collection(s) of information; (c) ways to Centers for Disease Control and DATES: The meeting will be held on
enhance the quality, utility and clarity Prevention (CDC), announces the February 21, 2018, 8:00 a.m. to 5:45
of the information to be collected; and following meeting of the Advisory p.m., EDT, and February 22, 2018, 8:00
(d) ways to minimize the burden of the Committee on Immunization Practices a.m. to 12:30 p.m. EDT.
collection of information upon the (ACIP). This meeting is open to the ADDRESSES: CDC, 1600 Clifton Road,
respondents, including the use of public, limited only by room seating. NE, Tom Harkin Global
automated collection techniques or Time will be available for public Communications Center, Kent ‘Oz’
other forms of information technology. comment. The public is welcome to Nelson Auditorium, Atlanta, Georgia
submit written comments in advance of 30329.
Comments submitted in response to the meeting. Comments should be
this notice will be summarized and submitted in writing by email to the FOR FURTHER INFORMATION CONTACT:
included in the Agency’s subsequent contact person listed below. The Stephanie Thomas, ACIP Committee
request for OMB approval of the deadline for receipt is February 14, Management Specialist, CDC, NCIRD.
proposed information collection. All 2018. Written comments must include Email ACIP@cdc.gov.
daltland on DSKBBV9HB2PROD with NOTICES

comments will become a matter of full name, address, organizational SUPPLEMENTARY INFORMATION:
public record. affiliation, email address of the speaker, Purpose: The committee is charged
Karen J. Migdail,
topic being addressed and specific with advising the Director, CDC, on the
comments. Written comments must not use of immunizing agents. In addition,
Chief of Staff.
exceed one single-spaced typed page under 42 U.S.C. 1396s, the committee is
[FR Doc. 2018–02289 Filed 2–5–18; 8:45 am] with 1-inch margins containing all items mandated to establish and periodically
BILLING CODE 4160–90–P above. Only those written comments review and, as appropriate, revise the

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Document Created: 2018-02-06 00:30:24
Document Modified: 2018-02-06 00:30:24

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 8, 2018.
Contact		Doris Lefkowitz, AHRQ Reports Clearance Officer, (301) 427-1477, or by email at [email protected]
FR Citation		83 FR 5262

83 FR 5262 - Agency Information Collection Activities: Proposed Collection; Comment Request

DEPARTMENT OF HEALTH AND HUMAN SERVICESAgency for Healthcare Research and Quality

Federal Register Volume 83, Issue 25 (February 6, 2018)

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