Chartering Value Exchanges for Value-driven Health Care

Forms and Documents

Forms and supporting documents for this ICR

Document	Type	Status	Availability
FR 60 and 30 D Comment Responses 9 25 645.doc	Supplementary Document	Uploaded 2007-10-12	Available
CVE Selection and Chartering Process 7 25 07.doc	Supplementary Document	Uploaded 2007-08-08	Available
CVE Application Form.pdf	Supplementary Document	Uploaded 2007-08-08	Available
Public comments on 60 Day Notice.pdf	Supplementary Document	Uploaded 2007-07-26	Available
memocoverletter.doc	Supplementary Document	Uploaded 2007-07-26	Available
Supporting Statement CVE 8 8 07.doc	Supporting Statement A	Uploaded 2007-08-08	Available

IC Document Collections

Information collection document groups

IC ID	Collection	Type	Status	Form
181660	Chartering Value Exchanges for Value-driven Health Care -- Assistant	Other-Application	New
181659	Chartering Value Exchanges for Value-driven Health Care -- Executive Committee	Other-Application	New
181658	Chartering Value Exchanges for Value-driven Health Care -- Manager	Other-Application	New

ICR Details

OMB Control No: 0935-0134	ICR Reference No: 200708-0935-001
Status: Historical Active	Previous ICR Reference No:
Agency/Subagency: HHS/AHRQ	Agency Tracking No:
Title: Chartering Value Exchanges for Value-driven Health Care
Type of Information Collection: New collection (Request for a new OMB Control Number)	Common Form ICR:  No
Type of Review Request: Regular
OIRA Conclusion Action: Approved with change	Conclusion Date: 10/15/2007
	Date Received in OIRA: 08/15/2007
Terms of Clearance: This ICR is approved for one year only, on the understanding that 1) this ICR will be used to implement the "Learning Network" aspect of this initiative, and 2) Medicare patient outcomes data will be pre-processed and de-identified to protect beneficiary privacy. Prior to renewal and the release of Medicare data to CVEs, AHRQ agrees to provide interim reports on the progress made in implementing this program and to share its data aggregation and distribution methodology. When resubmitting this ICR--and in light of critical public comments--the supporting statement and supplementary materials should be revised not only for purposes of improving the collection but also to better inform the public of this initiative, its purpose, and timeline of events over the next several years. In particular, the supporting statement and supplementary materials should 1) explain more clearly the role and function of CVEs (both as standalone entities and also as components within the Four Cornerstones of Value-Driven Health Care), 2) explain how CVEs add value to similar programs already in existence or in development, 3) explain more clearly how this project will be implemented, and 4) respond adequately to public comment.

table that charts list comparision

	Inventory as of this Action	Requested	Previously Approved
Expiration Date	10/31/2008	36 Months From Approved
Responses	225	0	0
Time Burden (Hours)	975	0	0
Cost Burden (Dollars)	0	0	0

---

Abstract: This project proposes to twice annually post a public call for parties interested in becoming chartered as Value Exchanges for Value-driven Healthcare. Anticipated benefits of being a chartered Value Exchange include 1) participation in an AHRQ-managed Learning Network and 2) access to Medicare patient de-identified provider performance measurement results.

---

Authorizing Statute(s): US Code: 9 USC 580 Name of Law: AHRQ
  

Citations for New Statutory Requirements: None

---

Associated Rulemaking Information
RIN:	Stage of Rulemaking:	Federal Register Citation:	Date:
	Not associated with rulemaking

---

Federal Register Notices & Comments
60-day Notice:	Federal Register Citation:	Citation Date:
	72 FR 26117	05/08/2007
30-day Notice:	Federal Register Citation:	Citation Date:
	72 FR 43274	08/03/2007
Did the Agency receive public comments on this ICR? Yes

---

Number of Information Collection (IC) in this ICR: 3

table that charts list of burden

IC Title	Form No.	Form Name
Chartering Value Exchanges for Value-driven Health Care -- Manager
Chartering Value Exchanges for Value-driven Health Care -- Executive Committee
Chartering Value Exchanges for Value-driven Health Care -- Assistant

---

ICR Summary of Burden

table that charts list of burden

	Total Approved	Previously Approved	Change Due to New Statute	Change Due to Agency Discretion	Change Due to Adjustment in Estimate	Change Due to Potential Violation of the PRA
Annual Number of Responses	225	0	0	225	0	0
Annual Time Burden (Hours)	975	0	0	975	0	0
Annual Cost Burden (Dollars)	0	0	0	0	0	0

Burden increases because of Program Change due to Agency Discretion: Yes

Burden Increase Due to: Miscellaneous Actions

Burden decreases because of Program Change due to Agency Discretion: No

Burden Reduction Due to:

Short Statement: This is a request for a new information collection.

---

Annual Cost to Federal Government: $500,000

Does this IC contain surveys, censuses, or employ statistical methods? No

Is the Supporting Statement intended to be a Privacy Impact Assessment required by the E-Government Act of 2002? No

Is this ICR related to the Affordable Care Act [Pub. L. 111-148 & 111-152]? Uncollected

Is this ICR related to the Dodd-Frank Wall Street Reform and Consumer Protection Act, [Pub. L. 111-203]? Uncollected

Is this ICR related to the American Recovery and Reinvestment Act of 2009 (ARRA)? Uncollected

Is this ICR related to the Pandemic Response? Uncollected

---

Common Form ICR:  No

---

On behalf of this Federal agency, I certify that the collection of information encompassed by this request complies with 5 CFR 1320.9 and the related provisions of 5 CFR 1320.8(b)(3).

The following is a summary of the topics, regarding the proposed collection of information, that the certification covers:

(a) It is necessary for the proper performance of agency functions;

(b) It avoids unnecessary duplication;

(c) It reduces burden on small entities;

(d) It uses plain, coherent, and unambiguous language that is understandable to respondents;

(e) Its implementation will be consistent and compatible with current reporting and recordkeeping practices;

(f) It indicates the retention periods for recordkeeping requirements;

(g) It informs respondents of the information called for under 5 CFR 1320.8 (b)(3) about:

(i) Why the information is being collected;

(ii) Use of information;

(iii) Burden estimate;

(iv) Nature of response (voluntary, required for a benefit, or mandatory);

(v) Nature and extent of confidentiality; and

(vi) Need to display currently valid OMB control number;

(h) It was developed by an office that has planned and allocated resources for the efficient and effective management and use of the information to be collected.

(i) It uses effective and efficient statistical survey methodology (if applicable); and

(j) It makes appropriate use of information technology.

If you are unable to certify compliance with any of these provisions, identify the item by leaving the box unchecked and explain the reason in the Supporting Statement.

Certification Date: 08/15/2007

---