Focus Groups on Consumer Engagement in Developing Electronic Health Information Systems

Forms and Documents

Forms and supporting documents for this ICR

Document	Type	Status	Availability
Form Form #2 Focus Group Discussion Guide	Form and Instruction	New	Available
Form Form #1 Recruiting Screener	Form and Instruction	New	Available
Supporting Statement Part B (Health IT groups) 7-3.doc	Supporting Statement B	Uploaded 2008-07-24	Available
Attachment H -- Public Comment.doc	Supplementary Document	Uploaded 2008-03-17	Available
Attachment E -- Consent Form.doc	Supplementary Document	Uploaded 2008-03-17	Available
Attachment D -- Confidentiality Form.doc	Supplementary Document	Uploaded 2008-03-17	Available
Attachment C -- 60 Day FR Notice -- Focus Groups on HIT.pdf	Supplementary Document	Uploaded 2008-03-17	Available
Attachment B -- Locations & Characteristics of Focus Group Participants.doc	Supplementary Document	Uploaded 2008-03-17	Available
Attachment A -- AHRQ Legislation.pdf	Supplementary Document	Uploaded 2008-03-17	Available
Supporting Statement Part A -- Health IT groups 3-4-2008.doc	Supporting Statement A	Uploaded 2008-03-17	Available

IC Document Collections

Information collection document groups

IC ID	Collection	Type	Status	Form
184259	Focus Group Discussion Guide	Form and Instruction	New
184258	Recruiting Screener	Form and Instruction	New

ICR Details

OMB Control No: 0935-0142	ICR Reference No: 200803-0935-001
Status: Historical Active	Previous ICR Reference No:
Agency/Subagency: HHS/AHRQ	Agency Tracking No:
Title: Focus Groups on Consumer Engagement in Developing Electronic Health Information Systems
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 without change	Conclusion Date: 07/24/2008
	Date Received in OIRA: 03/28/2008
Terms of Clearance:

table that charts list comparision

	Inventory as of this Action	Requested	Previously Approved
Expiration Date	07/31/2009	12 Months From Approved
Responses	2,420	0	0
Time Burden (Hours)	770	0	0
Cost Burden (Dollars)	0	0	0

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Abstract: This project will consist of focus groups to gain insights into healthcare consumers' awareness and perceptions of Health Information Technology (IT), and how best to engage consumers in the development of these technologies. AHRQ has so far invested significant resources in initiatives to promote the planning and development of new Health IT that should improve healthcare, lower healthcare costs, and improve patient safety. For such benefits to be maximized, it is important to understand how consumers view Heath IT and how to engage them in the design and implementation of future innovations. AHRQ will conduct 20 focus groups (in addition to two pretest groups) with healthcare consumers, that is persons who have visited a healthcare provider (either for their own health or the health of a family member) in the previous two years. For the most part, the groups will be homogenous with respect to the presence or absence of either of the following characteristics: a) Managing a chronic health condition (or the condition of a close family member), or b) Having visited at least three healthcare providers in the past two years.

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Authorizing Statute(s): US Code: 42 USC 299 Name of Law: Healthcare Research and Quality Act of 1999
  

Citations for New Statutory Requirements: None

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

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Federal Register Notices & Comments
60-day Notice:	Federal Register Citation:	Citation Date:
	72 FR 73826	12/28/2007
30-day Notice:	Federal Register Citation:	Citation Date:
	73 FR 13900	03/14/2008
Did the Agency receive public comments on this ICR? Yes

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Number of Information Collection (IC) in this ICR: 2

table that charts list of burden

IC Title	Form No.	Form Name
Recruiting Screener	Form #1	Screener
Focus Group Discussion Guide	Form #2	Focus Group Guide

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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	2,420	0	0	2,420	0	0
Annual Time Burden (Hours)	770	0	0	770	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 new information collection.

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Annual Cost to Federal Government: $257,474

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

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Common Form ICR:  No

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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: 03/28/2008

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