Attachment D -- 30 Day Notice

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Federal Register / Vol. 73, No. 65 / Thursday, April 3, 2008 / Notices
effectiveness to provide reasonable
assurance that the security,
confidentiality, and integrity of
consumers’ personal information is
protected.
Parts III through VII of the proposed
order are reporting and compliance
provisions. Part III requires TJX to retain
documents relating to its compliance
with the order. For most records, the
order requires that the documents be
retained for a five-year period. For the
third-party assessments and supporting
documents, TJX must retain the
documents for a period of three years
after the date that each assessment is
prepared. Part IV requires dissemination
of the order now and in the future to
principals, officers, directors, and
managers having responsibilities
relating to the subject matter of the
order. Part V ensures notification to the
FTC of changes in corporate status. Part
VI mandates that TJX submit an initial
compliance report to the FTC, and make
available to the FTC subsequent reports.
Part VII is a provision ‘‘sunsetting’’ the
order after twenty (20) years, with
certain exceptions.
This is the Commission’s twentieth
case to challenge the failure by a
company to implement reasonable
information security practices. Each of
the Commission’s cases to date has
alleged that a number of security
practices, taken together, failed to
provide reasonable and appropriate
security to prevent unauthorized access
to consumers’ information. The
practices challenged in the cases have
included, but are not limited to: (1)
creating unnecessary risks to sensitive
information by storing it on computer
networks without a business need to do
so; (2) storing sensitive information on
networks in a vulnerable format; (3)
failing to use readily available security
measures to limit access to a computer
network through wireless access points
on the network; (4) failing to adequately
assess the vulnerability of a web
application and computer network to
commonly known or reasonably
foreseeable attacks; (5) failing to
implement simple, low-cost, and readily
available defenses to such attacks; (6)
failing to use readily available security
measures to limit access between
computers on a network and between
such computers and the internet, and (7)
failing to use strong passwords to
authenticate (or authorize) users to
access programs and databases on
computer networks or online.
The purpose of the analysis is to aid
public comment on the proposed order.
It is not intended to constitute an
official interpretation of the proposed
order or to modify its terms in any way.

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By direction of the Commission.
Donald S. Clark
Secretary
[FR Doc. E8–6950 Filed 4–2–08: 8:45 am]
[BILLING CODE 6750–01–S]

DEPARTMENT OF HEALTH AND
HUMAN SERVICES
Agency for Healthcare Research and
Quality
Agency Information Collection
Activities: Proposed Collection;
Comment Request
Agency for Healthcare Research
and Quality, HHS.
ACTION: Notice.
AGENCY:

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:
‘‘Assessment of the Emergency Severity
Index (ESI).’’ 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.
This proposed information collection
was previously published in the Federal
Register on January 22nd, 2008 and
allowed 60 days for public comment. No
comments were received. The purpose
of this notice is to allow an additional
30 days for public comment.
DATES: Comments on this notice must be
received by May 5, 2008.
ADDRESSES: Written comments should
be submitted to: AHRQ’s OMB Desk
Officer by fax at (202) 395–6974
(attention: AHRQ’s desk officer) or by email at [email protected]
(attention: AHRQ’s desk officer). Copies
of the proposed collection plans, data
collection instruments, and specific
details on the estimated burden can be
obtained from the AHRQ Reports
Clearance Officer.
FOR FURTHER INFORMATION CONTACT:
Doris Lefkowitz, AHRQ Reports
Clearance Officer, (301) 427–1477, or by
e-mail at [email protected].
SUPPLEMENTARY INFORMATION:

‘‘Proposed Project—Assessment of the
Emergency Severity Index (ESI)’’
AHRQ is proposing to examine uptake
and use of an emergency room triage
tool, the Emergency Severity Index
(ESI). The hospital emergency
department (ED) represents a critical
point in care delivery for patients across

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the United States. Over the past decade,
however, the dramatic influx of patients
into EDs has seriously challenged the
ability of these departments to deliver
timely, quality, and safe emergency
healthcare services. Moreover, with
most emergency departments operating
at or over capacity it may prove difficult
for them to respond to the surge in
emergency room demand created by
natural and man-made disasters.
Development of increasingly refined
and validated triage methods is one
potential key to addressing
overcrowding by speeding up the care
delivery to the most acute ED patients
while helping hospitals assess, carefully
allocate and plan the amount of human
and other resources needed to care for
all patients.
In response to a need to standardize
the triage process and improve the flow
of patients, Richard C. Wuerz, MD,
(Department of Emergency Medicine at
the Brigham and Women’s Hospital and
the Harvard Medical School) and David
R. Eitel, MD, (Department of Emergency
Medicine, The York Hospital WellSpan
Health System) initiated development of
the Emergency Severity Index (ESI) in
1995. The ESI is unique in its focus on
appropriate resource allocation and its
consideration of necessary resource
utilization in assigning acuity. To
encourage adoption of the ESI, AHRQ
developed an implementation handbook
(Emergency Severity Index, Version 4)
and companion DVDs. These materials
are intended to provide hospitals and
triage nurses with background on why
they might want to implement the ESI
as a triage tool, and offers
recommendations on the
implementation process and staff
training.
This project will assess the product’s
acceptance by emergency departments
and others involved in addressing
medical surges to better understand the
usefulness of the ESI compared to other
similar tools. It will focus on the
satisfaction with the product’s
presentation, content, and clarity; extent
to which the product has improved
emergency services and surge
preparation; and the improvements
users would like to see in the next
version of this product. This will be
accomplished through (1) developing
and implementing an electronic and
paper-based survey targeting emergency
department professionals assessing the
satisfaction with the ESI’s content,
clarity and actual use of the system in
everyday emergency departments, and
(2) convening focus groups of ED
professionals to identify characteristics
that might predict uptake and use of this

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Federal Register / Vol. 73, No. 65 / Thursday, April 3, 2008 / Notices

system in participating emergency
departments.
Method of Collection
Survey: An equal-probability sample
of 507 ED professionals from the
database AHRQ maintains of
individuals and organizations that
requested a copy of the ESI tools will be
contacted to participate in the survey.
Where a phone number has been
provided, we will do a reverse
telephone number search to identify the
mailing address of the requester and
conduct a mail survey with telephone
follow-up. For those who have provided
an e-mail address, we will send a link
to a Web survey. Telephone and e-mail

prompts will be sent after two weeks to
those who have not yet completed the
questionnaire, followed by two
additional reminders sent three weeks
apart. The expected response rate of 80
percent will result in 405 respondents to
the survey with approximately 70% ED
nurses, 20% ED medical and health
services managers, and 10% ED
physicians.
Focus Groups: Focus groups will be
conducted to gauge ED managers’ and
clinicians’ awareness of the ESI tool as
well as AHRQ’s role in ED surge
planning and preparation. To the extent
that we are able to identify a subgroup
of ED representatives who are aware of
the ESI tool but have chosen not to

utilize it in their emergency
departments, focus groups may also be
useful to gather information on why
these organizations opted not to employ
the ESI. In order to facilitate
communication among focus group
participants and ensure that responses
address the key issues identified in the
focus group guide, we will limit
participation in each focus group
meeting to between six and eight
individuals. A total of four focus group
meetings will be held, including two
meetings each with ED medical
directors, ED triage nurses, and ED
medical and health services managers.
Estimated Annual Respondent Burden

EXHIBIT 1.—ESTIMATED ANNUALIZED BURDEN HOURS
Number of
respondents

Data collection effort

Number of
responses per
respondent

Hours per
response

Total burden
hours

ED professionals survey ..................................................................................
ED professionals focus groups ........................................................................

405
32

1
1

20/60
1.5

135
48

Total ..........................................................................................................

437

na

na

183

EXHIBIT 2.—ESTIMATED ANNUALIZED COST BURDEN
Number of
respondents

Data collection effort

Total burden
hours

Average
hourly wage
rate*

Total cost
burden

ED professionals survey ..................................................................................
ED professionals focus groups ........................................................................

405
32

135
48

$33.70
36.62

$4,549.50
1,757.76

Total ..........................................................................................................

437

183

na

6,307.26

*Total

cost burden for the survey is based upon the weighted average of 13 physicians at $58.76/hr, 95 nurses at $29.10/hr, and 27 medical
and health services managers at $37.82/hr. Total cost burden for the focus groups is based on the weighted average of 6 ED physicians at
$58.76/hr, 21 nurses at $29.10/hr, and 21 medical and health services managers at $37.82/hr. National Compensation Survey: Occupational
wages in the United States 2006, ‘‘U.S. Department of Labor, Bureau of Labor Statistics.’’

This information collection will not
impose a cost burden on respondents
beyond that associated with their time
to provide the required data. There will
be no additional costs for capital
equipment, software, computer services,
etc.
Estimated Annual Costs to the Federal
Government

rwilkins on PROD1PC63 with NOTICES

Developing and implementing the
survey—$183,305.
Developing and conducting focus
groups—$69,669.
Analyzing the data and report
production—$26,172.
Associated personnel costs—$17,073.
The total cost to the government for
this activity is estimated to be $296,219.
Request for Comments
In accordance with the above-cited
Paperwork Reduction Act legislation,
comments on AHRQ’s information
collection are requested with regard to

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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.

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All comments will become a matter of
public record.
Dated: March 25, 2008.
Carolyn M. Clancy,
Director.
[FR Doc. E8–6757 Filed 4–2–08; 8:45 am]
BILLING CODE 4160–90–M

DEPARTMENT OF HEALTH AND
HUMAN SERVICES
Agency for HeaIthcare Research and
Quality
Agency Information Collection
Activities: Proposed Collection;
Comment Request
Agency for Healthcare Research
and Quality, Department of Health and
Human Services.

AGENCY:

ACTION:

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Notice.

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