Assessing Organizational Responses to AHRQ's Health Literacy Pharmacy Tools

Forms and Documents

Document Name	Status
Form Form #4 Web site visitors survey Form and Instruction	New
Form Form #3 Pharmacy staff survey Form and Instruction	New
Form Form #2 Staff interview - non-implementing sites Form and Instruction	New
Form Form #1 Staff interview - implementing sites Form and Instruction	New
Attachment E -- Web Site Visitors Survey_REVISED July2009_with Track Changes.doc Supplementary Document	2009-08-06
Attachment C -- Staff Interview Protocols -- Non-implementing Sites _REVISED July 2009_with Track Changes.doc Supplementary Document	2009-08-06
Supporting statement Part B -- Pharmacy Health Literacy 080509.doc Supporting Statement B	2009-08-06
Attachment A -- Healthcare Research and Quality Act of 1999.pdf Supplementary Document	2009-04-10
Supporting statement Part A -- Pharmacy Health Literacy 080509.doc Supporting Statement A	2009-08-06

IC Document Collections

IC ID	Document Title	Status
188839	Web site visitors survey Form and Instruction	New
188838	Pharmacy staff survey Form and Instruction	New
188837	Staff interview - non-implementing sites Form and Instruction	New
188836	Staff interview - implementing sites Form and Instruction	New

ICR Details

OMB Control No: 0935-0152	ICR Reference No: 200904-0935-002
Status: Historical Active	Previous ICR Reference No:
Agency/Subagency: HHS/AHRQ	Agency Tracking No:
Title: Assessing Organizational Responses to AHRQ's Health Literacy Pharmacy Tools
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: 08/14/2009
	Date Received in OIRA: 04/17/2009
Terms of Clearance: This ICR is approved, consistent with revised burden estimates, revised supporting statements, and revised instruments. AHRQ agrees to acknoledge all study limitations when publicly reporting on these study results, including the limitation that effectiveness of implementation may be due to potential limitations of the tools/interventions themselves, which have not been validated.

	Inventory as of this Action	Requested	Previously Approved
Expiration Date	08/31/2012	36 Months From Approved
Responses	273	0	0
Time Burden (Hours)	130	0	0
Cost Burden (Dollars)	0	0	0

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Abstract: According to the 2003 National Assessment of Adult Literacy, only 12 percent of adults have proficient health literacy - the capacity to obtain, process, and understand basic health information and services needed to make appropriate health decisions. Limited health literacy often leads to medication errors. For example, one study found that a majority of adults with low health literacy did not understand instructions to "take medication on an empty stomach." Overall, it is estimated that low health literacy costs the U.S. health care system $50 billion to $73 billion per year. Pharmacies can serve as an important source of medication information for people with limited health literacy, but relatively few pharmacies have implemented health literacy practices (Praska et al., 2005). Recognizing that pharmacies may need outside knowledge and assistance to improve their health literacy practices, AHRQ, through a previous task order, supported the creation of four health literacy tools for pharmacy settings, which have been validated in institutional pharmacy settings. AHRQ now proposes to distribute these tools to a more diverse set of pharmacies and to conduct in-depth case studies to enhance our understanding about the conditions that may facilitate or impede the adoption of the tools in these settings.

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Authorizing Statute(s): None

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:
	74 FR 5162	01/29/2009
30-day Notice:	Federal Register Citation:	Citation Date:
	74 FR 14803	04/01/2009
Did the Agency receive public comments on this ICR? No

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Number of Information Collection (IC) in this ICR: 4

IC Title	Form No.	Form Name
Pharmacy staff survey	Form #3	Pharmacy staff survey
Web site visitors survey	Form #4	Web site visitors survey
Staff interview - implementing sites	Form #1	Staff interview - implementing sites
Staff interview - non-implementing sites	Form #2	Staff interview - non-implementing sites

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ICR Summary 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	273	0	0	273	0	0
Annual Time Burden (Hours)	130	0	0	130	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.

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Annual Cost to Federal Government: $133,333

Does this IC contain surveys, censuses, or employ statistical methods? Yes Part B of Supporting Statement

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)? No

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: 04/17/2009

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