ATTACHMENT B -- 60 Day FR Notice

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Federal Register / Vol. 74, No. 114 / Tuesday, June 16, 2009 / Notices
EXHIBIT 2. ESTIMATED ANNUALIZED COST BURDEN—Continued
Number of
respondents

Form Name
Total ..........................................................................................................

Total burden
hours

7,200

Average
hourly wage
rate*

2,400

na

Total cost burden
46,944

*Based upon the average wages, ‘‘National Compensation Survey: Occupational Wages in the United States, May 2007,’’ U.S. Department of
Labor, Bureau of Labor Statistics.

Estimated Annual Costs to the Federal
Government
The total cost to the Federal
Government for developing the Health
Information Technology questions, and
testing them within the CAHPS®
Clinician & Group Survey, Adult
Primary Care Questionnaire, is
$780,000, including the cost of
reviewing the literature, conducting
focus groups and cognitive interviews,
field testing the instrument, analyzing
the data, finalizing the survey, preparing
reports, writing papers for journal
submission, and project management
(see Exhibit 3). Data collection will not
exceed one year.

EXHIBIT 3. ESTIMATED ANNUAL COST
Cost component

Total cost

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Review of literature .......................
Focus groups ................................
Cognitive interviews ......................
Field test .......................................
Data analyses ...............................
Finalize survey ..............................
Preparation of reports and journal
papers .......................................
AHRQ project management .........

$35,000
60,000
80,000
260,000
80,000
50,000

included in the Agency’s subsequent
request for OMB approval of the
proposed information collection. All
comments will become a matter of
public record.
Dated: June 4, 2009.
Carolyn M. Clancy,
Director.
[FR Doc. E9–14080 Filed 6–15–09; 8:45 am]
BILLING CODE 4160–90–P

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
Total .......................................
780,000 that the Office of Management and
Budget (OMB) approve the proposed
information collection project: ‘‘2010–
Request for Comments
2011 Medical Expenditure Panel Survey
In accordance with the above-cited
Insurance Component.’’ In accordance
Paperwork Reduction Act legislation,
with the Paperwork Reduction Act of
comments on AHRQ’s information
1995, 44 U.S.C. 3506(c)(2)(A), AHRQ
collection are requested with regard to
invites the public to comment on this
any of the following: (a) Whether the
proposed information collection.
proposed collection of information is
necessary for the proper performance of DATES: Comments on this notice must be
AHRQ health care research and health
received by August 17, 2009.
care information dissemination
ADDRESSES: Written comments should
functions, including whether the
be submitted to: Doris Lefkowitz,
information will have practical utility;
Reports Clearance Officer, AHRQ, by e(b) the accuracy of AHRQ’s estimate of
mail at [email protected].
burden (including hours and costs) of
Copies of the proposed collection
the proposed collection(s) of
plans, data collection instruments, and
information; (c) ways to enhance the
specific details on the estimated burden
quality, utility, and clarity of the
can be obtained from the AHRQ Reports
information to be collected; and (d)
Clearance Officer.
ways to minimize the burden of the
collection of information upon the
FOR FURTHER INFORMATION CONTACT:
respondents, including the use of
Doris Lefkowitz, AHRQ Reports
automated collection techniques or
Clearance Officer, (301) 427–1477, or by
other forms of information technology.
e-mail at [email protected].
Comments submitted in response to
this notice will be summarized and
SUPPLEMENTARY INFORMATION:

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85,000
130,000

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Proposed Project
2010–2011 Medical Expenditure Panel
Survey Insurance Component
AHRQ seeks to renew the Medical
Expenditure Panel Survey Insurance
Component (MEPS–IC) for calendar
years 2010 and 2011. The MEPS–IC, an
annual survey of the characteristics of
employer-sponsored health insurance,
was first conducted by AHRQ in 1997
for the calendar year 1996. The survey
has since been conducted annually for
calendar years 1996 through 2009,
except for 2007. A change from prior
year collection to calendar year
collection in 2008 meant that no data
were collected for the 2007 calendar
year, but the change has allowed for
much earlier release of the survey
results for the 2008 calendar year
forward. AHRQ is authorized to conduct
the MEPS–IC pursuant to 42 U.S.C.
299b-2.
Employment-based health insurance
is the source of coverage for over 90
million workers and their family
members, and is a cornerstone of the
current U.S. health care system. The
MEPS–IC measures the extent, cost, and
coverage of employment-based health
insurance. Statistics are produced at the
National, State, and sub-State
(metropolitan area) level.
The MEPS–IC is designed to provide
data for Federal policymakers
evaluating the effects of National and
State health care reforms. It also
provides descriptive data on the current
employment-based health insurance
system and data for modeling the
differential impacts of proposed health
policy initiatives. The MEPS–IC also
supplies critical State and National
estimates of health insurance spending
for the National Health Accounts and
Gross Domestic Product. Data to be
collected from each employer will
include a description of the organization
(e.g., size, industry) and descriptions of
health insurance plans available, plan
enrollments, total plan costs and costs
to employees. This survey will be
conducted for AHRQ by the Bureau of
the Census using an annual sample of
employers selected from Census Bureau
lists of private sector employers and
governments.

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Federal Register / Vol. 74, No. 114 / Tuesday, June 16, 2009 / Notices
The MEPS–IC is one of three
components of the MEPS. The others are
the Household and Medical Provider
Components:
• MEPS Household Component is a
sample of households participating in
the National Health Interview Survey in
the prior calendar year. These
households are interviewed 5 times over
a 21⁄2 year period for MEPS. The 5
interviews yield two years of
information on use of and expenditures
for health care, sources of payment for
that health care, insurance status,
employment, health status and health
care quality.
• MEPS Medical Provider Component
collects information from medical and
financial records maintained by
hospitals, physicians, pharmacies,
health care institutions, and home
health agencies named as sources of
care by household respondents.
This clearance request is for the
MEPS–IC only.
Method of Collection
Data collection for the MEPS–IC takes
place in three phases at each sample
establishment: Prescreening interview,
questionnaire mailout, and nonresponse
follow-up. An establishment is a single

location of a private sector or State and
local government employer.
First, a prescreening interview is
conducted by telephone. For those
establishments that offer health
insurance, its goal is to obtain the name
and title of an appropriate person in
each establishment to whom a MEPS–IC
questionnaire will be mailed. For
establishments which do not offer
health insurance, a brief set of questions
about establishment characteristics is
administered at the end of the
prescreening interview to close out the
case. This step minimizes burden for
many small establishments that do not
offer health insurance.
The next phase, questionnaire
mailout, makes use of two forms—one
requests establishment-level
information (e.g., total number of
employees) and the other requests planlevel information (e.g., the plan
premium for single coverage) for each
plan (up to four) offered by the
establishment.
In the final phase, establishments
which do not respond to the initial
MEPS–IC mail questionnaire are mailed
a nonresponse follow-up package. Those
establishments which fail to respond to

the second mailing are contacted for a
telephone follow-up using computerassisted interviewing.
Data collection for the largest private
sector and government units, which
have high survey response burdens, may
differ somewhat from the above pattern.
Estimated Annual Respondent Burden
Exhibit 1 shows the estimated
annualized burden hours for the
respondents’ time to provide the
requested data. The Prescreener
questionnaire will be completed by
32,006 respondents and takes about 51⁄2
minutes to complete. The Establishment
questionnaire will be completed by
24,965 respondents and takes about 23
minutes to complete. The Plan
questionnaire will be completed by
21,437 respondents and will require an
average of 2.1 responses per respondent.
Each Plan questionnaire takes about 11
minutes to complete. The total
annualized burden hours are estimated
to be 20,471 hours.
Exhibit 2 shows the estimated
annualized cost burden associated with
the respondents’ time to participate in
this data collection. The annualized cost
burden is estimated to be $546,576.

EXHIBIT 1—ESTIMATED ANNUALIZED BURDEN HOURS
Number of
respondents

Form name

Number of
responses per
respondent

Hours per
response

Total burden
hours

Prescreener Questionnaire ..............................................................................
Establishment Questionnaire ...........................................................................
Plan Questionnaire ..........................................................................................

32,006
24,965
21,437

1
1
2.1

0.09
0.38
0.18

2,881
9,487
8,103

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

78,408

na

na

20,471

Note: The total number of respondents
increased from previous clearances not due
to any increase in sample size, but due to a

change in the way the number of respondents
is reported. While now total respondents are
the sum of respondents per form, previously

they were reported as the number of unique
establishments completing at least one form.

EXHIBIT 2—ESTIMATED ANNUALIZED COST BURDEN
Number of
respondents

Form name

Total burden
hours

Average
hourly wage
rate*

Total cost
burden

Prescreener Questionnaire ..............................................................................
Establishment Questionnaire ...........................................................................
Plan Questionnaire ..........................................................................................

32,006
24,965
21,437

2,881
9,487
8,103

26.70
26.70
26.70

$76,923
253,303
216,350

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

78,408

20,471

na

546,576

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* Based upon the mean wage for Compensation, benefits, and job analysis specialists, civilian workers, National Compensation Survey: Occupational Earnings in the United States, 2007, U.S. Department of Labor, Bureau of Labor Statistics.

Estimated Annual Costs to the Federal
Government
Exhibit 3 shows the estimated total
and annualized cost for this two year

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project. The annual cost to the Federal
Government is estimated to be $10.3
million.

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Federal Register / Vol. 74, No. 114 / Tuesday, June 16, 2009 / Notices
EXHIBIT 3—ESTIMATED TOTAL AND ANNUALIZED COST ($ THOUSANDS)
Cost component

Annualized
cost

Project Development ...............................................................................................................................................
Data Collection Activities .........................................................................................................................................
Data Processing and Analysis .................................................................................................................................
Project Management ................................................................................................................................................
Overhead .................................................................................................................................................................

$3,099
7,230
7,230
2,066
1,033

$1,550
3,615
3,615
1,033
517

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

20,658

10,329

Note: Components may not sum to Total
due to rounding.

DEPARTMENT OF HEALTH AND
HUMAN SERVICES

Request for Comments

National Institutes of Health

In accordance with the above-cited
Paperwork Reduction Act legislation,
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 health care research, quality
improvement and 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.

Submission for OMB Emergency
Review; Comment Request; NIH NCI
Clinical Trials Reporting Program
(CTRP) Database (NCI)

Dated: June 4, 2009.
Carolyn M. Clancy,
Director.
[FR Doc. E9–14079 Filed 6–15–09; 8:45 am]
BILLING CODE 4160–90–P

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Total cost

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SUMMARY: In accordance with Section
3507(j) of the Paperwork Reduction Act
of 1995, the National Cancer Institute
(NCI), the National Institutes of Health
(NIH), has submitted to the Office of
Management and Budget (OMB) a
request to Emergency review and
approve the information collection by
July 1, 2009. Given the long term nature
of this project and the Recovery Act
timelines, the NCI has requested
approval to conduct emergency
processing of information collections
pursuant to 5 CFR 1320.13. NIH cannot
reasonably comply with the normal
clearance procedures for information
collection, because the use of regular
procedures would delay the collection
and hinder the agency in accomplishing
its mission and meeting new statutory
requirements, to the detriment of the
public good. The NIH may not conduct
or sponsor, and the respondent is not
required to respond to, an information
collection that has been extended,
revised, or implemented on or after
October 1, 1995, unless it displays a
currently valid OMB control number.

Proposed Collection
Title: NIH NCI Clinical Trials
Reporting Program (CTRP) Database.
Type of Information Collection
Request: Emergency.
Need and Use of Information
Collection: The NCI is developing an
electronic resource, the NCI Clinical
Trials Reporting Program (CTRP)
Database, to serve as a single, definitive
source of information about all NCI-

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supported clinical research, thereby
enabling the NCI to execute its mission
to reduce the burden of cancer and to
ensure an optimal return on the nation’s
investment in cancer clinical research.
Information will be submitted by
clinical research administrators as
designees of clinical investigators who
conduct NCI-supported clinical
research. Deployment and extension of
the CTRP Database, which will allow
the NCI to consolidate reporting,
aggregate information and reduce
redundant submissions, is an
infrastructure development project that
will be enabled by public funds
expended pursuant to the American
Recovery and Reinvestment Act of 2009,
Public Law 111–5 (‘‘Recovery Act’’).
This information collection adheres to
The Public Health Service Act, Section
407(a)(4) (codified at 42 U.S.C. 285a–
2(a)(2)(D)), which authorizes and
requires the NCI to collect, analyze and
disseminate all data useful in the
prevention, diagnosis, and treatment of
cancer, including the establishment of
an international cancer research data
bank to collect, catalog, store, and
disseminate insofar as feasible the
results of cancer research undertaken in
any country for the use of any person
involved in cancer research in any
country.
Frequency of Response: Once per
initial trial registration; four
amendments per trial annually.
Affected Public: Individuals, business
and other for-profits, and not-for-profit
institutions.
Type of Respondents: Clinical
research administrators on behalf of
clinical investigators. The annual
reporting burden is estimated at 33,000
hours (see Table below).
There are no Capital Costs, Operating
Costs, and/or Maintenance Costs to
report.

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