Attachment D -- Federal Register Notice

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Federal Register / Vol. 76, No. 101 / Wednesday, May 25, 2011 / Notices
ESTIMATED ANNUALIZED BURDEN TABLES
Data collection name

BodyWorks program participants ......

Parent/Caregiver Follow-Up Study
Questionnaire.
Parent/Caregiver Follow-Up Study
Focus Group.
English & Spanish Participant Exit
Survey—Post Only Pilot Study.
English and Spanish Participant
Pretests—Full Evaluation.
English and Spanish Participant
Posttests—Full Evaluation.
English and Spanish Participant Follow-ups—Full Evaluation.
English and Spanish Participant
Session Feedback Forms—Full
Evaluation.
English and Spanish Participant
Pretests—Full Evaluation.

English and Spanish BodyWorks
program comparison group participant.

Trainers of the BodyWorks program

Total Project Burden Hours .......

Mary Forbes,
Office of the Secretary, Paperwork Reduction
Act Clearance Officer.
[FR Doc. 2011–12900 Filed 5–24–11; 8:45 am]
BILLING CODE 4150–33–P

DEPARTMENT OF HEALTH AND
HUMAN SERVICES

Agency for Healthcare Research
and Quality, HHS.
ACTION: Notice.
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:
‘‘Comparative Effectiveness ResearchContinuing Education.’’ In accordance
with the Paperwork Reduction Act, 44
U.S.C. 3501–3521, AHRQ invites the
public to comment on this proposed
information collection.

SUMMARY:

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75

18

1

60/60

18

100

1

10/60

17

408

1

20/60

136

300

1

20/60

100

256

1

20/60

85

300

8

5/60

200

408

1

20/60

136

300

1

20/60

100

256

1

20/60

85

1,250

1

20/60

417

15
10

1
1

60/60
30/60

15
5

30

8

5/60

20

........................

........................

........................

1,409

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This proposed information collection
was previously published in the Federal
Register on February 28th, 2011 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.

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.

ADDRESSES:

AGENCY:

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Comments on this notice must be
received by June 24, 2011.

Agency Information Collection
Activities: Proposed Collection;
Comment Request

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DATES:

Agency for Healthcare Research and
Quality

FOR FURTHER INFORMATION CONTACT:

Doris Lefkowitz, AHRQ Reports
Clearance Officer, (301) 427–1477, or by
e-mail at
[email protected].
SUPPLEMENTARY INFORMATION:

Proposed Project
Comparative Effectiveness ResearchContinuing Education

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Total burden
(in hours)

450

English and Spanish Participant
Posttests—Full Evaluation.
English and Spanish Participant Follow-ups—Full Evaluation.
Trainer Follow-Up Study Questionnaire.
Trainer Follow-Up Study Interview ...
Trainer Exit Survey Satisfaction
Interview—Post only pilot study.
Trainer Feedback Forms—Full Evaluation.
...........................................................

Average
burden per
response
(in hours)

Number of
responses per
respondent

Number of
respondents

Type of respondent

Sfmt 4703

Previous dissemination efforts in
health care research and evidence
through comparative effectiveness
funded by the Federal Government have
largely been focused in academic
settings, rather than among physicians
and clinicians in health care delivery
settings. This project implements and
evaluates methods that extend beyond
the academic setting to engage the target
audiences in the health care
environment where decisions are
typically made.
Most clinicians are required to
complete continuing medical education
(CME) accepted by accrediting
organizations recognized by State
medical boards. Over sixty boards
require anywhere from 12 CME credits
to 50 CME credits per year for a
clinician to retain their State licensure.
(State Medical Licensure Requirements
and Statistics, 2010, http://www.amaassn.org/amal/pub/upload/mm/40/
table16.pdf.) AHRQ currently provides
CME credits on some of its comparative
effectiveness research reviews; however,
these CME credits are applicable to
physicians only and AHRQ is not
conducting any follow-up surveys with
physicians on these CME activities to
ascertain the impact on physician

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30365

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Federal Register / Vol. 76, No. 101 / Wednesday, May 25, 2011 / Notices
behavior. AHRQ is expanding its
continuing education to include nurses,
nurse practitioners, physician assistants,
medical assistants, pharmacists,
respiratory therapists, and other allied
health professionals, as well as
physicians. In addition, AHRQ wants to
assess the impact continuing education
has on clinician behavior, its perceived
value, and whether or not education on
comparative effectiveness research
made a difference in a clinician’s
confidence in applying comparative
effectiveness research in practice,
understanding the application of such
research, and improved ability to
counsel patients on treatment and
management alternatives.
Dissemination of clinical and research
findings to clinicians varies in
approach, methods and by target
audience. Highly technical and
scientific publications are peer reviewed
and serve to validate the methods,
calculations, analysis and conclusions
of studies and research. However, it is
nearly impossible to discern whether
the manuscript was read, its effect on
the reader, and the likelihood that the
reader will utilize the information.
Accredited education is widely
accepted as a method for dissemination
of research findings and is provided in
various ways, including online, on site,
and through audio and video
presentations. To earn credit for
participation, clinicians must provide
contact information, allowing the
possibility of follow-up data collections
regarding behaviors, attitudes and
performance information about the
participant. AHRQ has also provided
accredited education as a method to
disseminate CER findings, and with this
project, has reaffirmed the value of CME
in dissemination of CER findings and
expanded the commitment to provide
accredited education for multiple health
care disciplines.
The goal of this project is to enhance
awareness of comparative effectiveness
research among clinicians and measure
the value and impact of these efforts.
This study is being conducted by
AHRQ through its contractor, PRIME
Education, Inc., pursuant to AHRQ’s
statutory authority to conduct and
support research on healthcare and on
systems for the delivery of such care,
including activities with respect to: the
quality, effectiveness, efficiency,

appropriateness and value of healthcare
services; quality measurement and
improvement; and clinical practice. 42
U.S.C. 299a(a)(1),(2) and (4).
Method of Collection
To achieve this project’s goal, the
following activities and data collections
will be implemented:
1. Provide continuing medical
education (CME) or continuing
education units (CE/CEU) through the
appropriate accrediting organizations by
providing 15 multimedia online
continuing education modules per year
for 3 years, on specific comparative
effectiveness research reports and
provide quantitative and qualitative
metrics about usage of these programs
by physicians, pharmacists, nurses,
nurse practitioners, physician assistants,
medical assistants, allied health
professionals, and other clinicians. This
activity is designed to raise awareness of
and utility of comparative effectiveness
research by providing free and easy
access to clinician guides and consumer
guides for clinicians and their patients/
families to assist in making informed
decisions about health care.
The following monthly utilization
rates for the online CME/CE/CEU
activities will be collected: The number
of CME/CE/CEU certificates issued,
monthly participation statistics, and the
number of clinician and consumer
guides ordered. Because all of the CME/
CE/CEU activities are online, the
utilization rates are automatically
collected by the contractor’s computer
when the health care professional
registers for the activity, participates in
the online education, requests
continuing education credit for the
activity, and orders clinician and
consumer guides. Therefore, this
activity does not require OMB
clearance.
2. CME/CE/CEU registration data is
provided by the health care professional
when he or she logs on and registers for
a course. The health care professional
would key in their name, e-mail
address, address (selecting either their
home or business address), telephone
number, type of discipline, and their
practice setting. This data is collected to
ensure that the health care professional
receives CME/CE/CEU credit for the
courses that he or she takes and will be
used to implement the AHRQ Online
Number of
respondents

Form name
AHRQ Online Continuing Education CME/CE/CEU Registration Data ...........
AHRQ Online Continuing Education Participant Evaluation ...........................

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Continuing Education Participant
Evaluation described below.
3. AHRQ Online Continuing
Education Participant Evaluation to
evaluate the effectiveness and impact of
the CME/CE/CEU modules at 60 days, 6
months and 1 year after completion of
the module. The purpose of this
evaluation is to assess the clinicians’
confidence level in applying
comparative effectiveness research, their
understanding of the research, how
valuable the research is to the clinician
and their intent to change their practice
based on this research. Evaluation
questions have been developed based
upon established conceptual
frameworks and principles of adult
learning.
Data collected will be used to assess
the utility and effectiveness of the
educational module in increasing
awareness and utility of information
provided in comparative effectiveness
research. Data will provide useful
quantitative and qualitative metrics
which AHRQ can use to measure the
outcomes of the project. Moreover, these
metrics will enable AHRQ to identify
new potential barriers that may thwart
the outcome-lending important
information regarding future
educational needs.
Estimated Annual Respondent Burden
Exhibit 1 shows the estimated
annualized burden hours for the
respondents’ time to participate in this
research. The AHRQ Online Continuing
Education Participant Evaluation will be
completed at 3 different points in time
after completion of the CME/CE/CEU
education module. The CME/CE/CEU
registration data is collected for an
estimated 1,500 health care
professionals and takes approximately 5
minutes. The same estimated 1,500
health care professionals will complete
the evaluation 3 times each year, which
takes about 3 minutes to complete. The
total annual burden is estimated to be
350 hours.
Exhibit 2 shows the estimated annual
cost burden to respondents, based on
their time to participate in surveys for
each CME/CE/CEU module. The annual
cost burden is estimated to be $16,290.]
Exhibit 1. Estimated annualized burden
hours per module
Number of
responses per
respondent

1500
1500

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1
3

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Hours per
response
survey
5/60
3/60

Total burden
hours
125
225

30366

Federal Register / Vol. 76, No. 101 / Wednesday, May 25, 2011 / Notices
Number of
respondents

Form name
Total ..........................................................................................................

Number of
responses per
respondent

3,000

Hours per
response
survey

na

Total burden
hours
na

350

Exhibit 2. Estimated annualized cost
burden per module
Number of
respondents

Form name

Total burden
hours

Average hourly wage rate*

Total cost
burden

AHRQ Online Continuing Education CME/CE/CEU Registration Data ...........
AHRQ Online Continuing Education Participant Evaluation ...........................

1500
1500

125
225

$46.54
46.54

$5818
10,472

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

3,000

350

na

16,290

*Based upon the mean of the average hourly wages for Physicians (292–1069; $83.59), Pharmacists (29–1051; $51.27), Physician Assistants
and Nurse Practitioners (29–1071; $40.78), Registered Nurses (29–1111; $31.99) and Healthcare Practitioners (29–9099; $25.05), National
Compensation Survey: Occupational wages in the United States May 2009, ‘‘U.S. Department of Labor, Bureau of Labor Statistics.’’

Estimated Annual Costs to the Federal
Government

modules (15 per year for 3 years). The
total cost is estimated to be $3,963,150.

Exhibit 3. Estimated Total and
Annualized Cost

Exhibit 3 shows the total and
annualized cost for the 45 CME/CE/CEU
Cost component

Annualized
cost

Development of CME/CE/CEU Module ...................................................................................................................
Module Accreditation ...............................................................................................................................................
Module Dissemination .............................................................................................................................................
Evaluation instrument development and dissemination, data collection, processing and analysis ........................

$2,256,300
900,000
450,000
356,850

$752,100
300,000
150,000
118,950

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

3,963,150

1,321,050

Request for Comments

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Total cost

In accordance with the Paperwork
Reduction Act, 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 healthcare
research and healthcare 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.

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Dated: May 12, 2011.
Carolyn M. Clancy,
Director.
[FR Doc. 2011–12668 Filed 5–24–11; 8:45 am]
BILLING CODE M

Dated: May 19, 2011.
John Howard,
Director, National Institute for Occupational
Safety and Health, Centers for Disease Control
and Prevention.
[FR Doc. 2011–12935 Filed 5–24–11; 8:45 am]
BILLING CODE 4163–18–D

DEPARTMENT OF HEALTH AND
HUMAN SERVICES
Centers for Disease Control and
Prevention

DEPARTMENT OF HEALTH AND
HUMAN SERVICES
Centers for Disease Control and
Prevention

[Docket Number NIOSH–238]

Draft Alert Entitled ‘‘Preventing
Occupational Respiratory Disease
From Dampness in Office Buildings,
Schools, and Other Nonindustrial
Buildings;’’ Correction
A notice of draft document for public
comment was published in the Federal
Register, May 18, 2011, (76 FR 28789).
This notice is corrected as follows:
On page 28789, second column:
Under the heading ‘‘Summary’’ the Web
site has been changed to http://
www.cdc.gov/niosh/docket/review/
docket238/.

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Disease, Disability, and Injury
Prevention and Control Special
Emphasis Panel (SEP): Public Health
Prevention Fund: Streamlined
Surveillance for Venilator-Associated
Pneumonia: Reducing Burden and
Demonstrating Preventability, Funding
Opportunity Announcement (FOA)
CK11–0010101PPHF11, Initial Review
Correction: The notice was published
in the Federal Register on April 18,
2011, Volume 76, Number 74, Page
21749. The time and date should read
as follows:
Time and Date: 11 a.m.–2 p.m., May
26, 2011 (Closed).

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