Information Collection Request

Evaluation of the Children's Health Insurance Program Reauthorization Act of 2009 (CHIPRA) Quality Demonstration Grant Program

ICR 201402-0935-001 · OMB 0935-0190 · Historical Active

Forms and Documents
DocumentTypeStatusAvailability
Form 15 Adolescent Pre-Focus Group Interview Script Form and Instruction New Available
Form 14 Adolescent Telephone Screening Script Form and Instruction New Available
Form 13 Adolescent Focus Group Protocol Form and Instruction New Available
Form 12 Parent Pre-Focus Group Interview Script Form and Instruction New Available
Form 11 Parent Telephone Screening Script Form and Instruction New Available
Form 10 Parent Focus Group Protocol Form and Instruction New Available
Form Form #5 Non-demonstration States Interviews Form and Instruction Removed Available
Form 8 Health Care Provider Interviews Form and Instruction Modified Available
Form 4 Stakeholder Interviews Form and Instruction Modified Available
Form 2 Implementation Staff Interviews Form and Instruction Modified Repair queued
Form Form #1 Key Staff Interviews Form and Instruction Modified Available
CHIPRASupporting Statement Part B -- Revised Feb 14 2014.docx Supporting Statement B Uploaded 2014-02-19 Available
Attachment A - Authorizing Legislation.docx Supplementary Document Uploaded 2014-02-19 Available
Attachment X- Confidentiality Pledge.docx Supplementary Document Uploaded 2014-02-19 Available
Attachment W- Provider Site Recruitment Letters 7-23-2013.docx Supplementary Document Uploaded 2014-02-19 Available
Attachment V - Technical Expert Panel Members.docx Supplementary Document Uploaded 2014-02-19 Available
Attachment T- CHIPRA Quality Demonstration Evaluation Research Questions.docx Supplementary Document Uploaded 2014-02-19 Available
Attachment Q- 2014 Adolescent Focus Group Recruitment Materials.docx Supplementary Document Uploaded 2014-02-19 Available
Attachment Q- 2014 Adolescent Focus Group Recruitment Materials.docx Supplementary Document Uploaded 2014-02-19 Repair queued
Attachment Q- 2014 Adolescent Focus Group Recruitment Materials.docx Supplementary Document Uploaded 2014-02-19 Repair queued
Attachment O- Informed Consent Forms.docx Supplementary Document Uploaded 2014-02-19 Available
Attachment L- 2014 Parent Focus Group Recruitment Materials.docx Supplementary Document Uploaded 2014-02-19 Available
Attachment L- 2014 Parent Focus Group Recruitment Materials.docx Supplementary Document Uploaded 2014-02-19 Available
Attachment L- 2014 Parent Focus Group Recruitment Materials.docx Supplementary Document Uploaded 2014-02-19 Available
Attachment O- Informed Consent Forms.docx Supplementary Document Uploaded 2014-02-19 Available
Attachment C- Interview Request and Confirmation Emails.docx Supplementary Document Uploaded 2014-02-18 Available
Attachment C- Interview Request and Confirmation Emails.docx Supplementary Document Uploaded 2014-02-18 Available
Attachment C- Interview Request and Confirmation Emails.docx Supplementary Document Uploaded 2014-02-18 Available
Attachment C- Interview Request and Confirmation Emails.docx Supplementary Document Uploaded 2014-02-18 Available
CHIPRASupporting Statement Part A -- Revised Feb 14 2014.docx Supporting Statement A Uploaded 2014-02-19 Available
IC Document Collections
IC IDCollectionTypeStatusForm
210514 Adolescent Pre-Focus Group Interview Script Form and Instruction New
210513 Adolescent Telephone Screening Script Form and Instruction New
210512 Adolescent Focus Group Protocol Form and Instruction New
210511 Parent Pre-Focus Group Interview Script Form and Instruction New
210510 Parent Telephone Screening Script Form and Instruction New
210509 Parent Focus Group Protocol Form and Instruction New
199924 Non-demonstration States Interviews Form and Instruction Removed
199923 Health Care Provider Interviews Form and Instruction Modified
199922 Stakeholder Interviews Form and Instruction Modified
199921 Implementation Staff Interviews Form and Instruction Modified
199920 Key Staff Interviews Form and Instruction Modified
ICR Details
0935-0190 201402-0935-001
Historical Active 201110-0935-003
HHS/AHRQ 21456
Evaluation of the Children's Health Insurance Program Reauthorization Act of 2009 (CHIPRA) Quality Demonstration Grant Program
Revision of a currently approved collection   No
Regular
Approved without change 03/24/2014
Retrieve Notice of Action (NOA) 02/25/2014
  Inventory as of this Action Requested Previously Approved
03/31/2017 36 Months From Approved 02/28/2015
1,838 0 837
1,954 0 855
0 0 0

Section 401(a) of the Children's Health Insurance Program Reauthorization Act of 2009 (CHIPRA), Pub. L. 111-3, amended the Social Security Act (the Act) to enact section 1139A (42 U.S.C. 1320b-9a). AHRQ is requesting approval to extend and revise a currently approved qualitative study to evaluate the children's health care quality demonstration grants authorized under section 1139A(d) of the Act. The first round of qualitative data collection (OMB# 0935-0190) was approved by the Office of Management and Budget with an expiration date of February 28, 2015. Key informant interviews conducted during the first round of qualitative data collection provided information on early demonstration strategies and lessons learned by the demonstration States during the first two years of their grant projects. This revised information collection request seeks approval to: (1) conduct a second round of key informant interviews; and (2) conduct parent and adolescent focus groups in demonstration States. Evaluating whether the CHIPRA demonstration grants improve the quality of care received by children in Medicaid and CHIP aligns with AHRQ's mission of improving the quality and effectiveness of health care in the United States.

US Code: 42 USC 299 Name of Law: Healthcare Research and Quality Act of 1999
  
None

Not associated with rulemaking

  78 FR 46335 07/31/2013
78 FR 65318 10/31/2013
No

  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 1,838 837 0 1,001 0 0
Annual Time Burden (Hours) 1,954 855 0 1,099 0 0
Annual Cost Burden (Dollars) 0 0 0 0 0 0
Yes
Miscellaneous Actions
Yes
Miscellaneous Actions
Under the revised information collection request, we are requesting to conduct a second round of interviews with all interview respondents as well as a round of focus groups. Therefore, the number of responses per respondent increased from one to two for interview respondents, and burden hours were added to account for focus group recruitment and participation. In the original information collection request, we requested to conduct follow up telephone interviews with key informant staff and telephone interviews with staff in non demonstration States. We did not collect this information, and those hours are no longer included in the burden estimates.

$1,651,662
Yes Part B of Supporting Statement
No
No
No
Yes
Uncollected
Doris Lefkowitz 3014271477

  No

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:
 
 
 
 
 
 
 
    (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;
 
 
 
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.
02/25/2014