Evaluation of Learning Health Systems K12 Training Program

Forms and Documents

Document Name	Status
Form D1 Appendix D1. HSA Survey Form	New
Form C1 Appendix C1. PD Interview Guide Form	New
Form B1 Appendix B1. HSA Interview Guide Form	New
Form A1 Appendix A1. Scholar Interview Guide Form and Instruction	New
2020-12513.pdf Supplementary Document	2020-10-21
AHRQ OMB Part B_5-18-20.docx Supporting Statement B	2020-06-05
AHRQ OMB Part A_5-18-20.docx Supporting Statement A	2020-06-05

IC Document Collections

IC ID	Document Title	Status
242180	Appendix D1. HSA Survey Form	New
242179	Appendix C1. PD Interview Guide Form	New
242176	Appendix B1. HSA Interview Guide Form	New
242174	Appendix A1. Scholar Interview Guide Form and Instruction	New

ICR Details

OMB Control No: 0935-0255	ICR Reference No: 202006-0935-001
Status: Active	Previous ICR Reference No:
Agency/Subagency: HHS/AHRQ	Agency Tracking No:
Title: Evaluation of Learning Health Systems K12 Training Program
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 without change	Conclusion Date: 10/26/2020
	Date Received in OIRA: 06/10/2020
Terms of Clearance: This collection shall be conducted in accordance with Federal, state, and local COVID-19 guidance.

	Inventory as of this Action	Requested	Previously Approved
Expiration Date	10/31/2023	36 Months From Approved
Responses	147	0	0
Time Burden (Hours)	95	0	0
Cost Burden (Dollars)	0	0	0

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Abstract: This request is for Office of Management and Budget (OMB) clearance for the data collections for an evaluation of the Learning Health Systems K12 Training Program. AHRQ, in partnership with the Patient-Centered Outcomes Research Institute (PCORI), supports an innovative institutional mentored career development program (K12) to train clinician and research scientists to conduct patient-centered outcomes research within learning health systems (LHSs). LHSs provide an environment where science generated from health services research; patient-centered outcomes research (PCOR); and clinical research, informatics, incentives, and culture are aligned for continuous improvement and innovation. In addition, in an LHS, best practices are seamlessly embedded in the care process, in which stakeholders (i.e., providers, patients, and families) are active participants in all elements, and new knowledge is captured as an integral byproduct of the care experience. The following are the LHS K12 training program objectives: • Develop and implement a training program that includes both didactic and experiential learning and embeds the scholars in training at the interface of research, informatics, and clinical operations within LHSs • Identify, recruit, and train clinician and research scientists who are committed to conducting PCOR in healthcare settings that generate new evidence to facilitate rapid implementation of practices that will improve quality of care and patient outcomes • Establish Centers of Excellence (COEs) in LHS Research Training, focusing on the application and mastery of the newly developed core LHS researcher competencies • Promote cross-institutional scholar-mentor interactions, cooperation on multisite projects, dissemination of project findings, methodological advances, and development of a shared curriculum

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Authorizing Statute(s): US Code: 42 USC 299 Name of Law: Agency for Healthcare and Quality Act of 1999
  

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:
	85 FR 14487	03/12/2020
30-day Notice:	Federal Register Citation:	Citation Date:
	85 FR 35427	06/10/2020
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
Appendix A1. Scholar Interview Guide	A1	Appendix A1. Scholar Interview Guide
Appendix B1. HSA Interview Guide	B1	Appendix B1. HSA Interview Guide
Appendix C1. PD Interview Guide	C1	Appendix C1. PD Interview Guide
Appendix D1. HSA Survey	D1	Appendix D1. HSA Survey

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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	147	0	0	147	0	0
Annual Time Burden (Hours)	95	0	0	95	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 new data collection.

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Annual Cost to Federal Government: $136,543

Does this IC contain surveys, censuses, or employ statistical methods? No

Does this ICR request any personally identifiable information (see OMB Circular No. A-130 for an explanation of this term)? Please consult with your agency's privacy program when making this determination.     Yes

Does this ICR include a form that requires a Privacy Act Statement (see 5 U.S.C. §552a(e)(3))? Please consult with your agency's privacy program when making this determination.     No

Is this ICR related to the Affordable Care Act [Pub. L. 111-148 & 111-152]? No

Is this ICR related to the Dodd-Frank Wall Street Reform and Consumer Protection Act, [Pub. L. 111-203]? No

Is this ICR related to the American Recovery and Reinvestment Act of 2009 (ARRA)? No

Is this ICR related to the Pandemic Response? No

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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: 06/10/2020

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