Programmatic Information Collection for the AHRQ Initiative to Support Primary Care to Advance Cardiovascular Health in States with High Prevalence of Preventable CVD Events

Forms and Documents

Forms and supporting documents for this ICR

Document	Type	Status	Availability
Form 6 Attachment F	Form and Instruction	New	Available
Form 6 Network practices	Form and Instruction	New	Available
Form 6 Unaffiliated organizations	Form and Instruction	New	Available
Form 6 Unaffiliated organizations	Form and Instruction	New	Repair queued
Form 6 Attachment F	Form and Instruction	New	Available
Form 5 Attachment E	Form and Instruction	New	Available
Form 5 Cooperative partners	Form and Instruction	New	Repair queued
Form 6 Attachment F	Form and Instruction	New	Available
Form 5 Attachment E	Form and Instruction	New	Repair queued
Form 5 Cooperative leadership	Form and Instruction	New	Available
Form 6 Attachment F: Member Checking Sessions 2 and 3 to Validate Qualitative and Mixed-Methods Findings	Form and Instruction	New	Available
Form 5 Attachment E: Member Checking Session to Validate QI Infrastructure Models and Typology of QI Support Interventions	Form and Instruction	New	Available
Form 5 Grantee leadership	Form and Instruction	New	Repair queued
Form 4 Attachment D: Practices Participating and Non-participating in Implementing a QI Strategy – Interview Protocol	Form and Instruction	New	Available
Form 4 Practices in network participating in Heart Health QI project	Form and Instruction	New	Repair queued
Form 4 Attachment D: Practices Participating and Non-participating in Implementing a QI Strategy – Interview Protocol	Form and Instruction	New	Available
Form 4 Practices in network not participating in Heart Health QI project	Form and Instruction	New	Repair queued
Form 3 Attachment C: Unaffiliated Organizations - Interview Protocol	Form and Instruction	New	Available
Form 3 Unaffiliated organizations	Form and Instruction	New	Repair queued
Form 2 Attachment B: Cooperative Partners - Interview Protocol	Form and Instruction	New	Available
Form 2 Cooperative partners	Form and Instruction	New	Repair queued
Form 1 Attachment A: Grantee and Cooperative Leadership - Interview Protocol	Form and Instruction	New	Available
Form 1 Cooperative leadership	Form and Instruction	New	Repair queued
Form 1 Attachment A: Grantee and Cooperative Leadership - Interview Protocol	Form and Instruction	New	Available
Form 1 Grantee leadership	Form and Instruction	New	Available
Supporting Statement Part A.docx	Supporting Statement A	Uploaded 2020-10-19	Repair queued

IC Document Collections

Information collection document groups

IC ID	Collection	Type	Status	Form
244144	Network practices	Form and Instruction	New	Attachment F
244144	Network practices	Form and Instruction	New
244143	Unaffiliated organizations	Form and Instruction	New	Unaffiliated organizations
244143	Unaffiliated organizations	Form and Instruction	New
244142	Cooperative partners	Form and Instruction	New	Attachment F
244142	Cooperative partners	Form and Instruction	New	Attachment E
244142	Cooperative partners	Form and Instruction	New
244141	Cooperative leadership	Form and Instruction	New	Attachment F
244141	Cooperative leadership	Form and Instruction	New	Attachment E
244141	Cooperative leadership	Form and Instruction	New
244140	Grantee leadership	Form and Instruction	New	Attachment F: Member Checking Sessions 2 and 3 to Validate Qualitative and Mixed-Methods Findings
244140	Grantee leadership	Form and Instruction	New	Attachment E: Member Checking Session to Validate QI Infrastructure Models and Typology of QI Support Interventions
244140	Grantee leadership	Form and Instruction	New
244135	Practices in network participating in Heart Health QI project	Form and Instruction	New	Attachment D: Practices Participating and Non-participating in Implementing a QI Strategy – Interview Protocol
244135	Practices in network participating in Heart Health QI project	Form and Instruction	New
244134	Practices in network not participating in Heart Health QI project	Form and Instruction	New	Attachment D: Practices Participating and Non-participating in Implementing a QI Strategy – Interview Protocol
244134	Practices in network not participating in Heart Health QI project	Form and Instruction	New
244133	Unaffiliated organizations	Form and Instruction	New	Attachment C: Unaffiliated Organizations - Interview Protocol
244133	Unaffiliated organizations	Form and Instruction	New
244132	Cooperative partners	Form and Instruction	New	Attachment B: Cooperative Partners - Interview Protocol
244132	Cooperative partners	Form and Instruction	New
244124	Cooperative leadership	Form and Instruction	New	Attachment A: Grantee and Cooperative Leadership - Interview Protocol
244124	Cooperative leadership	Form and Instruction	New
244106	Grantee leadership	Form and Instruction	New	Attachment A: Grantee and Cooperative Leadership - Interview Protocol
244106	Grantee leadership	Form and Instruction	New

ICR Details

OMB Control No: 0935-0259	ICR Reference No: 202010-0935-002
Status: Historical Active	Previous ICR Reference No:
Agency/Subagency: HHS/AHRQ	Agency Tracking No:
Title: Programmatic Information Collection for the AHRQ Initiative to Support Primary Care to Advance Cardiovascular Health in States with High Prevalence of Preventable CVD Events
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: 01/19/2021
Retrieve Notice of Action (NOA)	Date Received in OIRA: 10/20/2020
Terms of Clearance: AHRQ shall ensure the following information is shared with potential respondents: 1. a request that the public direct to the agency any comments concerning the accuracy of the agency's burden estimate and any suggestions for reducing this burden; and 2. A citation to AHRQ's statutory authority to promise confidentiality, and 3. The fact that an agency may not conduct or sponsor, and a person is not required to respond to, a collection of information unless it displays a currently valid OMB control number.. This information shall be provided in a manner consistent with 5 CFR 1320.8(c)(1).

table that charts list comparision

	Inventory as of this Action	Requested	Previously Approved
Expiration Date	01/31/2024	36 Months From Approved
Responses	236	0	0
Time Burden (Hours)	254	0	0
Cost Burden (Dollars)	0	0	0

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Abstract: Despite improvements in recent years, cardiovascular disease (CVD) is a significant national health burden and the leading cause of death, involved in nearly one of every three deaths. Modifiable risk factors for CVD, such as high blood pressure, high cholesterol, and smoking, remain poorly controlled. Evidence from patient-centered outcomes research (PCOR) shows that increasing the delivery of the ABCS of heart health – Aspirin in high-risk individuals, Blood pressure control, Cholesterol management, and Smoking cessation – can reduce risk and reduce heart attacks and strokes. In 2010, Congress established the Patient-Centered Outcomes Research (PCOR) Trust Fund and instructed AHRQ to support the dissemination of PCOR findings. In accordance with its mandated role, AHRQ issued a Request for Applications (RFA) entitled Supporting Primary Care to Advance Cardiovascular Health in States with High Prevalence of Preventable CVD Events. AHRQ anticipates investing up to $18 million to support a maximum of 4 awards. Each grantee will establish a state-level entity – known as a Cooperative – to support primary care improvement and run a Heart Health Quality Improvement (QI) project. The expected earliest start date for the grants is December 30, 2020. This initiative has the following goals: 1. To improve heart health and help reduce CVD disparities by engaging with primary care practices, and disseminating and implementing PCOR findings to improve care delivery. 2. To learn how to develop sustainable state-level primary care QI infrastructure to improve the uptake of PCOR evidence in primary care. 3. To disseminate lessons learned, which take into consideration the context in which each program operated, on how to replicate successes and avoid challenges.

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Authorizing Statute(s): US Code: 42 USC 299 Name of Law: Agency for Healthcare Research 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 47374	08/05/2020
30-day Notice:	Federal Register Citation:	Citation Date:
	85 FR 65406	10/15/2020
Did the Agency receive public comments on this ICR? No

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Number of Information Collection (IC) in this ICR: 11

table that charts list of burden

IC Title	Form No.	Form Name
Cooperative leadership	5, 6	Attachment E ,   Attachment F
Cooperative leadership	1	Attachment A: Grantee and Cooperative Leadership - Interview Protocol
Cooperative partners	2	Attachment B: Cooperative Partners - Interview Protocol
Cooperative partners	5, 6	Attachment E ,   Attachment F
Grantee leadership	5, 6	Attachment E: Member Checking Session to Validate QI Infrastructure Models and Typology of QI Support Interventions ,   Attachment F: Member Checking Sessions 2 and 3 to Validate Qualitative and Mixed-Methods Findings
Grantee leadership	1	Attachment A: Grantee and Cooperative Leadership - Interview Protocol
Network practices	6	Attachment F
Practices in network not participating in Heart Health QI project	4	Attachment D: Practices Participating and Non-participating in Implementing a QI Strategy – Interview Protocol
Practices in network participating in Heart Health QI project	4	Attachment D: Practices Participating and Non-participating in Implementing a QI Strategy – Interview Protocol
Unaffiliated organizations	6	Unaffiliated organizations
Unaffiliated organizations	3	Attachment C: Unaffiliated Organizations - Interview Protocol

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ICR Summary of Burden

table that charts list 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	236	0	0	236	0	0
Annual Time Burden (Hours)	254	0	0	254	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 information collection request.

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Annual Cost to Federal Government: $200,000

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: 10/20/2020

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