Federal Register / Vol. 76, No. 62 / Thursday, March 31, 2011 / Notices 17865 

EXHIBIT 2—ESTIMATED COST BURDEN OVER 3 YEARS—Continued 

Type of information collection Number of respondents 

Total burden 

hours 

Average hourly wage rate* Total cost burden 

Telephone ........................................................................................................ 600 400 33.51 13,404 

Web-based ....................................................................................................... 15,000 2,500 33.51 83,775 

Focus Groups .................................................................................................. 1,500 3,000 33.51 100,530 

In-person .......................................................................................................... 600 500 33.51 16,755 

Total .......................................................................................................... 32,700 10,150 na 340,127 

* Based upon the average wages for 29–000 (Healthcare Practitioner and Technical Occupations), ‘‘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 

Information collections conducted 

under this generic clearance will in 

some cases be carried out under 

contract. Assuming the contract cost per 

survey are $50,000–$100,000, and for 

each focus group are $20,000, total 

contract costs could run $720,000 per 

year. 

Request for Comments 

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 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. 

Dated: March 17, 2011. 

Carolyn M. Clancy, 

Director. 

[FR Doc. 2011–7430 Filed 3–30–11; 8:45 am] 

BILLING CODE 4160–90–M 

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 

that the Office of Management and 

Budget (OMB) approve the proposed 

information collection project: 

‘‘Understanding Development Methods 

from Other Industries to Improve the 

Design of Consumer Health IT.’’ In 

accordance with the Paperwork 

Reduction Act, 44 U.S.C. 3501–3520, 

AHRQ invites the public to comment on 

this proposed information collection. 

This proposed information collection 

was previously published in the Federal 

Register on January 27th, 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. 

DATES: Comments on this notice must be 

received by May 2, 2011. 

ADDRESSES: 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 OIRA_submission@omb.eop.gov 

(attention: AHRQs 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. 

FOR FURTHER INFORMATION CONTACT: 

Doris Lefkowitz, AHRQ Reports 

Clearance Officer, (301) 427–1477, or by 

e-mail at 

doris.lefkowitz@AHRQ.hhs.gov. 

SUPPLEMENTARY INFORMATION: 

Proposed Project 

Understanding Development Methods 

From Other Industries to Improve the 

Design of Consumer Health IT 

Consumer health information 

technology (IT) is the collection of tools, 

technologies, and artifacts that 

individuals can use to support their 

health care management tasks (Agarwal 

and Khuntia, 2009). Consumer health IT 

can play an important role in patients’ 

efforts to coordinate their care and in 

ensuring that their personal values and 

interests help guide all clinical 

decisions. In order to accomplish this, 

consumer health IT solutions must take 

into account the particular needs of the 

consumer. 

Useful consumer health IT products 

may enhance the quality of health care 

by empowering individual consumers to 

take a more active, effective, and 

collaborative role in their own personal 

health care. These products could 

provide the following capabilities to 

consumers: 

• Information storage, archiving, and 

retrieval: The capabilities to search 

results of past examinations or lab tests, 

to interact with electronic versions of 

their health records, and identify when 

to seek health care services. 

• Health monitoring: The capability 

to report data (e.g., blood pressure, 

weight) from various locations. 

• Information seeking and searching: 

The capability to interactively search for 

a wealth of health-related information. 

Despite the potential power of 

consumer health IT, consumers have not 

adopted these technologies to the same 

degree that they have adopted 

technology products marketed from 

other consumer product industries. One 

reason for slow adoption is that the 

marketplace lacks robust tools that 

allow for the complexity and diversity 

of personal health information 

management (PHIM) practices. These 

types of practices are influenced by a 

variety of user and contextual factors, 

including demographics, personal 

attitudes, the goals and objectives of 

users, and the broad range of tasks that 


wwoods2 on DSK1DXX6B1PROD with NOTICES
17866 Federal Register / Vol. 76, No. 62 / Thursday, March 31, 2011 / Notices 

users wish to perform. There is no 

comprehensive list of problems that 

users encounter as they collect and 

reflect on personal information; this 

creates a barrier for design of consumer 

health IT tools. 

New practices for the development of 

consumer-facing digital tools are 

emerging in a variety of industries. The 

success of information management 

tools in other industries offers much to 

be learned and applied to the health 

care field. 

In July of 2009, AHRQ held the 

Building Bridges: Consumer Needs and 

the Design of Health Information 

Technology workshop. The workshop 

brought together leaders from multiple 

disciplines, including health 

informatics, health sciences, 

information science, consumer health 

IT, and human factors to discuss the 

diverse needs of different consumer 

groups in managing their personal 

health information, and how these 

needs could be incorporated into the 

design of consumer health IT solutions. 

The outcome of the workshop was a 

framework to further the design of 

consumer health IT systems, based on 

an understanding of practices that 

consumers use in their PHIM. The final 

report also included a set of 

recommendations for additional work in 

the health IT field related to research 

and industry and policy. Recognizing 

that design plays a key role in consumer 

use of personal tools, one researchrelated recommendation that resulted 

from the workshop was to investigate 

the application of design methodologies 

used in other industries to consumer 

health IT design. 

This project has the following goals: 

(1) To investigate the product 

development approaches, methods, and 

philosophies from a variety of industries 

in order to identify promising design 

and development techniques that will 

be most applicable to consumer health 

IT. 

(2) To disseminate the project 

findings and recommendations to 

vendors and developers of consumer 

health IT products to assist them in 

developing health IT products that are 

consumer-focused. This study is being 

conducted by AHRQ through its 

contractors, Westat and the University 

of Wisconsin, pursuant to AHRQ’s 

statutory authority to conduct and 

support research (1) on health care and 

on systems for the delivery of such care, 

including activities with respect to 

health care technologies, 42 U.S.C. 

299a(a)(5), and (2) to advance the use of 

computer-based health records, 42 

U.S.C. 299b–3(a)(6). 

Method of Collection 

To achieve the goals of this project the 

following activities will be 

implemented: 

(1) Semi-structured interviews will be 

conducted with key informants 

identified as being experts in the design, 

management, and/or marketing of 

consumer products that are relevant to 

consumer health IT products. The 

purpose of these interviews is to gather 

information related to their experiences 

in developing consumer products, 

focusing on the design processes that 

their company uses, how they segment 

the market, the role of users in testing 

during the various product development 

phases, and the factors that affect the 

success of their product development 

approaches. 

(2) The final report will be provided 

in PDF format for easy download from 

the AHRQ National Resource Center for 

Health IT Web site. 

Information collected by the study 

will support the development of 

recommendations for those developers 

and vendors who design, develop, and 

market consumer health IT products. 

The ultimate goal is to improve 

consumer health IT design and impact 

the adoption of this technology by 

consumers. This project will identify 

principles that led to the success of 

other consumer products, so that they 

can be evaluated for extension to the 

design and development of consumer 

health IT. 

Estimated Annual Respondent Burden 

Exhibit 1 shows the estimated 

annualized burden hours for the 

respondents’ time to participate in this 

research. Semi-structured interviews 

will be conducted with no more than 15 

individuals representing a variety of 

consumer-focused industries. The 

average burden will be 90 minutes per 

interview. The total annual burden is 

estimated to be 23 hours. 

Exhibit 2 shows the estimated annual 

cost burden associated with the 

respondent’s time to participate in this 

research. The total annual cost burden 

is estimated to be $1,770. 

EXHIBIT 1—ESTIMATED ANNUALIZED BURDEN HOURS

Form name 

Number of 

technical experts 

Number of responses per 

expert 

Hours per response Total burden 

hours 

Semi-structured interviews .............................................................................. 15 1 1.50 23 

Total .......................................................................................................... 15 1 1.50 23 

EXHIBIT 2—ESTIMATED ANNUALIZED COST BURDEN

Form name 

Number of 

technical experts 

Total burden 

hours 

Average hourly wage rate* Total cost burden 

Semi-structured interviews .............................................................................. 15 23 $76.94 $1,770 

Total .......................................................................................................... 15 23 76.94 1,770 

*Wage rates calculations were not possible using data from the U.S. Department of Labor, Bureau of Labor Statistics, National Occupational 

Employment and Wage Estimates for the United States, Occupational Employment Statistics (OES). The OES categories are too broad to determine a wage rate for a ‘‘Director of Product Development.’’ Instead wage rate calculations are based on information from the Web site http:// 

www.salary.com which has a tool providing a range of salaries for a variety of specific job titles. The salary for a ‘‘Product Development Director’’ 

generally ranges from $130,313 (25t percentile) to $189,771 (75t percentile) with an anticipated median of $160,042. Assuming 2,080 hours per 

year (40 hours per week), the resulting median hourly rate is $76.94. 


wwoods2 on DSK1DXX6B1PROD with NOTICES
Federal Register / Vol. 76, No. 62 / Thursday, March 31, 2011 / Notices 17867 

Estimated Annual Costs to the Federal 

Government 

Exhibit 3 shows the estimated total 

and annualized cost to the Federal 

Government for this research project. 

Since this project’s activities will span 

a single year the total and annualized 

costs are identical. The estimated total 

cost is $409,388. 

EXHIBIT 3—ESTIMATED TOTAL AND ANNUAL COST* TO THE FEDERAL GOVERNMENT

Cost component Total cost Annualized 

cost 

Administration and Coordination Activities .............................................................................................................. $91,673 $91,673 

Technical Expert Panel ............................................................................................................................................ 74,217 74,217 

Environmental Scan and Grey Literature Review ................................................................................................... 58,413 58,413 

0MB Submission Package ....................................................................................................................................... 11,574 11,574 

Interviews with Study Participants ........................................................................................................................... 102,018 102,018 

Recommendations for Health IT Vendors and Developers .................................................................................... 48,612 48,612 

Dissemination Activities ........................................................................................................................................... 14,325 14,325 

508 Compliance ....................................................................................................................................................... 8,556 8,556 

Total .................................................................................................................................................................. 409,388 409,388 

*Costs are fully loaded including overhead, G&A and fees. 

Request for Comments 

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 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. 

Dated: March 17, 2011. 

Carolyn M. Clancy, 

Director. 

[FR Doc. 2011–7443 Filed 3–30–11; 8:45 am] 

BILLING CODE 4160–90–M 

DEPARTMENT OF HEALTH AND 

HUMAN SERVICES 

Agency for Toxic Substances and 

Disease Registry 

[30Day-11–09BK] 

Agency Forms Undergoing Paperwork 

Reduction Act Review 

The Agency for Toxic Substances and 

Disease Registry (ATSDR) publishes a 

list of information collection requests 

under review by the Office of 

Management and Budget (OMB) in 

compliance with the Paperwork 

Reduction Act (44 U.S.C. Chapter 35). 

To request a copy of these requests, call 

the CDC/ATSDR Reports Clearance 

Officer at (404) 639–5960 or send an 

email to omb@cdc.gov. Send written 

comments to CDC Desk Officer, Office of 

Management and Budget, Washington, 

DC or by fax to (202) 395–5806. Written 

comments should be received within 30 

days of this notice. 

Proposed Project 

Registration of Individuals Displaced 

by the Hurricanes Katrina and Rita 

(Pilot Project)—New—Agency for Toxic 

Substances and Disease Registry 

(ATSDR), Office of Noncommunicable 

Diseases, Injury, and Environmental 

Health (ONDIEH), Centers for Disease 

Control and Prevention (CDC). 

Background and Brief Description 

On August 29, 2005, Hurricane 

Katrina made landfall on the coast of the 

Gulf of Mexico near New Orleans, 

Louisiana, and became one of the most 

deadly and destructive storms in U.S. 

history. Also occurring in 2005, 

Hurricane Rita was the fourth-most 

intense Atlantic hurricane ever recorded 

and the most intense tropical cyclone 

ever observed in the Gulf of Mexico. 

Following the initial phase of the 

response, the Federal Emergency 

Management Agency (FEMA) assumed 

the primary role for housing displaced 

persons over the intermediate term. To 

support those needing temporary 

housing, FEMA provided over 143,000 

travel trailers, park homes, and mobile 

homes for persons displaced by the 

above mentioned storms. However, 

some persons living in trailers 

complained of an odor or of eye or 

respiratory tract irritation. 

FEMA entered into an Interagency 

Agreement with the Centers for Disease 

Control and Prevention (CDC)/ATSDR 

on August 16, 2007 to conduct a 

comprehensive public health 

assessment, based on objective and 

credible research, of air quality 

conditions present in FEMA housing 

units to guide FEMA policy makers and 

inform the public as to the actual 

conditions in the field and any actions 

required to better promote a safe and 

healthful environment for the disaster 

victims FEMA housed in the units. 

FEMA’s agreement with the CDC 

includes an initial formaldehyde 

exposure assessment as well as a 

subsequent long-term study of the 

health effects among residents if 

feasible. Formaldehyde testing 

conducted and evaluated by the CDC 

pursuant to the initial exposure 

assessment has identified the need to 

evaluate the feasibility of establishing a 

national registry to identify and monitor 

the health of disaster victims who 

occupied FEMA-provided temporary 

housing units. The establishment of 

such a registry would complement the 

long-term health effects study set forth 

in the FEMA–CDC Interagency 

Agreement. 


wwoods2 on DSK1DXX6B1PROD with NOTICES