21746 Federal Register / Vol. 76, No. 74 / Monday, April 18, 2011 / Notices 

EXHIBIT 1—ESTIMATED ANNUALIZED BURDEN HOURS

Form Number of 

respondents 

Number of 

responses per 

respondent 

Hours per 

response 

Total burden 

hours 

Patient Safety Organization Certification for Initial Listing Form ..................... 15 1 18 270 

Certification for Continued Listing Form .......................................................... 24 1 8 192 

Two Bona Fide Contracts Requirement Form ................................................. 40 1 1 40 

Disclosure Statement Form ............................................................................. 7 1 3 21 

Information Form ............................................................................................. 80 1 3 240 

Patient Safety Confidentiality Complaint Form ................................................ 2 1 20/60 1 

Common Formats ............................................................................................ 750 1 100 75,000 

Total .......................................................................................................... 918 NA NA 75,764

EXHIBIT 2—ESTIMATED ANNUALIZED COST BURDEN

Form Number of 

respondents 

Total burden 

hours 

Average 

hourly wage 

rate * 

Total burden 

cost 

Certification for Initial Listing Form .................................................................. 15 270 $33.51 $9,048 

Certification for Continued Listing Form .......................................................... 24 192 33.51 6,434 

Two Bona Fide Contracts Requirement Form ................................................. 40 40 33.51 1,340 

Disclosure Statement Form ............................................................................. 7 21 33.51 704 

Information Form ............................................................................................. 80 240 33.51 8,042

Patient Safety Confidentiality Complaint Form ................................................ 2 1 33.51 34 

Common Formats ............................................................................................ 750 75,000 33.51 2,513,250 

Total .......................................................................................................... 918 75,764 NA 2,538,852 

* Based upon the mean of the hourly wages for healthcare practitioner and technical occupation, National Compensation Survey, May 2009, 

‘‘U.S. Department of Labor, Bureau of Labor Statistics.’’ 

Estimated Annual Costs to the Federal 

Government 

a. AHRQ 

The total cost to the Federal 

Government for the PSO forms and 

Common Formats is $1,737,390 per 

year, including project management and 

support for the review and 

administration of the PSO forms and the 

development and maintenance of the 

Common Formats. 

b. OCR 

Through an interagency agreement 

(IAA), OCR provides management for 

and support of the enforcement of the 

confidentiality protections of the Patient 

Safety Act and the Patient Safety Rule. 

The cost of this IAA is approximately 

$300,000 annually. 

Request for Comments 

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. 

Dated: March 29, 2011. 

Carolyn M. Clancy, 

Director. 

[FR Doc. 2011–9252 Filed 4–15–11; 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; Generic Clearance 

for the Collection of Qualitative 

Feedback on Agency Service Delivery 

AGENCY: Agency for Healthcare Research 

and Quality (AHRQ), HHS. 

ACTION: Notice. 

SUMMARY: As part of a Federal 

Government-wide effort to streamline 

the process to seek feedback from the 

public on service delivery, AHRQ [has 

submitted a Generic Information 

Collection Request (Generic ICR): 

‘‘Generic Clearance for the Collection of 

Qualitative Feedback on Agency Service 

Delivery’’ to OMB for approval under 

the Paperwork Reduction Act (PRA) (44 

U.S.C. 3501 et seq.). 

This proposed information collection 

was previously published in the Federal 

Register on December 22nd, 2010 (75 

FR 80542) 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 must be submitted 

May 18, 2011. 

ADDRESSES: Written comments may be 

submitted to: AHRQ’s OMB Desk Officer 

by fax at (202) 395–6974 (attention: 

AHRQ’s desk officer) or by e-mail at 

OIRAsubmission@omb.eop.gov 

(attention: AHRQ’s desk officer). 

FOR FURTHER INFORMATION CONTACT: To 

request additional information, please 

contact: Doris Lefkowitz, AHRQ Reports 

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

e-mail at 

doris.lefkowitz@AHRO.hhs.gov. 


erowe on DSK5CLS3C1PROD with NOTICES
Federal Register / Vol. 76, No. 74 / Monday, April 18, 2011 / Notices 21747 

SUPPLEMENTARY INFORMATION: 

Title: Generic Clearance for the 

Collection of Qualitative Feedback on 

Agency Service Delivery. 

Abstract: The information collection 

activity will gamer qualitative customer 

and stakeholder feedback in an efficient, 

timely manner, in accordance with the 

Administration’s commitment to 

improving service delivery. By 

qualitative feedback we mean 

information that provides useful 

insights on perceptions and opinions, 

but are not statistical surveys that yield 

quantitative results that can be 

generalized to the population of study. 

This feedback will provide insights into 

customer or stakeholder perceptions, 

experiences and expectations, provide 

an early warning of issues with service, 

or focus attention on areas where 

communication, training or changes in 

operations might improve delivery of 

products or services. These collections 

will allow for ongoing, collaborative and 

actionable communications between the 

Agency and its customers and 

stakeholders. It will also allow feedback 

to contribute directly to the 

improvement of program management. 

Feedback collected under this generic 

clearance will provide useful 

information, but it will not yield data 

that can be generalized to the overall 

population. This type of generic 

clearance for qualitative information 

will not be used for quantitative 

information collections that are 

designed to yield reliably actionable 

results, such as monitoring trends over 

time or documenting program 

performance. Such data uses require 

more rigorous designs that address: The 

target population to which 

generalizations will be made, the 

sampling frame, the sample design 

(including stratification and clustering), 

the precision requirements or power 

calculations that justify the proposed 

sample size, the expected response rate, 

methods for assessing potential nonresponse bias, the protocols for data 

collection, and any testing procedures 

that were or will be undertaken prior to 

fielding the study. Depending on the 

degree of influence the results are likely 

to have, such collections may still be 

eligible for submission for other generic 

mechanisms that are designed to yield 

quantitative results. 

Below we provide AHRQ’s projected 

average annual estimates for the next 

three years: 

Current Actions: New collection of 

information. 

Type of Review: New Collection. 

Affected Public: Individuals and 

Households, Businesses and 

Organizations, State, Local or Tribal 

Government. 

Average Expected Annual Number of 

Activities: 10. 

Respondents: 10,900. 

Annual Responses: 10,900. 

Frequency of Response: Once per 

request. 

Average Minutes per Response: 19. 

Burden Hours: 3,383. 

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 

Office of Management and Budget 

control number. 

Request for Comments 

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. 

Dated: March, 31 2011. 

Carolyn M. Clancy, 

Director. 

[FR Doc. 2011–9253 Filed 4–15–11; 8:45 am] 

BILLING CODE 4160–90–M 

DEPARTMENT OF HEALTH AND 

HUMAN SERVICES 

Centers for Disease Control and 

Prevention 

[30 Day–11–11CC] 

Agency Forms Undergoing Paperwork 

Reduction Act Review 

The Centers for Disease Control and 

Prevention (CDC) 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 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 

Development and Evaluation of Eagle 

Books and Youth Eagle Books for 

American Indians and Alaska Natives 

(AI/ANs)—New—National Center for 

Chronic Disease Prevention and Health 

Promotion (NCCDPHP), Centers for 

Disease Control and Prevention (CDC). 

Background and Brief Description 

The development of effective diabetes 

prevention programs targeting AI/AN 

youth is a compelling priority in 

education and public health. AI/AN 

individuals develop type 2 diabetes at 

younger ages, experience more years of 

disease burden and have a high 

probability of developing diabetesrelated complications. However, 

research shows that type 2 diabetes can 

be prevented or delayed with healthy 

foods and nutrition, moderate physical 

activity, and social support. A number 

of health communication products have 

been developed specifically for AI/AN 

youth. These include the Eagle Books, 

the Youth Books, and the Diabetes 

Education in Tribal Schools (DETS) 

curriculum. 

The Eagle Books are a series of four 

books that have been incorporated into 

the lesson plans for the Kindergarten (K) 

through fourth grades of the DETS 

curriculum. The materials are a result of 

a project that engaged eight Tribal 

Colleges and Universities, NIH, CDC, 

and IHS to develop culturally-grounded, 

scientifically sound lessons to promote 

awareness about diabetes and lifestyle 

adaptations. CDC is currently 

developing additional books for Native 

American youth ages nine to thirteen 

(the ‘‘Youth Books’’). 

CDC plans to conduct a descriptive 

evaluation of the Eagle Books and the 

DETS curriculum. Data collection will 

involve discussion groups and in-depth 

interviews conducted during site visits 

to 12 selected American Indian 

communities. Each site visit will consist 

of: (i) Interviews with up to 3 

community health representatives; (ii) 

Interviews with up to 2 school 

administrators from a local elementary 

school and a middle school; (iii) One 

discussion (focus) group with teachers 

from a local elementary school and one 

discussion group with teachers from a 


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