Federal Register / Vol. 77, No. 21 / Wednesday, February 1, 2012 / Notices 5023 

EXHIBIT 1—ESTIMATED ANNUALIZED BURDEN HOURS

Form name 

Number of 

respondents 

POCs 

Number of 

responses 

per POC 

Hours per 

response 

Total burden 

hours 

Registration Form .................................................................... 30 1 6/60 ........................................ 3 

Data Submission ..................................................................... 30 1 7 and 6/60 .............................. 213 

Data Use Agreement ............................................................... 30 1 1 ............................................. 30 

Total ................................................................................. 30 NA 8 and 12/60 ............................ 246 

Exhibit 2 shows the estimated annualized cost burden based on the respondents’ time to complete the submission process. The cost burden is 

estimated to be $10,485 annually. 

EXHIBIT 2—ESTIMATED ANNUALIZED COST BURDEN

Form name Number of respondents 

Total burden 

hours 

Average hourly 

wage rate* 

Total cost burden 

Registration Form ............................................................................................ 30 3 42.62 128 

Data Submission .............................................................................................. 30 213 42.62 9,078

Data Use Agreement ....................................................................................... 30 30 42.62 1,279 

Total .......................................................................................................... 30 246 NA 10,485

* Mean hourly wage rate of $42.62 for Medical and Health Services Managers (SOC code 19111) was obtained from the May 2009 National 

Industry-Specific Occupational Employment and Wage Estimates, NAICS 621100—Offices of Physicians located at http://www.bls.gov/oe5/2009/ 

may/naic54_621100.htm. 

Estimated Annual Cost to the 

Government 

Exhibit 3 shows the estimated 

annualized cost to the government for 

developing, maintaining and managing 

the CAHPS CG Database, analyzing the 

data and reporting results. The cost is 

estimated to be $220,000 annually. 

Annualized costs for collecting and 

processing the CAHPS CG Database are 

based upon 10 years of historical 

CAHPS Health Plan Database project 

costs. AHRQ wishes to continue this 

data collection indefinitely and requests 

OMB approval for 3 years. 

EXHIBIT 3—ESTIMATED ANNUALIZED COST

Cost component Total cost Annualized 

cost 

Database Maintenance ............................................................................................................................................ $120,000 $40,000 

Data Submission ...................................................................................................................................................... 240,000 80,000 

Data Analysis and Reporting ................................................................................................................................... 300,000 100,000 

Total .................................................................................................................................................................. 660,000 220,000 

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: January 20, 2012. 

Carolyn M. Clancy, 

Director. 

[FR Doc. 2012–2129 Filed 1–31–12; 8:45 am] 

BILLING CODE 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: ‘‘Medical 

Office Survey on Patient Safety Culture 

Comparative Database.’’ In accordance 

with the Paperwork Reduction Act, 44 

U.S.C. 3501–3521, AHRQ invites the 


tkelley on DSK3SPTVN1PROD with NOTICES
5024 Federal Register / Vol. 77, No. 21 / Wednesday, February 1, 2012 / Notices 

public to comment on this proposed 

information collection. 

This proposed information collection 

was previously published in the Federal 

Register on November 28th, 2011 and 

allowed 60 days for public comment. No 

substantive 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 March 2, 2012. 

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: AHRQ’s 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 

email at doris.lefkowitz@AHRQ.hhs.gov. 

SUPPLEMENTARY INFORMATION: 

Proposed Project 

Medical Office Survey on Patient Safety 

Culture Comparative Database 

The Agency for Healthcare Research 

and Quality (AHRQ) requests that the 

Office of Management and Budget 

(OMB) approve, under the Paperwork 

Reduction Act of 1995, AHRQ’s 

collection of information for the AHRQ 

Medical Office Survey on Patient Safety 

Culture (Medical Office SOPS) 

Comparative Database. The Medical 

Office SOPS Comparative Database 

consists of data from the AHRQ Medical 

Office Survey on Patient Safety Culture. 

Medical offices in the U.S. are asked to 

voluntarily submit data from the survey 

to AHRQ, through its contractor, Westat. 

The Medical Office SOPS Database is 

modeled after the Hospital SOPS 

Database [OMB No. 0935–0162; 

approved 05/04/2010] that was 

originally developed by AHRQ in 2006 

in response to requests from hospitals 

interested in knowing how their patient 

safety culture survey results compare to 

those of other hospitals. 

In 1999, the Institute of Medicine 

called for health care organizations to 

develop a ‘‘culture of safety’’ such that 

their workforce and processes focus on 

improving the reliability and safety of 

care for patients (IOM, 1999; To Err is 

Human: Building a Safer Health 

System). To respond to the need for 

tools to assess patient safety culture in 

outpatient ambulatory health care, 

AHRQ developed and pilot tested the 

Medical Office Survey on Patient Safety 

Culture with OMB approval (OMB NO. 

0935–0131; approved July 5, 2007). 

The survey is designed to enable 

medical offices to assess provider and 

staff opinions about patient safety 

issues, medical error, and error 

reporting and includes 52 items that 

measure 12 dimensions of patient safety 

culture. AHRQ released the survey to 

the public along with a Survey User’s 

Guide and other toolkit materials in 

December 2008 on the AHRQ Web site 

(located at http://www.AHRQ.gov/ 

QUAL/patientsafetyculture/ 

mosurvindex.htm). Since its release, the 

survey has been voluntarily used by 

hundreds of medical offices in the U.S. 

The Medical Office SOPS and the 

Comparative Database are supported by 

AHRQ to meet its goals of promoting 

improvements in the quality and safety 

of health care in medical office settings. 

The survey, toolkit materials, and 

preliminary comparative database 

results are all made available to the 

public along with technical assistance 

provided by AHRQ through its 

contractor at no charge to medical 

offices, to facilitate the use of these 

materials for medical office patient 

safety and quality improvement. 

The goal of this project is to create the 

Medical Office SOPS Comparative 

Database. This database will (1) Allow 

medical offices to compare their patient 

safety culture survey results with those 

of other medical offices; (2) provide data 

to medical offices to facilitate internal 

assessment and learning in the patient 

safety improvement process; and, (3) 

provide supplemental information to 

help medical offices identify their 

strengths and areas with potential for 

improvement in patient safety culture. 

De-identified data files will also be 

available to researchers conducting 

patient safety data analysis. The 

database will include 52 items that 

measure 12 areas, or composites, of 

patient safety culture. 

This study is being conducted by 

AHRQ through its contractor, Westat, 

pursuant to AHRQ’s statutory authority 

to conduct and support research on 

healthcare and on systems for the 

delivery of such care, including 

activities with respect to: the quality, 

effectiveness, efficiency, 

appropriateness, and value of healthcare 

services; quality measurement and 

improvement; and database 

development. 42 U.S.C. 299a(a)(1), (2), 

and (a)(8). 

Method of Collection 

To achieve the goal of this project the 

following activities and data collections 

will be implemented: 

(1) Eligibility Form—The purpose of 

this form is to determine the eligibility 

status and initiate the registration 

process for medical offices seeking to 

voluntarily submit their MO SOPS data 

to the MO SOPS Comparative Database. 

The medical office point of contact 

(POC) will complete the form. The POC 

is either an office manager, nurse 

manager, or a survey vendor who 

contracts with a medical office to collect 

their data. The POC may submit data on 

behalf of multiple medical offices 

because many medical offices are part of 

a larger practice with multiple sites or 

part of a larger health system that 

includes many medical office sites. 

(2) Data Use Agreement—The 

purpose of this form is to obtain 

authorization from medical offices to 

use their voluntarily submitted MO 

SOPS data for analysis and reporting 

according to the terms specified in the 

Data Use Agreement (DUA). The 

medical office POC will complete the 

form. 

(3) Medical Office Information Form— 

The purpose of this form is to obtain 

basic information about the 

characteristics of the medical offices 

submitting their MO SOPS data to the 

MO SOPS Comparative Database (e.g., 

number of providers and staff, 

ownership, and type of specialty). The 

medical office POC will complete the 

form. 

(4) Data Submission—After the 

medical office POC has completed the 

Medical Office Eligibility Form, the Data 

Use Agreement and the Medical Office 

Information Form, they will submit 

their data from the MO SOPS to the MO 

SOPS Comparative Database. 

Data from the AHRQ Medical Office 

Survey on Patient Safety Culture are 

used to produce three types of products: 

(1) A Medical Office SOPS Comparative 

Database Report that is produced 

periodically and made available to the 

public on the AHRQ Web site (see 

http://www.AHRQ.gov/QUAL/ 

mosurvey10/moresults10.htm); (2) 

Medical Office Survey Feedback Reports 

that are confidential, customized reports 

produced for each medical office that 

submits data to the database; and, (3) 

Research data sets of staff-level and 

medical office-level de-identified data 

that enable researchers to conduct 

additional analyses. 

Medical offices are asked to 

voluntarily submit their Medical Office 

SOPS data to the comparative database. 

The data are then edited to detect and 

correct errors and aggregated and used 

to produce a Comparative Database 

Report that displays averages, standard 

deviations, and percentile scores on the 

survey’s 52 items and 12 patient safety 


tkelley on DSK3SPTVN1PROD with NOTICES
Federal Register / Vol. 77, No. 21 / Wednesday, February 1, 2012 / Notices 5025 

culture dimensions, as well as 

displaying these results by medical 

office characteristics (size of office, 

specialty, geographic region, etc.) and 

staff characteristics (staff position). 

Estimated Annual Respondent Burden 

Exhibit 1 shows the estimated 

annualized burden hours for the 

medical office to participate in the 

Medical Office SOPS Comparative 

Database. The POC completes a number 

of data submission steps and forms, 

beginning with completion of the online 

Medical Office SOPS Database 

Eligibility Form and Data Use 

Agreement, which will be completed for 

150 medical offices annually. The 

Medical Office Information Form will be 

completed for each medical office; since 

each POC represents an average of 10 

medical offices, a total of 1,500 

Information Forms will be completed 

annually, each requiring about 5 

minutes to complete. The POC will 

submit data for all of the medical offices 

they represent which will take about 4 

and 1⁄2 hours, including the amount of 

time POCs typically spend deciding 

whether to participate in the database, 

preparing their materials and data set 

for submission to the database, and 

performing the submission. The total 

annual burden hours are estimated to be 

816. 

EXHIBIT 1—ESTIMATED ANNUALIZED BURDEN HOURS

Form name 

Number of 

respondents/ 

POCs 

Number of 

responses 

per POC 

Hours per 

response 

Total burden 

hours 

Eligibility Form ................................................................................................. 150 1 3/60 8 

Data Use Agreement ....................................................................................... 150 1 3/60 8 

Medical Office Information Form ..................................................................... 150 10 5/60 125 

Data Submission .............................................................................................. 150 1 4.5 675 

Total .......................................................................................................... 600 NA NA 816 

Medical offices administer the AHRQ 

Medical Office Survey on Patient Safety 

Culture on a periodic basis. Hospitals 

submitting to the Hospital SOPS 

Comparative Database administer the 

survey every 16 months on average. 

Similarly, the number of medical office 

submissions to the database is likely to 

vary each year because medical offices 

do not administer the survey and submit 

data every year. The 150 respondents/ 

POCs shown in Exhibit 1 are based on 

an estimate. 

Exhibit 2 shows the estimated 

annualized cost burden based on the 

respondents’ time to submit their data. 

The cost burden is estimated to be 

$34,779 annually. 

EXHIBIT 2—ESTIMATED ANNUALIZED COST BURDEN

Form name 

Number of 

respondents/ 

POCs 

Total burden 

hours 

Average 

hourly 

wage rate * 

Total cost 

burden 

Eligibility Form ................................................................................................. 150 8 $42.62 $341 

Data Use Agreement ....................................................................................... 150 8 42.62 341 

Medical Office Information Form ..................................................................... 150 125 42.62 341 

Data Submission .............................................................................................. 150 675 42.62 28,769 

Total .......................................................................................................... 600 816 NA 34,779 

* Mean hourly wage rate of $42.62 for Medical and Health Services Managers (SOC code 19111) was obtained from the May 2009 National 

Industry-Specific Occupational Employment and Wage Estimates, NAICS 621100—Offices of Physicians located at http://www.bls.gov/oes/2009/ 

may/naic4_621100.htm. 

Estimated Annual Cost to the 

Government 

The estimated annualized cost to the 

government for developing, 

maintaining, and managing the database 

and analyzing the data and producing 

reports is shown below. The cost is 

estimated to be $310,000 annually for 3 

years. The total cost is estimated to be 

$930,000. 

EXHIBIT 3—ESTIMATED ANNUALIZED COST

Cost component Total cost Annualized 

cost 

Project Development ............................................................................................................................................... $59,715 $19,905 

Data Collection Activities ......................................................................................................................................... 82,107 27,369 

Data Processing and Analysis ................................................................................................................................. 111,963 37,321 

Publication of Results .............................................................................................................................................. 111,966 37,322 

Project Management ................................................................................................................................................ 7,464 2,488 

Overhead ................................................................................................................................................................. 556,785 185,595 

Total .................................................................................................................................................................. 930,000 310,000 


tkelley on DSK3SPTVN1PROD with NOTICES
5026 Federal Register / Vol. 77, No. 21 / Wednesday, February 1, 2012 / Notices 

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: January 20, 2012. 

Carolyn M. Clancy, 

Director. 

[FR Doc. 2012–2128 Filed 1–31–12; 8:45 am] 

BILLING CODE 4160–90–M 

DEPARTMENT OF HEALTH AND 

HUMAN SERVICES 

Centers for Disease Control and 

Prevention 

Advisory Committee on Immunization 

Practices (ACIP) 

In accordance with section 10(a)(2) of 

the Federal Advisory Committee Act 

(Pub. L. 92–463), the Centers for Disease 

Control and Prevention (CDC) announce 

the following federal committee 

meeting. 

Times and Dates: 

8 a.m.—5:30 p.m., February 22, 2012 

8 a.m.—1 p.m., February 23, 2012 

Place: CDC, Tom Harkin Global 

Communications Center, 1600 Clifton Road, 

NE., Building 19, Kent ‘‘Oz’’ Nelson 

Auditorium, Atlanta, Georgia 30333. 

Status: Open to the public, limited only by 

the space available. 

Purpose: The committee is charged with 

advising the Director, CDC, on the 

appropriate uses of immunizing agents. In 

addition, under 42 U.S.C. 1396s, the 

committee is mandated to establish and 

periodically review and, as appropriate, 

revise the list of vaccines for administration 

to vaccine-eligible children through the 

Vaccines for Children (VFC) program, along 

with schedules regarding the appropriate 

dose, administration interval, age groups and 

contraindications applicable to the vaccines. 

Further, under provisions of the Affordable 

Care Act, at section 2713 of the Public Health 

Service Act, immunization recommendations 

of the ACIP that have been adopted by the 

Director of the Centers for Disease Control 

and Prevention must be covered by 

applicable health plans. 

Matters To Be Discussed: The agenda will 

include discussions on: meningococcal 

vaccine, hepatitis B vaccine, tetanus, 

diphtheria, and acellular pertussis (Tdap) 

vaccine, influenza, vaccine supply, 13-valent 

pneumococcal conjugate vaccine, and 

measles-mumps-rubella (MMR) vaccine. A 

VFC vote is scheduled for meningococcal 

vaccines. Recommendation votes are 

scheduled for meningococcal vaccines and 

for Tdap vaccine. Time will be available for 

public comment. 

Agenda items are subject to change as 

priorities dictate. 

The Meeting is webcast live via the World 

Wide Web; for instructions and more 

information on ACIP please visit the ACIP 

Web site: http://www.cdc.gov/vaccines/recs/ 

acip/. 

Contact Person for More Information: 

Stephanie B. Thomas, National Center for 

Immunization and Respiratory Diseases, 

CDC, 1600 Clifton Road, NE., MS–A27, 

Atlanta, Georgia 30333, telephone 404 639– 

8836; Email ACIP@CDC.GOV. 

The Director, Management Analysis and 

Services Office, has been delegated the 

authority to sign Federal Register notices 

pertaining to announcements of meetings and 

other committee management activities for 

both the Centers for Disease Control and 

Prevention and the Agency for Toxic 

Substances and Disease Registry. 

Dated: January 25, 2012. 

Elaine L. Baker, 

Director, Management Analysis and Services 

Office, Centers for Disease Control and 

Prevention. 

[FR Doc. 2012–2140 Filed 1–31–12; 8:45 am] 

BILLING CODE 4160–18–P 

DEPARTMENT OF HEALTH AND 

HUMAN SERVICES 

Centers for Disease Control and 

Prevention 

Disease, Disability, and Injury 

Prevention and Control Special 

Emphasis Panel (SEP): Initial Review 

The meeting announced below 

concerns Occupational Safety and 

Health Education and Research Centers 

(ERC) PAR 10–217, initial review. 

In accordance with Section 10(a)(2) of 

the Federal Advisory Committee Act 

(Pub. L. 92–463), the Centers for Disease 

Control and Prevention (CDC) 

announces the aforementioned meeting: 

Time and Date: 

8 a.m.–5 p.m., February 29, 2012 (Closed), 

8 a.m.–5 p.m., March 1, 2012 (Closed). 

Place: SpringHill Suites Marriott, 3459 

Buckhead Loop, NE., Atlanta, Georgia 30326, 

Telephone: (404) 844–4800. 

Status: The meeting will be closed to the 

public in accordance with provisions set 

forth in Section 552b(c)(4) and (6), Title 5 

U.S.C., and the Determination of the Director, 

Management Analysis and Services Office, 

CDC, pursuant to Public Law 92–463. 

Matters To Be Discussed: The meeting will 

include the initial review, discussion, and 

evaluation of applications received in 

response to ‘‘Occupational Safety and Health 

Education and Research Centers (ERC) PAR 

10–217.’’ 

Virtual Site Visits will be conducted for 

University of North Carolina at Chapel Hill 

and University of Kentucky Research 

Foundation, February 27, 2012; University of 

California, Los Angeles and University of 

Alabama Birmingham, February 28, 2012 to 

advise and make recommendations to the 

Disease, Disability, and Injury Prevention 

and Control SEP: Occupational Safety and 

Health Education and Research Centers, PAR 

10–217. 

Contact Person For More Information: 

George Bockosh, M.S., Scientific Review 

Officer, CDC/NIOSH, 626 Cochrans Mill 

Road, Mailstop P–05, Pittsburgh, 

Pennsylvania 15236, Telephone: (412) 386– 

6465 AND Joan Karr, Ph.D., Scientific Review 

Officer, CDC/NIOSH 1600 Clifton Road, 

Mailstop E–74, Atlanta, Georgia 30333, 

Telephone: (404) 498–2506. 

The Director, Management Analysis and 

Services Office, has been delegated the 

authority to sign Federal Register notices 

pertaining to announcements of meetings and 

other committee management activities, for 

both the Centers for Disease Control and 

Prevention and the Agency for Toxic 

Substances and Disease Registry. 

Dated: January 25, 2012. 

Elaine L. Baker, 

Director, Management Analysis and Services 

Office, Centers for Disease Control and 

Prevention. 

[FR Doc. 2012–2139 Filed 1–31–12; 8:45 am] 

BILLING CODE 4163–18–P 

DEPARTMENT OF HEALTH AND 

HUMAN SERVICES 

Centers for Disease Control and 

Prevention 

Disease, Disability, and Injury 

Prevention and Control Special 

Emphasis Panel (SEP): Initial Review 

The meeting announced below 

concerns Identifying Reasons for Racial/ 

Ethnic Disparities with Completing the 

HPV Vaccine Series among Adolescent 

Females, IP12–004, and Intervention 

Study to Increase Use of Standing 

Orders Programs for Vaccinating Adults 

in Physician Office Settings, IP12–005, 

initial review. 

In accordance with Section 10(a)(2) of 

the Federal Advisory Committee Act 


tkelley on DSK3SPTVN1PROD with NOTICES