32652 Federal Register / Vol. 78, No. 105 / Friday, May 31, 2013 / Notices 

Bureau of Labor Statistics mean hourly wages for 

potentially analogous employee types: First-line 

supervisors of office and administrative support 

workers ($25.40); accounting and auditing clerks 

($17.62); brokerage clerks ($21.34); eligibility 

interviewers, government programs ($19.74). See 

BLS Table 1. This averages out to $21.03 per hour, 

rounded. 

4 In particular, the written request for confidential 

treatment that accompanies the comment must 

include the factual and legal basis for the request, 

and must identify the specific portions of the 

comment to be withheld from the public record. See 

FTC Rule 4.9(c), 16 CFR 4.9(c). 

Thus, total estimated burden under 

the above-noted regulatory sections is 

10,607 hours and $453,297 in associated 

labor costs. Commission staff believes 

that the Information Furnishers Rule 

and subpart E of Regulation V impose 

negligible capital or other non-labor 

costs, as the affected entities are already 

likely to have the necessary supplies 

and/or equipment (e.g., offices and 

computers) for the associated 

information collection provisions. 

Request for Comment: You can file a 

comment online or on paper. For the 

Commission to consider your comment, 

we must receive it on or before July 1, 

2013. Write ‘‘Information Furnishers 

Rule, PRA Comment, P135407’’ on your 

comment. Your comment—including 

your name and your state—will be 

placed on the public record of this 

proceeding, including to the extent 

practicable, on the public Commission 

Web site, at http://www.ftc.gov/os/ 

publiccomments.shtm. As a matter of 

discretion, the Commission tries to 

remove individuals’ home contact 

information from comments before 

placing them on the Commission Web 

site. 

Because your comment will be made 

public, you are solely responsible for 

making sure that your comment does 

not include any sensitive personal 

information, like anyone’s Social 

Security number, date of birth, driver’s 

license number or other state 

identification number or foreign country 

equivalent, passport number, financial 

account number, or credit or debit card 

number. You are also solely responsible 

for making sure that your comment does 

not include any sensitive health 

information, like medical records or 

other individually identifiable health 

information. In addition, do not include 

any ‘‘[t]rade secret or any commercial or 

financial information which is . . . 

privileged or confidential’’ as provided 

in Section 6(f) of the FTC Act 15 U.S.C. 

46(f), and FTC Rule 4.10(a)(2), 16 CFR 

4.10(a)(2). In particular, do not include 

competitively sensitive information 

such as costs, sales statistics, 

inventories, formulas, patterns devices, 

manufacturing processes, or customer 

names. 

If you want the Commission to give 

your comment confidential treatment, 

you must file it in paper form, with a 

request for confidential treatment, and 

you have to follow the procedure 

explained in FTC Rule 4.9(c).4 Your 

comment will be kept confidential only 

if the FTC General Counsel, in his or her 

sole discretion, grants your request in 

accordance with the law and the public 

interest. 

Postal mail addressed to the 

Commission is subject to delay due to 

heightened security screening. As a 

result, we encourage you to submit your 

comments online. To make sure that the 

Commission considers your online 

comment, you must file it at https:// 

ftcpublic.commentworks.com/ftc/ 

infofurnishersrulepra2, by following the 

instructions on the web-based form. If 

this Notice appears at http:// 

www.regulations.gov/#!home, you also 

may file a comment through that Web 

site. 

If you file your comment on paper, 

write ‘‘Information Furnishers Rule, 

PRA Comment, P135407’’ on your 

comment and on the envelope, and mail 

or deliver it to the following address: 

Federal Trade Commission, Office of the 

Secretary, Room H–113 (Annex J), 600 

Pennsylvania Avenue NW., Washington, 

DC 20580. If possible, submit your 

paper comment to the Commission by 

courier or overnight service. 

Visit the Commission Web site at 

www.ftc.gov to read this Notice. The 

FTC Act and other laws that the 

Commission administers permit the 

collection of public comments to 

consider and use in this proceeding as 

appropriate. The Commission will 

consider all timely and responsive 

public comments that it receives on or 

before July 1, 2013. You can find more 

information, including routine uses 

permitted by the Privacy Act, in the 

Commission’s privacy policy, at http:// 

www.ftc.gov/ftc/privacy.htm. 

Comments on the disclosure 

requirements subject to review under 

the PRA should additionally be 

submitted to OMB. If sent by U.S. mail, 

they should be addressed to Office of 

Information and Regulatory Affairs, 

Office of Management and Budget, 

Attention: Desk Officer for the Federal 

Trade Commission, New Executive 

Office Building, Docket Library, Room 

10102, 725 17th Street NW., 

Washington, DC 20503. Comments sent 

to OMB by U.S. postal mail, however, 

are subject to delays due to heightened 

security precautions. Thus, comments 

instead should be sent by facsimile to 

(202) 395–5167. 

David C. Shonka, 

Acting General Counsel. 

[FR Doc. 2013–12931 Filed 5–30–13; 8:45 am] 

BILLING CODE 6750–01–P 

DEPARTMENT OF HEALTH AND 

HUMAN SERVICES 

Agency for Healthcare Research and 

Quality 

Agency Information Collections 

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: 

‘‘Evaluation of the Children’s Health 

Insurance Program Reauthorization Act 

of 2009 (CHIPRA) Quality 

Demonstration Grant Program: Survey 

Data Collection.’’ In accordance with the 

Paperwork Reduction Act, 44 U.S.C. 

3501–3521, AHRQ invites the public to 

comment on this proposed information 

collection. 

DATES: Comments on this notice must be 

received by July 30, 2013. 

ADDRESSES: Written comments should 

be submitted to: Doris Lefkowitz, 

Reports Clearance Officer, AHRQ, by 

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

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.leflcowitz@AHRO.hhs.gov. 

SUPPLEMENTARY INFORMATION: 

Proposed Project 

Evaluation of the Children’s Health 

Insurance Program Reauthorization Act 

of 2009 (CHIPRA) Quality 

Demonstration Grant Program: Survey 

Data Collection. 

The Children’s Health Insurance 

Program Reauthorization Act of 2009 

(CHIPRA), Public Law 111–3, included 

funding for five-year grants so that 

States could experiment with and 

evaluate several promising ideas related 

to improving the quality of children’s 


tkelley on DSK3SPTVN1PROD with NOTICES
Federal Register / Vol. 78, No. 105 / Friday, May 31, 2013 / Notices 32653 

health care in Medicaid and CHIP. In 

February 2010, the Centers for Medicare 

& Medicaid Services (CMS) announced 

the award of 10 demonstration grants to 

States that convincingly articulated an 

achievable vision of what they could 

accomplish by the end of the five-year 

grant period, described strategies they 

would use to achieve the objectives, and 

explained how the strategies would 

achieve the objectives. Applicants were 

encouraged by CMS to address multiple 

grant categories (described below) and 

to partner with other States in designing 

and implementing their projects. 

Of the 10 grantee States selected, six 

are partnering with other States, for a 

total of 18 demonstration States. The 

demonstration States are: Colorado 

(partnering with New Mexico); Florida 

(with Illinois); Maine (with Vermont); 

Maryland (with Wyoming and Georgia); 

Massachusetts; North Carolina; Oregon 

(with Alaska and West Virginia); 

Pennsylvania; South Carolina; and Utah 

(with Idaho). 

These demonstration States are 

implementing 51 distinct projects in at 

least one of five possible grant 

categories, A to E. Category A grantees 

are experimenting with and/or 

evaluating the use of pediatric quality 

measures, including those in the initial 

core set of children’s health care quality 

measures (a group of measures 

developed for state Medicaid and CHIP 

agencies to report in a standardized 

fashion to CMS). Category B grantees are 

promoting health information 

technologies for improved care delivery 

and patient outcomes. Category C 

grantees are implementing personcentered medical homes or other 

provider-based levels of service 

delivery. Category D grantees will 

evaluate the impact of a model pediatric 

electronic health record. Category E 

grantees are testing other State-designed 

approaches to quality improvement in 

Medicaid and CHIP. 

AHRQ’s goal in supporting an 

evaluation of the CHIPRA Quality 

Demonstration Grant Program is to 

provide insight into how best to 

implement quality improvement 

programs as well as information on how 

successful programs can be replicated to 

improve children’s health care quality 

in Medicaid and CHIP. The specific 

goals of this project are as follows: 

1. Identify CHIPRA State activities 

that measurably improve the nation’s 

health care, especially as it pertains to 

children. 

2. Develop a deep, systematic 

understanding of how CHIPRA 

demonstration States carried out their 

grant-funded projects. 

3. Understand why the CHIPRA 

demonstration States pursued certain 

strategies. 

4. Understand whether and how the 

CHIPRA demonstration States’ efforts 

affected outcomes related to knowledge 

and behavior change in targeted 

providers and/or consumers of health 

care. 

This study is being conducted by 

AHRQ through its contractor, 

Mathematica Policy Research Inc., and 

their subcontractors, the Urban Institute 

and AcademyHealth, pursuant to 

AHRQ’s statutory authority to conduct 

and support research on health care and 

on systems for the delivery of such care, 

including activities with respect to the 

quality, effectiveness, efficiency, 

appropriateness and value of healthcare 

services and with respect to quality 

measurement and improvement. 42 

U.S.C. 299a(a)(1) and (2). 

Method of Collection 

To meet these goals AHRQ has 

designed a comprehensive evaluation 

that will make the best use of qualitative 

and quantitative research methods. The 

evaluation will include a survey of 

pediatricians and family physicians. 

This survey will include a random 

sample of physicians in Massachusetts, 

North Carolina, Ohio, and Pennsylvania. 

The questionnaire includes questions 

that support an analysis of (1) physician 

attitudes towards specific strategies and 

resources aimed at improving the 

quality of care provided to pediatric 

patients; (2) the extent to which 

physicians’ practices have attempted to 

implement changes in order to improve 

the quality of care provided to pediatric 

patients; (3) physician attitudes towards 

the utility of receiving performance 

feedback on nine of measures in the 

core quality measure set that are most 

relevant to primary care; (4) perceived 

usefulness of quality-of-care reports 

received by physician practices; (5) 

current practices and attitudes towards 

pay-for-performance financial incentive 

systems based on quality measure 

outcomes; (6) physicians’ uses of and 

attitudes towards electronic health 

records (EHR) in quality measurement 

and improvement; (7) current and 

expected medical home accreditation 

processes; and (8) physician and 

practice demographic information. 

These data will be analyzed in 

conjunction with CMS claims data to 

gain insight on physician perspectives 

on quality measures and quality 

reporting and foster understanding of 

the strategies and resources that seemed 

to contribute most (or least) to those 

outcomes. 

A separate information collection 

request will be submitted for interviews 

and focus groups that are part of this 

evaluation. Administrative and survey 

data will be analyzed with descriptive 

and inferential techniques appropriate 

to answering questions about outcomes 

and impacts. 

Estimated Annual Respondent Burden 

Exhibit 1 shows the estimated 

annualized burden hours for the 

respondents’ time to participate in this 

evaluation. The survey will be 

completed by 1,200 pediatricians and 

family physicians working in primary 

care settings in four States (300 per 

State) and takes 30 minutes to complete. 

The total burden is estimated to be 600 

hours. 

EXHIBIT 1—ESTIMATED ANNUALIZED BURDEN HOURS

Form name Number of 

respondents 

Number of 

responses per 

respondent 

Hours per 

response 

Total burden 

hours 

Pediatrician and Family Physician Survey .............................. 1,200 1 30/60 600 

Total .................................................................................. 1,200 n/a n/a 600 

Exhibit 2 shows the estimated 

annualized cost burden associated with 

the respondents’ time to participate in 

this evaluation. The total cost burden is 

estimated to be $51,156. 


tkelley on DSK3SPTVN1PROD with NOTICES
32654 Federal Register / Vol. 78, No. 105 / Friday, May 31, 2013 / Notices 

EXHIBIT 2—ESTIMATED ANNUALIZED COST BURDEN

Form name Number of 

respondents 

Total burden 

hours 

Average hourly 

wage rate * 

Total cost 

burden 

Pediatrician and Family Physician Survey .............................. 1,200 600 $85.26 $51,156 

Total .................................................................................. 1,200 600 n/a 51,156 

* Based upon the higher of the two means of the hourly wages general pediatricians, National Compensation Survey: ‘‘May 2011 National Occupational Employment and Wage Estimates, United States.’’ U.S. Department of Labor, Bureau of Labor Statistics. 

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 health care 

research and health care 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: May 21, 2013. 

Carolyn M. Clancy, 

Director. 

[FR Doc. 2013–12672 Filed 5–30–13; 8:45 am] 

BILLING CODE 4160–90–M 

DEPARTMENT OF HEALTH AND 

HUMAN SERVICES 

Agency for Healthcare Research and 

Quality 

Privacy Act of 1974; System of 

Records Notice 

AGENCY: Agency for Healthcare Research 

and Quality (AHRQ), Department of 

Health and Human Services (HHS). 

ACTION: Notice to establish a new system 

of records. 

SUMMARY: In accordance with the 

requirements of the Privacy Act of 1974 

(5 USC 552a), the Agency for Healthcare 

Research and Quality (AHRQ) within 

the Department of Health and Human 

Services is establishing a new system of 

records, ‘‘Online Application Ordering 

for Products from the Healthcare Cost 

and Utilization Project (HCUP).’’ This 

online electronic ordering system will 

streamline and facilitate the 

dissemination of HCUP databases and 

software to qualified researchers and 

result in a more efficient process for 

both the public and the Agency. The 

HCUP program and the system of 

records for the online application 

ordering process are more thoroughly 

described in the SUPPLEMENTARY

INFORMATION section and System of 

Records Notice (SORN), below. 

DATES: Effective 30 days after 

publication. HHS/AHRQ may publish 

an amended System of Records Notice 

(SORN) in light of any comments 

received. 

ADDRESSES: Written comments should 

be sent to: HCUP Project Officer, Agency 

for Healthcare Research and Quality, 

540 Gaither Rd., Rockville, MD 20852 

OR to Email: HCUP@AHRQ.GOV. 

FOR FURTHER INFORMATION CONTACT: 

HCUP Project Officer, Agency for 

Healthcare Research and Quality, 540 

Gaither Rd., Rockville, MD 20852, 301– 

427–1410, or HCUP@AHRQ.GOV, 

SUPPLEMENTARY INFORMATION: 

I. Background on New System of 

Records, ‘‘Online Application Ordering 

for HCUP Products From the 

Healthcare Cost and Utilization Project 

(HCUP)’’ 

AHRQ is establishing this new system 

of records to cover personallyidentifiable information (PII) about 

individuals who purchase HCUP 

databases and software products for 

scientific research purposes through a 

new online ordering system. AHRQ’s 

research mission, the HCUP databases, 

and the online ordering process for 

HCUP databases and software products 

are explained in more detail below. 

A. AHRQ’s Research Mission 

The Healthcare Research and Quality 

Act of 1999 (‘‘the Act’’), Public Law 

106–129, amended Title IX of the Public 

Health Service act to establish AHRQ. 

The Act requires that AHRQ enhance 

the quality, appropriateness, and 

effectiveness of health services, and 

enhance access to such services, 

through the establishment of a broad 

base of scientific research and through 

the promotion of improvements in 

clinical and health systems practices, 

including the prevention of diseases and 

other health conditions. AHRQ 

promotes health care quality 

improvement by conducting and 

supporting: 

(1) Research that develops and 

presents scientific evidence regarding 

all aspects of health care; 

(2) Synthesis and dissemination of 

available scientific evidence for use by 

patients, consumers, practitioners, 

providers, purchasers, policy makers, 

and educato; and, 

(3) Initiatives to advance private and 

public efforts to improve health care 

quality. 

B. The HCUP Databases 

AHRQ created a family of health care 

databases and related software tools and 

products known as the Healthcare Cost 

and Utilization Project (HCUP, 

pronounced ‘‘H-Cup’’) to conduct and 

support its research activities. HCUP 

was developed through a Federal-State 

Industry partnership and sponsored by 

AHRQ; it includes the largest collection 

of longitudinal hospital care data in the 

United States, with all-payer, encounterlevel information beginning in 1988. 

The HCUP databases are annual files 

that contain anonymous information 

from hospital discharge records for 

inpatient care and certain components 

of outpatient care, such as emergency 

care and ambulatory surgeries. The 

project currently releases six types of 

databases created for research use on a 

broad range of health issues, including 

cost and quality of health services, 

medical practice patterns, access to 

health care programs, and outcomes of 

treatments at the national, state, and 

local market levels. HCUP also produces 

a large number of software tools to 

enhance the use of administrative health 

care data for research and public health 

use. The software tools use information 

available from a variety of sources to 

create new data elements, often through 

sophisticated algorithms, for use with 

the HCUP databases. 


tkelley on DSK3SPTVN1PROD with NOTICES