Federal Register / Vol. 85, No. 232 / Wednesday, December 2, 2020 / Notices 77463 

ADDRESSES: Interested parties are 

invited to submit written comments to 

the FDIC by any of the following 

methods: 

• Agency website: https://

www.FDIC.gov/regulations/laws/ 

federal/notices.html. 

• Email: comments@fdic.gov. Include 

the name and number of the collection 

in the subject line of the message. 

• Mail: Manny Cabeza, Regulatory 

Counsel, MB–3128, Federal Deposit 

Insurance Corporation, 550 17th Street 

NW, Washington, DC 20429. 

• Hand Delivery: Comments may be 

hand-delivered to the guard station at 

the rear of the 17th Street building 

(located on F Street), on business days 

between 7:00 a.m. and 5:00 p.m. 

All comments should refer to 

‘‘Household Survey’’. A copy of the 

comments may also be submitted to the 

OMB desk officer for the FDIC: Office of 

Information and Regulatory Affairs, 

Office of Management and Budget, New 

Executive Office Building, Washington, 

DC 20503. 

FOR FURTHER INFORMATION CONTACT: 

Manny Cabeza, Regulatory Counsel, 

202–898–3767, mcabeza@fdic.gov, MB– 

3128, Federal Deposit Insurance 

Corporation, 550 17th Street NW, 

Washington, DC 20429. 

SUPPLEMENTARY INFORMATION: The FDIC 

is requesting OMB approval for the 

following collection of information: 

Title: Survey of Household Use of 

Banking and Financial Services. 

OMB Number: 3064–NEW. 

Frequency of Response: Once. 

Affected Public: Individuals residing 

in U.S. Households. 

Estimated Number of Respondents: 

40,000. 

Average time per response: 9 minutes 

(0.15 hours) per respondent. 

Estimated Total Annual Burden: 

6,000 hours. 

General Description of Collection: The 

Survey of Household Use of Banking 

and Financial Services (Household 

Survey) supports the FDIC’s mission of 

maintaining public confidence in the 

U.S. financial system. The Household 

Survey is also a key component of the 

FDIC’s compliance with a Congressional 

mandate contained in section 7 of the 

Federal Deposit Insurance Reform 

Conforming Amendments Act of 2005 

(Reform Act) (Pub. L. 109–173), which 

calls for the FDIC to conduct ongoing 

surveys ‘‘on efforts by insured 

depository institutions to bring those 

individuals and families who have 

rarely, if ever, held a checking account, 

a savings account or other type of 

transaction or check cashing account at 

an insured depository institution 

(hereafter in this section referred to as 

the ‘unbanked’) into the conventional 

finance system.’’ Section 7 further 

instructs the FDIC to consider several 

factors in its conduct of the surveys, 

including: (1) ‘‘what cultural, language 

and identification issues as well as 

transaction costs appear to most prevent 

‘unbanked’ individuals from 

establishing conventional accounts’’; 

and (2) ‘‘what is a fair estimate of the 

size and worth of the ‘‘unbanked’’ 

market in the United States.’’ 

The Household Survey collects 

information on bank account ownership 

which provides a factual basis for 

measuring the number and percentage 

of households that are unbanked. The 

Household Survey is the only 

population-representative survey 

conducted at the national level that 

provides state-level estimates of the size 

and characteristics of unbanked 

households for all 50 states and the 

District of Columbia. The Household 

Survey also collects information from 

unbanked households about the reasons 

that they do not have a bank account 

and their interest in having a bank 

account. Increasingly, financial 

products and services are provided by 

nonbanks, many through the use of a 

mobile phone app. Households are 

selecting different combinations of bank 

and nonbank financial products and 

services to meet their core banking 

needs. Consequently, the Household 

Survey has broadened its focus to 

include a wide range of bank and 

nonbank financial products and services 

and to collect information on whether 

and how households are using these in 

combination. 

To obtain this information, the FDIC 

partners with the U.S. Census Bureau, 

which administers the Household 

Survey supplement (FDIC Supplement) 

to households that participate in the 

CPS. The supplement has been 

administered every other year since 

January 2009. The previous survey 

questionnaires and survey results can be 

accessed through the following link: 

http://www.economicinclusion.gov/ 

surveys/. 

Consistent with the statutory mandate 

to conduct the surveys on an ongoing 

basis, the FDIC already has in place 

arrangements for conducting the 

seventh Household Survey as a 

supplement to the June 2021 CPS. 

Prior to finalizing the 2021 survey 

questionnaire, the FDIC seeks to solicit 

public comment on whether changes to 

the existing instrument are desirable 

and, if so, to what extent. It should be 

noted that, as a supplement of the CPS 

survey, the Household Survey needs to 

adhere to specific parameters that 

include limits in the length and 

sensitivity of the questions that can be 

asked of CPS respondents. Interested 

members of the public may obtain a 

copy of the proposed survey 

questionnaire on the following web 

page: https://www.fdic.gov/regulations/ 

laws/federal/2020/2021-survey-ofhousehold-use-of-banking-andfinancial-services.pdf. 

Request for Comment 

Comments are invited on: (a) Whether 

the collection of information is 

necessary for the proper performance of 

the FDIC’s functions, including whether 

the information has practical utility; (b) 

the accuracy of the estimates of the 

burden of the information collections, 

including the validity of the 

methodology and assumptions used; (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 

on respondents, including through the 

use of automated collection techniques 

or other forms of information 

technology. All comments will become 

a matter of public record. 

Federal Deposit Insurance Corporation. 

Dated at Washington, DC, on November 27, 

2020. 

James P. Sheesley, 

Assistant Executive Secretary. 

[FR Doc. 2020–26572 Filed 12–1–20; 8:45 am] 

BILLING CODE 6714–01–P 

DEPARTMENT OF HEALTH AND 

HUMAN SERVICES 

Agency for Healthcare Research and 

Quality 

Supplemental Evidence and Data 

Request on Transitions of Care From 

Pediatric to Adult Services for Children 

With Special Healthcare Needs 

AGENCY: Agency for Healthcare Research 

and Quality (AHRQ), HHS. 

ACTION: Request for Supplemental 

Evidence and Data Submissions. 

SUMMARY: The Agency for Healthcare 

Research and Quality (AHRQ) is seeking 

scientific information submissions from 

the public. Scientific information is 

being solicited to inform our review on 

Transitions of Care from Pediatric to 

Adult Services for Children with Special 

Healthcare Needs, which is currently 

being conducted by the AHRQ’s 

Evidence-based Practice Centers (EPC) 

Program. Access to published and 

unpublished pertinent scientific 

information will improve the quality of 

this review. 

77464 Federal Register / Vol. 85, No. 232 / Wednesday, December 2, 2020 / Notices 

DATES: Submission Deadline on or 

before January 4, 2021. 

ADDRESSES: 

Email submissions: epc@

ahrq.hhs.gov. 

Print submissions: 

Mailing Address: Center for Evidence 

and Practice Improvement, Agency for 

Healthcare Research and Quality, 

ATTN: EPC SEADs Coordinator, 5600 

Fishers Lane, Mail Stop 06E53A, 

Rockville, MD 20857. 

Shipping Address (FedEx, UPS, etc.): 

Center for Evidence and Practice 

Improvement, Agency for Healthcare 

Research and Quality, ATTN: EPC 

SEADs Coordinator, 5600 Fishers Lane, 

Mail Stop 06E77D, Rockville, MD 

20857. 

FOR FURTHER INFORMATION CONTACT: 

Jenae Benns, Telephone: 301–427–1496 

or Email: epc@ahrq.hhs.gov. 

SUPPLEMENTARY INFORMATION: The 

Agency for Healthcare Research and 

Quality has commissioned the 

Evidence-based Practice Centers (EPC) 

Program to complete a review of the 

evidence for Transitions of Care from 

Pediatric to Adult Services for Children 

with Special Healthcare Needs. AHRQ 

is conducting this systematic review 

pursuant to Section 902 of the Public 

Health Service Act, 42 U.S.C. 299a. 

The EPC Program is dedicated to 

identifying as many studies as possible 

that are relevant to the questions for 

each of its reviews. In order to do so, we 

are supplementing the usual manual 

and electronic database searches of the 

literature by requesting information 

from the public (e.g., details of studies 

conducted). We are looking for studies 

that report on Transitions of Care from 

Pediatric to Adult Services for Children 

with Special Healthcare Needs, 

including those that describe adverse 

events. The entire research protocol is 

available online at: https://

effectivehealthcare.ahrq.gov/products/ 

transitions-care-pediatric-adult/ 

protocol. 

This is to notify the public that the 

EPC Program would find the following 

information on Transitions of Care from 

Pediatric to Adult Services for Children 

with Special Healthcare Needs helpful: 

■ A list of completed studies that 

your organization has sponsored for this 

indication. In the list, please indicate 

whether results are available on 

ClinicalTrials.gov along with the 

ClinicalTrials.gov trial number. 

■ For completed studies that do not 

have results on ClinicalTrials.gov, a 

summary, including the following 

elements: Study number, study period, 

design, methodology, indication and 

diagnosis, proper use instructions, 

inclusion and exclusion criteria, 

primary and secondary outcomes, 

baseline characteristics, number of 

patients screened/eligible/enrolled/lost 

to follow-up/withdrawn/analyzed, 

effectiveness/efficacy, and safety results. 

■ A list of ongoing studies that your 

organization has sponsored for this 

indication. In the list, please provide the 

ClinicalTrials.gov trial number or, if the 

trial is not registered, the protocol for 

the study including a study number, the 

study period, design, methodology, 

indication and diagnosis, proper use 

instructions, inclusion and exclusion 

criteria, and primary and secondary 

outcomes. 

■ Description of whether the above 

studies constitute ALL Phase II and 

above clinical trials sponsored by your 

organization for this indication and an 

index outlining the relevant information 

in each submitted file. 

Your contribution is very beneficial to 

the Program. Materials submitted must 

be publicly available or able to be made 

public. Materials that are considered 

confidential; marketing materials; study 

types not included in the review; or 

information on indications not included 

in the review cannot be used by the EPC 

Program. This is a voluntary request for 

information, and all costs for complying 

with this request must be borne by the 

submitter. 

The draft of this review will be posted 

on AHRQ’s EPC Program website and 

available for public comment for a 

period of 4 weeks. If you would like to 

be notified when the draft is posted, 

please sign up for the email list at: 

https://www.effectivehealthcare 

.ahrq.gov/email-updates. 

The systematic review will answer the 

following questions. This information is 

provided as background. AHRQ is not 

requesting that the public provide 

answers to these questions. 

Key Questions (KQs) 

• KQ1: What are the effectiveness, 

comparative effectiveness, harms, and 

costs of care interventions for transition 

from pediatric to adult medical care 

services, including primary care, for 

children with special healthcare needs 

and their families/caregivers? 

Æ KQ1a: How do outcomes vary by 

intervention characteristics or 

components? 

Æ KQ1b: How do outcomes vary by 

patient/caregiver or provider 

characteristics or setting? 

Æ KQ1c: What are the barriers and 

facilitators to effective transitions? 

Æ KQ1d: What are the gaps in 

evidence for the effectiveness of the 

interventions? 

• KQ2: What are the effectiveness, 

comparative effectiveness, harms, and 

costs of implementation strategies for 

care interventions for transition, 

including provider-related training? 

Æ KQ2a: How do outcomes vary by 

intervention characteristics or 

components? 

Æ KQ2b: How do outcomes vary by 

patient/caregiver or provider 

characteristics or setting? 

Æ KQ2c: What are the barriers and 

facilitators to effective implementation? 

Æ KQ2d: What are the gaps in 

evidence for the effectiveness of the 

interventions? 

• KQ3: What is the effectiveness, 

comparative effectiveness, harms, and 

costs of tools to facilitate 

communication between pediatric and 

adult providers for care transitions from 

pediatric to adult medical care for 

children with special healthcare needs 

and their families/caregivers? 

Æ KQ3a: How do outcomes vary by 

intervention characteristics or 

components? 

Æ KQ3b: How do outcomes vary by 

patient/caregiver or provider 

characteristics or setting? 

Æ KQ3c: What are the barriers and 

facilitators to effective tools to facilitate 

communication? 

Æ KQ3d: What are the gaps in 

evidence for the effectiveness of the 

interventions? 

Contextual Questions 

In addition to the identified key 

questions, the report will include a 

mixed-methods evaluation of the 

contexts in which interventions for 

transitioning children with special 

healthcare needs from pediatric to adult 

services are developed and used. 

Contextual questions to be evaluated 

include: 

1. How is effectiveness defined and 

measured for transitions of care from 

pediatric to adult services for children 

with special healthcare needs? 

2. What transition care training and 

other implementation strategies are 

available to prepare pediatric medical 

providers (e.g., pediatricians and other 

specialists) and adult medical providers 

(e.g., primary care providers, nurse 

practitioners, physician assistants) for 

transitioning children with special 

healthcare needs to adult care? 

3. What training is available for 

linguistic- and culturally competent 

care? 

4. What transition care training and 

other implementation strategies are 

available to prepare pediatric patients 

and their families for transitioning 

children with special healthcare needs 

to adult care? 

Federal Register / Vol. 85, No. 232 / Wednesday, December 2, 2020 / Notices 77465 

5. What care interventions including 

primary care have been used for 

transition from pediatric to adult 

medical care for children with special 

healthcare needs? 

6. What strategies have been proposed 

to increase availability of adult care 

providers for people transitioning from 

pediatric to adult care? 

PICOTS (POPULATIONS, INTERVENTIONS, COMPARATORS, OUTCOMES, TIMING, SETTINGS) 

PICOT KQ1: Benefits and harms of care intervention KQ2: Implementation strategies KQ3: Communication tools 

Population ........... Adolescents and young adults (diagnosed with 

cancer or other special healthcare condition 

before 21 years old) with a chronic physical 

or mental illness or physical, intellectual, or 

developmental disability, also including parents and/or care givers.

Multi-disciplinary care providers (e.g., primary 

care/family medicine physicians, specialty 

care physicians, nurse practitioners, physician assistant, etc.) caring for adolescents 

and young adults with a special healthcare 

need.

Multi-disciplinary care providers (e.g., primary 

care/family medicine physicians, specialty 

care physicians, nurse practitioners, physician assistant, etc.) providers caring for adolescents and young adults with a special 

need. 

Patient subgroups: Disease condition (including cancer), age of diagnosis, sex/sexual 

orientation, race/ethnicity, religion, socioeconomic status, adverse childhood events.

Provider subgroups: Age, sex, race/ethnicity, 

education, socioeconomic status, specialty, 

care setting.

Patient subgroups: Disease condition (including cancer), age of diagnosis, sex/sexual 

orientation, race/ethnicity, religion, socioeconomic status, adverse childhood events.

Provider subgroups: Age, sex, race/ethnicity, 

education, socioeconomic status, specialty, 

care setting.

Patient subgroups: Disease condition (including cancer), age of diagnosis, sex/sexual 

orientation, race/ethnicity, religion, socioeconomic status, adverse childhood events. 

Provider subgroups: Age, sex, race/ethnicity, 

education, socioeconomic status, specialty, 

care setting. 

Intervention ......... Intervention related to the care transition from 

pediatric to adult medical care (e.g., any single or multi-component intervention that addresses the Six Core Elements of 

healthcare transition such as educational 

materials, patient care documents, processes, etc. There are not widely established 

neat packages of intervention components; 

interventions vary widely in their components, structure, and processes.). No 

healthcare transition intervention is explicitly 

excluded. However, transition interventions 

that address the full spectrum of transition to 

adult life, such as transition to independent 

living from foster care or among people with 

developmental disabilities, will be excluded.

Implementation strategies, including training 

(e.g., any single or multi-component intervention that addresses implementing the Six 

Core Elements of healthcare transition such 

as trainings).

Tools for provider communication (e.g., any 

single or multi-component intervention that 

addresses communication that supports the 

Six Core Elements of healthcare transition 

such as patient care documents). 

Comparators ....... Comparator required, but no exclusion based 

on comparator type.

Comparator required, but no exclusion based 

on comparator type.

Comparator required, but no exclusion based 

on comparator type. 

Outcomes ........... Æ Transition readiness (e.g., patient, family, 

provider, and system level).

Æ Quality of life. 

Æ Mortality. 

Æ Morbidity. 

Æ Disease-specific clinical outcomes. 

Æ Wellness visits/screenings (e.g., depression, 

anxiety, STIs, other risk and resiliency factors such as alcohol use, substance abuse, 

violence). 

Æ Treatment or care adherence. 

Æ Engagement in care (e.g., no shows, time 

between provider, satisfaction, loss to follow-up, time between leaving pediatric setting to going to adult). 

Æ Satisfaction (patient and family).; 

Æ Family caregiver outcomes. 

Æ Harms. 

Æ Unintended consequences (e.g., ethics of 

transition). 

Æ Psychosocial (e.g., social-emotional, mental 

health, etc.). 

Æ Insurance. 

Æ Cost. 

Æ Resource utilization (ER visit, hospitalization, length of stay). 

Æ Intervention. 

D Adoption. 

D Fidelity. 

D Sustainability. 

D Feasibility. 

D Acceptability. 

Æ Satisfaction (physician and other formal 

caregiver). 

Æ Quality of life. 

Æ Mortality. 

Æ Morbidity. 

Æ Disease-specific clinical outcomes. 

Æ Family Caregiver outcomes. 

Æ Harms. 

Æ Unintended consequences (e.g., ethics of 

transition. 

Æ Cost of implementation. 

Æ Insurance. 

Æ Transition readiness. 

Æ Quality of life. 

Æ Mortality. 

Æ Morbidity. 

Æ Disease-specific clinical outcomes. 

Æ Treatment or care adherence. 

Æ Engagement in care (e.g., no shows, time 

between providers, satisfaction, loss to follow-up, time between leaving pediatric setting to going to adult). 

Æ Satisfaction (patient and family). 

Æ Family Caregiver outcomes. 

Æ Harms. 

Æ Unintended consequences (e.g., ethics of 

transition). 

Æ Insurance. 

Æ Cost. 

Æ Resource utilization (ER visit, hospitalization, length of stay). 

Timing ................. At least 6 months post transition for tests of 

interventions. No exclusions for qualitative 

or mixed studies for barriers and facilitators 

subquestion.

At least 6 months for tests of interventions. No 

exclusions for qualitative or mixed studies 

for barriers and facilitators subquestion.

At least 6 months for tests of interventions. No 

exclusions for qualitative or mixed studies 

for barriers and facilitators subquestion. 

Setting ................. All settings (e.g., primary care, specialty care, 

schools, rural, resource limited settings, and 

telehealth).

All settings (e.g., primary care, specialty care, 

schools, rural, resource limited settings, and 

telehealth).

All settings (e.g., primary care, specialty care, 

schools, rural, resource limited settings, and 

telehealth). 

Dated: November 27, 2020. 

Marquita Cullom, 

Associate Director. 

[FR Doc. 2020–26569 Filed 12–1–20; 8:45 am] 

BILLING CODE 4160–90–P