53118 Federal Register / Vol. 76, No. 165 / Thursday, August 25, 2011 / Notices 

Engagement Supplement to collect data 

for the Civic Health Assessment, an 

annual report that is mandated by the 

Serve America Act. 

Type of Review: Renewal. 

Agency: Corporation for National and 

Community Service. 

Title: Current Population Survey Civic 

Engagement Supplement. 

OMB Number: # 0607–0466 [existing 

Census clearance number]. 

Agency Number: None. 

Affected Public: Individuals or 

households. 

Total Respondents: 54,000. 

Frequency: Annual. 

Average Time Per Response: Ten 

minutes per household. 

Estimated Total Burden Hours: 9,000 

hours. 

Total Burden Cost (capital/startup): 

None. 

Total Burden Cost (operating/ 

maintenance): None. 

Dated: August 22, 2011. 

John Kim, 

Director of Strategic Initiatives, Strategy 

Office. 

[FR Doc. 2011–21734 Filed 8–24–11; 8:45 am] 

BILLING CODE 6050–$$–P 

DEPARTMENT OF DEFENSE 

Office of the Secretary 

[Docket ID: DoD–2011–HA–0096] 

Proposed Collection; Comment 

Request 

AGENCY: Office of the Assistant 

Secretary of Defense for Health Affairs, 

DoD. 

ACTION: Notice. 

SUMMARY: In compliance with Section 

3506(c)(2)(A) of the Paperwork 

Reduction Act of 1995, the Office of the 

Assistant Secretary of Defense for 

Health Affairs announces the proposed 

extension of a public information 

collection and seeks public comment on 

the provisions thereof. Comments are 

invited on: (a) Whether the proposed 

collection of information is necessary 

for the proper performance of the 

functions of the agency, including 

whether the information shall have 

practical utility; (b) the accuracy of the 

agency’s estimate of the burden of the 

proposed information collection; (c) 

ways to enhance the quality, utility, and 

clarity of the information to be 

collected; and (d) ways to minimize the 

burden of the information collection on 

respondents, including through the use 

of automated collection techniques or 

other forms of information technology. 

DATES: Consideration will be given to all 

comments received by October 24, 2011. 

ADDRESSES: You may submit comments, 

identified by docket number and title, 

by any of the following methods: 

• Federal eRulemaking Portal: http:// 

www.regulations.gov. Follow the 

instructions for submitting comments. 

• Mail: Federal Docket Management 

System Office, 4800 Mark Center Drive, 

Suite 02G09, Alexandria, VA 22350– 

3100. 

Instructions: All submissions received 

must include the agency name, docket 

number and title for this Federal 

Register document. The general policy 

for comments and other submissions 

from members of the public is to make 

these submissions available for public 

viewing on the Internet at http:// 

www.regulations.gov as they are 

received without change, including any 

personal identifiers or contact 

information. 

FOR FURTHER INFORMATION CONTACT: To 

request more information on this 

proposed information collection or to 

obtain a copy of the proposal and 

associated collection instruments, 

please write to the Office of the Chief 

Medical Officer (OCMO), TRICARE 

Management Activity, ATTN: Ms. Judy 

George, Skyline 5, Suite 810, 5111 

Leesburg Pike, Falls Church, VA 22041– 

3206, or call OCMO, Patient Safety 

Division, at (703) 681–0064. 

Title; Associated Form; and OMB 

Number: DoD Patient Safety Survey; 

OMB Number 0720–0034. 

Needs and Uses: The 2001 National 

Defense Authorization Act contains 

specific sections addressing patient 

safety in military and veterans health 

care systems. This legislation states that 

the Secretary of Defense shall establish 

a patient care error reporting and 

management system to study 

occurrences of errors in patient care and 

that one of the purposes of the system 

should be ‘‘To identify systemic factors 

that are associated with such 

occurrences’’ and ‘‘To provide for action 

to be taken to correct the identified 

systemic factors’’ (Sec. 754, items b2 

and b3). In addition, the legislation 

states that the Secretary shall ‘‘Continue 

research and development investments 

to improve communication, 

coordination, and team work in the 

provision of health care’’ (Sec. 754, item 

d4). 

In its ongoing response to this 

legislation and in support of its mission 

to ‘‘promote a culture of safety to 

eliminate preventable patient harm by 

engaging, educating and equipping 

patient-care teams to institutionalize 

evidence-based safe practices,’’ the DoD 

Patient Safety Program plans to field the 

Tri-Service Patient Safety Culture 

Survey. The Culture Survey is based on 

the Department of Health and Human 

Services’ Agency for Healthcare 

Research and Quality’s validated survey 

instrument. Previously administered in 

2005/6 and 2008, the survey obtains 

MHS staff opinions on patient safety 

issues such as teamwork, 

communications, medical error 

occurrence and response, error 

reporting, and overall perceptions of 

patient safety. The purpose of the 

survey is to assess the current status of 

patient safety in MHS facilities and to 

assess patient safety improvement over 

time. Two versions of the survey will be 

available for administration. The 

inpatient survey tool is the same, OMBapproved tool that was administered in 

previous years. There will also be a 

corresponding outpatient survey tool, 

with congruous questions tailored to the 

ambulatory or clinic setting. 

Respondents will select the survey 

corresponding to their care survey. 

Affected Public: Federal government; 

individuals or households. 

Annual Burden Hours: 2,337 hours. 

Number of Respondents: 14,022. 

Responses per Respondent: 1. 

Average Burden per Response: 10 

minutes. 

Frequency: On occasion. 

SUPPLEMENTARY INFORMATION: 

Respondent’s obligation—voluntary. 

Summary of Information Collection 

The Web-based survey will be 

administered on a voluntary-basis to all 

staff working in Army, Navy, and Air 

Force Military Health System (MHS) 

direct care facilities in the U.S. and 

internationally, including Military 

Treatment Facility (MTF) hospitals as 

well as ambulatory and dental services. 

Responses and respondents will remain 

anonymous. There are two versions of 

the survey that may be administered, 

corresponding to the setting in which 

care is delivered, either Hospital 

(inpatient) or Ambulatory (outpatient/ 

clinic setting). 

Dated: August 22, 2011. 

Aaron Siegel, 

Alternate OSD Federal Register Liaison 

Officer, Department of Defense. 

[FR Doc. 2011–21744 Filed 8–24–11; 8:45 am] 

BILLING CODE 5001–06–P 


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