4908 Federal Register / Vol. 76, No. 18 / Thursday, January 27, 2011 / Notices 

on public conduct during advisory 

committee meetings. 

Dated: January 21, 2011. 

Barbara Smith, 

Associate Director, Consumer Operated and 

Oriented Plan Program, Office of Consumer 

Information and Insurance Oversight. 

[FR Doc. 2011–1690 Filed 1–24–11; 4:15 pm] 

BILLING CODE 4150–03–P 

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: 

‘‘Understanding Development Methods 

from Other Industries to Improve the 

Design of Consumer Health IT.’’ In 

accordance with the Paperwork 

Reduction Act, 44 U.S.C. 3501–3520, 

AHRQ invites the public to comment on 

this proposed information collection. 

DATES: Comments on this notice must be 

received by March 28, 2011. 

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 

e-mail at 

doris.lefkowitz@AHRQ.hhs.gov. 

SUPPLEMENTARY INFORMATION: 

Proposed Project 

Understanding Development Methods 

from Other Industries to Improve the 

Design of Consumer Health IT 

Consumer health information 

technology (IT) is the collection of tools, 

technologies, and artifacts that 

individuals can use to support their 

health care management tasks (Agarwal 

and Khuntia, 2009). Consumer health IT 

can play an important role in patients’ 

efforts to coordinate their care and in 

ensuring that their personal values and 

interests help guide all clinical 

decisions. In order to accomplish this, 

consumer health IT solutions must take 

into account the particular needs of the 

consumer. 

Useful consumer health IT products 

may enhance the quality of health care 

by empowering individual consumers to 

take a more active, effective, and 

collaborative role in their own personal 

health care. These products could 

provide the following capabilities to 

consumers: 

• Information storage, archiving, and 

retrieval: The capabilities to search 

results of past examinations or lab tests, 

to interact with electronic versions of 

their health records, and identify when 

to seek health care services. 

• Health monitoring: The capability 

to report data (e.g., blood pressure, 

weight) from various locations. 

• Information seeking and searching: 

The capability to interactively search for 

a wealth of health-related information. 

Despite the potential power of 

consumer health IT, consumers have not 

adopted these technologies to the same 

degree that they have adopted 

technology products marketed from 

other consumer product industries. One 

reason for slow adoption is that the 

marketplace lacks robust tools that 

allow for the complexity and diversity 

of personal health information 

management (PHIM) practices. These 

types of practices are influenced by a 

variety of user and contextual factors, 

including demographics, personal 

attitudes, the goals and objectives of 

users, and the broad range of tasks that 

users wish to perform. There is no 

comprehensive list of problems that 

users encounter as they collect and 

reflect on personal information; this 

creates a barrier for design of consumer 

health IT tools. 

New practices for the development of 

consumer-facing digital tools are 

emerging in a variety of industries. The 

success of information management 

tools in other industries offers much to 

be learned and applied to the health 

care field. 

In July of 2009, AHRQ held the 

Building Bridges: Consumer Needs and 

the Design of Health Information 

Technology workshop. The workshop 

brought together leaders from multiple 

disciplines, including health 

informatics, health sciences, 

information science, consumer health 

IT, and human factors to discuss the 

diverse needs of different consumer 

groups in managing their personal 

health information, and how these 

needs could be incorporated into the 

design of consumer health IT solutions. 

The outcome of the workshop was a 

framework to further the design of 

consumer health IT systems, based on 

an understanding of practices that 

consumers use in their PHIM. The final 

report also included a set of 

recommendations for additional work in 

the health IT field related to research 

and industry and policy. Recognizing 

that design plays a key role in consumer 

use of personal tools, one researchrelated recommendation that resulted 

from the workshop was to investigate 

the application of design methodologies 

used in other industries to consumer 

health IT design. 

This project has the following goals: 

(1) To investigate the product 

development approaches, methods, and 

philosophies from a variety of industries 

in order to identify promising design 

and development techniques that will 

be most applicable to consumer health 

IT. 

(2) To disseminate the project 

findings and recommendations to 

vendors and developers of consumer 

health IT products to assist them in 

developing health IT products that are 

consumer-focused. This study is being 

conducted by AHRQ through its 

contractors, Westat and the University 

of Wisconsin, pursuant to AHRQ’s 

statutory authority to conduct and 

support research (1) on health care and 

on systems for the delivery of such care, 

including activities with respect to 

health care technologies, 42 U.S.C. 

299a(a)(5), and (2) to advance the use of 

computer-based health records, 42 

U.S.C. 299b–3(a)(6). 

Method of Collection 

To achieve the goals of this project the 

following activities will be 

implemented: 

(1) Semi-structured interviews will be 

conducted with key informants 

identified as being experts in the design, 

management, and/or marketing of 

consumer products that are relevant to 

consumer health IT products. The 

purpose of these interviews is to gather 

information related to their experiences 

in developing consumer products, 

focusing on the design processes that 

their company uses, how they segment 

the market, the role of users in testing 

during the various product development 

phases, and the factors that affect the 

success of their product development 

approaches. 

(2) The final report will be provided 

in PDF format for easy download from 

the AHRQ National Resource Center for 

Health IT Web site. 

Information collected by the study 

will support the development of 

recommendations for those developers 

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Federal Register / Vol. 76, No. 18 / Thursday, January 27, 2011 / Notices 4909 

and vendors who design, develop, and 

market consumer health IT products. 

The ultimate goal is to improve 

consumer health IT design and impact 

the adoption of this technology by 

consumers. This project will identify 

principles that led to the success of 

other consumer products, so that they 

can be evaluated for extension to the 

design and development of consumer 

health IT. 

Estimated Annual Respondent Burden 

Exhibit 1 shows the estimated 

annualized burden hours for the 

respondents’ time to participate in this 

research. Semi-structured interviews 

will be conducted with no more than 15 

individuals representing a variety of 

consumer-focused industries. The 

average burden will be 90 minutes per 

interview. The total annual burden is 

estimated to be 23 hours. 

Exhibit 2 shows the estimated annual 

cost burden associated with the 

respondent’s time to participate in this 

research. The total annual cost burden 

is estimated to be $1,770. 

EXHIBIT 1—ESTIMATED ANNUALIZED BURDEN HOURS

Form name 

Number of 

technical 

experts 

Number of 

responses per 

expert 

Hours per 

response 

Total burden 

hours 

Semi-structured interviews .............................................................................. 15 1 1.50 23 

Total .......................................................................................................... 15 1 1.50 23 

EXHIBIT 2—ESTIMATED ANNUALIZED COST BURDEN

Form name 

Number of 

technical 

experts 

Total burden 

hours 

Average 

hourly wage 

rate * 

Total cost 

burden 

Semi-structured interviews .............................................................................. 15 23 $76.94 $1,770 

Total .......................................................................................................... 15 23 76.94 1,770 

* Wage rates calculations were not possible using data from the U.S. Department of Labor, Bureau of Labor Statistics, National Occupational 

Employment and Wage Estimates for the United States, Occupational Employment Statistics (OES). The OES categories are too broad to determine a wage rate for a ‘‘Director of Product Development.’’ Instead wage rate calculations are based on information from the Web site 

www.salary.com which has a tool providing a range of salaries for a variety of specific job titles. The salary for a ‘‘Product Development Director’’ 

generally ranges from $130,313 (25th percentile) to $189,771 (75th percentile) with an anticipated median of $160,042. Assuming 2,080 hours 

per year (40 hours per week), the resulting median hourly rate is $76.94. 

Estimated Annual Costs to the Federal 

Government 

Exhibit 3 shows the estimated total 

and annualized cost to the Federal 

Government for this research project. 

Since this project’s activities will span 

a single year the total and annualized 

costs are identical. The estimated total 

cost is $409,388. 

EXHIBIT 3—ESTIMATED TOTAL AND ANNUAL COST * TO THE FEDERAL GOVERNMENT

Cost component Total cost Annualized 

cost 

Administration and Coordination Activities .............................................................................................................. $91,673 $91,673 

Technical Expert Panel ............................................................................................................................................ 74,217 74,217 

Environmental Scan and Grey Literature Review ................................................................................................... 58,413 58,413 

OMB Submission Package ...................................................................................................................................... 11,574 11,574 

Interviews with Study Participants ........................................................................................................................... 102,018 102,018 

Recommendations for Health IT Vendors and Developers .................................................................................... 48,612 48,612 

Dissemination Activities ........................................................................................................................................... 14,325 14,325 

508 Compliance ....................................................................................................................................................... 8,556 8,556 

Total .................................................................................................................................................................. 409,388 409,388 

* Costs are fully loaded including overhead, G&A and fees. 

Request for Comments 

In accordance with the above-cited 

Paperwork Reduction Act legislation, 

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. 

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4910 Federal Register / Vol. 76, No. 18 / Thursday, January 27, 2011 / Notices 

Dated: January 14, 2011. 

Carolyn M. Clancy, 

Director. 

[FR Doc. 2011–1544 Filed 1–26–11; 8:45 am] 

BILLING CODE 4160–90–M 

DEPARTMENT OF HEALTH AND 

HUMAN SERVICES 

Centers for Disease Control and 

Prevention 

[30Day–11–0768] 

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 20503 or by fax to (202) 395–5806. 

Written comments should be received 

within 30 days of this notice. 

Proposed Project 

The Outcome Evaluation of the CDC 

National Prevention Information 

Network (NPIN, formerly known as the 

National AIDS Clearinghouse, OMB No. 

0920–0768) -— Revision—National 

Center for HIV/AIDS, Viral Hepatitis, 

STD, and TB Prevention (NCHHSTP), 

Centers for Disease Control and 

Prevention (CDC). 

Background and Brief Description 

NCHHSTP has the primary 

responsibility within the CDC and the 

U.S. Public Health Service for the 

prevention and control of HIV infection, 

viral hepatitis, sexually transmitted 

diseases (STDs), and tuberculosis (TB), 

as well as for community-based HIV 

prevention activities, syphilis, and TB 

elimination programs. NPIN serves as 

the U.S. reference, referral, and 

distribution service for information on 

HIV/AIDS, viral hepatitis, STDs, and 

TB, supporting NCHHSTP’s mission to 

link Americans to prevention, 

education, and care services. NPIN is a 

critical member of the network of 

government agencies, community 

organizations, businesses, health 

professionals, educators, and human 

services providers that educate the 

American public about the grave threat 

to public health posed by HIV/AIDS, 

viral hepatitis, STDs, and TB. NPIN 

provides the most comprehensive listing 

of HIV/AIDS, viral hepatitis, STD, and 

TB resources and services for 

prevention partners and the American 

public throughout the country and 

makes it available on the NPIN Web site. 

More than 29 million hits to the Web 

site are recorded annually. 

To accomplish CDC’s goal of 

consistently improving NPIN’s Web site, 

and NPIN’s other products and services, 

and meet the ever-growing needs of the 

prevention professionals, prevention 

partners, and the general public, it is 

necessary to collect feedback from 

visitors to the NPIN Web site and the 

users of NPIN’s products and services 

on a on-going basis. Every effort has 

been made to minimize the burden on 

prevention professionals and the general 

public. 

Evaluation Method and Recruitment 

The evaluation will be accomplished 

by survey data collection from two 

groups—users of the NPIN Web site and 

users of NPIN products and services. 

Respondents for each survey will 

include representatives from 

government agencies, community-based 

organizations, advocacy organizations, 

various other organizations involved in 

the prevention and/or treatment of HIV/ 

AIDS, STDs, TB, and/or viral hepatitis, 

and the general public. The NPIN Web 

site user survey will be conducted on an 

ongoing basis via the Web site and a 

blast e-mail reminder will be sent out 

annually. The NPIN products and 

services user survey will be conducted 

on a bi-annual basis with a blast email 

sent out every 6 months. When 

appropriate, NPIN will distribute the 

surveys at conferences and via social 

networks. Some of the NPIN Web site 

user surveys and the NPIN products and 

services surveys will be conducted over 

the phone as needed, which will be kept 

to an absolute minimum. 

The information collected from the 

surveys is not intended to provide 

statistical data for publication. The 

purpose of this activity is solely to 

obtain user feedback that will help 

identify opportunities to improve the 

services and products provided to the 

public by NPIN and to ultimately allow 

NPIN to fulfill its mission. 

Collecting the information described 

in this package allows NPIN to: 

• Acquire accurate, up-to-date 

information from users of the NPIN Web 

site, and other products and services on 

a regular basis and in a timely manner. 

• Identify the service needs of NPIN 

users and implement new features to 

meet those needs. 

• Identify the strengths and 

weaknesses of the NPIN Web site, and 

others products and services. 

• Collect data using a consistent 

format. 

• Comply with requirements under 

the Public Health Service Act, Executive 

Order 12862, and GPRA. 

• Provide the highest quality 

products and services to NPIN users. 

Without this information collection, 

CDC will be hampered in successfully 

carrying out its mission of providing 

quality products and services to 

populations served. Failure to continue 

with our data collection effort would 

compromise efforts to meet the 

legislative requirement of being as 

responsive as possible to the public who 

consistently seek information about the 

prevention and treatment of HIV/AIDS, 

STDS, TB, and viral hepatitis. Moreover, 

it would diminish NPIN’s value to the 

public in terms of usability and 

credibility as a comprehensive Federal 

information and education resource. 

The total estimated annualized burden 

hours are 342. 

ESTIMATED ANNUALIZED BURDEN HOURS

Type of respondent Form name Number of 

respondents 

Responses 

per 

respondent 

Average 

burden per 

response 

(in hours) 

NPIN Web Site User ....................................... NPIN Web site User Survey .......................... 500 1 15/60 

NPIN Products and Services User ................. NPIN Products and Services User Survey .... 500 2 13/60 

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