Federal Register / Vol. 75, No. 164 / Wednesday, August 25, 2010 / Notices 52347 

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: 

‘‘Eisenberg Center Voluntary Customer 

Survey Generic Clearance for the 

Agency for Healthcare Research and 

Quality.’’ In accordance with the 

Paperwork Reduction Act, 44 U.S.C. 

3501–3520, AHRQ invites the public to 

comment on this proposed information 

collection. 

This proposed information collection 

was previously published in the Federal 

Register on May 20th 2010 and allowed 

60 days for public comment. One 

comment was 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 September 24, 2010. 

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 

e-mail at doris.lefkowitz(AHRQ.hhs.gov. 

SUPPLEMENTARY INFORMATION: 

Proposed Project 

Eisenberg Center Voluntary Customer 

Survey Generic Clearance for the 

Agency for Healthcare Research and 

Quality 

The Agency for Healthcare Research 

and Quality (AHRQ) requests that the 

Office of Management and Budget 

(OMB) renew, under the Paperwork 

Reduction Act of 1995, AHRQ’s Generic 

Clearance to collect information from 

users of work products and services 

initiated by the John M. Eisenberg 

Clinical Decisions and Communications 

Science Center (Eisenberg Center). 

AHRQ is the lead agency charged 

with supporting research designed to 

improve the quality of healthcare, 

reduce its cost, improve patient safety, 

decrease medical errors, and broaden 

access to essential services. See 42 

U.S.C. 299. AHRQ’s Eisenberg Center is 

an innovative effort aimed at improving 

communication of findings to a variety 

of audiences (‘‘customers’’), including 

consumers, clinicians, and health care 

policy makers. The Eisenberg Center 

compiles research results into a variety 

of useful formats for customer 

stakeholders. The Eisenberg Center also 

conducts its own program of research 

into effective communication of 

research findings in order to improve 

the usability and rapid incorporation of 

findings into medical practice. The 

Eisenberg Center is one of three 

components of AHRQ’s Effective Health 

Care Program, see 42 U.S.C. 299b–7. For 

the period 2005 until September 2008, 

the Eisenberg Center was operated 

through a contractual arrangement with 

the Oregon Health and Science 

University (OHSU), Department of 

Medicine, located in Portland, Oregon. 

In September 2008, the contract for 

operation of the Eisenberg Center was 

awarded to Baylor College of Medicine 

(BCM), located in Houston Texas. 

The collections proposed under this 

clearance include activities to assist in 

the development of materials to be 

disseminated through the Eisenberg 

Center and to provide feedback to 

AHRQ on the extent to which these 

products meet customer needs. These 

materials include Summary Guides that 

summarize and translate the findings of 

comparative effectiveness reviews (CER) 

and research reports for purposes of 

summarizing research findings for 

various decision-making audiences, 

such as consumers, clinicians, or 

policymakers. The guides are designed 

to help these decision makers use 

research evidence to maximize the 

benefits of health care, minimize harm, 

and optimize the use of health care 

resources. In addition, each year of the 

project the Eisenberg Center will 

develop one computerized, interactive 

decision aid for those clinical problems 

identified from selected CERs. The 

intent is for the decision aid to increase 

the patient/consumer’s knowledge of 

the health condition, options, and risk/ 

benefits, lead to greater assurance in 

making a decision, increase the 

congruence between values and choices, 

and enhance involvement in the 

decision making process. Information 

collections conducted under this 

generic clearance are not required by 

regulation and will not be used to 

regulate or sanction customers. Surveys 

will be entirely voluntary, and 

information provided by respondents 

will be combined and summarized so 

that no individually identifiable 

information will be released. The 

Eisenberg Center will produce from 17 

to a maximum of 33 Summary Guides 

per audience (i.e., clinician, 

policymaker, consumer) per year, 

depending on the information needed 

for each product with each audience. 

In accordance with OMB guidelines 

for generic clearances for voluntary 

customer surveys and Executive Order 

12862, AHRQ has established an 

independent review process to assure 

the development, implementation, and 

analysis of high quality customer 

surveys within AHRQ. Specifically, 

AHRQ understands that each activity 

conducted must be submitted to OMB 

with a supporting statement and 

accompanying instruments. Information 

collection may not proceed until 

approved by OMB. 

Method of Collection 

Information collections conducted 

under this clearance will be collected 

via the following methods: 

• Focus Groups. Focus groups may 

include clinical professionals, patients 

or other health care consumers, or 

health policy makers. They will be used 

to provide input regarding the needs for 

products and for the development of 

Decision Aids and Summary Guides. 

Focus groups may also be used to test 

draft products to determine if intended 

information and messages are being 

delivered through products that are 

produced and disseminated through the 

Eisenberg Center. 

• In-person or Telephone Interviews. 

Interviews will be conducted with 

individuals from one or more of the 

three groups identified above. The 

purpose of these interviews is to (1) To 

provide input regarding the 

development of Decision Aids and 

Summary Guides, (2) to determine if 

intended information and messages are 

being delivered effectively through 

products that are produced and 

disseminated through the Eisenberg 

Center, and (3) to engage the subject in 

cognitive testing to (a) determine if 

changes in topical knowledge levels can 

be identified following exposure to 

Eisenberg Center informational or 

instructional products, and (b) identify 

strengths and weaknesses in products 

and services for purposes of making 

improvements that are practical and 

feasible. 

• Customer Satisfaction Survey for 

the Decision Aids. Baseline survey data 

will be collected on both clinician and 


srobinson on DSKHWCL6B1PROD with NOTICES
52348 Federal Register / Vol. 75, No. 164 / Wednesday, August 25, 2010 / Notices 

patient characteristics, characteristics of 

the health care condition, and selected 

outcome measures such as knowledge 

and decisional self-efficacy. Following 

delivery of the decision aid, a user 

survey will be completed to explore 

subjects’ impressions of the tool, 

including ease of use, clarity of 

presentation, length, balance of 

information, rating of interactive 

features, and overall satisfaction. Both 

clinicians and patients/consumers will 

be surveyed. For patients, the customer 

satisfaction survey will include 

decisional outcome measures (e.g., 

decisional conflict, desire for 

involvement in decision making), 

measures of attitudes and self-efficacy, 

and indicators of choice intention or 

actual choice made. If the aid is 

evaluated within a clinical context, 

measures of physician-patient 

interaction will also be considered. 

Additionally, clinicians may be 

interviewed about the impact of the aid 

on clinical flow. 

• Customer Satisfaction Surveys for 

the Summary Guides. These surveys 

will be offered to health care 

professionals, consumers, and policy 

makers that use the online Summary 

Guides. Respondents will report via 

Likert-type or numerical response scales 

how specific informational or 

educational products or materials 

influenced health care or clinical 

practice behaviors. 

• Follow-up CME Surveys. 

Continuing Medical Education (CME) 

credit will be offered to physicians who 

wish to participate in online activities 

developed around the Summary Guides 

for clinicians. Three months after 

completing the educational activity, 

physicians will be asked to complete a 

follow-up survey to assess realized 

changes in clinical practice, barriers to 

making change, and self-assessed 

impacts on patient care. 

• Solicited Topic Nominations. 

Visitors to the Web site will have the 

opportunity to provide information 

about suggested topics that might be 

addressed through the research and 

dissemination efforts of the EHC 

program. 

• Web site Registration. Visitors to the 

Web site will be able to register personal 

contact information (e.g., name, email 

address) if wishing to receive updated 

information and materials as they 

become available. 

• Glossary Feedback Survey. Visitors 

to the Web site who access the health 

care glossary will be asked to suggest 

missing terms and provide additional 

comments on definitions or usage 

sentences, if desired. 

This information will be used to 

develop, improve and/or maintain high 

quality products and services to lay and 

health professional publics. 

Estimated Annual Respondent Burden 

Exhibit 1 shows the estimated total 

burden for the respondents’ time to 

participate in this research. These 

estimates assume a maximum of 99 

Summary Guides over 3 years and 

separate Guides for clinicians, policy 

makers and consumers and are thus 

slight overestimates. 

Focus groups will be used for needs 

assessment and will be conducted with 

clinicians and consumers for 

development of the Summary Guides, 

and additionally with policymakers for 

those Guides in which policy 

recommendations are applicable. Focus 

groups will be conducted with no more 

than 3,168 persons over 3 years and will 

last about 11⁄2 hours. 

Once the Summary Guides are 

developed they will be subjected to inperson or telephone interviews for 

purposes of usability and product 

testing with clinicians, policy makers 

and consumers. In-personltelephone 

interviews will be conducted twice with 

about 4,158 persons over 3 years and 

will take about 66 minutes on average. 

As depicted in Attachment B, two 

rounds of interviews will be conducted 

with all consumer representatives 

during product development, with a 

second round of interviews conducted 

occasionally with clinicians and policy 

makers, as needed. 

Customer satisfaction surveys for the 

Summary Guides will be conducted 

with approximately 19,800 

representatives from the audience to be 

targeted by the Summary Guides over 3 

years (i.e., clinician, policymaker or 

consumer) and will take 5 minutes to 

complete. 

Customer satisfaction surveys will 

also be administered to approximately 

150 clinicians and 1,500 patients in 

evaluating the Decision Aid. These 

surveys will take about 10 minutes to 

complete, and will be administered 

before and after implementation of the 

Decision Aid in the study populations. 

Clinicians that have completed CME 

accrediting requirements and are 

requesting CME credit will be asked to 

complete the follow-up CME Survey 

three months following completion of 

the online activity. This data collection 

will be completed with about 3,960 

clinicians over 3 years and will require 

5 minutes to complete. 

Approximately 7,500 solicited topic 

nomination forms will be completed 

over 3 years by healthcare professional 

and consumer visitors to the Web site 

and will require about 5 minutes to 

complete. Web site Registration will be 

completed by all persons wanting to 

stay up-to-date with the latest 

information from the Eisenberg Center, 

about 18,000 over 3 years, and requires 

about 5 minutes to complete. The 

Glossary Feedback Survey will be 

completed by about 600 persons that 

access the glossary over a 3-year period 

and takes 5 minutes to complete. The 

total burden hours are estimated to be 

18,605 over 3-years. 

Exhibit 2 shows the estimated total 

cost burden associated with the 

respondents’ time to participate in this 

research. The cost burden is estimated 

to be $865,829 annually. 

EXHIBIT 1—ESTIMATED TOTAL BURDEN HOURS OVER 3 YEARS

Type of data collection Number of 

respondents 

Number of responses per 

respondent 

Hours per 

response 

Total burden 

hours 

Focus Groups .................................................................................................. 3,168 1 1.5 4,752

In-person/Telephone Interviews ...................................................................... 4,158 2 1.1 9,148 

Customer Satisfaction Surveys for the Decision Aid ....................................... 1,650 2 10/60 550 

Customer Satisfaction Surveys for the Summary Guides ............................... 19,800 1 5/60 1,650 

Follow-up CME Surveys .................................................................................. 3,960 1 5/60 330 

Solicited Topic Nominations ............................................................................ 7,500 1 5/60 625 

Web site Registration ...................................................................................... 18,000 1 5/60 1,500 

Glossary Feedback Survey ............................................................................. 600 1 5/60 50 

Total .......................................................................................................... 58,836 na na 18,605 


srobinson on DSKHWCL6B1PROD with NOTICES
Federal Register / Vol. 75, No. 164 / Wednesday, August 25, 2010 / Notices 52349 

EXHIBIT 2—ESTIMATED TOTAL COST BURDEN OVER 3 YEARS

Type of data collection Number of 

respondents 

Total burden 

hours 

Average hourly wage rate* Total cost 

burden 

Focus Groups .................................................................................................. 3,168 4,752 $46.71 $221,966 

In-person/Telephone Interviews ...................................................................... 4,158 9,148 53.17 486,399 

Customer Satisfaction Surveys for the Decision Aid ....................................... 1,650 550 24.50 13,475 

Customer Satisfaction Surveys for the Summary Guides ............................... 19,800 1,650 46.71 77,072 

Follow-up CME Surveys .................................................................................. 3,960 330 73.86 24,374 

Solicited Topic Nominations ............................................................................ 7,500 625 19.56 12,225 

Web site Registration ...................................................................................... 18,000 1,500 19.56 29,340 

Glossary Feedback Survey ............................................................................. 600 50 19.56 978 

Total .......................................................................................................... 58,836 18,605 na 865,829 

* Based upon the mean and weighted mean wages for clinicians (29–1062 family and general practitioners), policy makers (11–0000 management occupations, 11–3041 compensation & benefits managers, 13–1072 compensation, benefits & job analysis specialists, 11–9111 medical 

and health service managers, 13–2053 insurance underwriters and 15–2011 actuaries) and consumers (00–0000 all occupations). Focus groups 

include 528 clinicians ($77.64/hr) and 528 consumers ($20.32/hr); in-person/telephone interviews include 528 clinicians, 330 policy makers 

($39.91/hr) and 528 consumers; customer satisfaction surveys for the decision aid include 50 clinicians and 500 consumers; customer satisfaction surveys for the summary guides include 1,650 clinicians, 1,650 policy makers and 3,300 consumers; follow-up CME surveys include 1,320 

clinicians; solicited topic nominations include 1,125 clinicians, 250 policy makers and 1,125 consumers; Web site registration includes 2,700 clinicians, 600 policy makers and 2,700 consumers; glossary feedback survey includes 90 clinicians, 20 policy makers and 90 consumers, National 

Compensation Survey: Occupational wages in the United States May 2008, ‘‘U.S. Department of Labor, Bureau of Labor Statistics.’’ 

Estimated Annual Costs to the Federal 

Government 

The maximum cost to the Federal 

Government is estimated to be 

$1,439,003 annually. Exhibit 3 shows 

the total and annualized cost by the 

major cost components. 

EXHIBIT 3—ESTIMATED TOTAL AND ANNUALIZED COST

Cost component Total cost Annualized 

cost 

Project Development ............................................................................................................................................... $1,019,970 $339,990 

Data Collection Activities ......................................................................................................................................... 735,405 245,135 

Data Processing and Analysis ................................................................................................................................. 1,889,505 629,835 

Project Management ................................................................................................................................................ 557,380 185,793 

Overhead ................................................................................................................................................................. 114,750 38,250 

Total .................................................................................................................................................................. 4,317,010 1,439,003 

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. 

Dated: August 9, 2010. 

Carolyn M. Clancy, 

Director. 

[FR Doc. 2010–20913 Filed 8–24–10; 8:45 am] 

BILLING CODE 4160–90–M 

DEPARTMENT OF HEALTH AND 

HUMAN SERVICES 

National Institutes of Health 

Proposed Collection; Comment 

Request; NCCAM Office of 

Communications and Public Liaison 

Communications Program Planning 

and Evaluation Research 

SUMMARY: In compliance with the 

requirement of Section 3506(c)(2)(A) of 

the Paperwork Reduction Act of 1995, 

for opportunity for public comment on 

proposed data collection projects, the 

National Center for Complementary and 

Alternative Medicine (NCCAM), at the 

National Institutes of Health (NIH), will 

publish periodic summaries of proposed 

projects to be submitted to the Office of 

Management and Budget (OMB) for 

review and approval. 

Proposed Collection: Title: NCCAM 

Office of Communications and Public 

Liaison Communications Program 

Planning and Evaluation Research. Type 

of Information Collection Request: 

Extension. 

Need and Use of Information 

Collection: To carry out NCCAM’s 

legislative mandate to educate and 

disseminate information about 

complementary and alternative 

medicine (CAM) to a wide variety of 

audiences and organizations, the 

NCCAM Office of Communications and 

Public Liaison (OCPL) requests 

clearance to carry out formative research 

of a variety of print and online 

materials, outreach activities, and 

messages to maximize their impact and 

usefulness. 


srobinson on DSKHWCL6B1PROD with NOTICES