Federal Register / Vol. 88, No. 170 / Tuesday, September 5, 2023 / Notices 60683 

PICOTS (POPULATIONS, INTERVENTIONS, COMPARATORS, OUTCOMES, TIMING, AND SETTING)—Continued 

Inclusion Exclusion 

• Treatment breaks (frequency or duration), treatment discontinuation, 

interruptions, or median treatment days.

• Bleeding per rectum.

• Functional outcomes (e.g., fecal or urinary incontinence, erectile dysfunction, sexual dysfunction, use of vaginal dilators).

• Harms of treatment including acute and late toxicity (e.g., 

myelosuppression, gastrointestinal toxicity, such as diarrhea, vomiting, and bowel obstruction, secondary malignancy, radiation dermatitis, radiation proctitis, radiation cystitis, pelvic insufficiency fractures, 

vaginal stenosis).

Timing: 

All KQ .............. No restrictions on duration of treatments or follow-up.

Setting: 

All KQ .............. Cancer care settings.

Study design: 

All KQ .............. Randomized controlled trials, non-randomized controlled trials, observational cohort with concurrent comparator, interrupted time-series, and 

other quasi-experimental designs using appropriate analytic techniques.

Case reports, case series, commentaries, 

cross-sectional studies, reviews, qualitative 

studies, studies with sample size less than 30 

patients (or less than 15 per treatment group/ 

arm), non-randomized studies with unspecified or poorly defined intervention/treatment 

protocol (e.g., lack of names of chemotherapy agents used), non-randomized studies with analytic techniques that don’t allow 

drawing causal inferences. 

Abbreviations: 3–D CRT= three-dimensional conformal radiation therapy; DRE= digital rectal exam; IMRT=intensity-modulated radiation therapy; KQ=key question; MRI= magnetic resonance imaging; PET= positron emission tomography; RCT=randomized controlled trial; VMAT= Volumetric modulated arc therapy. 

Marquita Cullom, 

Associate Director. 

[FR Doc. 2023–19031 Filed 9–1–23; 8:45 am] 

BILLING CODE 4160–90–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 ‘‘Use of 

Open-Ended Responses to Explore 

Disparities in Patient Experience.’’ This 

proposed information collection was 

previously published in the Federal 

Register on June 27th, 2023, and 

allowed 60 days for public comment. 

AHRQ received no substantive 

comments from members of the public. 

The purpose of this notice is to allow an 

additional 30 days for public comment. 

DATES: Comments on this notice must be 

received by October 5, 2023. 

ADDRESSES: Written comments and 

recommendations for the proposed 

information collection should be sent 

within 30 days of publication of this 

notice to www.reginfo.gov/public/do/ 

PRAMain. Find this particular 

information collection by selecting 

‘‘Currently under 30-day Review—Open 

for Public Comments’’ or by using the 

search function. 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.lefkowitz@AHRQ.hhs.gov. 

SUPPLEMENTARY INFORMATION: 

Proposed Project 

Use of Open-Ended Responses To 

Explore Disparities in Patient 

Experience 

The Consumer Assessment of 

Healthcare Providers and Systems 

(CAHPS) program, which is sponsored 

by AHRQ, has the purpose of advancing 

the scientific understanding of the 

patient experience of care, including the 

development and testing of new surveys 

and/or approaches to data collection to 

promote or improve the collection of 

consumer reports and evaluations of 

their experiences with health care. 

This Project has the following goals: 

(1) Use open-ended (narrative) 

responses to provide context, detail, and 

understanding regarding observed 

differences in patient experience based 

on race, ethnicity, gender, and preferred 

language. 

(2) Use Clinician and Group-CAHPS 

Narrative Item Set (NIS)-generated 

narrative data to examine potential 

algorithmic bias in natural language 

programs (NLP) that could potentially 

be used to code large quantities of 

narrative data. 

(3) Where algorithmic bias is 

uncovered, use this analysis to identify 

adjustments that can be applied to both 

the input for these programs or the 

outputs. 

This project is being conducted by 

AHRQ through its contractor, the RAND 

Corporation, 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 achieve the goals of this project the 

following data collections will be 

implemented: 

Online survey: Data will be collected 

from a sample of 4,998 survey 


ddrumheller on DSK120RN23PROD with NOTICES1
60684 Federal Register / Vol. 88, No. 170 / Tuesday, September 5, 2023 / Notices 

respondents drawn from the Ipsos 

KnowledgePanel, a large nationwide 

online panel of American adults (over 

50,000 panelists) with demographic 

characteristics consistent with the adult 

U.S. population. Equal-sized 

subsamples will be drawn for each of 

the following groups: non-Hispanic 

Asian American, Native Hawaiian or 

Other Pacific Islander; non-Hispanic 

Black; Spanish-speaking Hispanic; 

English-speaking Hispanic; nonHispanic Multiracial; and non-Hispanic 

White. Within these six subsamples, we 

will strive to recruit a roughly equal 

split of men and women. The survey 

will be fielded in English and Spanish 

based on respondent-preferred language. 

Estimated Annual Respondent Burden 

Exhibit 1 shows the estimated 

annualized burden hours for survey 

respondents’ time to participate in this 

data collection. All participants will 

complete the Online Survey, which is 

estimated to take 17 minutes per 

response. The total annual burden hours 

are estimated to be 1,416 hours. 

Exhibit 2 shows the estimated 

annualized cost burden associated with 

the respondents’ time to participate in 

this data collection. The cost burden is 

estimated to be $39,662. 

EXHIBIT 1—ESTIMATED ANNUALIZED BURDEN HOURS

Form name Number of 

respondents 

Number of 

responses per 

respondent 

Hours per 

response 

Total burden 

hours 

Online Survey .................................................................................................. 4,998 1 .28 1,416 

Total .......................................................................................................... 4,998 na na 1,416 

EXHIBIT 1—ESTIMATED ANNUALIZED BURDEN HOURS

Form name Number of 

respondents 

Total burden 

hours 

Average 

hourly wage 

rate * 

Total cost 

burden 

Online Survey .................................................................................................. 4,998 1,416 a $28.01 $39,662 

Total .......................................................................................................... 4,998 1,416 Na 39,662 

* The May 2017 National Employment and Wage Estimates reported by the Bureau of Labor statistics indicate an average hourly wage of 

$28.01 across the 50 U.S. states and the District of Columbia. The national average has been used to estimate the wages of survey respondents. The Knowledge Panel consists of a broad cross-section of the U.S. adult population, and thus a national average should be a reasonable 

estimate of the wages of survey respondents. National Compensation Survey: Occupational wages in the United States May 2021, ‘‘U.S. Department of Labor, Bureau of Labor Statistics.’’ aBased on the mean wages for all occupations, code 00–0000. 

Request for Comments 

In accordance with the Paperwork 

Reduction Act, 44 U.S.C. 3501–3520, 

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’s 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: August 30, 2023. 

Marquita Cullom, 

Associate Director. 

[FR Doc. 2023–19079 Filed 9–1–23; 8:45 am] 

BILLING CODE 4160–90–P 

DEPARTMENT OF HEALTH AND 

HUMAN SERVICES 

Centers for Disease Control and 

Prevention 

[30Day–23–23FQ] 

Agency Forms Undergoing Paperwork 

Reduction Act Review 

In accordance with the Paperwork 

Reduction Act of 1995, the Centers for 

Disease Control and Prevention (CDC) 

has submitted the information 

collection request titled ‘‘Public Health/ 

Public Safety Strategies to Reduce Drug 

Overdose Data Collection’’ to the Office 

of Management and Budget (OMB) for 

review and approval. CDC previously 

published a ‘‘Proposed Data Collection 

Submitted for Public Comment and 

Recommendations’’ notice on June 09, 

2023 to obtain comments from the 

public and affected agencies. CDC did 

not receive comments related to the 

previous notice. This notice serves to 

allow an additional 30 days for public 

and affected agency comments. 

CDC will accept all comments for this 

proposed information collection project. 

The Office of Management and Budget 

is particularly interested in comments 

that: 

(a) Evaluate whether the proposed 

collection of information is necessary 

for the proper performance of the 

functions of the agency, including 

whether the information will have 

practical utility; 

(b) Evaluate the accuracy of the 

agencies estimate of the burden of the 

proposed collection of information, 

including the validity of the 

methodology and assumptions used; 

(c) Enhance the quality, utility, and 

clarity of the information to be 

collected; 

(d) Minimize the burden of the 

collection of information on those who 

are to respond, including, through the 

use of appropriate automated, 

electronic, mechanical, or other 

technological collection techniques or 

other forms of information technology, 

e.g., permitting electronic submission of 

responses; and 


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