Federal Register / Vol. 88, No. 191 / Wednesday, October 4, 2023 / Notices 68619 

Dated: September 28, 2023. 

Marquita Cullom, 

Associate Director. 

[FR Doc. 2023–21915 Filed 10–3–23; 8:45 am] 

BILLING CODE 4160–90–C 

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 

‘‘TeamSTEPPS 3.0 Training 

Assessment.’’ In accordance with the 

Paperwork Reduction Act of 1995, 

AHRQ invites the public to comment on 

this proposed information collection. 

DATES: Comments on this notice must be 

received by December 4, 2023. 

ADDRESSES: Written comments should 

be submitted to: Doris Lefkowitz, 

Reports Clearance Officer, AHRQ, by 

email at doris.lefkowitz@AHRQ.hhs.gov. 

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 

TeamSTEPPS 3.0 Training Assessment 

In 2006 the Agency for Healthcare 

Research and Quality (AHRQ) and the 

Department of Defense developed 

Strategies & Tools to Enhance 

Performance and Patient Safety, or 

TeamSTEPPS®, an evidence-based 

patient safety program. The main 

objective of the TeamSTEPPS program 

is to improve patient safety by training 

health care staff in various teamwork, 

communication, and patient safety 

concepts, tools, and techniques and 

ultimately helping to build national 

capacity for supporting teamwork-based 

patient safety efforts in health care 

organizations. Given the advancements 

in health information technology, 

changes in how care is delivered and a 

recent emphasis on engaging patients 

and families as members of the 

healthcare team, the TeamSTEPPS 

curriculum was significantly refreshed 

in 2023 and made into a singular 

comprehensive program to better 

support teams in improving their 

communication skills and collaboration. 

The updated TeamSTEPPS training 

will now be implemented in different 

settings of various large and small 


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Contextual • Individual-level factors 

Factors 0 Demographics (e.g., age, sex, race, ethnicity) 

0 Workforce type (EMS vs. 911) 

0 Education/training, proficiency, experience/career stage, 

trauma exposure 

0 People with self-identified burnout, occupational stress, moral 

injury, or who may be at increased risk for mental or 

behavioral health issues 

• Agency factors 

0 Agency size 

0 Agency location (urban vs. suburban vs. rural) 

0 Shift characteristics (e.g., duration, frequency, timing, 

predictability) 

0 Workflow (e.g., role conflict, role ambiguity, warnings before 

psychological exposures) 

0 Regulations 

0 Financing 

0 Availability of mental health resources 

• Intervention factors 

0 Intervention level (individual, organizational, system-wide 

[local/state/national], or combined) 

0 Intervention target (CISM, subacute coping/stress 

management, or long-term stress management) 

Timing • 2001 to current 

Setting • Prehospital 

• Public Safety Answering Point (PSAP) or Emergency 

Communication Center (ECC) 

• Emergency department 

• Any high-income country (according to World Bank Criteria) 
68620 Federal Register / Vol. 88, No. 191 / Wednesday, October 4, 2023 / Notices 

healthcare and healthcare-related 

organization and institutions around the 

country. Following implementation of 

the updated training, an assessment for 

change in individuals and teams is 

necessary to examine the degree to 

which the updated TeamSTEPPS 

program enhances users experience, 

improves the teams’ effectiveness, 

streamlines team communication and 

overall increases healthcare 

professionals’ commitment to 

interdisciplinary teamwork. 

This project has the following goals: 

(1) Assess the overarching short-term 

(immediately after the training) impact 

of the TeamSTEPPS program to 

determine what improvements should 

be made to the training and how it is 

delivered, and 

(2) Assess the long-term (3–9 months 

after the training) impact of the 

TeamSTEPPS program to determine 

how trained participants use and 

implement the TeamSTEPPS tools and 

resources. 

This project is being conducted by 

AHRQ through its contractor, Chatham 

Communications, 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 surveys: Data will be collected 

from up to 30 trainees at each of 115 

sites (i.e., up to 3,450 respondents) via 

online surveys. All trainees will be 

invited to complete the following online 

surveys: 

(1) Baseline Survey (administered 

prior to training) 

a. TeamSTEPPS Teamwork Attitudes 

Questionnaire (T–TAQ) 

b. Knowledge assessment 

c. Self-reported event rates 

(2) Post-training Survey (administered 

immediately after training completion) 

a. Participant Training Reactions and 

Experiences 

b. TeamSTEPPS Teamwork Attitudes 

Questionnaire (T–TAQ) 

c. Knowledge assessment 

(3) Follow-up Survey (administered 

3–9 months after training completion) 

a. TeamSTEPPS Teamwork Perceptions 

Questionnaire (T–TAP) 

b. Self-reported behavior/ 

implementation activities 

c. Facilitators and barriers to use of 

TeamSTEPPS concepts, tools, or 

strategies 

d. Self-reported changes in awareness, 

policies, or processes 

e. Self-reported event rates 

Estimated Annual Respondent Burden 

Exhibit 1 shows the estimated 

annualized burden hours for trainees’ 

time to participate in this data 

collection. All trainees will complete: 

(1) Pre-training Survey—estimated to 

take 20 minutes per response. 

(2) Post-training Survey—estimated to 

take 20 minutes per response. 

(3) Follow-up Survey—estimated to 

take 20 minutes per response. 

The total annual burden hours are 

estimated to be 3,415.5 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 $155,889.06. 

EXHIBIT 1—ESTIMATED ANNUALIZED BURDEN HOURS

Form name Number of 

respondents 

Number of 

responses 

per respondent 

Hours per 

response 

Total 

burden 

hours 

Pre-training Survey .......................................................................................... 3,450 1 .33 1,138.5 

Post-training Survey ........................................................................................ 3,450 1 .33 1,138.5

Follow-up Survey ............................................................................................. 3,450 1 .33 1,138.5 

Total .......................................................................................................... 10,350 N/A N/A 3,415.5 

EXHIBIT 2—ESTIMATED ANNUALIZED COST BURDEN

Form name Number of 

respondents 

Total 

burden 

hours 

Average 

hourly wage 

rate * 

Total 

cost 

burden 

Pre-training Survey .......................................................................................... 3,450 1,138.5 $46.52 $52,963.02 

Post-training Survey ........................................................................................ 3,450 1,138.5 46.52 52,963.02 

Follow-up Survey ............................................................................................. 3,450 1,138.5 46.52 52,963.02 

Total .......................................................................................................... 10,350 3,415.5 N/A 158,889.06 

* Based on the mean of the average wages for all health professionals (29–0000): Occupational Wages in the United States, May 2022, U.S. 

Department of Labor, Bureau of Labor Statistics (https://www.bls.gov/oes/current/oes_nat.htm). 

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 


lotter on DSK11XQN23PROD with NOTICES1
Federal Register / Vol. 88, No. 191 / Wednesday, October 4, 2023 / Notices 68621 

comments will become a matter of 

public record. 

Dated: September 29, 2023. 

Marquita Cullom, 

Associate Director. 

[FR Doc. 2023–22089 Filed 10–3–23; 8:45 am] 

BILLING CODE 4160–90–P 

DEPARTMENT OF HEALTH AND 

HUMAN SERVICES 

Centers for Medicare & Medicaid 

Services 

[Document Identifier: CMS–10692] 

Agency Information Collection 

Activities: Proposed Collection; 

Comment Request 

AGENCY: Centers for Medicare & 

Medicaid Services, Health and Human 

Services (HHS). 

ACTION: Notice. 

SUMMARY: The Centers for Medicare & 

Medicaid Services (CMS) is announcing 

an opportunity for the public to 

comment on CMS’ intention to collect 

information from the public. Under the 

Paperwork Reduction Act of 1995 (the 

PRA), federal agencies are required to 

publish notice in the Federal Register 

concerning each proposed collection of 

information (including each proposed 

extension or reinstatement of an existing 

collection of information) and to allow 

60 days for public comment on the 

proposed action. Interested persons are 

invited to send comments regarding our 

burden estimates or any other aspect of 

this collection of information, including 

the necessity and utility of the proposed 

information collection for the proper 

performance of the agency’s functions, 

the accuracy of the estimated burden, 

ways to enhance the quality, utility, and 

clarity of the information to be 

collected, and the use of automated 

collection techniques or other forms of 

information technology to minimize the 

information collection burden. 

DATES: Comments must be received by 

December 4, 2023. 

ADDRESSES: When commenting, please 

reference the document identifier or 

OMB control number. To be assured 

consideration, comments and 

recommendations must be submitted in 

any one of the following ways: 

1. Electronically. You may send your 

comments electronically to http://

www.regulations.gov. Follow the 

instructions for ‘‘Comment or 

Submission’’ or ‘‘More Search Options’’ 

to find the information collection 

document(s) that are accepting 

comments. 

2. By regular mail. You may mail 

written comments to the following 

address: CMS, Office of Strategic 

Operations and Regulatory Affairs, 

Division of Regulations Development, 

Attention: Document Identifier/OMB 

Control Number:__, Room C4–26–05, 

7500 Security Boulevard, Baltimore, 

Maryland 21244–1850. 

To obtain copies of a supporting 

statement and any related forms for the 

proposed collection(s) summarized in 

this notice, please access the CMS PRA 

website by copying and pasting the 

following web address into your web 

browser: https://www.cms.gov/ 

Regulations-and-Guidance/Legislation/

PaperworkReductionActof1995/PRAListing 

FOR FURTHER INFORMATION CONTACT: 

William N. Parham at (410) 786–4669. 

SUPPLEMENTARY INFORMATION: 

Contents 

This notice sets out a summary of the 

use and burden associated with the 

following information collections. More 

detailed information can be found in 

each collection’s supporting statement 

and associated materials (see 

ADDRESSES). 

CMS–10692 Home and Community 

Based Services (HCBS) Incident 

Management Survey 

Under the PRA (44 U.S.C. 3501– 

3520), federal agencies must obtain 

approval from the Office of Management 

and Budget (OMB) for each collection of 

information they conduct or sponsor. 

The term ‘‘collection of information’’ is 

defined in 44 U.S.C. 3502(3) and 5 CFR 

1320.3(c) and includes agency requests 

or requirements that members of the 

public submit reports, keep records, or 

provide information to a third party. 

Section 3506(c)(2)(A) of the PRA 

requires federal agencies to publish a 

60-day notice in the Federal Register 

concerning each proposed collection of 

information, including each proposed 

extension or reinstatement of an existing 

collection of information, before 

submitting the collection to OMB for 

approval. To comply with this 

requirement, CMS is publishing this 

notice. 

Information Collection 

1. Type of Information Collection 

Request: Revision of a currently 

approved collection; Title of 

Information Collection: Home and 

Community Based Services (HCBS) 

Incident Management Survey; Use: This 

collection of information request sets 

out a follow up survey that states will 

be requested to complete in order to 

identify current methods and new 

promising practices for identifying, 

reporting, tracking, and resolving 

incidents of abuse, neglect, and 

exploitation. The results of the survey 

will also be used to review the strengths 

and weaknesses of each state’s current 

incident management system, progress 

toward enhancements and 

improvements to these systems, and 

will inform guidance to help ensure 

states comply with sections 

1902(a)(30)(A) and 1915(c)(2)(A) of the 

Social Security Act. Form Number: 

CMS–10692 (OMB control number: 

0938–1362); Frequency: Once and on 

occasion; Affected Public: State, Local, 

or Tribal Governments; Number of 

Respondents: 47; Total Annual 

Responses: 105; Total Annual Hours: 

158. (For policy questions regarding this 

collection contact Ryan Shannahan at 

410–786–0295.) 

Dated: September 29, 2023. 

William N. Parham, III 

Director, Paperwork Reduction Staff, Office 

of Strategic Operations and Regulatory 

Affairs. 

[FR Doc. 2023–22044 Filed 10–3–23; 8:45 am] 

BILLING CODE 4120–01–P 

DEPARTMENT OF HEALTH AND 

HUMAN SERVICES 

Centers for Medicare & Medicaid 

Services 

Privacy Act of 1974; Matching Program 

AGENCY: Centers for Medicare & 

Medicaid Services, Department of 

Health and Human Services. 

ACTION: Notice of a new matching 

program. 

SUMMARY: In accordance with the 

Privacy Act of 1974, as amended, the 

Department of Health and Human 

Services (HHS), Centers for Medicare & 

Medicaid Services (CMS) is providing 

notice of the re-establishment of a 

matching program between CMS and 

State-Based Administering Entities 

(AEs), titled ‘‘Determining Eligibility for 

Enrollment in Applicable State Health 

Subsidy Programs Under the Patient 

Protection and Affordable Care Act.’’ 

DATES: The deadline for comments on 

this notice is November 3, 2023. The reestablished matching program will 

commence not sooner than 30 days after 

publication of this notice, provided no 

comments are received that warrant a 

change to this notice. The matching 

program will be conducted for an initial 

term of 18 months (from approximately 

November 14, 2023, to May 13, 2025) 

and, within three months of expiration, 

may be renewed for up to one additional 


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