30364 Federal Register / Vol. 76, No. 101 / Wednesday, May 25, 2011 / Notices 

ESTIMATED ANNUALIZED BURDEN TABLES

Type of respondent Data collection name Number of 

respondents 

Number of 

responses per 

respondent 

Average 

burden per 

response 

(in hours) 

Total burden 

(in hours) 

BodyWorks program participants ...... Parent/Caregiver Follow-Up Study 

Questionnaire.

450 1 10/60 75 

Parent/Caregiver Follow-Up Study 

Focus Group.

18 1 60/60 18 

English & Spanish Participant Exit 

Survey—Post Only Pilot Study.

100 1 10/60 17 

English and Spanish Participant 

Pretests—Full Evaluation.

408 1 20/60 136 

English and Spanish Participant 

Posttests—Full Evaluation.

300 1 20/60 100 

English and Spanish Participant Follow-ups—Full Evaluation.256 1 20/60 85 

English and Spanish Participant 

Session Feedback Forms—Full 

Evaluation.

300 8 5/60 200 

English and Spanish BodyWorks 

program comparison group participant.

English and Spanish Participant 

Pretests—Full Evaluation.

408 1 20/60 136 

English and Spanish Participant 

Posttests—Full Evaluation.

300 1 20/60 100 

English and Spanish Participant Follow-ups—Full Evaluation.256 1 20/60 85 

Trainers of the BodyWorks program Trainer Follow-Up Study Questionnaire.1,250 1 20/60 417 

Trainer Follow-Up Study Interview ... 15 1 60/60 15 

Trainer Exit Survey Satisfaction 

Interview—Post only pilot study.

10 1 30/60 5 

Trainer Feedback Forms—Full Evaluation.30 8 5/60 20 

Total Project Burden Hours ....... ........................................................... ........................ ........................ ........................ 1,409 

Mary Forbes, 

Office of the Secretary, Paperwork Reduction 

Act Clearance Officer. 

[FR Doc. 2011–12900 Filed 5–24–11; 8:45 am] 

BILLING CODE 4150–33–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: 

‘‘Comparative Effectiveness ResearchContinuing Education.’’ In accordance 

with the Paperwork Reduction Act, 44 

U.S.C. 3501–3521, AHRQ invites the 

public to comment on this proposed 

information collection. 

This proposed information collection 

was previously published in the Federal 

Register on February 28th, 2011 and 

allowed 60 days for public comment. No 

comments were 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 June 24, 2011. 

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.letkowitz@AHRQ.hhs.gov. 

SUPPLEMENTARY INFORMATION: 

Proposed Project 

Comparative Effectiveness ResearchContinuing Education 

Previous dissemination efforts in 

health care research and evidence 

through comparative effectiveness 

funded by the Federal Government have 

largely been focused in academic 

settings, rather than among physicians 

and clinicians in health care delivery 

settings. This project implements and 

evaluates methods that extend beyond 

the academic setting to engage the target 

audiences in the health care 

environment where decisions are 

typically made. 

Most clinicians are required to 

complete continuing medical education 

(CME) accepted by accrediting 

organizations recognized by State 

medical boards. Over sixty boards 

require anywhere from 12 CME credits 

to 50 CME credits per year for a 

clinician to retain their State licensure. 

(State Medical Licensure Requirements 

and Statistics, 2010, http://www.amaassn.org/amal/pub/upload/mm/40/ 

table16.pdf.) AHRQ currently provides 

CME credits on some of its comparative 

effectiveness research reviews; however, 

these CME credits are applicable to 

physicians only and AHRQ is not 

conducting any follow-up surveys with 

physicians on these CME activities to 

ascertain the impact on physician 

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Federal Register / Vol. 76, No. 101 / Wednesday, May 25, 2011 / Notices 30365 

behavior. AHRQ is expanding its 

continuing education to include nurses, 

nurse practitioners, physician assistants, 

medical assistants, pharmacists, 

respiratory therapists, and other allied 

health professionals, as well as 

physicians. In addition, AHRQ wants to 

assess the impact continuing education 

has on clinician behavior, its perceived 

value, and whether or not education on 

comparative effectiveness research 

made a difference in a clinician’s 

confidence in applying comparative 

effectiveness research in practice, 

understanding the application of such 

research, and improved ability to 

counsel patients on treatment and 

management alternatives. 

Dissemination of clinical and research 

findings to clinicians varies in 

approach, methods and by target 

audience. Highly technical and 

scientific publications are peer reviewed 

and serve to validate the methods, 

calculations, analysis and conclusions 

of studies and research. However, it is 

nearly impossible to discern whether 

the manuscript was read, its effect on 

the reader, and the likelihood that the 

reader will utilize the information. 

Accredited education is widely 

accepted as a method for dissemination 

of research findings and is provided in 

various ways, including online, on site, 

and through audio and video 

presentations. To earn credit for 

participation, clinicians must provide 

contact information, allowing the 

possibility of follow-up data collections 

regarding behaviors, attitudes and 

performance information about the 

participant. AHRQ has also provided 

accredited education as a method to 

disseminate CER findings, and with this 

project, has reaffirmed the value of CME 

in dissemination of CER findings and 

expanded the commitment to provide 

accredited education for multiple health 

care disciplines. 

The goal of this project is to enhance 

awareness of comparative effectiveness 

research among clinicians and measure 

the value and impact of these efforts. 

This study is being conducted by 

AHRQ through its contractor, PRIME 

Education, Inc., pursuant to AHRQ’s 

statutory authority to conduct and 

support research on healthcare and on 

systems for the delivery of such care, 

including activities with respect to: the 

quality, effectiveness, efficiency, 

appropriateness and value of healthcare 

services; quality measurement and 

improvement; and clinical practice. 42 

U.S.C. 299a(a)(1),(2) and (4). 

Method of Collection 

To achieve this project’s goal, the 

following activities and data collections 

will be implemented: 

1. Provide continuing medical 

education (CME) or continuing 

education units (CE/CEU) through the 

appropriate accrediting organizations by 

providing 15 multimedia online 

continuing education modules per year 

for 3 years, on specific comparative 

effectiveness research reports and 

provide quantitative and qualitative 

metrics about usage of these programs 

by physicians, pharmacists, nurses, 

nurse practitioners, physician assistants, 

medical assistants, allied health 

professionals, and other clinicians. This 

activity is designed to raise awareness of 

and utility of comparative effectiveness 

research by providing free and easy 

access to clinician guides and consumer 

guides for clinicians and their patients/ 

families to assist in making informed 

decisions about health care. 

The following monthly utilization 

rates for the online CME/CE/CEU 

activities will be collected: The number 

of CME/CE/CEU certificates issued, 

monthly participation statistics, and the 

number of clinician and consumer 

guides ordered. Because all of the CME/ 

CE/CEU activities are online, the 

utilization rates are automatically 

collected by the contractor’s computer 

when the health care professional 

registers for the activity, participates in 

the online education, requests 

continuing education credit for the 

activity, and orders clinician and 

consumer guides. Therefore, this 

activity does not require OMB 

clearance. 

2. CME/CE/CEU registration data is 

provided by the health care professional 

when he or she logs on and registers for 

a course. The health care professional 

would key in their name, e-mail 

address, address (selecting either their 

home or business address), telephone 

number, type of discipline, and their 

practice setting. This data is collected to 

ensure that the health care professional 

receives CME/CE/CEU credit for the 

courses that he or she takes and will be 

used to implement the AHRQ Online 

Continuing Education Participant 

Evaluation described below. 

3. AHRQ Online Continuing 

Education Participant Evaluation to 

evaluate the effectiveness and impact of 

the CME/CE/CEU modules at 60 days, 6 

months and 1 year after completion of 

the module. The purpose of this 

evaluation is to assess the clinicians’ 

confidence level in applying 

comparative effectiveness research, their 

understanding of the research, how 

valuable the research is to the clinician 

and their intent to change their practice 

based on this research. Evaluation 

questions have been developed based 

upon established conceptual 

frameworks and principles of adult 

learning. 

Data collected will be used to assess 

the utility and effectiveness of the 

educational module in increasing 

awareness and utility of information 

provided in comparative effectiveness 

research. Data will provide useful 

quantitative and qualitative metrics 

which AHRQ can use to measure the 

outcomes of the project. Moreover, these 

metrics will enable AHRQ to identify 

new potential barriers that may thwart 

the outcome-lending important 

information regarding future 

educational needs. 

Estimated Annual Respondent Burden 

Exhibit 1 shows the estimated 

annualized burden hours for the 

respondents’ time to participate in this 

research. The AHRQ Online Continuing 

Education Participant Evaluation will be 

completed at 3 different points in time 

after completion of the CME/CE/CEU 

education module. The CME/CE/CEU 

registration data is collected for an 

estimated 1,500 health care 

professionals and takes approximately 5 

minutes. The same estimated 1,500 

health care professionals will complete 

the evaluation 3 times each year, which 

takes about 3 minutes to complete. The 

total annual burden is estimated to be 

350 hours. 

Exhibit 2 shows the estimated annual 

cost burden to respondents, based on 

their time to participate in surveys for 

each CME/CE/CEU module. The annual 

cost burden is estimated to be $16,290.] 

Exhibit 1. Estimated annualized burden 

hours per module 

Form name Number of 

respondents 

Number of 

responses per 

respondent 

Hours per 

response 

survey 

Total burden 

hours 

AHRQ Online Continuing Education CME/CE/CEU Registration Data ........... 1500 1 5/60 125 

AHRQ Online Continuing Education Participant Evaluation ........................... 1500 3 3/60 225 

WReier-Aviles on DSKGBLS3C1PROD with NOTICES

30366 Federal Register / Vol. 76, No. 101 / Wednesday, May 25, 2011 / Notices 

Form name Number of 

respondents 

Number of 

responses per 

respondent 

Hours per 

response 

survey 

Total burden 

hours 

Total .......................................................................................................... 3,000 na na 350 

Exhibit 2. Estimated annualized cost 

burden per module 

Form name Number of 

respondents 

Total burden 

hours 

Average hourly wage rate* Total cost 

burden 

AHRQ Online Continuing Education CME/CE/CEU Registration Data ........... 1500 125 $46.54 $5818 

AHRQ Online Continuing Education Participant Evaluation ........................... 1500 225 46.54 10,472 

Total .......................................................................................................... 3,000 350 na 16,290 

*Based upon the mean of the average hourly wages for Physicians (292–1069; $83.59), Pharmacists (29–1051; $51.27), Physician Assistants 

and Nurse Practitioners (29–1071; $40.78), Registered Nurses (29–1111; $31.99) and Healthcare Practitioners (29–9099; $25.05), National 

Compensation Survey: Occupational wages in the United States May 2009, ‘‘U.S. Department of Labor, Bureau of Labor Statistics.’’ 

Estimated Annual Costs to the Federal 

Government 

Exhibit 3 shows the total and 

annualized cost for the 45 CME/CE/CEU 

modules (15 per year for 3 years). The 

total cost is estimated to be $3,963,150. 

Exhibit 3. Estimated Total and 

Annualized Cost 

Cost component Total cost Annualized 

cost 

Development of CME/CE/CEU Module ................................................................................................................... $2,256,300 $752,100 

Module Accreditation ............................................................................................................................................... 900,000 300,000 

Module Dissemination ............................................................................................................................................. 450,000 150,000 

Evaluation instrument development and dissemination, data collection, processing and analysis ........................ 356,850 118,950 

Total .................................................................................................................................................................. 3,963,150 1,321,050 

Request for Comments 

In accordance with the Paperwork 

Reduction Act, 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: May 12, 2011. 

Carolyn M. Clancy, 

Director. 

[FR Doc. 2011–12668 Filed 5–24–11; 8:45 am] 

BILLING CODE M 

DEPARTMENT OF HEALTH AND 

HUMAN SERVICES 

Centers for Disease Control and 

Prevention 

[Docket Number NIOSH–238] 

Draft Alert Entitled ‘‘Preventing 

Occupational Respiratory Disease 

From Dampness in Office Buildings, 

Schools, and Other Nonindustrial 

Buildings;’’ Correction 

A notice of draft document for public 

comment was published in the Federal 

Register, May 18, 2011, (76 FR 28789). 

This notice is corrected as follows: 

On page 28789, second column: 

Under the heading ‘‘Summary’’ the Web 

site has been changed to http:// 

www.cdc.gov/niosh/docket/review/ 

docket238/. 

Dated: May 19, 2011. 

John Howard, 

Director, National Institute for Occupational 

Safety and Health, Centers for Disease Control 

and Prevention. 

[FR Doc. 2011–12935 Filed 5–24–11; 8:45 am] 

BILLING CODE 4163–18–D 

DEPARTMENT OF HEALTH AND 

HUMAN SERVICES 

Centers for Disease Control and 

Prevention 

Disease, Disability, and Injury 

Prevention and Control Special 

Emphasis Panel (SEP): Public Health 

Prevention Fund: Streamlined 

Surveillance for Venilator-Associated 

Pneumonia: Reducing Burden and 

Demonstrating Preventability, Funding 

Opportunity Announcement (FOA) 

CK11–0010101PPHF11, Initial Review 

Correction: The notice was published 

in the Federal Register on April 18, 

2011, Volume 76, Number 74, Page 

21749. The time and date should read 

as follows: 

Time and Date: 11 a.m.–2 p.m., May 

26, 2011 (Closed). 

WReier-Aviles on DSKGBLS3C1PROD with NOTICES