73342 Federal Register / Vol. 88, No. 205 / Wednesday, October 25, 2023 / Notices 

https://www.federalreserve.gov/foia/ 

request.htm. Interested persons may 

express their views in writing on the 

standards enumerated in paragraph 7 of 

the Act. 

Comments regarding each of these 

applications must be received at the 

Reserve Bank indicated or the offices of 

the Board of Governors, Ann E. 

Misback, Secretary of the Board, 20th 

Street and Constitution Avenue NW, 

Washington, DC 20551–0001, not later 

than November 8, 2023. 

A. Federal Reserve Bank of St. Louis 

(Holly A. Rieser, Senior Manager) P.O. 

Box 442, St. Louis, Missouri 63166– 

2034. Comments can also be sent 

electronically to 

Comments.applications@stls.frb.org: 

1. Pauline Elizabeth Hawkins, 

individually, and as trustee of the 

Pauline E. Hawkins Trust, both of St. 

Louis, Missouri; to retain voting shares 

of SBW Bancshares, Inc., and thereby 

indirectly retain voting shares of State 

Bank, both of Waterloo, Illinois. 

Board of Governors of the Federal Reserve 

System. 

Michele Taylor Fennell, 

Deputy Associate Secretary of the Board. 

[FR Doc. 2023–23514 Filed 10–24–23; 8:45 am] 

BILLING CODE 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 

‘‘Consumer Assessment of Healthcare 

Providers and Systems (CAHPS) Health 

Plan Survey Database.’’ This proposed 

information collection was previously 

published in the Federal Register on 

August 24, 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 November 24, 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 

Consumer Assessment of Healthcare 

Providers and Systems (CAHPS) Health 

Plan Survey Database 

AHRQ requests that OMB reapprove 

AHRQ’s collection of information for 

the AHRQ Consumer Assessment of 

Healthcare Providers and Systems 

(CAHPS) Health Plan Survey Database: 

OMB Control number 0935–0165, 

expiration November 30, 2023 (the 

CAHPS Health Plan Database). The 

CAHPS Health Plan Database consists of 

data from the AHRQ CAHPS Health 

Plan Survey. Health plans in the U.S. 

are asked to voluntarily submit data 

from the survey to AHRQ, through its 

contractor, Westat. The CAHPS Health 

Plan Database was developed by AHRQ 

in 1998 in response to requests from 

health plans, purchasers, and the 

Centers for Medicare & Medicaid 

Services (CMS) to provide comparative 

data to support public reporting of 

health plan ratings, health plan 

accreditation and quality improvement. 

This research has the following goals: 

(1) To maintain the CAHPS Health 

Plan Database using data from AHRQ’s 

standardized CAHPS Health Plan 

Survey to provide results to health care 

purchasers, consumers, regulators and 

policy makers across the country. 

(2) To offer several products and 

services, including aggregated results 

presented through an Online Reporting 

System, summary chartbooks, custom 

analyses, and data for research 

purposes. 

(3) To provide data for AHRQ’s 

annual National Healthcare Quality and 

Disparities Report. 

(4) To provide state-level data to CMS 

for public reporting on Medicaid.gov 

and Data.Medicaid.gov that does not 

display the name of the health plans. 

Survey data from the CAHPS Health 

Plan Database is used to produce four 

types of products: (1) An annual 

chartbook available to the public on the 

CAHPS Database website (https://

www.ahrq.gov/sites/default/files/ 

wysiwyg/cahps/cahps-database/2022- 

hp-chartbook.pdf); (2) individual 

participant reports that are confidential 

and customized for each participating 

organization (e.g., health plan, Medicaid 

agency) that submits their data; (3) a 

research database available to 

researchers wanting to conduct 

additional analyses; and (4) data tables 

provided to AHRQ for inclusion in the 

National Healthcare Quality and 

Disparities Reports. 

This study is being conducted by 

AHRQ through its contractor, Westat, 

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 

development, and database 

development. 42 U.S.C. 299a(a)(1), (2) 

and (8). 

Method of Collection 

To achieve the goals of this project the 

following activities and data collections 

will be implemented: 

• Registration Form—The point-ofcontact (POC), often the sponsor from 

Medicaid agencies and health plans, 

completes a number of data submission 

steps and forms, beginning with the 

completion of the online registration 

form. The purpose of this form is to 

collect basic contact information about 

the organization and initiate the 

registration process. 

• Health Plan Information Form—The 

purpose of this form, completed by the 

participating sponsor organization, is to 

collect background characteristics of the 

health plan. 

• Data Use Agreement—The purpose 

of the data use agreement, completed by 

the participating sponsor organization, 

is to state how data submitted by health 

plans will be used and provide 

confidentiality assurances. 

• Data Files Submission—POCs 

upload their data file using the Health 

Plan data file specifications to ensure 

that users submit standardized and 

consistent data in the way variables are 

named, coded, and formatted. 

Estimated Annual Respondent Burden 

Exhibit 1 shows the estimated burden 

hours for the respondent to participate 

in the database. The burden hours 

pertain only to the collection of 

Medicaid data from State Medicaid 

agencies and individual Medicaid 

health plans because those are the only 


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Federal Register / Vol. 88, No. 205 / Wednesday, October 25, 2023 / Notices 73343 

entities that submit data through the 

data submission process. The 125 POCs 

in Exhibit 1 are a combination of an 

estimated 115 State Medicaid agencies 

and individual health plans (Sponsors), 

and 10 vendor organizations. 

Each sponsor, which is made up of 

State Medicaid agencies and individual 

health plans, and vendor will register 

online for submission. The online 

Registration form will require about 5 

minutes to complete. Each sponsor will 

also complete a Health Plan information 

form of information about each Health 

Plan such as the name of the plan, the 

product type (e.g., HMO, PPO), the 

population surveyed (e.g., adult 

Medicaid or child Medicaid). Each year, 

the prior year’s plan data are preloaded 

in the plan table to lessen burden on the 

Sponsor. The Sponsor is responsible for 

updating the plan table to reflect the 

current year’s plan information. The 

online Health Plan Information form 

takes on average 30 minutes to complete 

per health plan with each POC 

completing the form for four plans on 

average. The Data Use Agreement (DUA) 

will be completed by the 115 

participating State Medicaid agencies or 

individual health plans. Vendors do not 

sign or submit DUAs. The DUA requires 

about 5 minutes to sign and upload. 

Each submitter will provide a copy of 

their questionnaire and the survey data 

file in the required file format. Survey 

data files must conform to the data file 

layout specifications provided by the 

CAHPS Database. Submitters will 

upload one data file per health plan. 

Once a data file is uploaded the file will 

be checked automatically to ensure it 

conforms to the specifications and a 

data file status report will be produced 

and made available to the submitter. 

Submitters will review each report and 

will be expected to fix any errors in 

their data file and resubmit if necessary. 

It will take about 1 hour to submit the 

data for each plan, and each POC will 

submit data for four plans on average. 

The total burden is estimated to be 710 

hours annually. 

EXHIBIT 1—ESTIMATED ANNUALIZED BURDEN HOURS

Form name 

Number of 

respondents/ 

POCs 

Number of 

responses 

per POC 

Hours per 

response 

Total burden 

hours 

Registration Form ............................................................................................ 125 1 5/60 10 

Health Plan Information Form ......................................................................... 115 4 30/60 230 

Data Use Agreement ....................................................................................... 115 1 5/60 10 

Data Files Submission ..................................................................................... 115 4 1 460 

Total .......................................................................................................... 470 NA NA 710 

Exhibit 2 shows the estimated 

annualized cost burden based on the 

respondents’ time to complete one 

submission process. The cost burden is 

estimated to be $36,222 annually. 

EXHIBIT 2—ESTIMATED ANNUALIZED COST BURDEN

Form name Number of 

respondents 

Total burden 

hours 

Average 

hourly wage 

rate * 

Total cost 

burden 

Registration Form ............................................................................................ 125 10 a 57.61 $576 

Health Plan Information Form ......................................................................... 115 230 a 57.61 13,250 

Data Use Agreement ....................................................................................... 115 10 b 102.41 1,024 

Data Files Submission ..................................................................................... 115 460 c 46.46 21,372 

Total .......................................................................................................... 470 710 NA 36,222 

* National Compensation Survey: Occupational wages in the United States May 2021, ‘‘U.S. Department of Labor, Bureau of Labor Statistics.’’ aBased on the mean hourly wage for Medical and Health Services Managers (11–9111). 

bBased on the mean hourly wage for Chief Executives (11–1011). 

cBased on the mean hourly wages for Computer Programmers (15–1251). 

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: October 19, 2023. 

Marquita Cullom, 

Associate Director. 

[FR Doc. 2023–23534 Filed 10–24–23; 8:45 am] 

BILLING CODE 4160–90–P 


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