45190 Federal Register / Vol. 79, No. 149 / Monday, August 4, 2014 / Notices 

3. Provide copies of any technical 

information and/or data you used that 

support your views. 

4. If you estimate potential burden or 

costs, explain how you arrived at the 

estimate that you provide. 

5. Offer alternative ways to improve 

the collection activity. 

6. Make sure to submit your 

comments by the deadline identified 

under DATES. 

7. To ensure proper receipt by EPA, 

be sure to identify the docket ID number 

assigned to this action in the subject 

line on the first page of your response. 

You may also provide the name, date, 

and Federal Register citation. 

What information collection activity or 

ICR does this apply to? 

Docket ID number: EPA–HQ–SFUND– 

2014–0549. 

Affected entities: Entities potentially 

affected by this action are Local 

Governments that apply for 

reimbursement under this program. 

Title: Local Governments 

Reimbursement Application. 

ICR numbers: EPA ICR No. 1425.05, 

OMB Control No. 2050–0077. 

ICR status: This ICR is currently 

scheduled to expire on January 31, 

2015. An Agency may not conduct or 

sponsor, and a person is not required to 

respond to, a collection of information, 

unless it displays a currently valid OMB 

control number. The OMB control 

numbers for EPA’s regulations in title 40 

of the CFR, after appearing in the 

Federal Register when approved, are 

listed in 40 CFR part 9, are displayed 

either by publication in the Federal 

Register or by other appropriate means, 

such as on the related collection 

instrument or form, if applicable. The 

display of OMB control numbers in 

certain EPA regulations is consolidated 

in 40 CFR part 9. 

Abstract: The Agency requires 

applicants for reimbursement under this 

program authorized under section 123 

of CERCLA to submit an application 

that demonstrates consistency with 

program eligibility requirements. This is 

necessary to ensure proper use of the 

Superfund. EPA reviews the 

information to ensure compliance with 

all statutory and program requirements. 

The applicants are local governments 

who have incurred expenses, above and 

beyond their budgets, for hazardous 

substance response. Submission of this 

information is voluntary and to the 

applicant’s benefit. 

Burden Statement: The annual public 

reporting and recordkeeping burden for 

this collection of information is 

estimated to average 9 hours per 

response. Burden means the total time, 

effort, or financial resources expended 

by persons to generate, maintain, retain, 

or disclose or provide information to or 

for a Federal agency. This includes the 

time needed to review instructions; 

develop, acquire, install, and utilize 

technology and systems for the purposes 

of collecting, validating, and verifying 

information, processing and 

maintaining information, and disclosing 

and providing information; adjust the 

existing ways to comply with any 

previously applicable instructions and 

requirements which have subsequently 

changed; train personnel to be able to 

respond to a collection of information; 

search data sources; complete and 

review the collection of information; 

and transmit or otherwise disclose the 

information. 

The ICR provides a detailed 

explanation of the Agency’s estimate, 

which is only briefly summarized here: 

Estimated total number of potential 

respondents: 30. 

Frequency of response: voluntary, on 

occasion. 

Estimated total average number of 

responses for each respondent: 1. 

Estimated total annual burden hours: 

270 hours. 

Estimated total annual costs: $7,493. 

This includes an estimated burden cost 

of $18.50/hour and there are no capital 

investment or maintenance and 

operational costs. 

Are there changes in the estimates from 

the last approval? 

At this time, the Agency does not 

anticipate any substantial changes. 

What is the next step in the process for 

this ICR? 

EPA will consider the comments 

received and amend the ICR as 

appropriate. The final ICR package will 

then be submitted to OMB for review 

and approval pursuant to 5 CFR 

1320.12. At that time, EPA will issue 

another Federal Register notice 

pursuant to 5 CFR 1320.5(a)(1)(iv) to 

announce the submission of the ICR to 

OMB and the opportunity to submit 

additional comments to OMB. If you 

have any questions about this ICR or the 

approval process, please contact the 

technical person listed under FOR

FURTHER INFORMATION CONTACT. 

Dated: July 23, 2014. 

Lawrence M. Stanton, 

Director, Office of Emergency Management. 

[FR Doc. 2014–18354 Filed 8–1–14; 8:45 am] 

BILLING CODE 6560–50–P 

FEDERAL RESERVE SYSTEM 

Change in Bank Control Notices; 

Acquisitions of Shares of a Bank or 

Bank Holding Company 

The notificants listed below have 

applied under the Change in Bank 

Control Act (12 U.S.C. 1817(j)) and 

§ 225.41 of the Board’s Regulation Y (12 

CFR 225.41) to acquire shares of a bank 

or bank holding company. The factors 

that are considered in acting on the 

notices are set forth in paragraph 7 of 

the Act (12 U.S.C. 1817(j)(7)). 

The notices are available for 

immediate inspection at the Federal 

Reserve Bank indicated. The notices 

also will be available for inspection at 

the offices of the Board of Governors. 

Interested persons may express their 

views in writing to the Reserve Bank 

indicated for that notice or to the offices 

of the Board of Governors. Comments 

must be received not later than August 

19, 2014. 

A. Federal Reserve Bank of Richmond 

(Adam M. Drimer, Assistant Vice 

President) 701 East Byrd Street, 

Richmond, Virginia 23261–4528: 

1. Daniel Hirschfeld, Timonium, 

Maryland, Thomas J. Faust, and Charles 

J. Ilardo, both of Lutherville, Maryland; 

to acquire voting shares of Regal 

Bancorp, Inc., and thereby indirectly 

acquire voting shares of Regal Bank & 

Trust, both in Owings Mills, Maryland. 

Board of Governors of the Federal Reserve 

System, July 30, 2014. 

Michael J. Lewandowski, 

Associate Secretary of the Board. 

[FR Doc. 2014–18312 Filed 8–1–14; 8:45 am] 

BILLING CODE 6210–01–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: 

‘‘Evaluation of the Implementation of 

TeamSTEPPS in Primary Care Settings 

(ITS–PC).’’ In accordance with the 

Paperwork Reduction Act of 1995, 


tkelley on DSK3SPTVN1PROD with NOTICES
Federal Register / Vol. 79, No. 149 / Monday, August 4, 2014 / Notices 45191 

Public Law 104–13 (44 U.S.C. 

3506(c)(2)(A)), AHRQ invites the public 

to comment on this proposed 

information collection. 

This proposed information collection 

was previously published in the Federal 

Register on May 21st, 2014 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 September 3, 2014. 

ADDRESSES: Written comments should 

be submitted to: Doris Lefkowitz, 

Reports Clearance Officer, AHRQ, by 

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

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 

Evaluation of the Implementation of 

TeamSTEPPS in Primary Care Settings 

(ITS–PC) 

As part of its effort to fulfill its 

mission goals, AHRQ, in collaboration 

with the Department of Defense’s (DoD) 

Tricare Management Activity (TMA), 

developed TeamSTEPPS® (aka, Team 

Strategies and Tools for Enhancing 

Performance and Patient Safety) to 

provide an evidence-based suite of tools 

and strategies for training teamworkbased patient safety to health care 

professionals. TeamSTEPPS includes 

multiple toolkits which are all tied to or 

are variants of the core curriculum. In 

addition to the core curriculum, 

TeamSTEPPS resources have been 

developed for primary care, rapid 

response systems, long-term care, and 

patients with limited English 

proficiency. 

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. Since 2007, AHRQ’s 

National Implementation Program has 

produced (and continues to produce) 

Master Trainers who have stimulated 

the use and adoption of TeamSTEPPS in 

health care delivery systems. These 

individuals were trained using the 

TeamSTEPPS core curriculum at 

regional training centers across the U.S. 

AHRQ has also provided technical 

assistance and consultation on 

implementing TeamSTEPPS and has 

developed various channels of learning 

(e.g., user networks, various educational 

venues) for continued support and the 

improvement of teamwork in health 

care. Since the inception of the National 

Implementation Program, AHRQ has 

trained more than 5,000 participants to 

serve as TeamSTEPPS Master Trainers. 

Given the success of the National 

Implementation Program, AHRQ 

launched an effort to provide 

TeamSTEPPS training to primary care 

health professionals using the 

TeamSTEPPS in Primary Care version 

of the curriculum. Most of the 

participants in the current National 

Implementation Program’s training 

come from hospital settings, because the 

TeamSTEPPS core curriculum is most 

aligned with that context. Under this 

new initiative, primary care practice 

facilitators will be trained through a 

combination of in-person and online 

training. Upon completion of the course, 

these individuals will be Master 

Trainers who will (a) train the staff at 

primary care practices, and (b) 

implement or support the 

implementation of TeamSTEPPS tools 

and strategies in primary care practices. 

As part of this initiative, AHRQ seeks 

to conduct an evaluation of the 

TeamSTEPPS in Primary Care training 

program. This evaluation seeks to 

understand the effectiveness of the 

TeamSTEPPS in Primary Care training 

and how trained practice facilitators 

implement TeamSTEPPS in primary 

care practices. 

This research has the following goals: 

(1) Conduct a formative assessment of 

the TeamSTEPPS for Primary Care 

training program to determine what 

revisions and improvement should be 

made to the training and how it is 

delivered, and 

(2) Identify how trained participants 

use and implement the TeamSTEPPS 

tools and resources in primary care 

settings. 

This study is being conducted by 

AHRQ through its contractor, the Health 

Research and Education Trust (HRET) 

and HRET’s subcontractor, IMPAQ 

International, 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 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, 

AHRQ will train primary care practice 

facilitators using the TeamSTEPPS in 

Primary Care training curriculum. 

Primary care practice facilitators may 

voluntarily sign up for this free, AHRQ 

sponsored training. Training will be 

delivered through a combination of 

online and in-person instruction. Online 

training will cover the core 

TeamSTEPPS tools and strategies that 

can be implemented in primary care. Inperson instruction will cover coaching, 

organizational change, and 

implementation science. Practice 

facilitators, who complete the training, 

will be surveyed six months posttraining. 

The TeamSTEPPS Primary Care PostTraining Survey is an online instrument 

that will be administered to all primary 

care practice facilitators who complete 

the TeamSTEPPS in Primary Care 

training. The survey will be 

administered six months after 

participants complete training. 

This is a new data collection effort for 

the purpose of conducting an evaluation 

of TeamSTEPPS in Primary Care 

Training. The evaluation is formative in 

nature as AHRQ seeks information to 

improve the content and delivery of the 

training. Training will be provided 

through a combination of online and inperson instruction. 

To conduct the evaluation, the 

TeamSTEPPS in Primary Care PostTraining Survey will be administered to 

all individuals who complete the 

TeamSTEPPS in Primary Care training 

six months after training. The survey 

assesses the degree to which 

participants felt prepared by the training 

and what they did to implement 

TeamSTEPPS in primary care practices. 

Specifically, participants will be asked 

about their reasons for participating in 

the program; the degree to which they 

feel the training prepared them to train 

others in and use TeamSTEPPS in the 

primary care setting; what tools they 

have implemented in primary care 

practices; and resulting changes they 

have observed in the delivery of care. 

Estimated Annual Respondent Burden 

Exhibit 1 shows the estimated 

annualized burden hours for the 

respondent’s time to participate in the 

study. The TeamSTEPPS in Primary 

Care Post-Training Survey will be 

completed by approximately 150 

individuals. We estimate that each 

respondent will answer 20 items (i.e., 

number of responses per respondent) 

and responding to these 20 questions 

will require 20 minutes. The total 


tkelley on DSK3SPTVN1PROD with NOTICES
45192 Federal Register / Vol. 79, No. 149 / Monday, August 4, 2014 / Notices 

annualized burden is estimated to be 50 

hours. 

Exhibit 2 shows the estimated 

annualized cost burden based on the 

respondents’ time to participate in the 

study. The total cost burden is estimated 

to be $4,348. 

EXHIBIT 1—ESTIMATED ANNUALIZED BURDEN HOURS

Form name Number of 

respondents 

Number of 

responses per 

respondent 

Hours per 

response 

Total 

burden 

hours 

TeamSTEPPS in Primary Care Post-Training Survey .................................... 150 1 20/60 50 

Total .......................................................................................................... 150 NA NA 50 

EXHIBIT 2—ESTIMATED ANNUALIZED COST BURDEN

Form name Number of 

respondents 

Total 

burden 

hours 

Average 

hourly 

wage rate * 

Total cost 

burden 

TeamSTEPPS Primary Care Post-Training Survey ........................................ 150 50 a $86.95 $4,348 

Total .......................................................................................................... 150 50 86.95 4,348 

* National Compensation Survey: Occupational wages in the United States May 2012, ‘‘U.S. Department of Labor, Bureau of Labor Statistics.’’ aBased on the mean wages for Family and General Practitioners 29–1062. 

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 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: July 25, 2014. 

Richard Kronick, 

AHRQ Director. 

[FR Doc. 2014–18299 Filed 8–1–14; 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: 

‘‘Continuing Education for Comparative 

Effectiveness Research Survey.’’ In 

accordance with the Paperwork 

Reduction Act of 1995, Public Law 104– 

13 (44 U.S.C. 3506(c)(2)(A)), AHRQ 

invites the public to comment on this 

proposed information collection. 

DATES: Comments on this notice must be 

received by October 3, 2014. 

ADDRESSES: Written comments should 

be submitted to: Doris Lefkowitz, 

Reports Clearance Officer, AHRQ, by 

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

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 

Continuing Education for Comparative 

Effectiveness Research Survey 

Patient-centered outcomes research 

(PCOR) is an area that has seen 

increased focus from research agencies 

and other government entities. Also 

known as comparative effectiveness 

research, PCOR is the focus of AHRQ’s 

Effective Health Care (EHC) program, 

which has the mission of providing 

health care decision-makers (e.g., 

patients, healthcare providers, 

purchasers, and policymakers) with 

recent evidence-based information 

about the harms, benefits, and 

effectiveness of various treatment 

options by comparing medical devices, 

surgeries, tests, drugs, or ways to deliver 

health care. 

The EHC program was created in 

response to Section 1013 of the 

Medicare Prescription Drug, 

Improvement, and Modernization Act of 

2003 and became the first federal 

program to conduct PCOR and 

disseminate those findings to the public. 

AHRQ works with researchers, 

academic organizations, and research 

centers through the EHC program on 

work relating to methods, training, and 

dissemination of products to a variety of 

stakeholders to help spread awareness 

and knowledge about PCOR. It is 

important for AHRQ to be able to 

measure the effectiveness of these 

products, which include training 

modules and publications, specifically 

around how they are affecting health 

care professionals’ understanding, 

awareness, and use of PCOR and its 

related concepts. It is also important for 


tkelley on DSK3SPTVN1PROD with NOTICES