73540 Federal Register / Vol. 78, No. 235 / Friday, December 6, 2013 / Notices 

The applications listed below, as well 

as other related filings required by the 

Board, are available for immediate 

inspection at the Federal Reserve Bank 

indicated. The application also will be 

available for inspection at the offices of 

the Board of Governors. Interested 

persons may express their views in 

writing on the standards enumerated in 

the HOLA (12 U.S.C. 1467a(e)). If the 

proposal also involves the acquisition of 

a nonbanking company, the review also 

includes whether the acquisition of the 

nonbanking company complies with the 

standards in section 10(c)(4)(B) of the 

HOLA (12 U.S.C. 1467a(c)(4)(B)). Unless 

otherwise noted, nonbanking activities 

will be conducted throughout the 

United States. 

Unless otherwise noted, comments 

regarding each of these applications 

must be received at the Reserve Bank 

indicated or the offices of the Board of 

Governors not later than January 2, 

2014. 

A. Federal Reserve Bank of 

Philadelphia (William Lang, Senior Vice 

President) 100 North 6th Street, 

Philadelphia, Pennsylvania 19105– 

1521: 

1. Clifton MHC, Clifton, New Jersey; to 

convert to stock form and merge with 

and into Clifton Bancorp, Inc., Clifton, 

New Jersey, which will become a 

savings and loan holding company by 

acquiring Clifton Savings Bank, Clifton, 

New Jersey. 

Board of Governors of the Federal Reserve 

System, December 3, 2013. 

Michael J. Lewandowski, 

Associate Secretary of the Board. 

[FR Doc. 2013–29150 Filed 12–5–13; 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: 

‘‘Pharmacy Survey on Patient Safety 

Culture Comparative Database.’’ In 

accordance with the Paperwork 

Reduction Act of 1995, 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 February 4, 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 

Pharmacy Survey on Patient Safety 

Culture Comparative Database 

In 1999, the Institute of Medicine 

called for health care organizations to 

develop a ‘‘culture of safety’’ such that 

their workforce and processes focus on 

improving the reliability and safety of 

care for patients (IOM, 1999; To Err is 

Human: Building a Safer Health 

System). To respond to the need for 

tools to assess patient safety culture in 

health care, AHRQ developed and pilot 

tested the Pharmacy Survey on Patient 

Safety Culture with OMB approval 

(OMB NO. 0935–0183; Approved 08/12/ 

2011). The survey is designed to enable 

pharmacies to assess staff opinions 

about patient and medication safety and 

quality-assurance issues, and includes 

36 items that measure 11 dimensions of 

patient safety culture. AHRQ made the 

survey publicly available along with a 

Survey User’s Guide and other toolkit 

materials in October 2012 on the AHRQ 

Web site. 

The AHRQ Pharmacy Survey on 

Patient Safety Culture (Pharmacy SOPS) 

Comparative Database consists of data 

from the AHRQ Pharmacy Survey on 

Patient Safety Culture. Pharmacies in 

the U.S. are asked to voluntarily submit 

data from the survey to AHRQ, through 

its contractor, Westat. The Pharmacy 

SOPS Database is modeled after three 

other SOPS databases: Hospital SOPS 

[OMB NO. 0935–0162; Approved 05/04/ 

2010]; Medical Office SOPS [OMB NO. 

0935–0196; Approved 06/12/12]; and 

Nursing Home SOPS [OMB NO. 0935– 

0195; Approved 06/12/12] that were 

originally developed by AHRQ in 

response to requests from hospitals, 

medical offices, and nursing homes 

interested in knowing how their patient 

safety culture survey results compare to 

those of other similar health care 

organizations. 

Rationale for the information 

collection. The Pharmacy SOPS survey 

and the Pharmacy SOPS Comparative 

Database will support AHRQ’s goals of 

promoting improvements in the quality 

and safety of health care in pharmacy 

settings. The survey, toolkit materials, 

and comparative database results are all 

made publicly available on AHRQ’s 

Web site. Technical assistance is 

provided by AHRQ through its 

contractor at no charge to pharmacies, to 

facilitate the use of these materials for 

pharmacy patient safety and quality 

improvement. 

The goal of this project is to create the 

Pharmacy SOPS Comparative Database. 

This database will: 

(1) Allow pharmacies to compare 

their patient safety culture survey 

results with those of other pharmacies, 

(2) Provide data to pharmacies to 

facilitate internal assessment and 

learning in the patient safety 

improvement process, and 

(3) Provide supplemental information 

to help pharmacies identify their 

strengths and areas with potential for 

improvement in patient safety culture. 

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 and with respect to quality 

measurement and improvement. 42 

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

Method of Collection 

To achieve these goals the following 

data collections will be implemented: 

(1) Registration Form—The point-ofcontact (POC), the pharmacy manager or 

a survey participating organization, 

completes a number of data submission 

steps and forms, beginning with 

completion of an online Registration 

Form. The purpose of this form is to 

collect basic demographic information 

about the pharmacy and initiate the 

registration process. 

(2) Pharmacy Background 

Characteristics Form—The purpose of 

this form, completed by the pharmacy 

manager or a participating organization, 

is to collect background characteristics 

of the pharmacy. This information will 

be used to analyze data collected with 

the Pharmacy SOPS survey. 

(3) Data Use Agreement—The purpose 

of the data use agreement, completed by 

the pharmacy manager or participating 

organization is to state how data 

submitted by pharmacies will be used 

and provide confidentiality assurances. 


emcdonald on DSK67QTVN1PROD with NOTICES
Federal Register / Vol. 78, No. 235 / Friday, December 6, 2013 / Notices 73541 

(4) Data Files Submission—POCs 

upload their data file(s), using the 

pharmacy data file specifications, to 

ensure that users submit standardized 

and consistent data in the way variables 

are named, coded, and formatted. The 

number of submissions to the database 

is likely to vary each year because 

pharmacies do not administer the 

survey and submit data every year. 

Survey data from the AHRQ 

Pharmacy Survey on Patient Safety 

Culture are used to produce three types 

of products: (1) A Pharmacy SOPS 

Comparative Database Report that is 

made publicly available on the AHRQ 

Web site, (2) Individual Pharmacy 

Survey Feedback Reports that are 

confidential, customized reports 

produced for each pharmacy that 

submits data to the database (the 

number of reports produced is based on 

the number of pharmacies submitting 

each year); and (3) Research data sets of 

individual-level and pharmacy-level deidentified data to enable researchers to 

conduct analyses. 

Estimated Annual Respondent Burden 

Exhibit 1 shows the estimated 

annualized burden hours for the 

respondent’s time to participate in the 

database. An estimated 150 POCs, each 

representing an average of 10 individual 

pharmacies each, will complete the 

database submission steps and forms 

annually. Completing the registration 

form will take about 5 minutes. The 

Pharmacy Background Characteristics 

Form is completed by all POCs for each 

of their pharmacies (150 × 10 = 1,500 

forms in total) and is estimated to take 

5 minutes to complete. Each POC will 

complete a data use agreement which 

takes 3 minutes to complete and 

submitting the data will take an hour on 

average. The total burden is estimated to 

be 296 hours. 

Exhibit 2 shows the estimated 

annualized cost burden based on the 

respondents’ time to submit their data. 

The cost burden is estimated to be 

$14,392 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 ............................................................................................ 150 1 5/60 13 

Pharmacy Background Characteristics Form .................................................. 150 10 5/60 125 

Data Use Agreement ....................................................................................... 150 1 3/60 8 

Data Files Submission ..................................................................................... 150 1 1 150 

Total .......................................................................................................... 600 NA NA 296 

EXHIBIT 2—ESTIMATED ANNUALIZED BURDEN HOURS

Form Name 

Number of respondents/ 

POCs 

Total burden 

hours 

Average hourly wage rate* Total cost 

burden 

Registration Form ............................................................................................ 150 13 $48.62 $632

Pharmacy Background Characteristics Form .................................................. 150 125 48.62 6,078 

Data Use Agreement ....................................................................................... 150 8 48.62 389 

Data Files Submission ..................................................................................... 150 150 48.62 7,293 

Total .......................................................................................................... 600 296 NA 14,392 

*Mean hourly wage rate of $48.62 for General and Operations Managers (SOC code 11–1021) was obtained from the May 2012 National Industry-Specific Occupational Employment and Wage Estimates, NAICS 446110 — Pharmacies and Drug Stores located at http://www.bls.gov/

oes/current/naics5_446110.htm. 

Request for Comments 

In accordance with the above-cited 

Paperwork Reduction Act legislation, 

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, quality 

improvement and 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: November 22, 2013. 

Richard Kronick, 

AHRQ Director. 

[FR Doc. 2013–29071 Filed 12–5–13; 8:45 am] 

BILLING CODE 4160–90–M 

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: ‘‘AHRQ 

Grants Reporting System (GRS).’’ In 

accordance with the Paperwork 

Reduction Act, 44 U.S.C. 3501–3520, 


emcdonald on DSK67QTVN1PROD with NOTICES