35002 Federal Register / Vol. 83, No. 142 / Tuesday, July 24, 2018 / Notices 

Justin Rey, Sioux Falls, South Dakota, 

individually and as trustee of ESOP; to 

acquire additional shares of Heritage 

Bancshares Group, Inc., Spicer, 

Minnesota, and thereby indirectly 

acquire shares of Heritage Bank, 

National Association, Spicer, 

Minnesota. 

B. Federal Reserve Bank of Kansas 

City (Dennis Denney, Assistant Vice 

President) 1 Memorial Drive, Kansas 

City, Missouri 64198–0001: 

1. John T. Phillips, Yukon, Oklahoma; 

to acquire voting shares of Bank7 Corp. 

f/k/a Haines Financial Corporation, and 

thereby indirectly acquire control of 

Bank 7, both of Oklahoma City, 

Oklahoma. 

Board of Governors of the Federal Reserve 

System, July 19, 2018. 

Ann Misback, 

Secretary of the Board. 

[FR Doc. 2018–15789 Filed 7–23–18; 8:45 am] 

BILLING CODE P 

FEDERAL RESERVE SYSTEM 

Formations of, Acquisitions by, and 

Mergers of Bank Holding Companies 

The companies listed in this notice 

have applied to the Board for approval, 

pursuant to the Bank Holding Company 

Act of 1956 (12 U.S.C. 1841 et seq.) 

(BHC Act), Regulation Y (12 CFR part 

225), and all other applicable statutes 

and regulations to become a bank 

holding company and/or to acquire the 

assets or the ownership of, control of, or 

the power to vote shares of a bank or 

bank holding company and all of the 

banks and nonbanking companies 

owned by the bank holding company, 

including the companies listed below. 

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 applications will also 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 BHC Act (12 U.S.C. 1842(c)). 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 4 of the BHC Act 

(12 U.S.C. 1843). 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 August 20, 

2018. 

A. Federal Reserve Bank of 

Minneapolis (Mark A. Rauzi, Vice 

President), 90 Hennepin Avenue, 

Minneapolis, Minnesota 55480–0291: 

1. PF Investors, Inc., Whitehall, 

Wisconsin; to become a bank holding 

company by acquiring 100 percent of 

the voting shares of PFSB 

Bancorporation, Inc., Whitehall, 

Wisconsin, and thereby indirectly 

acquire Pigeon Falls State Bank, Pigeon 

Falls, Wisconsin. 

Board of Governors of the Federal Reserve 

System, July 19, 2018. 

Ann Misback, 

Secretary of the Board. 

[FR Doc. 2018–15790 Filed 7–23–18; 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 ‘‘Medical 

Office Survey on Patient Safety Culture 

Database.’’ 

This proposed information collection 

was previously published in the Federal 

Register on May 10th, 2018 and allowed 

60 days for public comment. AHRQ did 

not receive substantive comments. The 

purpose of this notice is to allow an 

additional 30 days for public comment. 

DATES: Comments on this notice must be 

received by August 23, 2018. 

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). 

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 

Medical Office Survey on Patient Safety 

Culture Database 

In accordance with the Paperwork 

Reduction Act, 44 U.S.C. 3501–3521, 

AHRQ invites the public to comment on 

this proposed information collection. 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 Medical Office Survey on 

Patient Safety Culture with OMB 

approval (OMB No. 0935–0131; 

Approved July 5, 2007). 

The survey is designed to enable 

medical offices to assess provider and 

staff perspectives about patient safety 

issues, medical error, and error 

reporting. The survey includes 38 items 

that measure 10 composites of patient 

safety culture. In addition to the 

composite items, 14 items measure staff 

perceptions of how often medical offices 

have problems exchanging information 

with other settings as well as other 

patient safety and quality issues. AHRQ 

made the survey publicly available 

along with a Survey User’s Guide and 

other toolkit materials in December, 

2008 on the AHRQ website (located at 

https://www.ahrq.gov/sops/qualitypatient-safety/patientsafetyculture/ 

medical-office/index.html). 

The AHRQ Medical Office SOPS 

Database consists of data from the 

AHRQ Medical Office Survey on Patient 

Safety Culture and may include 

reportable, non-required supplemental 

items. Medical offices in the U.S. can 

voluntarily submit data from the survey 

to AHRQ, through its contractor, Westat. 

The Medical Office SOPS Database 

(OMB No. 0935–0196, last approved on 

August 25, 2015) was developed by 

AHRQ in 2011 in response to requests 

from medical offices interested in 

tracking their own survey results. Those 

organizations submitting data receive a 

feedback report, as well as a report of 

the aggregated, de-identified findings of 

the other medical offices submitting 

data. These reports are used to assist 

medical office staff in their efforts to 

improve patient safety culture in their 

organizations. 

Rationale for the information 

collection. The Medical Office SOPS 

and the Medical Office SOPS Database 

support AHRQ’s goals of promoting 

improvements in the quality and safety 

of health care in medical office settings. 


jstallworth on DSKBBY8HB2PROD with NOTICES
Federal Register / Vol. 83, No. 142 / Tuesday, July 24, 2018 / Notices 35003 

The survey, toolkit materials, and 

database results are all made publicly 

available on AHRQ’s website. Technical 

assistance is provided by AHRQ through 

its contractor at no charge to medical 

offices, to facilitate the use of these 

materials for medical office patient 

safety and quality improvement. 

Request for information collection 

approval. The Agency for Healthcare 

Research and Quality (AHRQ) requests 

that the Office of Management and 

Budget (OMB) reapprove, under the 

Paperwork Reduction Act of 1995, 

AHRQ’s collection of information for 

the AHRQ Medical Office SOPS 

Database; OMB No. 0935–0196, last 

approved on August, 25, 2015. 

This database will: 

(1) Present results from medical 

offices that voluntarily submit their 

data, 

(2) Provide data to medical offices to 

facilitate internal assessment and 

learning in the patient safety 

improvement process, and 

(3) Provide supplemental information 

to help medical offices 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 

health care and on systems for the 

delivery of such care, including 

activities with respect to: The quality, 

effectiveness, efficiency, 

appropriateness and value of health care 

services; quality measurement and 

improvement; and database 

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

and (8). 

Method of Collection 

To achieve the goal of this project the 

following activities and data collections 

will be implemented: 

(1) Eligibility and Registration Form— 

The medical office point-of-contact 

(POC) completes a number of data 

submission steps and forms, beginning 

with the completion of an online 

Eligibility and Registration Form. The 

purpose of this form is to collect basic 

demographic information about the 

medical office and initiate the 

registration process. 

(2) Data Use Agreement—The 

purpose of the data use agreement, 

completed by the medical office POC, is 

to state how data submitted by medical 

offices will be used and provide privacy 

assurances. 

(3) Medical Office Site Information 

Form—The purpose of the site 

information form, also completed by the 

medical office POC, is to collect 

background characteristics of the 

medical office. This information will be 

used to analyze data collected with the 

Medical Office SOPS survey. 

(4) Data Files Submission—POCs 

upload their data file(s), using the 

medical office 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 

medical offices do not administer the 

survey and submit data every year. Data 

submission is typically handled by one 

POC who is either an office manager or 

a survey vendor who contracts with a 

medical office to collect their data. 

POCs submit data on behalf of 35 

medical offices, on average, because 

many medical offices are part of a health 

system that includes many medical 

office sites, or the POC is a vendor that 

is submitting data for multiple medical 

offices. 

Survey data from the AHRQ Medical 

Office Survey on Patient Safety Culture 

are used to produce three types of 

products: 

(1) A Medical Office SOPS Database 

Report that is made publicly available 

on the AHRQ website (see Medical 

Office User Database Report); 

(2) Individual Medical Office Survey 

Feedback Reports that are customized 

for each medical office that submits data 

to the database; and 

(3) Research data sets of individuallevel and medical office-level deidentified data to enable researchers to 

conduct analyses. All data released in a 

data set are de-identified at the 

individual-level and the medical officelevel. 

Medical offices will be invited to 

voluntarily submit their Medical Office 

SOPS survey data to the database. 

AHRQ’s contractor, Westat, then cleans 

and aggregates the data to produce a 

PDF-formatted Database Report 

displaying averages, standard 

deviations, and percentile scores on the 

survey’s 38 items and 10 patient safety 

culture composites of patient safety 

culture, and 14 items measuring how 

often medical offices have problems 

exchanging information with other 

settings and other patient safety and 

quality issues. The report also displays 

these results by medical office 

characteristics (size of office, specialty, 

geographic region, etc.) and respondent 

characteristics (staff position). 

The Database Report includes a 

section on data limitations, emphasizing 

that the report does not reflect a 

representative sampling of the U.S. 

medical office population. Because 

participating medical offices will choose 

to voluntarily submit their data into the 

database and therefore are not a random 

or national sample of medical offices, 

estimates based on this self-selected 

group might be biased estimates. We 

recommend that users review the 

database results with these caveats in 

mind. 

Each medical office that submits its 

data receives a customized survey 

feedback report that presents their 

results alongside the aggregated results 

from other participating medical offices. 

Medical offices use the Medical Office 

SOPS, Database Reports, and Individual 

Medical Office Survey Feedback Reports 

for a number of purposes, to: 

• Raise staff awareness about patient 

safety; 

• Elucidate and assess the current 

status of patient safety culture in their 

medical office; 

• Identify strengths and areas for 

patient safety culture improvement; 

• Evaluate trends in patient safety 

culture change over time; and 

• Evaluate the cultural impact of 

patient safety initiatives and 

interventions. 

Estimated Annual Respondent Burden 

Exhibit 1 shows the estimated 

annualized burden hours for the 

respondents’ time to participate in the 

database. An estimated 70 POCs, each 

representing an average of 35 individual 

medical offices each, will complete the 

database submission steps and forms. 

Each POC will submit the following: 

• Eligibility and registration form 

(completion is estimated to take about 3 

minutes). 

• Data Use Agreement (completion is 

estimated to take about 3 minutes). 

• Medical Office Information Form 

(completion is estimated to take about 5 

minutes). 

• Survey data submission will take an 

average of one hour. 

The total burden is estimated to be 

283 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 

$14,880 annually. 


jstallworth on DSKBBY8HB2PROD with NOTICES
35004 Federal Register / Vol. 83, No. 142 / Tuesday, July 24, 2018 / Notices 

EXHIBIT 1—ESTIMATED ANNUALIZED BURDEN HOURS

Form name 

Number of 

respondents/ 

POCs 

Number of 

responses 

per POC 

Hours per 

response 

Total burden 

hours 

Eligibility/Registration Form ............................................................................. 70 1 3/60 4 

Data Use Agreement ....................................................................................... 70 1 3/60 4 

Medical Office Information Form ..................................................................... 70 35 5/60 205 

Data Files Submission ..................................................................................... 70 1 1 70 

Total .......................................................................................................... NA NA NA 283 

EXHIBIT 2—ESTIMATED ANNUALIZED COST BURDEN

Form name 

Number of 

respondents/ 

POCs 

Total burden 

hours 

Average 

hourly wage 

rate * 

Total cost 

burden 

Registration Form ............................................................................................ 70 4 $52.58 $210 

Data Use Agreement ....................................................................................... 70 4 52.58 210 

Medical Office Information Form ..................................................................... 70 205 52.58 10,779 

Data Files Submission ..................................................................................... 70 70 52.58 3,680 

Total .......................................................................................................... NA 213 NA 14,880

* Mean hourly wage rate of $52.58 for Medical and Health Services Managers (SOC code 11–9111) was obtained from the May 2016 National 

Industry-Specific Occupational Employment and Wage Estimates, NAICS 621100—Offices of Physicians located at https://www.bls.gov/oes/ 

current/oes119111.htm. 

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’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. 

Francis D. Chesley, Jr., 

Acting Deputy Director. 

[FR Doc. 2018–15751 Filed 7–23–18; 8:45 am] 

BILLING CODE 4160–90–P 

DEPARTMENT OF HEALTH AND 

HUMAN SERVICES 

Centers for Disease Control and 

Prevention 

[CDC–2017–0084; Docket Number NIOSH– 

298] 

Final National Occupational Research 

Agenda for Construction 

AGENCY: National Institute for 

Occupational Safety and Health 

(NIOSH) of the Centers for Disease 

Control and Prevention (CDC), 

Department of Health and Human 

Services (HHS). 

ACTION: Notice of availability. 

SUMMARY: NIOSH announces the 

availability of the final National 

Occupational Research Agenda for 

Construction. 

DATES: The final document was 

published on July 17, 2018. 

ADDRESSES: The document may be 

obtained at the following link: https://

www.cdc.gov/niosh/nora/councils/ 

const/agenda.html. 

FOR FURTHER INFORMATION CONTACT: 

Emily Novicki, M.A., M.P.H, 

(NORACoordinator@cdc.gov), National 

Institute for Occupational Safety and 

Health, Centers for Disease Control and 

Prevention, Mailstop E–20, 1600 Clifton 

Road NE, Atlanta, GA 30329, phone 

(404) 498–2581 (not a toll free number). 

SUPPLEMENTARY INFORMATION: On 

September 27, 2017, NIOSH published a 

request for public review in the Federal 

Register [82 FR 45027] of the draft 

version of the National Occupational 

Research Agenda for Construction. All 

comments received were reviewed and 

addressed where appropriate. 

Frank J. Hearl, 

Chief of Staff, National Institute for 

Occupational Safety and Health, Centers for 

Disease Control and Prevention. 

[FR Doc. 2018–15741 Filed 7–23–18; 8:45 am] 

BILLING CODE 4163–19–P 

DEPARTMENT OF HEALTH AND 

HUMAN SERVICES 

Centers for Disease Control and 

Prevention 

Board of Scientific Counselors, Office 

of Public Health Preparedness and 

Response, (BSC, OPHPR) 

AGENCY: Centers for Disease Control and 

Prevention (CDC), Department of Health 

and Human Services (HHS). 

ACTION: Notice of meeting. 

SUMMARY: In accordance with the 

Federal Advisory Committee Act, the 

CDC announces the following meeting 

for the Board of Scientific Counselors, 

Office of Public Health Preparedness 

and Response, (BSC, OPHPR). This 

meeting is open to the public, limited 

only by 1,500 web conference lines. 

Public participants should pre-register 

for the meeting as described below. 

The public is welcome to view/listen 

to the meeting via Adobe Connect. PreVerDate Sep<11>2014 16:04 Jul 23, 2018 Jkt 244001 PO 00000 Frm 00024 Fmt 4703 Sfmt 4703 E:\FR\FM\24JYN1.SGM 24JYN1

jstallworth on DSKBBY8HB2PROD with NOTICES