67370 Federal Register / Vol. 75, No. 211 / Tuesday, November 2, 2010 / Notices 

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 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: October 25, 2010. 

Carolyn M. Clancy, 

Director. 

[FR Doc. 2010–27570 Filed 11–1–10; 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: 

‘‘Synthesis Reports for Grants and 

Cooperative Agreements for 

Transforming Healthcare Quality 

through Information Technology 

(THQIT).’’ In accordance with the 

Paperwork Reduction Act, 44 U.S.C. 

3501–3520, AHRQ invites the public to 

comment on this proposed information 

collection. 

DATES: Comments on this notice must be 

received by January 3, 2011. 

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 

e-mail at 

doris.lefkowitz@AHRQ.hhs.gov. 

SUPPLEMENTARY INFORMATION: 

Proposed Project 

Synthesis Reports for Grants and 

Cooperative Agreements for 

Transforming Healthcare Quality 

Through Information Technology 

(THQIT) 

AHRQ’s health information 

technology initiative is part of the 

Nation’s strategy to put information 

technology to work in health care. By 

developing secure and private electronic 

health records and making health 

information available electronically 

when and where it is needed, health IT 

can improve the quality of care, even as 

it makes health care more cost effective. 

This proposed information collection 

will help AHRQ enhance the evidence 

base to support effective information 

technology (IT) implementation and add 

to knowledge about health IT by 

synthesizing and drawing lessons from 

its Transforming Healthcare Quality 

through Information Technology 

(THQIT) program. 

From 2004–2010, the THQIT program 

has supported the adoption of health IT 

through 118 grants and cooperative 

agreements. These grants fall into three 

main categories: Planning grants, 

implementation grants and value 

demonstration grants. Planning grants 

are intended to develop health IT 

infrastructure and data-sharing capacity 

among clinical provider organizations in 

their communities by (1) creating 

multidisciplinary collaboratives and 

coalitions of health care providers, (2) 

conducting needs assessments and 

feasibility studies, and (3) developing 

plans to implement electronic health 

records. Implementation grants support 

community-wide and regional health IT 

systems by (1) developing shared 

registries, electronic health record 

systems, and telemedicine networks, (2) 

integrating clinical data from a variety 

of health IT systems, including 

pharmacy, laboratory, and public health 

organizations, (3) redesigning clinical 

workflow to improve patient care and 

provider access to information and (4) 

creating novel methods for delivering 

information to providers. Value 

demonstration grants evaluate how the 

adoption of health IT will (1) impact 

quality, safety, and resource use in 

large, integrated delivery systems, (2) 

advance the effectiveness of Web-based, 

patient education tools and (3) improve 

patient transitions between health care 

facilities and their homes. The program 

places an emphasis on grants to rural 

health organizations. 

AHRQ does not currently have a 

system in place for assessing the overall 

outcomes and lessons learned from 

these health IT grants. This project seeks 

to create such a system and has the 

following goals: 

(1) Further the state of knowledge of 

health IT planning, implementation, 

and effects by synthesizing the 

experiences of THQIT grantees and the 

reported effects of the grants; 

(2) Translate this knowledge into a 

practical tool to assist rural hospitals 

with electronic health record 

implementations; and 

(3) Translate this knowledge into 

recommendations for AHRQ activities. 

This study is being conducted by 

AHRQ through its contractor, 

Mathematica Policy Research, Inc. 

(Mathematica), pursuant to AHRQ’s 

statutory authority to conduct and 

support research (1) on healthcare and 

on systems for the delivery of such care, 

42 U.S.C. 299a, and (2) on information 

systems for health care improvement. 42 

U.S.C. 299b–3. 

Method of Collection 

To achieve the goals of this project the 

following data collections will be 

implemented: 

(1) Planning Grant Survey for all 

grantees that received a planning grant; 

(2) Implementation Grant Survey for 

all grantees that received an 

implementation grant; 

(3) Value Grant Survey for all grantees 

that received a value grant; and 

(4) In-Depth Interviews will be 

conducted via telephone with a sample 

of grantees from each of the three types 

of grants. Given the complex nature of 

many of the projects conducted under 

these grants, from each selected grantee 

organization 1 to 3 persons with 

different areas of expertise will 

participate in the interview with the 

most knowledgeable person responding 

to a given question. Questions vary by 

grant type. 

These proposed data collections will 

gather information from grantee 

principal investigators on topics 

including: (1) Partnerships, which were 

required of all the grantees-what types 

are most effective and long-lasting and 


hsrobinson on DSK69SOYB1PROD with NOTICES
Federal Register / Vol. 75, No. 211 / Tuesday, November 2, 2010 / Notices 67371 

how partnerships can be made more 

effective; (2) planning for health ITinformation that can help identify 

successful pathways; (3) 

implementation of health IT-including 

common and unique barriers and 

facilitators to implementation across 

types of health IT and care settings; (4) 

the outcomes, benefits, and drawbacks 

of the grant projects; and (5) the 

sustainability and expansion of 

implemented health IT. 

Collecting this information will assist 

AHRQ in its mission of supporting the 

synthesis and dissemination of available 

evidence for the planning, 

implementation, and use of health IT by 

patients, practitioners, providers, 

purchasers, policymakers, and 

educators. 

The proposed data collection is also 

designed to assist AHRQ in improving 

the effectiveness with which it supports 

future research, synthesis, and 

initiatives on health IT topics. The 

grantees’ experiences with the THQIT 

grant process and features is an 

important topic covered including 

feedback on whether the funding and 

time period were sufficient, how 

effective the grant was in furthering 

health IT in grantee organizations, and 

whether planning grants are a useful 

mechanism to prepare health care 

organizations and researchers to 

participate in future large-scale 

research. 

This research also supports AHRQ’s 

mission, 42 U.S.C. 299(c), to specifically 

focus on rural populations and priority 

populations by collecting information 

on special factors affecting rural health 

care grantees, and the outcomes of the 

grant projects for AHRQ priority 

populations. 

Estimated Annual Respondent Burden 

Exhibit 1 shows the estimated 

annualized burden hours associated 

with the respondents’ time to 

participate in this research. The Value 

Grant Survey will be completed by the 

24 grantees that received a value grant 

and takes 30 minutes to complete. The 

Planning Grant Survey will be 

completed by all 38 recipients of a 

planning grant and requires 30 minutes 

to complete. The Implementation Grant 

Survey will be completed by the 56 

grantees that received an 

implementation grant and takes 45 

minutes to complete. In-depth 

interviews will be conducted with 1 to 

3 persons (2 on average) from each of 30 

different grantee organizations and is 

estimated to average 1.8 hours; actual 

burden will vary since some sections 

apply to specific grant types. The total 

annualized burden is estimated to be 

181 hours. 

Exhibit 2 shows the estimated 

annualized cost burden associated with 

the respondents’ time to participate in 

this research. The total annualized cost 

burden is estimated to be $7,917. 

EXHIBIT 1—ESTIMATED ANNUALIZED BURDEN HOURS

Form name Number of 

respondents 

Number of 

responses per 

respondent 

Hours per 

response 

Total burden 

hours 

Value Grant Survey ......................................................................................... 24 1 30/60 12 

Planning Grant Survey .................................................................................... 38 1 30/60 19 

Implementation Grant Survey .......................................................................... 56 1 45/60 42 

In-Depth Interviews .......................................................................................... 30 2 1.8 108 

Total .......................................................................................................... 148 n/a n/a 181 

EXHIBIT 2—ESTIMATED ANNUALIZED COST BURDEN

Form name Number of 

respondents 

Total burden 

hours 

Average hourly wage rate* Total cost 

burden 

Value Grant Survey ......................................................................................... 24 12 43.74 $525 

Planning Grant Survey .................................................................................... 38 19 43.74 831 

Implementation Grant Survey .......................................................................... 56 42 43.74 1,837 

In-Depth Interviews .......................................................................................... 30 108 43.74 4,724

Total .......................................................................................................... 148 181 na 7,917

* Based upon the mean of the average wages for medical and health services managers, Department of Labor, Bureau of Labor Statistics, Occupational and Employment Wages. May 2009. Accessed at: http://www.bls.gov/news.release/pdf/ocwage.pdf. 

Estimated Annual Costs to the Federal 

Government 

Exhibit 3 shows the estimated total 

and annualized cost for this project. 

Although data collection activities will 

last for one year, the entire project will 

span 2.25 years; therefore, the 

annualized costs cover two and a 

quarter years. The total project cost is 

estimated to be $600,055. 

EXHIBIT 3—ESTIMATED TOTAL AND ANNUALIZED COST

Cost component Total cost Annualized 

cost 

Project Development ............................................................................................................................................... $80,584 $35.815 

Data Collection Activities ......................................................................................................................................... 72,198 32,088 

Data Processing and Analysis ................................................................................................................................. 52,389 23,284 

Publication of Results .............................................................................................................................................. 149,476 66,434 

Project Management ................................................................................................................................................ 70,313 31,250 

Overhead ................................................................................................................................................................. 175,095 77,820 


hsrobinson on DSK69SOYB1PROD with NOTICES
67372 Federal Register / Vol. 75, No. 211 / Tuesday, November 2, 2010 / Notices 

EXHIBIT 3—ESTIMATED TOTAL AND ANNUALIZED COST—Continued 

Cost component Total cost Annualized 

cost 

Total .................................................................................................................................................................. 600,055 266,691 

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 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: October 21, 2010. 

Carolyn M. Clancy, 

Director. 

[FR Doc. 2010–27568 Filed 11–1–10; 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: 

‘‘Understanding Patients’ Knowledge 

and Use of Acetaminophen—Phase 2.’’ 

In accordance with the Paperwork 

Reduction Act, 44 U.S.C. 35013520, 

AHRQ invites the public to comment on 

this proposed information collection. 

This proposed information collection 

was previously published in the Federal 

Register on August 30th 2010 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 December 2, 2010. 

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: AHRQs 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.lefkowitz@AHRQ.hhs.gov. 

SUPPLEMENTARY INFORMATION: 

Proposed Project 

Understanding Patients’ Knowledge and 

Use of Acetaminophen—Phase 2 

AHRQ proposes a cross-sectional 

prospective survey to identify issues 

that relate to the misuse and overdosing 

of over-the-counter (OTC) 

acetaminophen. The survey was 

developed based on results from a 

previous data collection (OMB control 

number 0935–0154, approved on 10/13/ 

2009). Acetaminophen is the most 

widely used analgesic and antipyretic 

drug in the U.S. When appropriately 

used, it is a very safe agent. However, 

a single large overdose, or several 

supratherapeutic dosages in a short 

period of time, has been associated with 

acute liver failure, which can occur with 

dosages over 250 mg/kg over a 24-hour 

period, or > 12 g in an adult. Toxicity 

from acetaminophen has been on the 

rise in the past 3 decades, and is now 

the most common cause of acute liver 

failure in the U.S., surpassing viral 

hepatitis. 

This project has the following aims: 

(1) To estimate frequency of use, 

knowledge, and practices regarding use 

of OTC acetaminophen, and 

(2) Evaluate potential determinants of 

misuse in community-based samples. 

This information will be useful for 

policy makers to consider and to 

evaluate regulations and legislation with 

respect to the distribution, dispensing 

and sales of OTC acetaminophen. 

This study is being conducted by 

AHRQ through its contractor, the 

University of Texas. This project 

supports AHRQ’s Centers for Education 

and Research on Therapeutics initiative 

to promote the safe and effective use of 

therapeutics. See 42 U.S.C. 299b–1(b). It 

also supports AHRQ’s mandate for the 

inclusion of priority populations. See 42 

U.S.C. 299(c). 

Method of Collection 

To achieve the projects’ aims the 

following data collections will be 

implemented: 

(1) Surveys with parents of young 

children (age < 8 years). The purpose of 

this survey is to learn how parents 

administer acetaminophen to their 

children and to identify determinants of 

misuse of acetaminophen; 

(2) Surveys with adolescents (ages 13 

to 20 years of age). The purpose of this 

survey is to learn how adolescents use 

acetaminophen and to identify 

determinants of misuse of 

acetaminophen; 

(3) Surveys with adults (21 to 65 years 

of age). The purpose of this survey is to 

learn how adults use acetaminophen 

and to identify determinants of misuse 

of acetaminophen; 

(4) Surveys with adults (greater than 

65 years of age). The purpose of this 

survey is to learn how older adults use 

acetaminophen and to identify 

determinants of misuse of 

acetaminophen, particularly in regards 

to age-related factors. 

(5) Telephone screener. The telephone 

screener will be used to recruit a subset 

of respondents for which a contact 

telephone number is available. 

Data will be collected in-person using 

paper questionnaires administered by 

the project personnel. 

Estimated Annual Respondent Burden 

Exhibit 1 shows the estimated 

annualized burden hours for the 

respondent’s time to participate in this 

project. Each of the four questionnaires 

used in the planned face-to-face surveys 

will require approximately 30 minutes 


hsrobinson on DSK69SOYB1PROD with NOTICES