Federal Register / Vol. 89, No. 197 / Thursday, October 10, 2024 / Notices 82243 

technology. All comments will become 

a matter of public record. 

Federal Deposit Insurance Corporation. 

Dated at Washington, DC, on October 4, 

2024. 

James P. Sheesley, 

Assistant Executive Secretary. 

[FR Doc. 2024–23408 Filed 10–9–24; 8:45 am] 

BILLING CODE 6714–01–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 public portions of the 

applications listed below, as well as 

other related filings required by the 

Board, if any, are available for 

immediate inspection at the Federal 

Reserve Bank(s) indicated below and at 

the offices of the Board of Governors. 

This information may also be obtained 

on an expedited basis, upon request, by 

contacting the appropriate Federal 

Reserve Bank and from the Board’s 

Freedom of Information Office at 

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

request.htm. Interested persons may 

express their views in writing on the 

standards enumerated in the BHC Act 

(12 U.S.C. 1842(c)). 

Comments received are subject to 

public disclosure. In general, comments 

received will be made available without 

change and will not be modified to 

remove personal or business 

information including confidential, 

contact, or other identifying 

information. Comments should not 

include any information such as 

confidential information that would not 

be appropriate for public disclosure. 

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 12, 2024. 

A. Federal Reserve Bank of New York 

(Bank Applications Officer) 33 Liberty 

Street, New York, New York 10045– 

0001. Comments can also be sent 

electronically to 

Comments.applications@ny.frb.org: 

1. Banco BTG Pactual S.A., BTG 

Pactual G7 Holding S.A., BTG Pactual 

Holding Financeira Ltda., and BTG 

Pactual Holding Internacional S.A., all 

of Rio de Janeiro, Brazil; BTG Pactual 

Holding S.A., Sa ̃o Paulo, Brazil; BTG 

Pactual UK Holdco Limited, London, 

United Kingdom; and BTG Pactual 

Bancorp, LLC, New York, New York; to 

become bank holding companies by 

acquiring M.Y. Safra Bank, FSB, also of 

New York, New York. 

B. 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. Oak Tree Financial Corporation, 

Inc., Rogers, Arkansas; to become a 

bank holding company by acquiring 

Riverside Bank, Sparkman, Arkansas. 

C. Federal Reserve Bank of 

Minneapolis (Mark Rauzi, Vice 

President), 90 Hennepin Avenue, 

Minneapolis, Minnesota 55480–0291. 

Comments can also be sent 

electronically to MA@mpls.frb.org: 

1. Stearns Financial Services, Inc. 

Employee Stock Ownership Plan and 

Trust, Saint Cloud, Minnesota; to 

acquire up to 23.65 percent of the voting 

shares of Stearns Financial Services, 

Inc., and thereby indirectly acquire 

voting shares of Stearns Bank National 

Association, both of Saint Cloud, 

Minnesota, and Stearns Bank of Upsala, 

National Association, Upsala, 

Minnesota. 

Board of Governors of the Federal Reserve 

System. 

Michele Taylor Fennell, 

Associate Secretary of the Board. 

[FR Doc. 2024–23485 Filed 10–9–24; 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 extension 

without change of the previously 

approved information collection project 

‘‘Nursing Home Survey on Patient 

Safety Culture Database,’’ OMB No. 

0935–0195. This information collection 

was previously published in the Federal 

Register on August 9th, 2024 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 12, 2024. 

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 REPORTSCLEARANCEOFFICER@

ahrq.hhs.gov. 

SUPPLEMENTARY INFORMATION: 

Proposed Project 

Nursing Home Survey on Patient Safety 

Culture Database 

In 1999, the Institute of Medicine 

called for healthcare 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 

healthcare, AHRQ developed and pilot 

tested the Surveys on Patient Safety 

Culture® (SOPS®) Nursing Home Survey 

with OMB approval (OMB No. 0935– 

0132). The survey is designed to enable 

nursing homes to assess provider and 

staff perspectives about patient safety 

issues, medical error, and error 

reporting and includes 42 items that 

measure 12 composites of patient safety 

culture. AHRQ made the survey 

publicly available along with a Survey 

User’s Guide and other toolkit materials 

in November 2008 on the AHRQ 

website. 

The AHRQ SOPS Nursing Home 

Database consists of data from the 

AHRQ Nursing Home Survey on Patient 

Safety Culture and may include 


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82244 Federal Register / Vol. 89, No. 197 / Thursday, October 10, 2024 / Notices 

reportable, non-required supplemental 

items. Nursing homes in the U.S. can 

voluntarily submit data from the survey 

to AHRQ through its contractor, Westat. 

The SOPS Nursing Home Database was 

developed by AHRQ in 2011 in 

response to requests from nursing 

homes interested in viewing their 

organizations’ patient safety culture 

survey results. Organizations submitting 

data receive a feedback report, as well 

as a report on the aggregated, deidentified findings of the other nursing 

homes submitting data. These reports 

are used to assist nursing home staff in 

their efforts to improve patient safety 

culture in their organizations. 

The SOPS Nursing Home Survey and 

the SOPS Nursing Home Database 

support AHRQ’s goals of promoting 

improvements in the quality and safety 

of healthcare in nursing home settings. 

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 nursing 

homes, to facilitate the use of these 

materials for nursing home patient 

safety and quality improvement. 

The nursing home survey and 

database have the following goals: 

• Promote improvements in the 

quality and safety of healthcare in 

nursing home settings, 

• Present results from nursing homes 

that voluntarily submit their data, 

• Provide data to nursing homes to 

facilitate internal assessment and 

learning in the patient safety 

improvement process, and 

• Provide supplemental information 

to help nursing homes 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 healthcare 

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 nursing home (or parent 

organization) 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 nursing home and 

initiate the registration process. 

(2) Nursing Home Site Information— 

The purpose of the site information 

form, completed by the nursing home 

POC, is to collect background 

characteristics of the nursing home. 

This information will be used to analyze 

data collected with the SOPS Nursing 

Home Survey. 

(3) Data Use Agreement—The 

purpose of the data use agreement, 

completed by the nursing home POC, is 

to state how data submitted by nursing 

homes will be used and provides 

confidentiality assurances. 

(4) Data File(s) Submission—POCs 

upload their data file(s) using the data 

file specifications, to ensure that users 

submit their data in a standardized way 

(e.g., variable names, order, coding, 

formatting). The number of submissions 

to the database is likely to vary from 

submission period to submission period 

because nursing homes do not 

administer the survey and submit data 

every database year. Data submission is 

typically handled by one POC who is 

either a corporate level healthcare 

manager for a Quality Improvement 

Organization (QIO), a survey vendor 

who contracts with a nursing home to 

collect their data, or a nursing home 

Director of Nursing or nurse manager. 

POCs submit data on behalf of 1 nursing 

home, on average, because many 

nursing homes are part of a QIO or 

larger nursing home or health system 

that includes many nursing home sites, 

or the POC is a vendor that is submitting 

data for multiple nursing homes. 

Estimated Annual Respondent Burden 

Exhibit 1 shows the estimated 

annualized burden hours for the 

respondents’ time to participate in the 

database. An estimated 50 POCs, each 

representing an average of 1 individual 

nursing home each, will complete the 

database submission steps and forms. 

Each POC will submit the following: 

1. Eligibility and registration form 

(completion is estimated to take about 3 

minutes). 

2. Data Use Agreement (completion is 

estimated to take about 3 minutes). 

3. Nursing Home Site Information 

Form (completion is estimated to take 

about 5 minutes). 

4. Survey data submission will take 

an average of one hour. 

The total annual burden hours are 

estimated to be 60 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 

$2,903 annually. 

EXHIBIT 1—ESTIMATED ANNUALIZED BURDEN HOURS

Form name Number of 

respondents/POCs 

Number of 

responses 

per POC 

Hours per 

response 

Total burden 

hours 

1. Eligibility/Registration Form ....................................................................... 50 1 3/60 3 

2. Data Use Agreement ................................................................................. 50 1 3/60 3 

3. Nursing Home Site Information Form ........................................................ 50 1 5/60 4 

4. Data Files Submission ............................................................................... 50 1 1 50 

Total ........................................................................................................ NA NA NA 60 

EXHIBIT 2—ESTIMATED ANNUALIZED COST BURDEN

Form name Total burden 

hours 

Average 

hourly wage 

rate * 

Total cost 

burden 

1. Eligibility/Registration Forms ................................................................................................... 3 $48.43 $146 

2. Data Use Agreement ............................................................................................................... 3 48.43 146 

3. Nursing Home Site Information Form ..................................................................................... 4 48.43 194 


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Federal Register / Vol. 89, No. 197 / Thursday, October 10, 2024 / Notices 82245 

EXHIBIT 2—ESTIMATED ANNUALIZED COST BURDEN—Continued 

Form name Total burden 

hours 

Average 

hourly wage 

rate * 

Total cost 

burden 

4. Data Files Submission ............................................................................................................. 50 48.43 2,422 

Total ...................................................................................................................................... 61 NA 2,907 

* Mean hourly wage rate of $48.43 for Medical and Health Services Managers (SOC code 11–9111) was obtained from the May 2023 National 

Industry-Specific Occupational Employment and Wage Estimates, NAICS 623000—Nursing and Residential Care Facilities located at https://

www.bls.gov/oes/current/naics3_623000.htm. 

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 3, 2024. 

Marquita Cullom, 

Associate Director. 

[FR Doc. 2024–23429 Filed 10–9–24; 8:45 am] 

BILLING CODE 4160–90–P 

DEPARTMENT OF HEALTH AND 

HUMAN SERVICES 

Centers for Medicare & Medicaid 

Services 

[CMS–1800–N4] 

Inflation Reduction Act (IRA) Medicare 

Drug Price Negotiation Program Final 

Guidance 

AGENCY: Centers for Medicare & 

Medicaid Services, Health and Human 

Services (HHS). 

ACTION: Notice. 

SUMMARY: The Centers for Medicare & 

Medicaid Services (CMS) is announcing 

the availability of CMS’ final guidance 

for the second cycle of the Medicare 

Drug Price Negotiation Program and 

manufacturer effectuation of the 

maximum fair price in 2026 and 2027 

for the implementation of the Inflation 

Reduction Act. This and other Inflation 

Reduction Act-related guidance can be 

viewed on the dedicated Inflation 

Reduction Act section of the CMS 

website at https://www.cms.gov/ 

inflation-reduction-act-and-medicare/. 

ADDRESSES: Inquiries related to the final 

guidance should be sent to 

IRARebateandNegotiation@cms.hhs.gov 

with the relevant subject line, 

‘‘Medicare Drug Price Negotiation 

Program Final Guidance.’’ 

SUPPLEMENTARY INFORMATION: The 

Inflation Reduction Act was signed into 

law on August 16, 2022. Sections 11001 

and 11002 of the Inflation Reduction 

Act (IRA) (Pub. L. 117–169) established 

the Medicare Drug Price Negotiation 

Program (hereafter the ‘‘Negotiation 

Program’’) to negotiate maximum fair 

prices (MFPs) for certain high 

expenditure, single source drugs and 

biological products. The requirements 

for this program are described in 

sections 1191 through 1198 of the Social 

Security Act (hereafter ‘‘the Act’’) as 

added by sections 11001 and 11002 of 

the IRA. The final guidance summarizes 

and addresses comments received on 

the draft guidance issued on May 3, 

2024 and describes how CMS intends to 

implement the Negotiation Program for 

Initial Price Applicability Year 2027 

(January 1, 2027 to December 31, 2027), 

and specifies the requirements for 

manufacturer effectuation of the MFPs 

in 2026 and 2027. To obtain copies of 

the Negotiation Program final guidance 

and other Inflation Reduction Actrelated documents, please access the 

CMS Inflation Reduction Act website by 

copying and pasting the following web 

address into your web browser: https:// 

www.cms.gov/inflation-reduction-actand-medicare. If interested in receiving 

CMS Inflation Reduction Act updates by 

email, individuals may sign up for CMS 

Inflation Reduction Act’s email updates 

at https://www.cms.gov/About-CMS/ 

Agency-Information/Aboutwebsite/ 

EmailUpdates. The Administrator of the 

Centers for Medicare & Medicaid 

Services (CMS), Chiquita BrooksLaSure, having reviewed and approved 

this document, authorizes Evell J. Barco 

Holland, who is the Federal Register 

Liaison, to electronically sign this 

document for purposes of publication in 

the Federal Register. 

Evell J. Barco Holland, 

Federal Register Liaison, Centers for Medicare 

& Medicaid Services. 

[FR Doc. 2024–23418 Filed 10–9–24; 8:45 am] 

BILLING CODE 4120–01–P 

DEPARTMENT OF HEALTH AND 

HUMAN SERVICES 

Administration for Children and 

Families 

Proposed Information Collection 

Activity; Financing for Early Care and 

Education: Quality and Access for All– 

Case Studies (New Collection) 

AGENCY: Office of Planning, Research, 

and Evaluation, Administration for 

Children and Families, U.S. Department 

of Health and Human Services. 

ACTION: Request for public comments. 

SUMMARY: The Administration for 

Children and Families (ACF) at the U.S. 

Department of Health and Human 

Services seeks approval to collect 

information to deepen our 

understanding of Head Start programs’ 

funding approaches, as well as how the 

use of multiple funding sources within 

a single Head Start program may be 

associated with the delivery of Head 

Start’s comprehensive services and early 

care and education (ECE) funding 

landscapes within states. Interviews 

will be conducted with Head Start staff, 

as well as state and local/regional staff 

knowledgeable about and/or directly 

responsible for ECE financial decision 

making and/or funding source 

administration. Existing documents 

from Head Start programs and ECE 

agencies will also be reviewed to further 

contextualize interview data. 


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