Federal Register / Vol. 78, No. 125 / Friday, June 28, 2013 / Notices 38979 

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 July 15, 

2013. 

A. Federal Reserve Bank of Atlanta 

(Chapelle Davis, Assistant Vice 

President) 1000 Peachtree Street NE., 

Atlanta, Georgia 30309: 

1. Lucie VanLandingham Beeley, 

Leesburg, Georgia, and Stevan Reynolds 

Tuck, Dawson, Georgia, to retain control 

of Georgia Community Bancorp, Inc., 

Dawson, Georgia, and thereby indirectly 

retain shares of The Citizens State Bank 

of Taylor County, Reynolds, Georgia. 

B. Federal Reserve Bank of San 

Francisco (Gerald C. Tsai, Director, 

Applications and Enforcement) 101 

Market Street, San Francisco, California 

94105–1579: 

1. Jefry Baker, Lake Oswego, Oregon, 

to acquire additional voting shares of 

Merchants Bancorp, and thereby 

indirectly acquire additional voting 

shares of MBank, both of Gresham, 

Oregon. 

Board of Governors of the Federal Reserve 

System, June 25, 2013. 

Margaret McCloskey Shanks, 

Deputy Secretary of the Board. 

[FR Doc. 2013–15516 Filed 6–27–13; 8:45 am] 

BILLING CODE 6210–01–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 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 July 25, 2013. 

A. Federal Reserve Bank of Kansas 

City (Dennis Denney, Assistant Vice 

President) 1 Memorial Drive, Kansas 

City, Missouri 64198–0001: 

1. Citizens National Corporation, 

Wisner, Nebraska to acquire up to an 

additional .35 percent for a total of 

34.55 percent of the voting shares of 

Republic Corporation, parent of United 

Republic Bank, both in Omaha, 

Nebraska. 

Board of Governors of the Federal Reserve 

System, June 25, 2013. 

Margaret McCloskey Shanks, 

Deputy Secretary of the Board. 

[FR Doc. 2013–15515 Filed 6–27–13; 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: ‘‘Medical 

Expenditure Panel Survey —Insurance 

Component.’’ In accordance with the 

Paperwork Reduction Act, 44 U.S.C. 

3501–3521, AHRQ invites the public to 

comment on this proposed information 

collection. 

DATES: Comments on this notice must be 

received by August 27, 2013. 

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 

Medical Expenditure Panel Survey— 

Insurance Component 

Employer-sponsored health insurance 

is the source of coverage for 78 million 

current and former workers, plus many 

of their family members, and is a 

cornerstone of the U.S. health care 

system. The Medical Expenditure Panel 

Survey—Insurance Component (MEPS– 

IC) measures the extent, cost, and 

coverage of employer-sponsored health 

insurance on an annual basis. These 

statistics are produced at the National, 

State, and sub-State (metropolitan area) 

level for private industry. Statistics are 

also produced for State and Local 

governments. 

This research has the following goals: 

(1) To provide data for Federal 

policymakers evaluating the effects of 

National and State health care reforms. 

(2) To provide descriptive data on the 

current employer-sponsored health 

insurance system and data for modeling 

the differential impacts of proposed 

health policy initiatives. 

(3) To supply critical State and 

National estimates of health insurance 

spending for the National Health 

Accounts and Gross Domestic Product. 

This study is being conducted by 

AHRQ through the Bureau of the 

Census, 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 the 

following data collections for both 

private sector and state and local 

government employers will be 

implemented: 

(1) Prescreener Questionnaire—The 

purpose of the Prescreener 

Questionnaire, which is collected via 

telephone, varies depending on the 

insurance status of the establishment 

contacted. (Establishment is defined as 

a single, physical location in the private 

sector and a governmental unit in state 

and local governments.) For 


tkelley on DSK3SPTVN1PROD with NOTICES
38980 Federal Register / Vol. 78, No. 125 / Friday, June 28, 2013 / Notices 

establishments that do not offer health 

insurance to their employees, the 

prescreener is used to collect basic 

information such as number of 

employees. Collection is completed for 

these establishments through this 

telephone call. For establishments that 

do offer health insurance, contact name 

and address information is collected 

that is used for the mailout of the 

establishment and plan questionnaires. 

Obtaining this contact information helps 

ensure that the questionnaires are 

directed to the person in the 

establishment best equipped to 

complete them. 

(2) Establishment Questionnaire—The 

purpose of the mailed Establishment 

Questionnaire is to obtain general 

information from employers that 

provide health insurance to their 

employees. Information such as total 

active enrollment in health insurance, 

other employee benefits, demographic 

characteristics of employees, and retiree 

health insurance is collected through 

the establishment questionnaire. 

(3) Plan Questionnaire—The purpose 

of the mailed Plan Questionnaire is to 

collect plan-specific information on 

each plan (up to four plans) offered by 

establishments that provide health 

insurance to their employees. This 

questionnaire obtains information on 

total premiums, employer and employee 

contributions to the premium, and plan 

enrollment for each type of coverage 

offered—single, employee-plus-one, and 

family—within a plan. It also asks for 

information on deductibles, copays, and 

other plan characteristics. 

The primary objective of the MEPS– 

IC is to collect information on employersponsored health insurance. Such 

information is needed in order to 

provide the tools for Federal, State, and 

academic researchers to evaluate current 

and proposed health policies and to 

support the production of important 

statistical measures for other Federal 

agencies. 

Estimated Annual Respondent Burden 

Exhibit 1 shows the estimated 

annualized burden hours for the 

respondent’s time to provide the 

requested data. The Prescreener 

questionnaire will be completed by 

31,536 respondents and takes about 51/ 

2 minutes to complete. The 

Establishment questionnaire will be 

completed by 27,615 respondents and 

takes about 23 minutes to complete. The 

Plan questionnaire will be completed by 

23,320 respondents and will require an 

average of 2.2 responses per respondent. 

Each Plan questionnaire takes about 11 

minutes to complete. The total 

annualized burden hours are estimated 

to be 22,567 hours. 

Exhibit 2 shows the estimated 

annualized cost burden associated with 

the respondents’ time to participate in 

this data collection. The annualized cost 

burden is estimated to be $662,116. 

EXHIBIT 1—ESTIMATED ANNUALIZED BURDEN HOURS

Form name Number of 

respondents 

Number of 

responses per 

respondent 

Hours per 

response 

Total burden 

hours 

Prescreener Questionnaire .............................................................................. 31,536 1 0.09 2,838 

Establishment Questionnaire ........................................................................... 27,615 1 * 0.38 10,494 

Plan Questionnaire .......................................................................................... 23,320 2.2 0.18 9,235 

Total .......................................................................................................... 82,471 na na 22,567 

* The burden estimate printed on the establishment questionnaire is 45 minutes which includes the burden estimate for completing the establishment questionnaire, an average of 2.1 plan questionnaires, plus the prescreener. The establishment and plan questionnaires are sent to the 

respondent as a package and are completed by the respondent at the same time. 

EXHIBIT 2—ESTIMATED ANNUALIZED COST BURDEN

Form name Number of 

respondents 

Total burden 

hours 

Average 

hourly wage 

rate* 

Total cost 

burden 

Prescreener Questionnaire .............................................................................. 31,536 2,838 29.34 $83,267 

Establishment Questionnaire ........................................................................... 27,615 10,494 29.34 307,894 

Plan Questionnaire .......................................................................................... 23,320 9,235 29.34 270,955 

Total .......................................................................................................... 82,471 22,567 na 662,116 

*Based upon the mean hourly wage for Compensation, Benefits, and Job Analysis Specialists occupation code 13–1141, at http://bls.gov/oes/ 

current/oes131141.htm (U.S. Department of Labor, Bureau of Labor Statistics.) 

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: June 20, 2013. 

Carolyn M. Clancy, 

Director. 

[FR Doc. 2013–15290 Filed 6–27–13; 8:45 am] 

BILLING CODE 4160–90–M 


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