14802 Federal Register / Vol. 74, No. 61 / Wednesday, April 1, 2009 / Notices 

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 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 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. 

Additional information on all bank 

holding companies may be obtained 

from the National Information Center 

website at www.ffiec.gov/nic/. 

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 April 27, 2009. 

A. Federal Reserve Bank of Chicago 

(Colette A. Fried, Assistant Vice 

President) 230 South LaSalle Street, 

Chicago, Illinois 60690–1414: 

1. Community First Financial 

Corporation, Kokomo, Indiana; to 

become a bank holding company by 

acquiring 100 percent of the voting 

shares of Community First Bank of 

Howard County, Kokomo, Indiana. 

B. Federal Reserve Bank of Dallas (E. 

Ann Worthy, Vice President) 2200 

North Pearl Street, Dallas, Texas 75201– 

2272: 

1. Texas Independent Bancshares, 

Inc., Texas City, Texas; to acquire 51 

percent of the voting shares of Houston 

Business Bank, Houston, Texas, a de 

novo bank. 

Board of Governors of the Federal Reserve 

System, March 27, 2009. 

Robert deV. Frierson, 

Deputy Secretary of the Board. 

[FR Doc. E9–7270 Filed 3–31–09; 8:45 am] 

BILLING CODE 6210–01–S 

FEDERAL RESERVE SYSTEM 

Notice of Proposals To Engage in 

Permissible Nonbanking Activities or 

To Acquire Companies That Are 

Engaged in Permissible Nonbanking 

Activities 

The companies listed in this notice 

have given notice under section 4 of the 

Bank Holding Company Act (12 U.S.C. 

1843) (BHC Act) and Regulation Y (12 

CFR Part 225) to engage de novo, or to 

acquire or control voting securities or 

assets of a company, including the 

companies listed below, that engages 

either directly or through a subsidiary or 

other company, in a nonbanking activity 

that is listed in § 225.28 of Regulation Y 

(12 CFR 225.28) or that the Board has 

determined by Order to be closely 

related to banking and permissible for 

bank holding companies. Unless 

otherwise noted, these activities will be 

conducted throughout the United States. 

Each notice is available for inspection 

at the Federal Reserve Bank indicated. 

The notice also will be available for 

inspection at the offices of the Board of 

Governors. Interested persons may 

express their views in writing on the 

question whether the proposal complies 

with the standards of section 4 of the 

BHC Act. Additional information on all 

bank holding companies may be 

obtained from the National Information 

Center website at www.ffiec.gov/nic/. 

Unless otherwise noted, comments 

regarding the applications must be 

received at the Reserve Bank indicated 

or the offices of the Board of Governors 

not later than April 16, 2009. 

A. Federal Reserve Bank of Kansas 

City (Todd Offenbacker, Assistant Vice 

President) 1 Memorial Drive, Kansas 

City, Missouri 64198–0001: 

1. Midwest Banco Corporation, 

Cozad, Nebraska; to retain Grabenstein 

Insurance & Financial Services, Inc., 

Eustis, Nebraska, and continue to 

engage in general insurance activities, 

pursuant to section 225.28(b)(11)(iii)(A) 

of Regulation Y. 

Board of Governors of the Federal Reserve 

System, March 27, 2009. 

Robert deV. Frierson, 

Deputy Secretary of the Board. 

[FR Doc. E9–7271 Filed 3–31–09; 8:45 am] 

BILLING CODE 6210–01–S 

GENERAL SERVICES 

ADMINISTRATION 

[OMB Control No. 3090–XXXX] 

General Services Administration, 

Federal Acquisition Service, 

Management Services Center; 

Information Collection; Management 

Services Center (MSC) Customer 

Satisfaction E-Survey 

AGENCY: Management Services Center 

(MSC), Federal Acquisition Service 

(FAS), General Services Administration 

(GSA). 

ACTION: Notice of request for comments 

regarding a new OMB clearance. 

SUMMARY: Under the provisions of the 

Paperwork Reduction Act of 1995 (44 

U.S.C. Chapter 35), the General Services 

Administration will be submitting to the 

Office of Management and Budget 

(OMB) a request to review and approve 

a new information collection 

requirement regarding a Management 

Services Center (MSC) Customer 

Satisfaction E-Survey. 

Public comments are particularly 

invited on: Whether this collection of 

information is necessary and whether it 

will have practical utility; whether our 

estimate of the public burden of this 

collection of information is accurate and 

based on valid assumptions and 

methodology; and ways to enhance the 

quality, utility, and clarity of the 

information to be collected. 

DATES: Submit comments on or before: 

May 1, 2009. 

FOR FURTHER INFORMATION CONTACT: Ms. 

Geri Haworth, Director, Business 

Management Division, Management 

Services Center, Federal Acquisition 

Service, at telephone (253) 931–7064 or 

via e-mail to geri.haworth@gsa.gov. 

ADDRESSES: Submit comments regarding 

this burden estimate or any other aspect 

of this collection of information, 

including suggestions for reducing this 

burden to the Regulatory Secretariat 

(VPR), General Services Administration, 

Room 4041, 1800 F Street, NW., 

Washington, DC 20405. Please cite OMB 

Control No. 3090–XXXX, Management 

Services Center (MSC) Customer 

Satisfaction E-Survey, in all 

correspondence. 

SUPPLEMENTARY INFORMATION:

A. Purpose 

The data collected from the 

Management Services Center (MSC) 

Customer Satisfaction E-Survey will be 

used to measure customer satisfaction 

and to identify areas where service to 

Federal agencies and industry requires 

improvement. 

B. Annual Reporting Burden 

Respondents: 400. 

Responses per Respondent: 1. 

Hours per Response: .05. 

Total Burden Hours: 20. 

Obtaining Copies of Proposals: 

Requesters may obtain a copy of the 

information collection documents from 

the General Services Administration, 

Regulatory Secretariat (VPR), 1800 F 

Street, NW., Room 4041, Washington, 

DC 20405, telephone (202) 501–4755. 

Please cite OMB Control No. 3090– 

XXXX, Management Services Center 

(MSC) Customer Satisfaction E-Survey, 

in all correspondence. 

Federal Register / Vol. 74, No. 61 / Wednesday, April 1, 2009 / Notices 14803 

Dated: March 23, 2009. 

[FR Doc. E9–7244 Filed 3–31–09; 8:45 am] 

BILLING CODE 6820–DH–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: 

‘‘Assessing Organizational Responses to 

AHRQ’s Health Literacy Pharmacy 

Tools.’’ 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. 

This proposed information collection 

was previously published in the Federal 

Register on January 29th, 2009 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 May 1, 2009. 

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). 

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: Assessing Organizational 

Responses to AHRQ’s Health Literacy 

Pharmacy Tools. 

According to the 2003 National 

Assessment of Adult Literacy, only 12 

percent of adults have proficient health 

literacy—the capacity to obtain, process, 

and understand basic health 

information and services needed to 

make appropriate health decisions. 

Limited health literacy often leads to 

medication errors. For example, one 

study found that a majority of adults 

with low health literacy did not 

understand instructions to ‘‘take 

medication on an empty stomach.’’ 

Overall, it is estimated that low health 

literacy costs the U.S. health care 

system $50 billion to $73 billion per 

year. Pharmacies can serve as an 

important source of medication 

information for people with limited 

health literacy, but relatively few 

pharmacies have implemented health 

literacy practices (Praska et al., 2005). 

Recognizing that pharmacies may 

need outside knowledge and assistance 

to improve their health literacy 

practices, AHRQ, through a previous 

task order, supported the creation of the 

following four health literacy tools for 

pharmacy settings, which have been 

validated in institutional pharmacy 

settings. 

1. Is Our Pharmacy Meeting Patients’ 

Needs? A Pharmacy Health Literacy 

Assessment Tool User’s Guide (Jacobson 

et al., 2007). 

2. Strategies to improve 

Communication between Staff and 

Patients: Training Program for Pharmacy 

Staff (Kripalini & Jacobson, 2007). 

3. How to Create a Pill Card (Jacobson 

et al., 2008). 

4. Telephone Reminders: A Tool to 

Help Refill Medications on Time 

(Jacobson et al., 2008). 

AHRQ now proposes to distribute 

these tools to a more diverse set of 

pharmacies and to conduct in-depth 

case studies to enhance our 

understanding about the conditions that 

may facilitate or impede the adoption of 

the tools in these settings. AHRQ would 

use insights gained to develop materials 

(promotional implementation guides) 

that could assist interested pharmacies 

in putting the tools into practice and 

anticipating and overcoming obstacles 

to doing so. 

The pharmacy health literacy tools 

will be disseminated through an AHRQ 

Web site, which will also provide 

technical assistance to pharmacies that 

wish to implement the tools. A 

description of the tools and site will be 

distributed to pharmacists through 

national pharmacy organizations’ trade 

publications and a direct mailing to 

chain pharmacy headquarters. We 

anticipate that we would be able to 

reach as many as 60,000 individual 

pharmacists across the country through 

these channels. 

This project is being conducted 

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 health care costs, 

productivity, organization, and market 

forces. 42 U.S.C. 299a(a)(1), (2), and (6). 

Method of Collection 

Case Studies 

Through its contractor, AHRQ 

proposes to conduct 7 in-depth case 

studies to assess pharmacies’ 

experiences with implementation of one 

or more of these four health literacy 

tools, using interviews, site visits, 

review of documents and a survey of 

pharmacy staff from case study 

pharmacies. In addition, AHRQ will 

conduct 2 more limited studies of 

pharmacies that were aware of the tools 

but chose not to implement them. 

A 1-day site visit will be conducted 

with each of the 7 sites that implement 

at least one of the tools. Each site visit 

will include a walk-through of the 

pharmacy site to see the physical layout, 

an interview with the key informant or 

contact person, and individual 

interviews with up to four additional 

pharmacy employees, who may include 

the pharmacy manager, staff 

pharmacists, pharmacy technicians, and 

pharmacy clerks. 

Therefore, up to 35 interviews will be 

completed across the 7 sites that 

implement one or more of the tools. In 

addition, up to 12 pharmacy staff at 

each of the 7 implementation sites will 

complete the tool’s Pharmacy Staff 

Survey contained in the Pharmacy 

Health Literacy Assessment Tool. 

For each of the two pharmacies which 

do not implement the tools, interviews 

will be conducted with up to 2 

informants per site. The content of this 

interview will be similar, but not 

identical, to the interviews with staff at 

the implementing sites. 

Web Site Visitors’ Survey 

For pharmacists and other visitors to 

the AHRQ Web site, we will conduct a 

voluntary survey regarding health 

literacy in general, and feedback 

regarding AHRQ’s health literacy tools. 

The Web site visitors’ survey will be 

available on-line. 

Estimated Annual Respondent Burden 

Exhibit 1 shows the estimated 

annualized burden hours for the 

respondents’ time to participate in the 

case studies. The staff interview at the 

implementing sites will be completed 

with up to 5 total pharmacy staff 

members from each of the 7 pharmacies 

that implement at least one of the health 

literacy tools. Staff interviews at the two