81944 Federal Register / Vol. 76, No. 250 / Thursday, December 29, 2011 / Notices 

ESTIMATED ANNUALIZED BURDEN TABLE

Site/Program (and name of baseline instrument) 

Annualized 

number of 

respondents 

Number of 

responses per 

respondent 

Average burden 

hours per 

response 

Total burden 

hours (annual) 

Chicago Public Schools/Health Teacher ......................................... 1518 1 36/60 911 

Children’s Hospital of Los Angeles/Project AIM .............................. 467 1 42/60 327 

Oklahoma Institute of Child Advocacy/Power Through Choices ..... 360 1 36/60 216 

Engender Health/Gender Matters .................................................... 375 1 36/60 225 

Ohio Health/T.O.P.P. ....................................................................... 200 1 42/60 140 

Live the Life Ministries/WAIT Training ............................................. 533 1 42/60 373 

Princeton Center for Leadership Traning (PCLT)/TeenPEP ........... 533 1 36/60 320 

Total .......................................................................................... ............................ ............................ ............................ 2512 

Keith A. Tucker, 

Office of the Secretary, Paperwork Reduction 

Act Clearance Officer. 

[FR Doc. 2011–33391 Filed 12–28–11; 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: ‘‘MEPS 

Cancer Self Administrated 

Questionnaire.’’ In accordance with the 

Paperwork Reduction Act, 44 U.S.C. 

3501–3521, AHRQ invites the public to 

comment on this proposed information 

collection. 

This proposed information collection 

was previously published in the Federal 

Register on November 2nd, 2011 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 January 30, 2012. 

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 

email at doris.lefkowitz@AHRQ.hhs.gov. 

SUPPLEMENTARY INFORMATION: 

Proposed Project 

MEPS Cancer SAQ 

The Medical Expenditure Panel 

Survey (MEPS) is a nationally 

representative survey of the civilian 

noninstitutionalized population of all 

ages in the United States that collects 

comprehensive data on health care and 

health care expenditures from all payors 

(including private payors, Medicaid, the 

VA, and out-of-pocket) over a two-year 

period. The MEPS has been conducted 

annually since 1996. The OMB Control 

Number for the MEPS is 0935–0118, 

with an expiration date of January 31st, 

2013. All of the supporting documents 

for the MEPS can be downloaded from 

http://www.reginfo.gov/public/do/ 

PRAViewDocument?ref_nbr=200910- 

0935-001. 

The purpose of this request is to 

integrate the new self-administered 

questionnaire (SAQ) entitled, 

‘‘Experiences with Cancer,’’ into the 

MEPS. Once the SAQ is integrated it 

will be completed by MEPS participants 

identified as ever having cancer. The 

Cancer SAQ will be included in the 

MEPS in 2012; it will be subsequently 

removed from the MEPS in 2013. 

The work is being conducted by 

AHRQ through its contractor, Westat, 

pursuant to AHRQ’s statutory authority 

to conduct and support research on 

healthcare and on systems for the 

delivery of such care, including the use 

of surveys to collect data on the cost, 

use and quality of such care. 42 U.S.C. 

299b–2; 42 U.S.C. 299a(a)(1), (2), (3), 

and (8). 

Method of Collection 

MEPS respondents identified as 

having cancer will be given the paper 

questionnaire to complete themselves. If 

the cancer SAQ respondent is available 

at the time of the MEPS interview, we 

ask that he/she complete the SAQ and 

give it to the interviewer before she 

leaves the household after completing 

the MEPS interview. If the cancer SAQ 

is not collected before the interviewer 

leaves the household (including those 

cases where the SAQ respondent is not 

available at the time of the MEPS 

interview), he/she will either arrange a 

time to come back to pick it up (if it is 

mutually convenient for the respondent 

and interviewer) or we ask that the SAQ 

be returned in a postage-paid envelope 

left at the household. 

There are several benefits to 

administering this SAQ nationally as a 

supplement to the MEPS. First, the 

accompanying oversample of persons 

with cancer will improve the cost 

estimates for patients with this disease 

and will allow AHRQ to conduct 

analysis on the long term costs of cancer 

for survivors. Since the survey is about 

the lasting effects of cancer and cancer 

treatments on the lives of those who 

have been diagnosed with cancer, the 

data will also allow research directed at 

long-term consequences of cancer and 

overall medical expenses. Finally, this 

activity will allow AHRQ to examine 

the feasibility of using MEPS as a 

vehicle for in depth analysis of other 

specific conditions. The questionnaire is 

being funded by the National Cancer 

Institute (NCI) and was developed 

through a collaboration among the 

Centers for Disease Control and 

Prevention, NCI, the National Institutes 

of Health, AHRQ, the American Cancer 

Society, and the Lance Armstrong 

Foundation. 

Estimated Annual Respondent Burden 

Exhibit 1 shows the estimated 

annualized burden hours for 

respondents’ time to participate in this 

research. The Cancer SAQ will be 

completed by 3,500 persons and is 

estimated to require 30 minutes to 

complete. The total annualized burden 

is estimated to be 1,750 hours. 


wreier-aviles on DSK3TPTVN1PROD with NOTICES
Federal Register / Vol. 76, No. 250 / Thursday, December 29, 2011 / Notices 81945 

Exhibit 2 shows the estimated 

annualized cost burden associated with 

respondents’ time to participate in this 

research. The total cost burden is 

estimated to be $37,363 annually. 

EXHIBIT 1—ESTIMATED ANNUALIZED BURDEN HOURS

Activity Number of 

respondents 

Number of 

responses per 

respondent 

Hours per 

response 

Total burden 

hours 

MEPS Cancer SAQ ......................................................................................... 3,500 1 30/60 1750 

Total .......................................................................................................... 3,500 n/a n/a 1750 

EXHIBIT 2—ESTIMATED ANNUALIZED COST BURDEN

Activity Number of 

respondents 

Total burden 

hours 

Average 

hourly wage 

rate* 

Total cost 

burden hours 

MEPS Cancer SAQ ......................................................................................... 3,500 1,750 $21.35 $37,363 

Total .......................................................................................................... 3,500 1,750 n/a 37,363 

* Based on the mean average hourly rate for all occupations (00–0000), National Compensation Survey: Occupational Wages in the United 

States May 2010, ‘‘U.S. Department of labor, Bureau of Labor Statistics’’. 

Estimated Annual Costs to the Federal 

Government 

Exhibit 3 shows the estimated total 

cost for the Cancer SAQ. Since the SAQ 

will only be used once in 2012 the total 

and annual costs are identical. The total 

cost is approximately $1,050,000. 

EXHIBIT 3—ESTIMATED TOTAL AND ANNUALIZED COST

Cost component Total cost Annualized 

cost 

Sampling Activities ................................................................................................................................................... $20,000 $20,000 

Interviewer Recruitment and Training ..................................................................................................................... 0 0 

Data Collection Activities ......................................................................................................................................... 300,000 300,000 

Data Processing ...................................................................................................................................................... 600,000 600,000 

Production of Public Use Data Files ....................................................................................................................... 80,000 80,000 

Project Management ................................................................................................................................................ 50,000 50,000 

Total .................................................................................................................................................................. 1,050,000 1,050,000 

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 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: December 21, 2011. 

Carolyn M. Clancy, 

Director. 

[FR Doc. 2011–33293 Filed 12–28–11; 8:45 am] 

BILLING CODE 4160–90–M 

DEPARTMENT OF HEALTH AND 

HUMAN SERVICES 

Agency for Healthcare Research and 

Quality 

Request for Measures and Domains To 

Use in Development of a Standardized 

Instrument for Use in Public Reporting 

of Family Experience of Pediatric 

Inpatient Care 

AGENCY: Agency for Healthcare Research 

and Quality (AHRQ), HHS. 

ACTION: Notice of request for measures 

and domains. 

SUMMARY: Section 401(a) of the 

Children’s Health Insurance Program 

Reauthorization Act of 2009 (CHIPRA), 

Public Law 111–3, amended the Social 

Security Act (the Act) to enact section 

1139A (42 U.S.C. 1320b–9a). Section 

1139A(b) charged the Department of 


wreier-aviles on DSK3TPTVN1PROD with NOTICES