Federal Register / Vol. 87, No. 82 / Thursday, April 28, 2022 / Notices 25271 

A. OMB Control Number, Title, and 

Any Associated Form(s) 

9000–0152, Service Contracting. 

B. Need and Uses 

This justification supports an 

extension of OMB Control No. 9000– 

0152. This clearance covers the 

information that offerors must submit to 

comply with the following Federal 

Acquisition Regulation (FAR) 

requirement: 

• FAR 52.237–10, Identification of 

Uncompensated Overtime. This 

provision requires offerors, when 

professional or technical services are 

acquired on the basis of the number of 

hours to be provided, to identify 

uncompensated overtime hours in 

excess of 40 hours per week, whether at 

the prime or subcontract level. This 

includes uncompensated overtime 

hours that are in indirect cost pools for 

personnel whose regular hours are 

normally charged direct. 

The contracting officer will use the 

collected information to perform an 

adequate cost realism analysis of the 

offerors’ proposed labor rates. Proposals 

which include unrealistically low labor 

rates, or which do not otherwise 

demonstrate cost realism, will be 

considered by the contracting officer in 

a risk assessment and evaluated 

appropriately. The primary purpose for 

obtaining the information and using it 

during the source selection process is to 

discourage the use of uncompensated 

overtime. 

C. Annual Burden 

Respondents: 19,738. 

Total Annual Responses: 19,738. 

Total Burden Hours: 9,869. 

D. Public Comment 

A 60-day notice was published in the 

Federal Register at 87 FR 9356, on 

February 18, 2022. A comment was 

received; however, it did not change the 

estimate of the burden. 

Comment: The commenter expressed 

his approval of the details set forth 

under the Federal Regulations in regard 

to serving contracts and other 

collaborative efforts in the aerospace 

industry. 

Response: Noted. The commenter did 

not express an opinion on whether the 

estimated number of burden hours is 

accurate; or ways to minimize the 

burden of the collection of information. 

Obtaining Copies: Requesters may 

obtain a copy of the information 

collection documents from the GSA 

Regulatory Secretariat Division by 

calling 202–501–4755 or emailing 

GSARegSec@gsa.gov. Please cite OMB 

Control No. 9000–0152, Service 

Contracting. 

Janet Fry, 

Director, Federal Acquisition Policy Division, 

Office of Governmentwide Acquisition Policy, 

Office of Acquisition Policy, Office of 

Governmentwide Policy. 

[FR Doc. 2022–09155 Filed 4–27–22; 8:45 am] 

BILLING CODE 6820–EP–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: 

‘‘TeamSTEPPS® Stakeholder Surveys 

for AHRQ’s ACTION III Diagnostic 

Safety Capacity Building Contract 

Task.’’ This proposed information 

collection was previously published in 

the Federal Register on February 9th, 

2022 and 60 days for public comment. 

AHRQ did not receive substantive 

comments from members of the public 

during this period. 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 31, 2022. 

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. 

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 

TeamSTEPPS® Stakeholder Surveys for 

AHRQ’s ACTION III Diagnostic Safety 

Capacity Building Contract Task 3 

AHRQ awarded a contract to the 

MedStar Health Research Institute 

(MHRI) in 2019 and received OMB fast 

track clearance (OMB control number 

0935–0179, expiration date of 11/30/23), 

to provide program support and 

expertise related to improving 

diagnostic safety and quality across five 

distinct contract tasks. Task 3 of the 

contract is to develop, pilot test and 

promote a TeamSTEPPS® Course to 

improve communication among 

providers related to diagnosis. 

TeamSTEPPS® to Improve Diagnosis 

provides communication strategies, 

including methods to improve intraprofessional communication and 

communication during the referral 

process and to practice mutual support 

and situation monitoring during the 

diagnostic process. TeamSTEPPS® to 

Improve Diagnosis includes an 

educational module for leaders on 

strategies to facilitate improved 

communication with and among 

providers related to diagnosis. This 

module also includes a Team 

Assessment Tool for Improving 

Diagnosis (the ‘‘Team Assessment 

Tool’’). 

The Team Assessment Tool is an 

instrument developed as a method of 

self-assessment, with the goal of helping 

teams reflect on their current diagnostic 

and teamwork practices. In addition, it 

orients them to the repertoire of tools 

available within the TeamSTEPPS for 

Improving Diagnosis course that are 

available to support improvement 

efforts. The Team Assessment Tool asks 

participants to complete self-assessment 

ratings as a mechanism to identify 

strengths and opportunities for 

improvement in unit-based teamwork. 

The unit level aggregate results of the 

assessments help unit leaders identify 

priorities for training via use of course 

modules and specific interventions with 

their diagnostic improvement teams. 

AHRQ would like to further develop 

this Team Assessment Tool into a 

measurement instrument, expanding on 

its intended use as an educational 

activity and formative assessment. The 

opportunity to provide evidence (via 

publication in peer reviewed journals) 

that the tool is both valid and reliable 

will strengthen its acceptance in the 

care delivery community and provide a 

scientifically sound method for teams to 

assess changes in performance overtime. 

The Team Assessment Tool requires 

psychometric testing in order to ensure 

validity and reliability. 

Psychometrics is the construction and 

validation of measurement instruments 

and assessing if these instruments are 

reliable (have consistency in 

measurement) and valid (have accuracy 

in measurement). Reliability and 

validity indicate how well a method, 


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25272 Federal Register / Vol. 87, No. 82 / Thursday, April 28, 2022 / Notices 

technique, test, or instrument is truly 

measuring what it intends to measure. 

The contractor has conducted 

precursor psychometric testing on the 

Team Assessment Tool, which included 

the following: (1) Item wording and 

scale refinement, (2) Project Team 

Subject Matter Expert content review, 

(3) Non-Project Team Subject Matter 

Expert review, (4) End-user feedback, 

and (5) Instrument refinement. This 

work puts the reliability and validity of 

the indicators of the instrument at an 

optimal starting point for full 

psychometric testing. 

Full psychometric testing of this 

instrument means the scaling must be 

evaluated extensively, which will 

require a sample of at least 359 

individual care team members 

(physicians, nurses, ancillary staff, etc.,) 

from diverse clinical settings to 

participate in a 15-minute, anonymous, 

online survey distributed via a shared 

electronic survey link. Individual care 

team members will be recruited from 

across 9 health systems or care settings. 

The survey will ask participants to read 

through and complete the questions; 

participants will not be privy to the 

results of the survey. 

The contractor will examine this 

sample of results via analyses to 

determine the stability of the instrument 

and its indicators, ensuring parallel 

measurements, homogeneity among 

indicators, concurrent, convergent, and 

discriminant validity, latent constructs 

of the tool, the extent to which measures 

of the same concept correlate and 

diverge, and the degree of that 

correlation in evaluating the 

instrument’s ability to discriminate 

between different groups with various 

levels and familiarity with safety 

culture. It is important to note the 

responses on the surveys are not being 

evaluated, but rather the consistency 

with which the questions are answered 

is being evaluated (i.e., determining 

whether the questions are being 

interpreted the same by all the users), 

despite diverse healthcare settings and 

varying levels of experience and 

familiarity with TeamSTEPPS. The 

combination of these psychometric 

methods will allow for internal and 

external validity and reliability to be 

assessed, to create a psychometrically 

sound instrument vetted for potential 

widespread adoption. 

The Team Assessment Tool 

instrument will undergo remote 

usability testing of a survey to refine 

questions. To execute this task, the 

contractor has assembled an 

interprofessional team to execute any or 

all of the following methods for 

generating reliability and validity 

evidence that would be applicable to 

this specific tool: (1) Parallel forms 

reliability, (2) internal consistency 

reliability, (3) inter-rater reliability, (4) 

content validity, and (5) construct 

validity, using a multitrait-multimethod 

matrix and/or known groups testing. 

This information collection has the 

following goal: 

1. To determine the stability of the 

Team Assessment Tool instrument and 

its indicators in improving 

communication to reduce diagnostic 

errors, by quantitatively examining the 

correlation among responses of each 

indicator. 

This study is being conducted by 

AHRQ through its contractor, MedStar 

Health Research Institute, 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 and with respect to quality 

measurement and improvement. 42 

U.S.C 299a(a)(1) and (2). 

Method of Collection 

To achieve the goal of this project the 

following information collection 

instruments will be completed using 

individual surveys: 

(1) Setting Demographics Survey: 

Prior to testing of the instrument, each 

health system will take a brief survey to 

describe the characteristics of the sites 

engaged in pilot testing (e.g., size, 

diagnostic team member role diversity, 

and familiarity with patient safety and 

quality improvement activities). 

(2) TeamSTEPPS® Team Assessment 

Tool for Improving Diagnosis: This is 

collected from individual survey 

respondents, who are diverse staff 

members in a diagnostic team. The 

consistency with which the questions 

are interpreted and answered among 

respondents will be evaluated to 

determine the stability among indicators 

on the instrument. 

AHRQ will use the information 

collected through this Information 

Collection Request to assess and 

enhance the feasibility of adopting a 

course to improve communication 

among providers related to diagnosis. 

AHRQs’ ability to publicly share a Team 

Assessment Tool that has been 

scientifically validated is expected to be 

of great interest to the health care 

community and important in helping 

organizations prioritize improvement 

efforts. 

Estimated Annual Respondent Burden 

EXHIBIT 1—ESTIMATED ANNUALIZED BURDEN HOURS

Form name Number of 

respondents 

Number of 

responses per 

respondent 

Hours per 

response 

Total burden 

hours 

Setting Demographics Survey ......................................................................... 9 1 0.25 2.25 

TeamSTEPPS® Team Assessment Tool for Improving Diagnosis ................. 350 1 0.25 87.5 

Total .......................................................................................................... 359 ........................ ........................ 89.75 

EXHIBIT 2—ESTIMATED ANNUALIZED COST BURDEN

Form name Number of 

respondents 

Total burden 

hours 

Average 

hourly wage 

rate 

Total cost 

burden 

Setting Demographics Survey ......................................................................... 9 2.25 a $57.12 $128.52 

TeamSTEPPS® Team Assessment Tool for Improving Diagnosis ................. 265 66.25 b 103.06 $6,827.73 

TeamSTEPPS® Team Assessment Tool for Improving Diagnosis ................. 85 21.25 c 15.50 $329.38 

Total .......................................................................................................... 359 89.75 ........................ 7,285.63 

aBased on the mean wages for Medical and Health Services Managers (Code 11–9111). 


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Federal Register / Vol. 87, No. 82 / Thursday, April 28, 2022 / Notices 25273 

bBased on the mean wages for Family Medicine Physicians (Code 29–1215). cBased on the mean wages for HC Support Occupations (Code 31–0000). 

Occupational Employment Statistics, May 2020 National Occupational Employment and Wage Estimates United States, U.S. Department of 

Labor, Bureau of Labor Statistics. https://www.bls.gov/oes/current/oes_nat.htm#b29-0000. 

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: April 22, 2022. 

Marquita Cullom, 

Associate Director. 

[FR Doc. 2022–09026 Filed 4–27–22; 8:45 am] 

BILLING CODE 4160–90–P 

DEPARTMENT OF HEALTH AND 

HUMAN SERVICES 

Centers for Medicare & Medicaid 

Services 

[Document Identifiers: CMS–10391, CMS– 

R–74, CMS–R–306, and CMS–10791] 

Agency Information Collection 

Activities: Submission for OMB 

Review; Comment Request 

AGENCY: Centers for Medicare & 

Medicaid Services, Health and Human 

Services (HHS). 

ACTION: Notice. 

SUMMARY: The Centers for Medicare & 

Medicaid Services (CMS) is announcing 

an opportunity for the public to 

comment on CMS’ intention to collect 

information from the public. Under the 

Paperwork Reduction Act of 1995 

(PRA), federal agencies are required to 

publish notice in the Federal Register 

concerning each proposed collection of 

information, including each proposed 

extension or reinstatement of an existing 

collection of information, and to allow 

a second opportunity for public 

comment on the notice. Interested 

persons are invited to send comments 

regarding the burden estimate or any 

other aspect of this collection of 

information, including the necessity and 

utility of the proposed information 

collection for the proper performance of 

the agency’s functions, the accuracy of 

the estimated burden, ways to enhance 

the quality, utility, and clarity of the 

information to be collected, and the use 

of automated collection techniques or 

other forms of information technology to 

minimize the information collection 

burden. 

DATES: Comments on the collection(s) of 

information must be received by the 

OMB desk officer by May 31, 2022. 

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. 

To obtain copies of a supporting 

statement and any related forms for the 

proposed collection(s) summarized in 

this notice, you may make your request 

using one of following: 

1. Access CMS’ website address at 

website address at: https://

www.cms.gov/Regulations-andGuidance/Legislation/ 

PaperworkReductionActof1995/PRAListing.html. 

FOR FURTHER INFORMATION CONTACT: 

William Parham at (410) 786–4669. 

SUPPLEMENTARY INFORMATION: Under the 

Paperwork Reduction Act of 1995 (PRA) 

(44 U.S.C. 3501–3520), federal agencies 

must obtain approval from the Office of 

Management and Budget (OMB) for each 

collection of information they conduct 

or sponsor. The term ‘‘collection of 

information’’ is defined in 44 U.S.C. 

3502(3) and 5 CFR 1320.3(c) and 

includes agency requests or 

requirements that members of the public 

submit reports, keep records, or provide 

information to a third party. Section 

3506(c)(2)(A) of the PRA (44 U.S.C. 

3506(c)(2)(A)) requires federal agencies 

to publish a 30-day notice in the 

Federal Register concerning each 

proposed collection of information, 

including each proposed extension or 

reinstatement of an existing collection 

of information, before submitting the 

collection to OMB for approval. To 

comply with this requirement, CMS is 

publishing this notice that summarizes 

the following proposed collection(s) of 

information for public comment: 

1. Type of Information Collection 

Request: Extension of a currently 

approved collection; Title of 

Information Collection: Methods for 

Assuring Access to Covered Medicaid 

Services Under 42 CFR 447.203 and 

447.204; Use: Current regulations at 42 

CFR 447.203(b) require states to develop 

an access monitoring review plan 

(AMRP) that is updated at least every 

three years for: Primary care services, 

physician specialist services, behavioral 

health services, pre and post-natal 

obstetric services (including labor and 

delivery), and home health services. 

When states reduce rates for other 

Medicaid services, they must add those 

services to the AMRP and monitor the 

effects of the rate reductions for 3 years. 

If access issues are detected, a state 

must submit a corrective action plan to 

CMS within 90 days and work to 

address the issues within 12 months. 

Section 447.203(b)(7) requires that states 

have mechanisms to obtain ongoing 

beneficiary and provider feedback. A 

state is also required to maintain a 

record of data on public input and how 

the state responded to the input. Prior 

to submitting proposals to reduce or 

restructure Medicaid service payment 

rates, states must receive input from 

beneficiaries, providers, and other 

affected stakeholders on the extent of 

beneficiary access to the affected 

services. 

The information is used by states to 

document that access to care is in 

compliance with section 1902(a)(30)(A) 

of the Social Security Act, to identify 

issues with access within a state’s 

Medicaid program, and to inform any 

necessary programmatic changes to 

address issues with access to care. CMS 

uses the information to make informed 

approval decisions on State plan 

amendments that propose to make 

Medicaid rate reductions or restructure 

payment rates and to provide the 

necessary information for CMS to 

monitor ongoing compliance with 

section 1902(a)(30)(A). Beneficiaries, 

providers and other affected 

stakeholders may use the information to 


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