Agency Information Collection Activities: Proposed Collection; Comment Request
| Published date | 30 March 2020 |
| Citation | 85 FR 17580 |
| Record Number | 2020-06540 |
| Section | Notices |
| Court | Agency For Healthcare Research And Quality,Health And Human Services Department |
17580
Federal Register / Vol. 85, No. 61 / Monday, March 30, 2020 / Notices
4
The wage rates used in this Notice reflect data
from the Bureau of Labor Statistics, Occupational
Employment and Wages (May 2018), available at
http://www.bls.gov/news.release/pdf/ocwage.pdf.
Estimated Annual Hours Burden:
3,069,314 hours (170,417 hours for
manufacturers + 2,898,897 hours for
retailers).
•Manufacturers account for
approximately 170,417 hours ((742
large manufacturers × 21.5 hours) +
(30,287 small manufacturers × 5.1
hours))
•Retailers account for approximately
2,898,897 hours ((8,628 large retailers
× 20.8 burden hours) + (566,549 small
retailers × 4.8 burden hours))
Estimated Annual Cost Burden:
$70,594,222 (which is derived from
$36,831,768 for sales associates +
$33,762,454 for clerical workers).
4
•Sales Associates: (1,534,657 hours)
($24/hour) = $36,831,768
•Clerical Workers: (1,534,657 hours)
($22/hour) = $33,762,454
Total Annual Capital or Other Non-
labor Costs: De minimis.
Request for Comment
Your comment—including your name
and your state—will be placed on the
public record of this proceeding at the
https://www.regulations.gov website.
Because your comment will be made
public, you are solely responsible for
making sure that your comment does
not include any sensitive personal
information, such as anyone’s Social
Security number; date of birth; driver’s
license number or other state
identification number, or foreign
country equivalent; passport number;
financial account number; or credit or
debit card number. You are also solely
responsible for making sure that your
comment does not include any sensitive
health information, such as medical
records or other individually
identifiable health information. In
addition, your comment should not
include any ‘‘trade secret or any
commercial or financial information
which . . . is privileged or
confidential’’—as provided by Section
6(f) of the FTC Act, 15 U.S.C. 46(f), and
FTC Rule 4.10(a)(2), 16 CFR 4.10(a)(2)—
including in particular competitively
sensitive information such as costs,
sales statistics, inventories, formulas,
patterns, devices, manufacturing
processes, or customer names.
Josephine Liu,
Assistant General Counsel for Legal Counsel.
[FR Doc. 2020–06579 Filed 3–27–20; 8:45 am]
BILLING CODE 6750–01–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 ‘‘AHRQ
Managing Unhealthy Alcohol Use in
Primary Care Initiative.’’
DATES
: Comments on this notice must be
received by 60 days after date of
publication of this notice.
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
emails at doris.lefkowitz@
AHRQ.hhs.gov.
SUPPLEMENTARY INFORMATION
:
Proposed Project
AHRQ Managing Unhealthy Alcohol
Use in Primary Care Initiative
The Affordable Care Act established
the Patient-Centered Outcomes Research
Trust Fund (PCORTF) and authorized
AHRQ to broadly disseminate the
research findings published by the
Patient-Centered Outcomes Research
Institute (PCORI) and other government-
funded research relevant to comparative
clinical effectiveness research. AHRQ’s
PCORTF-funded initiative identifies
research findings that could
significantly improve patient outcomes
through broader implementation in
clinical practice. Under this initiative,
in 2019 AHRQ launched a new
initiative, Managing Unhealthy Alcohol
Use in Primary Care, in order to
promote the uptake of evidence-based
practices for unhealthy alcohol use
(UAU). As part of this initiative, AHRQ
selected six grantees and funded a
contractor to support and evaluate the
grantees. The grantees will collectively
work with more than 700 primary care
practices over three years to implement
and evaluate strategies to increase the
use of evidence-based interventions
such as screening for unhealthy alcohol
use, brief interventions for adult
patients who drink too much, and
medication-assisted therapy (MAT) for
patients with an alcohol use disorder.
The contractor will develop a resource
center, convene a technical expert
panel, conduct an ongoing
environmental scan, support a learning
community of grantees, and complete a
multisite, mixed methods evaluation.
Unhealthy alcohol use, defined as
behaviors ranging from risky drinking to
alcohol use disorders (AUD), is
estimated to be the third leading cause
of preventable death in the United
States. Between 2006 and 2010, nearly
one in ten deaths were alcohol-related.
In addition to early mortality, UAU is
associated with a host of adverse
outcomes, including unintentional
injuries and the development or
exacerbation of a range of physical and
behavioral health conditions. The
Centers for Disease Control and
Prevention estimates suggest that
excessive alcohol consumption costs the
United States $249 billion annually.
Under the UAU initiative, six AHRQ
grantees will work to improve the
management of UAU in primary care by
disseminating and implementing
evidence-based practices for screening
and brief intervention, referral to
treatment (SBI/RT), and MAT in
primary care practices. The multi-site,
mixed-methods evaluation will include
primary data collection by the evaluator,
NORC at the University of Chicago. The
evaluation will also include secondary
data collected by the six grantee teams
working with 750 primary care
practices. Collectively the data will
allow the evaluator to assess the
implementation and impact of the six
grants.
The project goals, as laid out in the
AHRQ request for applications include:
•Success of recruitment and
retention strategies across all six
grantees to engage primary care
practices for implementation of SBI/RT
and MAT, across the initiative;
•Effectiveness of the grantees’
collective dissemination and
implementation strategies, and the
factors associated with the success and/
or failure of the strategies as it relates to
populations, settings and the influence
of contextual factors;
•Success at the practice level in
increasing the number of patients
screened, identified, and treated; and
•Overall impact on changes in
processes or outcomes that can be
attributed to the initiative.
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17581
Federal Register / Vol. 85, No. 61 / Monday, March 30, 2020 / Notices
This study is being conducted
pursuant to AHRQ’s statutory authority
to broadly disseminate research findings
published by the Patient-Centered
Outcomes Research Institute and other
government-funded research relevant to
comparative clinical effectiveness
research to physicians, health care
providers, and patients. 42 U.S.C 299b–
37.
Method of Collection
To achieve the goals of the multi-site
evaluation (MSE), AHRQ is requesting
OMB approval for three years for new
data collection by the evaluator. The
evaluator’s primary data collection is
requested to achieve the goals of the
MSE and includes the following data
collection activities:
Semi-Structured Qualitative
Interviews will take place in-person
and/or by telephone with key staff from
each grantee team (i.e., principal
investigator, co-investigator, evaluation
lead, practice facilitation/
implementation lead, and project
manager) and with clinicians and staff
at one primary care practice working
with each grantee. Interviews will be
conducted annually beginning at the
end of Year 1, for a total of three time
points per grantee. During Years 1 and
3 the interviews will be conducted by
phone, while Year 2 interviews will be
collected in-person. The interviews for
both grantee teams and primary care
practice staff will cover domains such as
understanding the practice
implementation and changes overtime,
methods of supporting practices,
barriers and facilitators to
implementation, strategies to overcome
barriers, and the number and type of
staff implementing SBI/RT and MAT.
Secondary data collected by grantees
and analyzed by the evaluator will
include:
Aggregated process measure data that
will be used to assess whether the
number of patients receiving SBI/RT
and/or MAT increased at the practice
level. Grantees will survey all
participating primary care practices at
the beginning of the initiative to collect
data on basic practice characteristics
(e.g., size, ownership, staff, and patient
population) that can be used to evaluate
relationships between practice
characteristics and the number of
patients receiving SBI/RT and/or MAT.
Grantees will also collect quantitative
information about the number, duration,
and function of contact between
practice facilitators and primary care
practices to evaluate the relationship
between duration, frequency, and type
of practice facilitator-practice
engagement, and the number of patients
screened, receiving brief intervention,
and/or treated for UAU. The practice
facilitators will collect data to track
changes in practices over time and
facilitate an overall assessment of what
activities the practice is conducting to
identify and manage UAU.
Estimated Annual Respondent Burden
Exhibit 1 shows the estimated
annualized burden hours for the
respondents’ time to complete the semi-
structured Key Informant Interviews.
For the three-year clearance period, the
estimated annualized burden hours for
the interviews are 60.
E
XHIBIT
1
Data collection activity Number of
respondents
Number of
responses per
respondent
Hours per
response Total burden
hours
Semi-Structured Interviews ........................................................................ 60 1 1.0 60
Total .................................................................................................... 60 .............................. ........................ 60
Exhibit 2 shows the estimated
annualized cost burden based on the respondents’ time to complete the Key
Informant Interviews. The total annualized cost burden is estimated to
be $6,109.
E
XHIBIT
2 E
STIMATED
A
NNUALIZED
C
OST
B
URDEN
Form name Number of
respondents Total burden
hours
Average
hourly wage
rate *
Total cost
burden
Semi-Structured Interviews .............................................................................. 60 60
a
$101.82 $6,109
Total .......................................................................................................... 60 60 ........................ 6,109
* National Compensation Survey: Occupational wages in the United States May 2018 ‘‘U.S. Department of Labor, Bureau of Labor Statistics:’’
https://www.bls.gov/oes/current/oes_stru.htm.
a
Based on the mean wages for 29–1062 Family and General Practitioners.
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’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: March 25, 2020.
Virginia L. Mackay-Smith,
Associate Director.
[FR Doc. 2020–06540 Filed 3–27–20; 8:45 am]
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