Agency Information Collection Activities: Proposed Collection; Comment Request
| Published date | 28 September 2020 |
| Citation | 85 FR 60787 |
| Record Number | 2020-21295 |
| Section | Notices |
| Court | Agency For Healthcare Research And Quality,Health And Human Services Department |
60787
Federal Register / Vol. 85, No. 188 / Monday, September 28, 2020 / Notices
https://www.federalreserve.gov/foia/
request.htm. Interested persons may
express their views in writing on the
standards enumerated in the BHC Act
(12 U.S.C. 1842(c)).
Comments regarding each of these
applications must be received at the
Reserve Bank indicated or the offices of
the Board of Governors, Ann E.
Misback, Secretary of the Board, 20th
Street and Constitution Avenue NW,
Washington, DC 20551–0001, not later
than October 28, 2020.
A. Federal Reserve Bank of Kansas
City (Dennis Denney, Assistant Vice
President) 1 Memorial Drive, Kansas
City, Missouri 64198–0001:
1. Fidelity Financial Corporation,
Wichita, Kansas; to acquire through its
newly formed subsidiary, FFC Merger
Sub, Inc., also of Wichita, Kansas,
Yorktown Financial Holdings, Inc.,
Tulsa, Oklahoma, and thereby indirectly
acquire Yorktown Bank, Pryor,
Oklahoma. In addition, FFC Merger Sub,
Inc., to become a bank holding company
for a moment in time by acquiring
Yorktown Financial Holdings, Inc., and
thereby indirectly acquire Yorktown
Bank.
Board of Governors of the Federal Reserve
System, September 23, 2020.
Yao-Chin Chao,
Assistant Secretary of the Board.
[FR Doc. 2020–21372 Filed 9–25–20; 8:45 am]
BILLING CODE P
GENERAL SERVICES
ADMINISTRATION
[Notice–MG–2020–06; Docket No. 2020–
0002; Sequence No. 34]
Office of Federal High-Performance
Buildings; Green Building Advisory
Committee; Notification of Upcoming
Web-based Meetings
AGENCY
: Office of Government-Wide
Policy, General Services Administration
(GSA).
ACTION
: Meeting notice.
SUMMARY
: Notice of these Web-based
meetings/conference calls is being
provided according to the requirements
of the Federal Advisory Committee Act.
This notice provides the schedule for a
series of Web-based meetings for two
task groups of the Committee, which are
open for the public to listen in.
Interested individuals must register to
attend as instructed below under
Supplementary Information.
DATES
: The Energy Storage Task Group
will hold recurring Web-based meetings
on Thursdays from October 8, 2020,
through May 27, 2021, from 3:00 p.m. to
4:00 p.m., Eastern Time (ET).
The Sustainable Response to COVID–
19 Task Group will hold recurring Web-
based meetings on Tuesdays from
October 6, 2020, through February 2,
2021, from 2:00 p.m. to 3:00 p.m., ET.
FOR FURTHER INFORMATION CONTACT
: Mr.
Ken Sandler, Designated Federal
Officer, Office of Federal High-
Performance Buildings, Office of
Government-wide Policy, General
Services Administration, 1800 F Street
NW, (Mail-code: MG), Washington, DC
20405, at ken.sandler@gsa.gov or 202–
219–1121. Additional information about
the Committee, including meeting
materials and agendas, will be available
on-line at http://www.gsa.gov/gbac.
SUPPLEMENTARY INFORMATION
:
Procedures for Attendance and Public
Comment
Contact Mr. Ken Sandler at
ken.sandler@gsa.gov to register to attend
the in-person meeting or listen to any of
these Web-based meetings. To attend
any of these events, submit your full
name, organization, email address, and
phone number, and which you would
like to attend. Requests to attend the
Web-based meetings must be received
by 5:00 p.m. ET, on Wednesday,
September 30, 2020. (GSA will be
unable to provide technical assistance to
any listener experiencing technical
difficulties. Testing access to the Web-
based meeting site before the calls is
recommended.)
Background
The Administrator of GSA established
the Committee on June 20, 2011
(Federal Register/Vol. 76, No. 118)
pursuant to Section 494 of the Energy
Independence and Security Act of 2007
(EISA, 42 U.S.C. 17123). Under this
authority, the Committee provides
independent policy advice and
recommendations to GSA to advance
federal building innovations in
planning, design, and operations to
reduce costs, enable agency missions,
enhance human health and
performance, and minimize
environmental impacts.
The Energy Storage Task Group will
explore the use of energy storage at
federal facilities, and how it may be
employed to reduce energy use and
greenhouse gas emissions, including in
conjunction with renewable energy and
grid integration strategies.
The Sustainable Response to COVID–
19 Task Group will analyze potential
impacts on federal facility
sustainability, including occupant
health and wellness, related to the
potential implementation of COVID–19
mitigation measures and operational
practices.
The Web-based meetings will allow
the task groups to develop consensus
recommendations to the full Committee,
which will, in turn, decide whether to
proceed with formal advice to GSA
based upon these recommendations.
Kevin Kampschroer,
Federal Director, Office of Federal High-
Performance Buildings, General Services
Administration.
[FR Doc. 2020–21328 Filed 9–25–20; 8:45 am]
BILLING CODE 6820–14–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
Safety Program for Improving Surgical
Care and Recovery.’’ This proposed
information collection was previously
published in the Federal Register on
July 28th, 2020 and allowed 60 days for
public comment. AHRQ received no
substantive comments from members of
the public. The purpose of this notice is
to allow an additional 30 days for public
comment.
DATES
: Comments on this notice must be
received 30 days after date of
publication.
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
:
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60788
Federal Register / Vol. 85, No. 188 / Monday, September 28, 2020 / Notices
Proposed Project
AHRQ Safety Program for Improving
Surgical Care and Recovery
This is a quality improvement project
that aims to provide technical assistance
to hospitals to help them implement
evidence-based practices to improve
outcomes and prevent complications
among patients who undergo surgery.
Enhanced recovery pathways are a
constellation of preoperative,
intraoperative, and postoperative
practices that decrease complications
and accelerate recovery. A number of
studies and meta-analyses have
demonstrated successful results. In
order to facilitate broader adoption of
these evidence-based practices among
U.S. hospitals, this AHRQ project will
adapt the Comprehensive Unit-based
Safety Program (CUSP), which has been
demonstrated to be an effective
approach to reducing other patient
harms, to enhanced recovery of surgical
patients. The approach uses a
combination of clinical and cultural
(i.e., technical and adaptive)
intervention components. The adaptive
elements include promoting leadership
and frontline staff engagement, close
teamwork among surgeons, anesthesia
providers, and nurses, as well as
enhancing patient communication and
engagement. Interested hospitals will
voluntarily participate.
This project has the following goals:
•Improve outcomes of surgical
patients by disseminating and
supporting implementation of evidence-
based enhanced recovery practices
within the CUSP framework.
•Develop a bundle of technical and
adaptive interventions and associated
tools and educational materials to
support implementation.
•Provide technical assistance and
training to hospitals for implementing
enhanced recovery practices.
•Assess the adoption and evaluate
the effectiveness of the intervention
among the participating hospitals.
This project is being conducted by
AHRQ through its contractor, Johns
Hopkins Armstrong Institute for Patient
Safety and Quality (JHU), with
subcontractors, University of California,
San Francisco, American College of
Surgeons (ACS) and Westat, 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 will be
implemented:
Safety culture survey. The project
team will assess changes in
perioperative safety culture in hospitals
since the inception of the program by
requesting that hospitals ask their staff
to complete the safety culture survey at
the beginning of the program. Hospitals
receive their survey results and then
debrief their staff on their safety culture
and identify opportunities for further
improvement. JHU will provide
technical assistance for this effort.
Participating hospitals will promote
awareness of the survey among their
staff, coordinate implementation of the
survey, encourage staff to complete the
survey and provide staff time to do so,
and organize their local debrief of the
reports of their hospital’s results. JHU
will assist this effort by providing an
electronic portal for hospital staff to
anonymously submit the survey, and by
analyzing the data and sending a report
to the hospital. Data will also be
analyzed in aggregate across all
participating hospitals to evaluate the
impact of the overall quality
improvement effort on measured safety
culture.
Patient experience survey. Hospitals
will also assess the impact of
participation in the project on the
patient’s experience with care. AHRQ
intends to assist hospitals in assessing
patient experience by adapting the
CAHPS
®
(Consumer Assessment of
Healthcare Providers and Systems)
Outpatient and Ambulatory Surgery
Survey for use in a hospital setting and
adding in selected questions adapted
from other surveys, including Hospital
CAHPS, the CAHPS Surgical Survey,
and PROMIS (Patient Reported
Outcomes Measurement Information
System). The approach minimizes
burden on the hospitals but will yield
important information that will then be
used to further drive improvements in
the patient’s experience with the
healthcare system.
A pre-implementation assessment of
patient experience will be done with
patients before the project is
implemented at the hospital. A post-
implementation assessment of patient
experience will be done after the project
is implemented, surveying patients that
were treated on the enhanced recovery
pathway at participating hospitals.
The survey will be administered by
Westat. Hospitals will provide patient
contact information to the project team
after execution of a data use agreement.
This information will be provided to
Westat to send the survey to patients on
behalf of the hospital. Westat will
provide a summative report to each
hospital with the hospital’s results to
promote additional local quality
improvement work.
While the primary purpose of both
surveys is the hospital’s quality
improvement purpose, the data will also
be analyzed in aggregate across all
participating hospitals to evaluate the
impact of the overall quality
improvement effort.
Readiness and Implementation
Assessments: Semi-structured
qualitative interviews. Semi-structured
qualitative interviews will be conducted
with key stakeholders at participating
hospitals (e.g., project leads, physician
project champions, etc.). These include
a readiness assessment conducted after
a hospital’s enrollment in the project
and an implementation assessment
conducted after a period of
implementation. The readiness
assessment will help identify which, if
any, technical components of the
enhanced surgical care and recovery
intervention already exist at the
hospital, project management and
resources, clinician engagement,
leadership engagement and potential
barriers and facilitators to
implementation. The implementation
assessment will evaluate what elements
of the enhanced recovery practices have
been adopted, resources invested, team
participation, major barriers (e.g.,
medications, equipment, trained
personnel), and leadership
participation. These assessments will
help identify training needs of hospitals
and inform the JHU team’s approach. In
addition, the results will inform the JHU
team’s understanding of local
adaptations of the intervention and the
degree to which intervention fidelity
impacts changes in outcomes.
Site visits. Semi-structured site visits
will be conducted at a subset of
participating hospitals. Sites will be
selected using the following criteria: (1)
Active participation (2) geographic
location; and (3) willingness to host the
research team. Findings will help
inform the JHU’s project
implementation strategy. Information
from these visits will be critical in
understanding if and how team and/or
leadership issues may affect
implementation of enhanced recovery
practices, including how this may differ
across surgical service lines. Interviews
will help uncover misalignments in role
clarity, needed time and resources, best
practices, and potential enablers of and
barriers to enhanced surgical care and
recovery implementation. Site visits
will be conducted at approximately 4
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Federal Register / Vol. 85, No. 188 / Monday, September 28, 2020 / Notices
hospitals per year, and each will be 1
day long. The types of hospital
personnel anticipated to be involved in
part or all of the site visit include senior
leadership, perioperative leadership,
and patient safety and quality staff.
Participating hospitals will receive a
structured debriefing and brief summary
report at the end of the one-day visit.
Estimated Annual Respondent Burden
Safety Culture Survey
A pre-implementation safety culture
survey will be administered as a web-
based survey to nurses, physicians and
other clinical staff participating in the
project. Based on the experience with
response rates from the base period of
the project and Cohort 1, and the
approximately 200 new hospitals that
will join the project in Cohort 4, we
anticipate approximately 50 responses
each from 20 hospitals, or 1,000 total
responses from hospital staff. Based on
earlier experience we expect that
approximately 50 percent of responses
will be from physicians and surgeons,
and 50 percent will be from nurses.
Patient Experience Survey
During this period, a post-
implementation patient experience
survey will be administered by mail to
patients discharged from the hospital in
the surgical specialties included in the
project. Assuming an average of 86
patients being surveyed per hospital,
about 3,268 patients would be surveyed.
With a 30% response rate, the patient
experience survey will be completed by
about 980 patients. This survey requires
about 22 minutes to complete.
Readiness and Implementation
Assessments
A pre-and post-assessment will be
administered as a semi-structured
interview with the hospital project leads
(e.g., one physician, one nurse).
Assuming an average of 2 staff being
part of each pre- and post-interview per
hospital, about 760 staff would be
surveyed during this period. With a
90% response rate, the readiness and
implementation assessment will be
completed by about 684 staff. This
survey requires 60 minutes to complete.
Site Visits
Six site visits will be conducted
during this period. Assuming an average
of 3 staff being a part of each site visit,
about 18 staff would take part in the site
visits that will take 4 hours to complete.
Exhibit 1 shows estimated annualized
burden hours, and Exhibit 2 shows the
estimated annualized cost burden
associated with the respondents’ time to
participate in this project. The total cost
burden is estimated to be $96,530
annually.
E
XHIBIT
1—E
STIMATED
A
NNUALIZED
B
URDEN
H
OURS
Form name Number of
respondents
Number of
responses per
respondent
Hours per
response Total burden
hours
Safety culture survey ....................................................................................... 1,000 1 .25 250
Patient experience survey ............................................................................... 980 1 0.37 363
Readiness and Implementation assessment ................................................... 684 1 1 684
Site visits .......................................................................................................... 18 1 4 72
Total .......................................................................................................... 2,681 N/A N/A 1,368
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
Safety culture survey ....................................................................................... 500 125
a
$121.17 $15,146
Safety culture survey ....................................................................................... 500 125
b
37.24 4,655
Patient experience survey ............................................................................... 980 363
d
27.54 9,997
Readiness and Implementation assessment ................................................... 342 342
a
121.17 41,440
Readiness and Implementation assessment ................................................... 342 342
c
55.37 18,937
Site visits .......................................................................................................... 9 36
a
121.17 4,362
Site Visits ......................................................................................................... 9 36
c
55.37 1,993
Total .......................................................................................................... 2,682 1,368 N/A 96,530
National Compensation Survey: Occupational wages in the United States May 2019 ‘‘U.S. Department of Labor, Bureau of Labor Statistics:’’
http://www.bls.gov/oes/current/oes_stru.htm.
a
Based on the mean wages for 29–1240 Physicians and Surgeons.
b
Based on the mean wages for 29–1141 Registered Nurse.
c
Based on the mean wages for 11–9111 Medical and Health Services Managers.
d
Based on the mean wages for 00–0000 All Occupations.
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.
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60790
Federal Register / Vol. 85, No. 188 / Monday, September 28, 2020 / Notices
Dated: September 21, 2020.
Marquita Cullom-Stott,
Associate Director.
[FR Doc. 2020–21295 Filed 9–25–20; 8:45 am]
BILLING CODE 4160–90–P
DEPARTMENT OF HEALTH AND
HUMAN SERVICES
Centers for Disease Control and
Prevention
Informational Meeting: The Importation
of Infectious Biological Agents,
Infectious Substances and Vectors;
Public Webinar
AGENCY
: Centers for Disease Control and
Prevention (CDC), Department of Health
and Human Services (HHS).
ACTION
: Notice of public webinar.
SUMMARY
: The Centers for Disease
Control and Prevention (CDC),
Department of Health and Human
Services (HHS) is hosting a public
webinar to address import permit
regulations for infectious biological
agents, infectious substances, and
vectors. Besides the CDC, presenters for
this webinar may include
representatives from the Department of
Transportation, Department of
Agriculture and Department of
Homeland Security.
DATES
: The webinar will be held
December 3, 2020 from 11 a.m. to 4 p.m.
(EST). Registration instructions are
found on the HHS/CDC Import Permit
Program website, https://www.cdc.gov/
cpr/ipp/index.htm.
ADDRESSES
: The webinar will be
broadcast from the Centers for Disease
Control and Prevention, 1600 Clifton
Road NE, Atlanta, Georgia 30329.
FOR FURTHER INFORMATION CONTACT
:
Samuel S. Edwin, Director, Division of
Select Agents and Toxins, CDC, 1600
Clifton Road NE, Mailstop H–21–7,
Atlanta, Georgia 30329. Telephone:
(404) 718–2000.
SUPPLEMENTARY INFORMATION
: This
webinar is an opportunity for all
interested parties (e.g., academic
institutions; biomedical centers;
commercial manufacturing facilities;
federal, state, and local laboratories,
including clinical and diagnostic
laboratories; research facilities;
exhibition facilities; and educational
facilities) to obtain specific guidance
and information regarding import
permit regulations and shipping
infectious biological materials. The
webinar will also provide assistance to
those interested in applying for an
import permit from federal agencies
within the United States. Instructions
for registration are found on the CDC
Import Permit Program website, https://
www.cdc.gov/cpr/ipp/index.htm.
Participants must register by
November 30, 2020. This is a webinar-
only event and there will be no on-site
participation at the CDC broadcast
facility.
Dated: September 23, 2020.
Sandra Cashman,
Executive Secretary, Centers for Disease
Control and Prevention.
[FR Doc. 2020–21335 Filed 9–25–20; 8:45 am]
BILLING CODE 4163–18–P
DEPARTMENT OF HEALTH AND
HUMAN SERVICES
Centers for Medicare & Medicaid
Services
[Document Identifier: CMS–10320]
Agency Information Collection
Activities: Proposed Collection;
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 (the
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
60 days for public comment on the
proposed action. Interested persons are
invited to send comments regarding our
burden estimates 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 must be received by
November 27, 2020.
ADDRESSES
: When commenting, please
reference the document identifier or
OMB control number. To be assured
consideration, comments and
recommendations must be submitted in
any one of the following ways:
1. Electronically. You may send your
comments electronically to http://
www.regulations.gov. Follow the
instructions for ‘‘Comment or
Submission’’ or ‘‘More Search Options’’
to find the information collection
document(s) that are accepting
comments.
2. By regular mail. You may mail
written comments to the following
address: CMS, Office of Strategic
Operations and Regulatory Affairs,
Division of Regulations Development,
Attention: Document Identifier/OMB
Control Number: CMS–P–0015A, Room
C4–26–05, 7500 Security Boulevard,
Baltimore, Maryland 21244–1850.
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
https://www.cms.gov/Regulations-and-
Guidance/Legislation/
PaperworkReductionActof1995/PRA-
Listing.html.
2. Call the Reports Clearance Office at
(410) 786–1326.
FOR FURTHER INFORMATION CONTACT
:
William N. Parham at (410) 786–4669.
SUPPLEMENTARY INFORMATION
:
Contents
This notice sets out a summary of the
use and burden associated with the
following information collections. More
detailed information can be found in
each collection’s supporting statement
and associated materials (see
ADDRESSES
).
CMS–10320 Health Care Reform
Insurance Web Portal
Under the 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
requires federal agencies to publish a
60-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.
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