[Federal Register Volume 88, Number 11 (Wednesday, January 18, 2023)]
[Notices]
[Pages 2916-2918]
From the Federal Register Online via the Government Publishing Office [www.gpo.gov]
[FR Doc No: 2023-00796]


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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.

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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 ``Supporting and Evaluating the Dissemination and 
Implementation of PCOR to Improve Non-Surgical Treatment of Urinary 
Incontinence Among Women in Primary Care.'' This proposed information 
collection was previously published in the Federal Register on October 
28, 2022 and allowed 60 days for public comment. AHRQ received no 
substantive comments. The purpose of this notice is to allow an 
additional 30 days for public comment.

DATES: Comments on this notice must be received by February 17, 2023.

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.

[[Page 2917]]


FOR FURTHER INFORMATION CONTACT: Doris Lefkowitz, AHRQ Reports 
Clearance Officer, (301) 427-1477, or by email at 
[email protected].

SUPPLEMENTARY INFORMATION:

Proposed Project

Supporting and Evaluating the Dissemination and Implementation of PCOR 
To Improve Non-Surgical Treatment of Urinary Incontinence Among Women 
in Primary Care

    AHRQ's Improve Non-surgical Treatment of Urinary Incontinence Among 
Women in Primary Care (INTUIT-PC) initiative, now named the Managing 
Urinary Incontinence (MUI) initiative, addresses important gaps in 
urinary incontinence (UI) care for women in the primary care setting. 
As part of the MUI initiative, AHRQ is funding five cooperative 
agreement (U18) grantees to develop primary care extension services to 
disseminate and implement improved nonsurgical treatment of UI for 
women--including screening, diagnosis, management, and specialty 
referral--within primary care practices in separate regions of the 
United States.
    AHRQ is also conducting a project to support the MUI cooperative 
agreements and evaluate the initiative, which includes:
     Support of the five U18 MUI cooperative agreements in the 
form of a learning community, technical assistance, and other resources 
to assist grantees to disseminate and implement patient centered 
outcomes research (PCOR) for nonsurgical treatment of urinary 
incontinence for women in primary care.
     A rigorous mixed methods process and outcome evaluation of 
the grantees' dissemination and implementation strategies.
    This evaluation is being conducted by AHRQ through its contractor, 
RAND, pursuant to AHRQ's authority to carry out the PCOR dissemination 
activities described in section 937 of the Public Health Service Act. 
42 U.S.C. 299b-37.

Method of Collection

    To achieve the goals of this multisite evaluation, AHRQ is 
requesting OMB approval for three years of data collection by the 
evaluator. The evaluator's primary data collection is requested to 
achieve the goals of the multisite evaluation and includes the 
following data collection activities:
    (1) Focus groups with practice facilitators who are employed by the 
MUI U18 grantees to provide direct technical assistance to primary care 
practices.
    (2) Semi-structured interviews with leaders and staff of primary 
care practices participating in the MUI U18 studies.
    Practice facilitator focus groups. Practice facilitators (also 
known as practice coaches) perform a critical role in enabling primary 
care practices to implement evidence-based improvements. The purpose of 
the annual focus groups with practice facilitators is to gather their 
insights on challenges assisting various types of primary care 
practices, the resources needed to promote improvement in primary care 
practices, and the effectiveness of different dissemination and 
implementation strategies used by the MUI U18 studies. The evaluator 
aims to conduct a virtual focus group with 8-10 practice facilitators 
for each of the five U18 studies, for an expected total of 45 focus 
group participants per year.
    Practice leader/staff semi-structured interviews. The goal of the 
MUI U18 studies is to disseminate and implement evidence-based UI 
treatment for women within primary care practices. The purpose of the 
semi-structured interviews with leaders and staff of primary care 
practices is to collect data from the practices' perspective on the 
barriers and facilitators to implementing evidence-based UI treatment 
for women in primary care, as well as on the utility of the technical 
assistance and resources provided to practices by the grant studies. 
The evaluator aims to conduct 4-8 in-person individual interviews in 
one practice per each U18 study (average of 1 interviews x on average 6 
participants x 1 practice x 5 grants = 30 interviews), and 1 telephone 
interview with 1-2 participants per interview for two additional 
practices per each grant study (1 interview x on average 1.5 
participants x 2 practices x 5 grants = 15 interviews), for an expected 
total of 45 interview participants per year.

Estimated Annual Respondent Burden

    Exhibit A.1a shows the estimated annualized burden hours for the 
respondents' time to complete the Practice Facilitator Focus Groups and 
Practice Leader/Staff Semi-Structured Interviews. For the three-year 
clearance period, the estimated annualized burden hours for the 
interviews are $2,190.50.

                                 Exhibit A.1a--Estimated Annualized Burden Hours
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                                                                     Number of
                    Form name                        Number of     responses per     Hours per     Total burden
                                                    respondents     respondent       response          hours
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Practice Facilitator Focus Groups...............              45               1               1              45
Practice Leader/Staff Semi-Structured Interviews              45               1               1              45
                                                 ---------------------------------------------------------------
    Total.......................................              90             N/A             N/A              90
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                                 Exhibit A.1b--Estimated Annualized Cost Burden
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                                                     Number of     Total burden   Average hourly    Total cost
                    Form name                       respondents        hours        wage rate *       burden
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Practice Facilitator Focus Groups...............              45              45      \a\ $28.01        1,260.45
Practice Leader/Staff Semi-Structured Interviews              45              45       \a\ 28.01        1,260.45
                                                 ---------------------------------------------------------------
    Total.......................................              90              90           24.34        2,520.90
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* Mean hourly wage for All Occupations (00-0000).
\a\ Occupational Employment Statistics, May 2021 National Occupational Employment and Wage Estimates United
  States, U.S. Department of Labor, Bureau of Labor Statistics.


[[Page 2918]]

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: January 11, 2023.
Marquita Cullom,
Associate Director.
[FR Doc. 2023-00796 Filed 1-17-23; 8:45 am]
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