[Federal Register Volume 90, Number 82 (Wednesday, April 30, 2025)]
[Notices]
[Pages 17937-17938]
From the Federal Register Online via the Government Publishing Office [www.gpo.gov]
[FR Doc No: 2025-07384]


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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: Information collection 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 revision of the currently 
approved information collection project ``Online Application Order Form 
for Products from the Healthcare Cost and Utilization Project (HCUP),'' 
OMB # 0935-0206.

DATES: Comments on this notice must be received by June 30, 2025.

ADDRESSES: Written comments should be submitted to: Doris Lefkowitz, 
Reports Clearance Officer, AHRQ, by email at 
[email protected].
    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 
[email protected].

SUPPLEMENTARY INFORMATION:

Proposed Project

Online Application Order Form for Products From the Healthcare Cost and 
Utilization Project (HCUP)

    The Healthcare Cost and Utilization Project is a vital resource 
helping AHRQ achieve its research agenda, thereby furthering its goal 
of improving the delivery of health care in the United States. HCUP is 
a family of health care databases developed through a Federal-State-
Industry partnership and sponsored by AHRQ. HCUP includes the largest 
collection of longitudinal hospital care data in the United States, 
with all-payer, encounter-level information beginning in 1988. The HCUP 
databases are annual files that contain anonymous information from 
hospital discharge records for inpatient care and certain components of 
outpatient care, such as emergency care and ambulatory surgeries.
    The project currently creates eight types of restricted access 
public release databases and related files that are released to 
authorized users under the terms of the HCUP Data Use Agreement (DUA). 
These HCUP databases and files are used by researchers for a broad 
range of health issues, including cost and quality of health services, 
medical practice patterns, access to health care programs, and outcomes 
of treatments at the national, State, and local market levels.
    This project has the following goal:
     Allow restricted access public release and tracking of the 
eight HCUP databases.
    To achieve this goal the following data collections and activities 
are required:
    1. HCUP DUA Training Course--All purchasers and users of HCUP data 
must complete this training prior to signing the DUA. This Web-based 
training course outlines important terms of the DUA. The purpose of the 
course is to emphasize the importance of data protection, reduce the 
risk of inadvertent violations, and describe an individual's 
responsibility when using HCUP data. After completing the training 
course, an HCUP DUA Training Course certification code is received. 
This code is required to purchase or gain access to HCUP data.
    2. HCUP DUA for the Nationwide Databases--The HCUP Nationwide 
databases include the National (Nationwide) Inpatient Sample (NIS), 
Kids' Inpatient Database (KID), Nationwide Ambulatory Surgery Sample 
(NASS), Nationwide Emergency Department Sample (NEDS), and Nationwide 
Readmissions Database (NRD). Any person seeking permission from AHRQ to 
access HCUP Nationwide Databases must sign and submit this Agreement to 
AHRQ.
    3. HCUP DUA for the State Databases--The HCUP State databases 
include the State Inpatient Databases (SID), State Ambulatory Surgery 
and Services Databases (SASD), and State Emergency Department Databases 
(SEDD). Any person seeking permission from AHRQ to access HCUP State 
Databases must sign and submit this Agreement to AHRQ.
    4. Online Application Form--The application form collects relevant 
applicant information, shipping and billing address, and the payment 
method.
    This project is being conducted by AHRQ through its contractors, 
National Opinion Research Center and TurningPoint-DS Federal J.V., 
L.L.C., 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 outcomes, cost, cost-
effectiveness, and use of health care services and access to such 
services. 42 U.S.C 299a(a)(3).
    Proposed Revisions:
    Revisions include a redesigned HCUP application form and reducing 
the number of DUAs to one state and one nationwide version. The current 
expiration date for 0935-0206 is 5/31/2025 and AHRQ is requesting a new 
expiration date, 3 years from approval of this information collection 
request.

Method of Collection

    Information collected in the HCUP Online Application Form process 
will be used for two purposes only:
    1. Business Transaction: In order to deliver the HCUP databases to 
the applicants, contact information is necessary for shipping the data 
on disk (or any other media used in the future) and payment collection.
    2. Enforcement of the HCUP Data Use Agreement (DUA): The HCUP DUA 
contains several restrictions on use of the data. Most of these 
restrictions have been put in place to safeguard the privacy of 
individuals and establishments represented in the data. For example, 
data users can only use the data for research, analysis, and aggregate 
statistical reporting and are prohibited from attempting to identify 
any persons in the data. Contact information on HCUP DUAs is retained 
in the event that a violation of the HCUP DUA takes place requiring 
legal remedy.

Estimated Annual Respondent Burden

    Exhibit 1 shows the estimated annualized burden associated with the 
applicants' time to order any of the HCUP databases. An estimated 1,800 
persons will order HCUP data annually. To complete the ordering 
process, each of these persons will complete the HCUP DUA Training 
Course, review and sign both DUAs, and complete the

[[Page 17938]]

HCUP Data Purchase Ordering Form. The total burden to complete these 
four steps to purchase HCUP data is estimated to be 1,050 hours 
annually.
    Exhibit 2 shows the estimated annualized cost burden associated 
with the applicants' time to purchase HCUP data. The total cost burden 
is estimated to be $78,252 annually.

                                  Exhibit 1--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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1. HCUP DUA Training Course...................           1,800                 1           15/60             450
2. HCUP DUA for the Nationwide Databases......           1,800                 1            5/60             150
3. HCUP DUA for the State Databases...........           1,800                 1            5/60             150
4. HCUP Data Purchase Ordering Form...........           1,800                 1           10/60             300
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    Total.....................................           7,200                NA              NA           1,050
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                                   Exhibit 2--Estimated Annualized Cost Burden
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                                                                   Total burden   Average hourly    Total cost
                                                                       hours        wage rate *       burden
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1. HCUP DUA Training Course.....................................             450          $48.81         $21,965
2. HCUP DUA for the Nationwide Databases........................             150           48.81           7,322
3. HCUP DUA for the State Databases.............................             150           48.81           7,322
4. HCUP Data Purchase Ordering Form.............................             300           48.81          41,643
                                                                 -----------------------------------------------
    Total.......................................................           1,050              NA          78,252
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* Based upon the mean of the average wages for Life Scientists, All Other (19-1099), National Compensation
  Survey: Occupational Employment Statistics, May 2023 National Occupational Employment and Wage Estimates
  United States, U.S. Department of Labor, Bureau of Labor Statistics. https://www.bls.gov/oes/current/oes191099.htm.

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 24, 2025.
Jeffrey P. Toven,
Executive Officer.
[FR Doc. 2025-07384 Filed 4-29-25; 8:45 am]
BILLING CODE 4160-90-P