Federal Register Notice

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Federal Register / Vol. 83, No. 91 / Thursday, May 10, 2018 / Notices

at (202)–523–5793 or tradeanalysis@
fmc.gov.
Agreement No.: 012479–002.
Title: Maersk/CMA CGM WCCA
Vessel Sharing Agreement.
Parties: Maersk Line A/S and CMA
CGM S.A.
Filing Party: Wayne Rohde; Cozen
O’Connor; 1200 19th Street NW;
Washington, DC 20036.
Synopsis: The amendment deletes
Hamburg Sudamerkanische
Dampschefffahrts-Gesellschaft KG as a
party and replaces it with Maersk Line
A/S, changes the name of the
Agreement, and restates the Agreement.
Agreement No.: 201103–013.
Title: Memorandum Agreement of the
Pacific Maritime Association of
December 14, 1983 Concerning
Assessments to Pay ILWU–PMA
Employee Benefit Costs, As Amended,
Through May 1, 2018.
Parties: Pacific Maritime Association.
Filing Party: David F. Smith, Esq.;
Cozen O’Connor; 1200 19th Street NW;
Washington, DC 20036.
Synopsis: The amendment revises
how the man-hour base assessment will
be calculated.
Dated: May 7, 2018.
Rachel E. Dickon,
Secretary.
BILLING CODE 6731–AA–P

FEDERAL RESERVE SYSTEM

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Change in Bank Control Notices;
Acquisitions of Shares of a Bank or
Bank Holding Company
The notificants listed below have
applied under the Change in Bank
Control Act (12 U.S.C. 1817(j)) and
§ 225.41 of the Board’s Regulation Y (12
CFR 225.41) to acquire shares of a bank
or bank holding company. The factors
that are considered in acting on the
notices are set forth in paragraph 7 of
the Act (12 U.S.C. 1817(j)(7)).
The notices are available for
immediate inspection at the Federal
Reserve Bank indicated. The notices
also will be available for inspection at
the offices of the Board of Governors.
Interested persons may express their
views in writing to the Reserve Bank
indicated for that notice or to the offices
of the Board of Governors. Comments
must be received not later than May 25,
2018.
A. Federal Reserve Bank of Kansas
City (Dennis Denney, Assistant Vice
President) 1 Memorial Drive, Kansas
City, Missouri 64198–0001:
1. Keith E. Doss, Holt, Missouri,
individually, and as trustee of the Keith

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Board of Governors of the Federal Reserve
System, May 7, 2018.
Yao-Chin Chao,
Assistant Secretary of the Board.
[FR Doc. 2018–09944 Filed 5–9–18; 8:45 am]
BILLING CODE P

DEPARTMENT OF HEALTH AND
HUMAN SERVICES
Agency for Healthcare Research and
Quality
Agency Information Collection
Activities: Proposed Collection;
Comment Request
Agency for Healthcare Research
and Quality, HHS.
ACTION: Notice.
AGENCY:

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 ‘‘Medical
Office Survey on Patient Safety Culture
Database.’’
DATES: Comments on this notice must be
received by July 9, 2018.
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
email at doris.lefkowitz@AHRQ.hhs.gov.
SUPPLEMENTARY INFORMATION:
SUMMARY:

[FR Doc. 2018–09936 Filed 5–9–18; 8:45 am]

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E. Doss Revocable Trust dated February
8, 2018; to retain voting shares of
Trustco Bankshares, Inc., Kearney,
Missouri, and thereby retain shares of
Kearney Trust Company, Kearney,
Missouri.
Additionally, Janice A. Doss, Holt,
Missouri, individually, and as trustee of
the Janice A. Doss Revocable Trust
dated February 8, 2018, to retain shares
of Trustco Bankshares, Inc.

Proposed Project
Medical Office Survey on Patient Safety
Culture Database
In accordance with the Paperwork
Reduction Act, 44 U.S.C. 3501–3521,
AHRQ invites the public to comment on
this proposed information collection. In
1999, the Institute of Medicine called
for health care organizations to develop
a ‘‘culture of safety’’ such that their

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workforce and processes focus on
improving the reliability and safety of
care for patients (IOM, 1999; To Err is
Human: Building a Safer Health
System). To respond to the need for
tools to assess patient safety culture in
health care, AHRQ developed and pilot
tested the Medical Office Survey on
Patient Safety Culture with OMB
approval (OMB NO.0935–0131;
Approved July 5, 2007).
The survey is designed to enable
medical offices to assess provider and
staff perspectives about patient safety
issues, medical error, and error
reporting. The survey includes 38 items
that measure 10 composites of patient
safety culture. In addition to the
composite items, 14 items measure staff
perceptions of how often medical offices
have problems exchanging information
with other settings as well as other
patient safety and quality issues. AHRQ
made the survey publicly available
along with a Survey User’s Guide and
other toolkit materials in December,
2008 on the AHRQ website (located at
https://www.ahrq.gov/sops/qualitypatient-safety/patientsafetyculture/
medical-office/index.html).
The AHRQ Medical Office SOPS
Database consists of data from the
AHRQ Medical Office Survey on Patient
Safety Culture and may include
reportable, non-required supplemental
items. Medical offices in the U.S. can
voluntarily submit data from the survey
to AHRQ, through its contractor, Westat.
The Medical Office SOPS Database
(OMB NO. 0935–0196, last approved on
August 25, 2015) was developed by
AHRQ in 2011 in response to requests
from medical offices interested in
tracking their own survey results. Those
organizations submitting data receive a
feedback report, as well as a report of
the aggregated, de-identified findings of
the other medical offices submitting
data. These reports are used to assist
medical office staff in their efforts to
improve patient safety culture in their
organizations.
Rationale for the information
collection. The Medical Office SOPS
and the Medical Office SOPS Database
support AHRQ’s goals of promoting
improvements in the quality and safety
of health care in medical office settings.
The survey, toolkit materials, and
database results are all made publicly
available on AHRQ’s website. Technical
assistance is provided by AHRQ through
its contractor at no charge to medical
offices, to facilitate the use of these
materials for medical office patient
safety and quality improvement.
Request for information collection
approval. The Agency for Healthcare
Research and Quality (AHRQ) requests

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Federal Register / Vol. 83, No. 91 / Thursday, May 10, 2018 / Notices
that the Office of Management and
Budget (OMB) reapprove, under the
Paperwork Reduction Act of 1995,
AHRQ’s collection of information for
the AHRQ Medical Office SOPS
Database; OMB NO. 0935–0196, last
approved on August, 25, 2015.
This database will:
(1) Present results from medical
offices that voluntarily submit their
data,
(2) Provide data to medical offices to
facilitate internal assessment and
learning in the patient safety
improvement process, and
(3) Provide supplemental information
to help medical offices identify their
strengths and areas with potential for
improvement in patient safety culture.
This study is being conducted by
AHRQ through its contractor, Westat,
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 health care
services; quality measurement and
improvement; and database
development. 42 U.S.C. 299a(a)(1), (2),
and (8).
Method of Collection

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To achieve the goal of this project the
following activities and data collections
will be implemented:
(1) Eligibility and Registration Form—
The medical office point-of-contact
(POC) completes a number of data
submission steps and forms, beginning
with the completion of an online
Eligibility and Registration Form. The
purpose of this form is to collect basic
demographic information about the
medical office and initiate the
registration process.
(2) Data Use Agreement—The
purpose of the data use agreement,
completed by the medical office POC, is
to state how data submitted by medical
offices will be used and provide privacy
assurances.
(3) Medical Office Site Information
Form—The purpose of the site
information form, also completed by the
medical office POC, is to collect
background characteristics of the
medical office. This information will be
used to analyze data collected with the
Medical Office SOPS survey.

(4) Data Files Submission—POCs
upload their data file(s), using the
medical office data file specifications, to
ensure that users submit standardized
and consistent data in the way variables
are named, coded, and formatted. The
number of submissions to the database
is likely to vary each year because
medical offices do not administer the
survey and submit data every year. Data
submission is typically handled by one
POC who is either an office manager or
a survey vendor who contracts with a
medical office to collect their data.
POCs submit data on behalf of 35
medical offices, on average, because
many medical offices are part of a health
system that includes many medical
office sites, or the POC is a vendor that
is submitting data for multiple medical
offices.
Survey data from the AHRQ Medical
Office Survey on Patient Safety Culture
are used to produce three types of
products:
(1) A Medical Office SOPS Database
Report that is made publicly available
on the AHRQ website (see Medical
Office User Database Report);
(2) Individual Medical Office Survey
Feedback Reports that are customized
for each medical office that submits data
to the database; and
(3) Research data sets of individuallevel and medical office-level deidentified data to enable researchers to
conduct analyses. All data released in a
data set are de-identified at the
individual-level and the medical officelevel.
Medical offices will be invited to
voluntarily submit their Medical Office
SOPS survey data to the database.
AHRQ’s contractor, Westat, then cleans
and aggregates the data to produce a
PDF-formatted Database Report
displaying averages, standard
deviations, and percentile scores on the
survey’s 38 items and 10 patient safety
culture composites of patient safety
culture, and 14 items measuring how
often medical offices have problems
exchanging information with other
settings and other patient safety and
quality issues. The report also displays
these results by medical office
characteristics (size of office, specialty,
geographic region, etc.) and respondent
characteristics (staff position).
The Database Report includes a
section on data limitations, emphasizing

that the report does not reflect a
representative sampling of the U.S.
medical office population. Because
participating medical offices will choose
to voluntarily submit their data into the
database and therefore are not a random
or national sample of medical offices,
estimates based on this self-selected
group might be biased estimates. We
recommend that users review the
database results with these caveats in
mind.
Each medical office that submits its
data receives a customized survey
feedback report that presents their
results alongside the aggregated results
from other participating medical offices.
Medical offices use the Medical Office
SOPS, Database Reports, and Individual
Medical Office Survey Feedback Reports
for a number of purposes, to:
• Raise staff awareness about patient
safety;
• Elucidate and assess the current
status of patient safety culture in their
medical office;
• Identify strengths and areas for
patient safety culture improvement;
• Evaluate trends in patient safety
culture change over time; and
• Evaluate the cultural impact of
patient safety initiatives and
interventions.
Estimated Annual Respondent Burden
Exhibit 1 shows the estimated
annualized burden hours for the
respondents’ time to participate in the
database. An estimated 70 POCs, each
representing an average of 35 individual
medical offices each, will complete the
database submission steps and forms.
Each POC will submit the following:
• Eligibility and registration form
(completion is estimated to take about 3
minutes).
• Data Use Agreement (completion is
estimated to take about 3 minutes).
• Medical Office Information Form
(completion is estimated to take about 5
minutes).
• Survey data submission will take an
average of one hour.
The total burden is estimated to be
283 hours.
Exhibit 2 shows the estimated
annualized cost burden based on the
respondents’ time to submit their data.
The cost burden is estimated to be
$14,880 annually.

EXHIBIT 1—ESTIMATED ANNUALIZED BURDEN HOURS
Number of
respondents/
POCs

Form name
Eligibility/Registration Form .............................................................................

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Number of
responses
per POC

70

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Hours per
response
1

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Total burden
hours
4

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Federal Register / Vol. 83, No. 91 / Thursday, May 10, 2018 / Notices
EXHIBIT 1—ESTIMATED ANNUALIZED BURDEN HOURS—Continued
Number of
respondents/
POCs

Form name

Number of
responses
per POC

Hours per
response

Total burden
hours

Data Use Agreement .......................................................................................
Medical Office Information Form .....................................................................
Data Files Submission .....................................................................................

70
70
70

1
35
1

3/60
5/60
1

4
205
70

Total ..........................................................................................................

NA

NA

NA

283

EXHIBIT 2—ESTIMATED ANNUALIZED COST BURDEN
Number of
respondents/
POCs

Form name

Total burden
hours

Average
hourly wage
rate *
($)

Total cost
burden
($)

Registration Form ............................................................................................
Data Use Agreement .......................................................................................
Medical Office Information Form .....................................................................
Data Files Submission .....................................................................................

70
70
70
70

4
4
205
70

52.58
52.58
52.58
52.58

210
210
10,779
3,680

Total ..........................................................................................................

NA

213

NA

14,880

* Mean hourly wage rate of $52.58 for Medical and Health Services Managers (SOC code 11–9111) was obtained from the May 2016 National
Industry-Specific Occupational Employment and Wage Estimates, NAICS 621100—Offices of Physicians located at https://www.bls.gov/oes/current/oes119111.htm.

Request for Comments

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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.
Francis D. Chesley, Jr.,
Acting Deputy Director.
[FR Doc. 2018–09934 Filed 5–9–18; 8:45 am]
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DEPARTMENT OF HEALTH AND
HUMAN SERVICES
Centers for Disease Control and
Prevention
[60Day–18–0572; Docket No. CDC–2018–
0026]

Proposed Data Collection Submitted
for Public Comment and
Recommendations
Centers for Disease Control and
Prevention (CDC), Department of Health
and Human Services (HHS).
ACTION: Notice with comment period.
AGENCY:

The Centers for Disease
Control and Prevention (CDC), as part of
its continuing effort to reduce public
burden and maximize the utility of
government information, invites the
general public and other Federal
agencies the opportunity to comment on
a proposed and/or continuing
information collection, as required by
the Paperwork Reduction Act of 1995.
This notice invites comment on a
proposed information collection project
titled Health Message Testing System
(HMTS). The Health Message Testing
System (HMTS), a Generic information
collection, that enables programs across
CDC to collect the information they
require in a timely manner.
DATES: CDC must receive written
comments on or before July 9, 2018.
ADDRESSES: You may submit comments,
identified by Docket No. CDC–2018–
0026 by any of the following methods:
SUMMARY:

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• Federal eRulemaking Portal:
Regulations.gov. Follow the instructions
for submitting comments.
• Mail: Jeffrey M. Zirger, Information
Collection Review Office, Centers for
Disease Control and Prevention, 1600
Clifton Road NE, MS–D74, Atlanta,
Georgia 30329.
Instructions: All submissions received
must include the agency name and
Docket Number. CDC will post, without
change, all relevant comments to
Regulations.gov.
Please note: Submit all comments
through the Federal eRulemaking portal
(regulations.gov) or by U.S. mail to the
address listed above.
FOR FURTHER INFORMATION CONTACT: To
request more information on the
proposed project or to obtain a copy of
the information collection plan and
instruments, contact Leroy A.
Richardson, Information Collection
Review Office, Centers for Disease
Control and Prevention, 1600 Clifton
Road NE, MS–D74, Atlanta, Georgia
30329; phone: 404–639–7570; Email:
omb@cdc.gov.
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. In addition, the PRA also
requires Federal agencies to provide a
60-day notice in the Federal Register
concerning each proposed collection of
information, including each new
proposed collection, each proposed

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