30 Day Notice

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Persons who are deaf or hard of
hearing (TTY users) can contact IMLS at
202–207–7858 via 711 for TTY-Based
Telecommunications Relay Service.
FOR FURTHER INFORMATION CONTACT: Teri
DeVoe, Associate Deputy Director for
Grants to States, Institute of Museum
and Library Services, 955 L’Enfant Plaza
North SW, Suite 4000, Washington, DC
20024–2135. Ms. DeVoe can be reached
by telephone at 202–653–2135, or by
email at tdevoe@imls.gov. Persons who
are deaf or hard of hearing (TTY users)
can contact IMLS at 202–207–7858 via
711 for TTY-Based Telecommunications
Relay Service.
SUPPLEMENTARY INFORMATION: IMLS is
particularly interested in public
comments that help the agency to:
• Evaluate whether the proposed
collection of information is necessary
for the proper performance of the
functions of the agency, including
whether the information will have
practical utility;
• Evaluate the accuracy of the
agency’s estimate of the burden of the
proposed collection of information
including the validity of the
methodology and assumptions used;
• Enhance the quality, utility, and
clarity of the information to be
collected; and
• Minimize the burden of the
collection of information on those who
are to respond, including through the
use of appropriate automated electronic,
mechanical, or other technological
collection techniques, or other forms of
information technology, e.g., permitting
electronic submissions of responses.
I. Background
The Institute of Museum and Library
Services is the primary source of
Federal support for the Nation’s
libraries and museums. We advance,
support, and empower America’s
museums, libraries, and related
organizations through grant making,
research, and policy development. To
learn more, visit www.imls.gov.

Territories of Guam, American Samoa,
the Commonwealth of Puerto Rico, the
Commonwealth of the Northern Mariana
Islands, and the U.S. Virgin Islands, and
the three Freely Associated States of
Federated States of Micronesia,
Republic of Palau, and the Republic of
the Marshall Islands.
IMLS authorizing legislation (20
U.S.C. 9134) directs State Library
Administrative Agencies (SLAAs) to
‘‘independently evaluate, and report to
the Director regarding, the activities
assisted under this subchapter, prior to
the end of the Five-Year Plan.’’ This
evaluation provides SLAAs an
opportunity to measure progress in
meeting the goals set in their approved
Five-Year Plans with a framework to
synthesize information across all state
reports in telling a national story. This
action is to renew clearance of the
Guidelines for IMLS Grants to States
Five-Year Evaluation (2023–2027) for
the next three years.
Agency: Institute of Museum and
Library Services.
Title: Guidelines for IMLS Grants to
States Five-Year Evaluation.
OMB Control Number: 3137–0090.
Agency Number: 3137.
Respondents/Affected Public: State
Library Administrative Agencies.
Total Estimated Number of Annual
Respondents: 59.
Frequency of Response: Once every
five years.
Average Hours per Response: 90
hours.
Total Estimated Number of Annual
Burden Hours: 5,310 hours.
Cost Burden (dollars): $156,220.20.
Public Comments Invited: Comments
submitted in response to this Notice
will be summarized and/or included in
the request for OMB’s clearance of this
information collection.
Dated: June 6, 2022.
Suzanne Mbollo,
Grants Management Specialist, Institute of
Museum and Library Services.
[FR Doc. 2022–12478 Filed 6–9–22; 8:45 am]
BILLING CODE 7036–01–P

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II. Current Actions
The Grants to States program is the
largest source of Federal funding
support for library services in the U.S.
Using a population-based formula, more
than $160 million is distributed among
the State Library Administrative
Agencies (SLAAs) every year. SLAAs
are official agencies charged by the
Library Services and Technology Act
(20 U.S.C. 9121 and 20 U.S.C. 9141)
with the extension and development of
library services, and they are located in
each of the 50 States of the United
States, the District of Columbia, the five

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OFFICE OF PERSONNEL
MANAGEMENT
Submission for Review: CAHPS
Enrollee Survey 3206–0274–RENEWAL
Office of Personnel
Management.
ACTION: 30-Day notice with request for
comment.
AGENCY:

The Office of Personnel
Management (OPM) offers the general
public and other Federal agencies the

SUMMARY:

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opportunity to comment on a proposed
information collection (ICR) 3206–0274,
Consumer Assessment of Healthcare
Providers and Systems (CAHPS®). As
required by the Paperwork Reduction
Act of 1995, as amended by the ClingerCohen Act, OPM is soliciting comments
for this collection. The information
collection was previously published in
the Federal Register on February 25,
2022 allowing for a 60-day public
comment period. OPM received twentynine comments in response to this
information collection. The
organizations that submitted comments
are the American Association of Nurse
Practitioners and the Association of
Federal Health Organizations (AFHO).
The comments and OPM’s responses are
in the table.
DATES: Comments are encouraged and
will be accepted until July 11, 2022.
This process is conducted in accordance
with 5 CFR 1320.1.
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: To
request more information on the
proposed project or to obtain a copy of
the data collection plans and
instruments, contact: Michael
Kaszynski, Senior Policy Analyst at
michael.kaszynski@opm.gov. Formal
requests must be in writing.
SUPPLEMENTARY INFORMATION: The Office
of Management and Budget is
particularly interested in comments
that:
1. Evaluate whether the proposed
collection of information is necessary
for the proper performance of the
functions of the agency, including
whether the information will have
practical utility;
2. Evaluate the accuracy of the
agency’s estimate of the burden of the
proposed collection of information,
including the validity of the
methodology and assumptions used;
3. Enhance the quality, utility, and
clarity of the information to be
collected; and
4. Minimize the burden of the
collection of information on those who
are to respond, including through the
use of appropriate automated,
electronic, mechanical, or other
technological collection techniques or
other forms of information technology,

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e.g., permitting electronic submissions
of responses.
Analysis
Frequency: Annually.

Affected Public: Federal Employees
and Retirees.
Number of Respondents: 73,505.
Estimated Time per Respondent: 15
minutes.

Total Burden Hours: 18,376 hours.
U.S. Office of Personnel Management.
Kellie Cosgrove Riley,
Director, Office of Privacy and Information
Management.

OPM RESPONSE TO COMMENTS FOR THE CAHPS ENROLLEE SURVEY 3206–0274—RENEWAL
Public/individual
comments

Section/issue

American Association
of Nurse Practitioners (AANP).

Comment
Requested that OPM amend the survey by
changing the word ‘‘doctor’’ to ‘‘health
care provider’’ throughout the instrument
and clarify that nurse practitioners are included in that definition.

Decision

Reasoning

OPM determined that
this feedback does
not necessitate a
change to the 30day notice.

As the Agency for Healthcare Research and
Quality (AHRQ) is the survey steward,
comments related to survey format or
questioning clarity should be directed to
https://www.ahrq.gov/cahps/surveys-guidance/index.html.

The following section includes recommendations and responses from the Association of Federal Health Organizations (AFHO).
The Association of
Federal Health Organizations (AFHO).

Time Burden Estimate

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The CAHPS Survey
Instrument.

• AFHO members generally agree with the
assessment of 15 minutes per response
time adding to 18,376 hours for 73,505
total respondents. AFHO members note
that the CAHPS survey response time is
evidence-based; however, response time
may vary by the respondent, by administration method, and by a respondent’s decision to not respond at all. In addition,
the burden assessment may not reflect
the experience of members with a language barrier.
• OPM should support refining and streamlining questions to be more direct and
clearer, as well as, actionable for managed care companies/PPOs.
Æ For example, questions evaluating
provider interface with members are
not directly actionable by plans, while
questions related to member website
interface with plan operations or
tools, such as the provider directory
or member website are actionable by
plans.

OPM determined that
this feedback does
not necessitate a
change to the 30day notice.

The comments indicate a general agreement with the estimate.

• OPM determined
that this feedback
does not necessitate a change to
the 30-day notice.
As OPM is not the
survey steward, we
cannot make
changes to the
CAHPS Health Plan
Survey 5.1H, Adult
Version.

• OPM asks Carriers to implement the
CAHPS survey as part of OPM’s Plan
Performance Assessment (PPA) annual
process to assess the customer experience. As AHRQ is the survey steward,
comments related to survey format or
question clarity should be directed to
https://www.ahrq.gov/cahps/surveys-guidance/index.html.
• OPM understands that Carriers have the
best information available in relation to the
language needs of their members. Questions related to survey translation should
be directed to AHRQ. AHRQ provides additional information on CAHPS translation
services Guidelines for Translating
CAHPS® Surveys | Agency for Healthcare
Research and Quality (ahrq.gov).

• Some AFHO members assert that CAHPS
is a lengthy survey which may contribute
to a drop in response rates. As many of
the topical areas in CAHPS are unlikely to
change year-over-year, it may be possible
to shorten the CAHPS survey by administering only one topical area per year to
boost response rates, lessen burden, and
generate a cycle for measuring both relative levels of satisfaction and impact of
improvement activities. The questions
would be rotated from year to year to
allow all questions to be surveyed
cyclically.
• OPM should identify and share with carriers the preferred language of each
FEHB member to support survey translation prioritization and to tailor the distribution of appropriate surveys through
CAHPS vendors.
• OPM should arrange for standardizing
translations of the CAHPS surveys to
avoid potential inconsistencies in messaging (i.e., having AHRQ perform translations for consistency in structure and
messaging across health plans distributing
surveys in other languages versus health
plans following recommendations to generate surveys in a variety of languages
themselves).

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Federal Register / Vol. 87, No. 112 / Friday, June 10, 2022 / Notices
OPM RESPONSE TO COMMENTS FOR THE CAHPS ENROLLEE SURVEY 3206–0274—RENEWAL—Continued

Public/individual
comments

Section/issue

CAHPS Survey Data
Collection.

Comment
• Several AFHO members service plan
members living in other countries where
language and terminology used in CAHPS
may not be as common making it challenging to track actionable responses via
CAHPS data.
• The anonymity of CAHPS data, while purposeful for the survey intent, does impose
a challenge to implementing targeted
member experience improvement; therefore, some plans assume an added burden in coordinating independent target assessments. In terms of the actionability of
CAHPS information for the health plan.
• Some AFHO members recommend integrating open-ended comments in the
CAHPS survey as the high-level nature of
the CAHPS survey presents a challenge
to actionability.
• Several of the questions in the survey are
related to provider behavior versus health
plan behavior, which is not as directly actionable.
• OPM should encourage efforts to promote
email and text-based member outreach to
increase digital survey responses and improve response rates for more complete
data collection.
• FEHB members are more receptive to
completing a paper or online survey as
opposed to a telephone-administered survey which may take longer to complete.

Decision

Reasoning

• OPM determined
that this feedback
does not necessitate a change to
the 30-day notice.
As OPM is not the
survey steward, we
cannot make
changes to the
CAHPS Health Plan
Survey 5.1H, Adult
Version administration guidelines.

• Multiple survey methodologies are allowed
under AHRQ and NCQA guidelines and
OPM does not have any jurisdiction in this
arena. Feedback related to survey administration should be directed to NCQA and
AHRQ as they Oversee the survey data
collection guidelines.

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• AFHO recommends inviting sampled individuals to participate in CAHPS via email
or text, when possible.
• If outreach transitions to digital and text,
then carriers should have the option of
forgoing mail outreach as this is cost prohibitive.
• More research is still needed to better understand the effect of email or text outreach on burden. In terms of CAHPS administrative burden on carriers, AFHO
members have experienced challenges
with survey distribution and collection.
• In terms of CAHPS administrative burden
on carriers, AFHO members have experienced challenges with survey distribution
and collection.
• AFHO members shared COVID–19 pandemic-related supply chain disruptions in
acquiring mailing materials for CAHPS.
• The two-week telephone interview field
period presents a challenge as it requires
a large volume of interviews to be conducted in a short timeframe, and at times
a member may have already completed a
paper survey when they are called, but
the health plan had not received it yet,
due to mail delays.

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Federal Register / Vol. 87, No. 112 / Friday, June 10, 2022 / Notices
OPM RESPONSE TO COMMENTS FOR THE CAHPS ENROLLEE SURVEY 3206–0274—RENEWAL—Continued
Public/individual
comments

Section/issue

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Decision

Feedback Related to
Data Use.

• CAHPS provides a standardized method
of measuring and understanding member
experience which is a key component of
health plan performance, as well as any
opportunities to improve member experience. AFHO members have indicated that
information collected from CAHPS has
limited practical utility.
• The FEHB serves an aging demographic.
To ensure the accessibility of CAHPS for
older populations, OPM should take FEHB
demographics into account as changes to
survey processes or guidelines may pose
a challenge to members’ ability to complete the survey.
• OPM should provide carriers with an understanding of how OPM’s Plan Performance Assessment (PPA) program uses
CAHPS data to improve carrier performance, given that CAHPS is a randomly
sampled survey with subject responses
provided based on each respondent’s interpretation of the questions.

• OPM determined
that this feedback
does not necessitate a change to
the 30-day notice.

Feedback Related to
Data Distribution.

• To improve the actionability of collected
data, OPM should create and share a demographic analysis of all CAHPS surveys
collected by OPM from year to year. This
analysis would allow OPM, carriers and
the public to understand better FEHB
member demographics, such as geography and enrollment type. Specifically,
the analysis would offer an opportunity for
carriers to identify the demographic aggregations that would be most meaningful in
assessing member experience for actionable quality improvement.
• OPM should share FEHB member race,
ethnicity, and gender identity with carriers
to optimize diverse member data representation in the CAPHS surveys.
• OPM should consider whether there is an
opportunity to better align the PPA with
National Committee for Quality Assurance
(NCQA) Ratings and Accreditation where
similar information is also being collected.
• AFHO members also encourage better
alignment with NCQA and OPM in tracking CAHPS improvement as part of NCQA
accreditation.
• Reporting on the percentage of members
who indicate a rating of 9–10 on rating
items versus the percentage of members
who indicate a rating of 8–10, to better
align with NCQA ratings or transition to
the use of NCQA ratings for OPM purposes to reduce duplication of efforts.
• Extending the review timeline for CAHPS
performance data.
• Allowing for the review of all FEHB plan
CAHPS reports from the past two measurement years rather than one measurement year to better assess the actual impact of improvement plans using CAHPS
survey data.
• Will the Net Promoter Score (NPS) referenced in Carrier Letter 2018–07 will receive further discussion as a potential replacement for CAHPS?.

• OPM determined
that this feedback
does not necessitate a change to
the 30-day notice.
As OPM is not the
survey steward, we
cannot make
changes to the
CAHPS Health Plan
Survey 5.1H, Adult
Version administration guidelines.

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Feedback Related to
PPA Methodology.

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Comment

18:32 Jun 09, 2022

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• OPM determined
that this feedback
does not necessitate a change to
the 30-day notice.

Reasoning
• OPM understands that the practicality of
CAHPS data is determined individually by
each FEHB Carrier as they use customer
satisfaction data for planning in conjunction with other measures that they collect
to assess the customer experience. OPM
continues to explore other strategies to
measure customer service. At this time,
OPM has not found a suitable replacement that meets the PPA methodology
criteria.
• OPM reviews CAHPS demographics during the annual data evaluation. This information is reviewed internally and not
available for public distribution.
• OPM relies on Carriers to make determinations on improving Carrier performance as they have the best understanding
of their member population, benefit design, and operating environment.
• OPM has hosted a PPA Best Practice
Workgroup presentation on methods
FEHB Carriers have employed to improve
on select CAHPS measures. Workgroup
presentations are intended to give insight
into successful quality improvement efforts
on specific topics for FEHB Carriers. It is
not meant to dictate any business activities. The PPA Best Practices Workgroup
is a forum to allow for open dialogue and
idea sharing among FEHB Carriers.
• OPM understands that FEHB Carriers
have access to the demographic breakdown of their own member population. At
this time, OPM does not intend to share
demographic data from CAHPS across
FEHB Carriers.

• OPM continues to explore other strategies
to measure customer service. At this time,
OPM has not found a suitable replacement that meets the PPA methodology
criteria.
• The PRA request was not a vehicle to
provide feedback on PPA methodology.
To provide methodology feedback, please
email FEHBPerformance@opm.gov.

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[FR Doc. 2022–12501 Filed 6–9–22; 8:45 am]
BILLING CODE 6325–63–P

POSTAL REGULATORY COMMISSION
[Docket No. CP2021–114]

New Postal Products
Postal Regulatory Commission.
Notice.

AGENCY:
ACTION:

The Commission is noticing a
recent Postal Service filing for the
Commission’s consideration concerning
a negotiated service agreement. This
notice informs the public of the filing,
invites public comment, and takes other
administrative steps.
DATES: Comments are due: June 14,
2022.
ADDRESSES: Submit comments
electronically via the Commission’s
Filing Online system at https://
www.prc.gov. Those who cannot submit
comments electronically should contact
the person identified in the FOR FURTHER
INFORMATION CONTACT section by
telephone for advice on filing
alternatives.
FOR FURTHER INFORMATION CONTACT:
David A. Trissell, General Counsel, at
202–789–6820.
SUPPLEMENTARY INFORMATION:
SUMMARY:

Table of Contents

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I. Introduction
The Commission gives notice that the
Postal Service filed request(s) for the
Commission to consider matters related
to negotiated service agreement(s). The
request(s) may propose the addition or
removal of a negotiated service
agreement from the market dominant or
the competitive product list, or the
modification of an existing product
currently appearing on the market
dominant or the competitive product
list.
Section II identifies the docket
number(s) associated with each Postal
Service request, the title of each Postal
Service request, the request’s acceptance
date, and the authority cited by the
Postal Service for each request. For each
request, the Commission appoints an
officer of the Commission to represent
the interests of the general public in the
proceeding, pursuant to 39 U.S.C. 505
(Public Representative). Section II also
establishes comment deadline(s)
pertaining to each request.
The public portions of the Postal
Service’s request(s) can be accessed via
the Commission’s website (https://

18:32 Jun 09, 2022

II. Docketed Proceeding(s)
1. Docket No(s): CP2021–114; Filing
Title: USPS Notice of Amendment to
Priority Mail Express, Priority Mail &
First-Class Package Service Contract 74,
Filed Under Seal; Filing Acceptance
Date: June 3, 2022; Filing Authority: 39
CFR 3035.105; Public Representative:
Jennaca D. Upperman; Comments Due:
June 14, 2022.
This Notice will be published in the
Federal Register.
Erica A. Barker,
Secretary.

I. Introduction
II. Docketed Proceeding(s)

VerDate Sep<11>2014

www.prc.gov). Non-public portions of
the Postal Service’s request(s), if any,
can be accessed through compliance
with the requirements of 39 CFR
3011.301.1
The Commission invites comments on
whether the Postal Service’s request(s)
in the captioned docket(s) are consistent
with the policies of title 39. For
request(s) that the Postal Service states
concern market dominant product(s),
applicable statutory and regulatory
requirements include 39 U.S.C. 3622, 39
U.S.C. 3642, 39 CFR part 3030, and 39
CFR part 3040, subpart B. For request(s)
that the Postal Service states concern
competitive product(s), applicable
statutory and regulatory requirements
include 39 U.S.C. 3632, 39 U.S.C. 3633,
39 U.S.C. 3642, 39 CFR part 3035, and
39 CFR part 3040, subpart B. Comment
deadline(s) for each request appear in
section II.

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[FR Doc. 2022–12582 Filed 6–9–22; 8:45 am]
BILLING CODE 7710–FW–P

POSTAL REGULATORY COMMISSION
[Docket No. CP2022–34; Order No. 6190]

Inbound Competitive Multi-Service
Agreements With Foreign Postal
Operators
Postal Regulatory Commission.
Notice.

AGENCY:
ACTION:

The Commission is
recognizing a recent Postal Service filing
of a change in certain inbound rates
under the Competitive Multi-Service
Agreements with Foreign Postal
Operators 1 product to be effective
January 1, 2023. This notice informs the
public of the filing, invites public
comment, and takes other
administrative steps.
DATES: Comments are due: June 21,
2022.

Submit comments
electronically via the Commission’s
Filing Online system at http://
www.prc.gov. Those who cannot submit
comments electronically should contact
the person identified in the FOR FURTHER
INFORMATION CONTACT section by
telephone for advice on filing
alternatives.
FOR FURTHER INFORMATION CONTACT:
David A. Trissell, General Counsel, at
202–789–6820.
SUPPLEMENTARY INFORMATION:
ADDRESSES:

Table of Contents
I. Introduction
II. Commission Action
III. Ordering Paragraphs

I. Introduction
On June 3, 2022, the Postal Service
filed a notice with the Commission
pursuant to 39 CFR 3035.105 and Order
No. 546, giving notice of modifications
to certain inbound rates under the
Competitive multi-product
‘‘Interconnect Remuneration Agreement
USPS and Specified Postal Operators II’’
(IRA–USPS II Agreement).1 The IRA–
USPS II Agreement is included within
the Competitive Multi-Service
Agreements with Foreign Postal
Operators 1 product.2
Parties to the IRA–USPS II Agreement
may self-declare their delivery rates
within defined parameters by
communicating revised rates to the
International Post Corporation by July
15 of the year preceding their
application.3 The modifications
proposed in the Notice are intended to
take effect on January 1, 2023. Notice at
2.
Concurrent with the Notice, the Postal
Service has filed a certified statement
concerning the modified rates under the
IRA–USPS II Agreement and supporting
financial documentation. Id. at 2–3,
Attachment 1. The Postal Service also
requests that the Commission continue
to grant its Application for Non-Public
Treatment, which was filed with the

SUMMARY:

1 See Docket No. RM2018–3, Order Adopting
Final Rules Relating to Non-Public Information,
June 27, 2018, Attachment A at 19–22 (Order No.
4679).

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1 Notice of the United States Postal Service of
Filing Modifications to Rates Under Inbound
Competitive Multi-Service IRA–USPS II Agreement
with Materials Filed Under Seal, June 3, 2022
(Notice). Docket Nos. MC2010–34 and CP2010–95,
Order Adding Inbound Competitive Multi-Service
Agreements with Foreign Postal Service Operators
1 to the Competitive Product List and Approving
Included Agreement, September 29, 2010 (Order
No. 546).
2 Order Approving Additional Inbound
Competitive Multi-Service Agreement with Foreign
Postal Operators, December 23, 2021 (Order No.
6074).
3 Notice of United States Postal Service of Filing
Functionally Equivalent Inbound Competitive
Multi-Service Agreement with Foreign Postal
Operators, December 8, 2021, Attachment 2 at 21–
23.

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