Medical Office Survey on Patient Safety Culture Comparative Database

ICR 201807-0935-002

OMB: 0935-0196

Federal Form Document

IC Document Collections
IC ID
Document
Title
Status
201169 Modified
201168 Modified
201167 Modified
201166 Modified
ICR Details
0935-0196 201807-0935-002
Active 201507-0935-003
HHS/AHRQ
Medical Office Survey on Patient Safety Culture Comparative Database
Extension without change of a currently approved collection   No
Regular
Approved without change 09/10/2018
Retrieve Notice of Action (NOA) 07/27/2018
  Inventory as of this Action Requested Previously Approved
09/30/2021 36 Months From Approved 09/30/2018
2,660 0 1,950
282 0 291
0 0 0

The Agency for Healthcare Research and Quality (AHRQ) requests that the Office of Management and Budget (OMB) approve, under the Paperwork Reduction Act of 1995, AHRQ's collection of information for the AHRQ Medical Office Survey on Patient Safety Culture (Medical Office SOPS) Comparative Database. The Medical Office SOPS Comparative Database consists of data from the AHRQ Medical Office Survey on Patient Safety Culture. Medical offices in the U.S. are asked to voluntarily submit data from the survey to AHRQ, through its contractor, Westat. The Medical Office SOPS Database is modeled after the Hospital SOPS Database [OMB NO. 0935-0162; approved 05/04/2010] that was originally developed by AHRQ in 2006 in response to requests from hospitals interested in knowing how their patient safety culture survey results compare to those of other hospitals.

US Code: 42 USC 299 Name of Law: Healthcare Research and Quality Act of 1999
  
None

Not associated with rulemaking

  83 FR 21774 05/10/2018
83 FR 35002 07/24/2018
No

  Total Approved Previously Approved Change Due to New Statute Change Due to Agency Discretion Change Due to Adjustment in Estimate Change Due to Potential Violation of the PRA
Annual Number of Responses 2,660 1,950 0 710 0 0
Annual Time Burden (Hours) 282 291 0 -9 0 0
Annual Cost Burden (Dollars) 0 0 0 0 0 0
Yes
Miscellaneous Actions
Yes
Miscellaneous Actions
The estimated number of POCs decreased from 150 in the previous information collection request (ICR) to 70 in this ICR. As a result of fewer POCs submitting data for more sites, the total burden hours have decreased slightly from 291 to 283.

$200,000
Yes Part B of Supporting Statement
    Yes
    No
No
No
No
Uncollected
Erwin Brown 301 427-1652 erwin.brown@ahrq.hhs.gov

  No

On behalf of this Federal agency, I certify that the collection of information encompassed by this request complies with 5 CFR 1320.9 and the related provisions of 5 CFR 1320.8(b)(3).
The following is a summary of the topics, regarding the proposed collection of information, that the certification covers:
 
 
 
 
 
 
 
    (i) Why the information is being collected;
    (ii) Use of information;
    (iii) Burden estimate;
    (iv) Nature of response (voluntary, required for a benefit, or mandatory);
    (v) Nature and extent of confidentiality; and
    (vi) Need to display currently valid OMB control number;
 
 
 
If you are unable to certify compliance with any of these provisions, identify the item by leaving the box unchecked and explain the reason in the Supporting Statement.
07/27/2018


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