Notice2025-18658

Agency Information Collection Activities: Proposed Collection; Comment Request

Primary source

Metadata and text below are from the Federal Register, a public-domain U.S. government work. Always verify the official published version before relying on it for any legal matter.

Published
September 25, 2025

Issuing agencies

Health and Human Services DepartmentAgency for Healthcare Research and Quality

Abstract

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 extension, without change, of the currently approved information collection project "Agency for Healthcare Research and Quality's (AHRQ) Child Hospital Consumer Assessment of Healthcare Providers and Systems (Child HCAHPS) Survey Database."

Full Text

<html>
<head>
<title>Federal Register, Volume 90 Issue 184 (Thursday, September 25, 2025)</title>
</head>
<body><pre>
[Federal Register Volume 90, Number 184 (Thursday, September 25, 2025)]
[Notices]
[Pages 46210-46212]
From the Federal Register Online via the Government Publishing Office [<a href="http://www.gpo.gov">www.gpo.gov</a>]
[FR Doc No: 2025-18658]


=======================================================================
-----------------------------------------------------------------------

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.

-----------------------------------------------------------------------

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 extension, without change, of 
the currently approved information collection project ``Agency for 
Healthcare Research and Quality's (AHRQ) Child Hospital Consumer 
Assessment of Healthcare Providers and Systems (Child HCAHPS) Survey 
Database.''

DATES: Comments on this notice must be received by November 24, 2025.

ADDRESSES: Written comments should be submitted to: 
<a href="/cdn-cgi/l/email-protection#9ac8dfcad5c8cec9d9d6dfdbc8dbd4d9dfd5dcdcd3d9dfc8dafbf2e8ebb4f2f2e9b4fdf5ec"><span class="__cf_email__" data-cfemail="88dacdd8c7dadcdbcbc4cdc9dac9c6cbcdc7cecec1cbcddac8e9e0faf9a6e0e0fba6efe7fe">[email&#160;protected]</span></a>.
    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: Margie Shofer, AHRQ Reports Clearance 
Officer, 301-427-1696 or by email at 
<a href="/cdn-cgi/l/email-protection#144651445b4640475758515546555a57515b52525d57514654757c66653a7c7c673a737b62"><span class="__cf_email__" data-cfemail="431106130c111710000f060211020d00060c05050a00061103222b31326d2b2b306d242c35">[email&#160;protected]</span></a>.

SUPPLEMENTARY INFORMATION:

Proposed Project

Agency for Healthcare Research and Quality's (AHRQ) Child Hospital 
Consumer Assessment of Healthcare Providers and Systems (Child HCAHPS) 
Survey Database

    The Child HCAHPS survey assesses the experiences of pediatric 
patients (less than 18 years old) and their parents or guardians with 
inpatient care. It complements the CAHPS Adult Hospital Survey 
(HCAHPS), which asks adult inpatients about their experiences. The 
Child HCAHPS Survey Database is a voluntary database available to all 
Child HCAHPS users to support both quality improvement and research to 
enhance the patient-centeredness of care delivered to pediatric 
hospital patients. AHRQ requests that OMB approve the extension, 
without change, of AHRQ's collection of information for the Child 
HCAHPS Survey Database (OMB Control number 0935-0243, last approved on 
October 12, 2022).

Rationale for the Information Collection

    Like the survey instrument itself and related toolkit materials to 
support survey implementation, aggregated Child HCAHPS Survey Database 
results will be made publicly available on AHRQ's CAHPS website. 
Technical assistance will be provided by AHRQ through its contractor at 
no charge to hospitals to facilitate the access and use of these 
materials for quality improvement and research. Technical assistance is 
also provided to support Child HCAHPS data submission.
    The Child HCAHPS Survey Database supports AHRQ's goals of promoting 
improvements in the quality and patient-centeredness of health care in 
pediatric hospital settings.
    This (research/project/database/etc.) seeks to answer the following 
research questions:
    1. What are the key drivers of patient experience in pediatric 
settings?
    2. How do pediatric patients experience of care vary across the 
West, Midwest, South, and Northeast regions?
    3. What are the highest and lowest scoring measures in specific 
areas of care for pediatric hospitals?
    This research has the following goals:
    1. Improve care provided by individual hospitals and hospital 
systems.
    2. Offer several products and services, including providing survey 
results presented through summary chartbooks, custom analyses, private 
reports and data for research purposes.
    3. Provides information to help identify strengths and areas with 
potential for improvement in patient care.
    Survey data from the Child HCAHPS Survey Database will be used to 
produce two types of reporting products:
    <bullet> Hospital Feedback Reports. Hospitals that submit data will 
have access to a customized report that presents findings for their 
individual submission along with results from the database overall. 
These ``private'' hospital feedback reports will display sortable 
results for each of the Child HCAHPS core composite measures and for 
each individual survey item that forms the composite measure.
    <bullet> Child HCAHPS Chartbook. A summary-level Chartbook will be 
compiled to display top box and other proportional scores for the Child 
HCAHPS items and composite measures broken out by selected hospital 
characteristics (e.g., region, hospital size, ownership and 
affiliation, etc.).
    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 healthcare services; to 
quality measurement and improvement; and health surveys and database 
development [42 U.S.C 299a(a)(1), (2), and (8)].

[[Page 46211]]

Method of Collection

    To achieve the goals of this project, the following data 
collections will be implemented:
    <bullet> Registration with the submission website to obtain an 
account with a secure username and password: The point-of-contact 
(POC), often the hospital, completes a number of data submission steps 
and forms, beginning with the completion of the online registration 
form. The purpose of this form is to collect basic contact information 
about the organization and initiate the registration process;
    <bullet> Submission of signed Data Use Agreements (DUAs) and survey 
questionnaires: The purpose of the data use agreement, completed by the 
participating hospital, is to state how data submitted by or on behalf 
of hospitals will be used and provide confidentiality assurances;
    <bullet> Submission of hospital information form: The purpose of 
this form, completed by the participating organization, is to collect 
background characteristics of the hospital;
    <bullet> Submission of survey data files: POCs upload their data 
file using the Hospital data file specifications to ensure that users 
submit standardized and consistent data in the way variables are named, 
coded, and formatted.

Estimated Annual Respondent Burden

    Exhibit 1 shows the estimated burden hours for the respondent to 
participate in the database. The 54 POCs in Exhibit 1 are a combination 
of an estimated 50 hospitals that currently administer the Child HCAHPS 
survey and the four survey vendors assisting them.
    Each hospital will register online for submission. The online 
Registration form will require about five minutes to complete. Each 
submitter will also complete a hospital information form. The online 
hospital information form takes on average five minutes to complete. 
The DUA will be completed by each of the 50 participating hospitals. 
Survey vendors do not sign or submit DUAs. The DUA are submitted by the 
participating hospitals and requires about three minutes to sign and 
upload to the online submission system. Each submitter, which in most 
cases will be the survey vendor performing the data collection, will 
provide a copy of their questionnaire and the survey data file in the 
required file format. Survey data files must conform to the data file 
layout specifications provided by the Child HCAHPS Survey Database. 
Since the unit of analysis is at the hospital level, submitters will 
upload one data file per hospital. Once a data file is uploaded, the 
file will be automatically checked to ensure it conforms to the 
specifications, and a data file status report will be produced and made 
available to the submitter. Submitters will review each report and will 
be expected to correct any errors in their data file and resubmit if 
necessary. It will take about one hour to submit the data for each 
hospital. The total burden is estimated to be 61 hours annually.

                                  Exhibit 1--Estimated Annualized Burden Hours
----------------------------------------------------------------------------------------------------------------
                                                     Number of       Number of
                    Form name                      respondents/   responses  per     Hours per     Total burden
                                                       POCs             POC          response          hours
----------------------------------------------------------------------------------------------------------------
Registration Form...............................              50               1            5/60               4
Hospital Information Form.......................              50               1            5/60               4
Data Use Agreement..............................              50               1            3/60               3
Data Files Submission...........................               4            12.5               1              50
                                                 ---------------------------------------------------------------
    Total.......................................              NA              NA              NA              61
----------------------------------------------------------------------------------------------------------------

    Exhibit 2 shows the estimated annualized cost burden based on the 
respondents' time to complete one submission process. The cost burden 
is estimated to be $6,801 annually.

                                   Exhibit 2--Estimated Annualized Cost Burden
----------------------------------------------------------------------------------------------------------------
                                                                                     Adjusted
                    Form name                      Total burden   Average hourly    hourly wage     Total cost
                                                       hours        wage rate *       rate **         burden
----------------------------------------------------------------------------------------------------------------
Registration Form...............................               4      \a\ $66.22         $132.44            $530
Hospital Information Form.......................               4       \a\ 66.22          132.44             530
Data Use Agreement..............................               3      \b\ 126.41          252.82             758
Data Files Submission...........................              50       \c\ 49.83           99.66           4,983
                                                 ---------------------------------------------------------------
Total...........................................              61              NA              NA           6,801
----------------------------------------------------------------------------------------------------------------
* National Compensation Survey: Occupational wages in the United States May 2024, ``U.S. Department of Labor,
  Bureau of Labor Statistics.''
** The Adjusted Hourly Rate was estimated at 200% of the hourly wage.
\a\ Based on the mean hourly wage for Medical and Health Services Managers (11-9111).
\b\ Based on the mean hourly wage for Chief Executives (11-1011).
\c\ Based on the mean hourly wages for Computer Programmer (15-1251).

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

[[Page 46212]]

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: September 23, 2025.
Mamatha Pancholi,
Deputy Director.
[FR Doc. 2025-18658 Filed 9-24-25; 8:45 am]
BILLING CODE 4160-90-P


</pre><script data-cfasync="false" src="/cdn-cgi/scripts/5c5dd728/cloudflare-static/email-decode.min.js"></script></body>
</html>
Indexed from Federal Register on September 25, 2025.

This is legal information, not legal advice. Laws vary by jurisdiction and change frequently. Always verify current law with official sources and consult a licensed attorney in your jurisdiction for advice on your specific situation.