Notice2025-23096

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
December 17, 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 reinstatement without change of the previously 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." (OMB No. 0935-0243) This information collection was previously published in the Federal Register on September 25, 2025, and allowed 60 days for public comment. No comments were received by AHRQ. The purpose of this notice is to allow an additional 30 days for public comment.

Full Text

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<title>Federal Register, Volume 90 Issue 240 (Wednesday, December 17, 2025)</title>
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[Federal Register Volume 90, Number 240 (Wednesday, December 17, 2025)]
[Notices]
[Pages 58564-58566]
From the Federal Register Online via the Government Publishing Office [<a href="http://www.gpo.gov">www.gpo.gov</a>]
[FR Doc No: 2025-23096]


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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: 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 reinstatement without change of 
the previously 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.'' (OMB No. 0935-0243) This information collection was 
previously published in the Federal Register on September 25, 2025, and 
allowed 60 days for public comment. No comments were received by AHRQ. 
The purpose of this notice is to allow an additional 30 days for public 
comment.

DATES: Comments on this notice must be received by January 16, 2026.

ADDRESSES: Written comments and recommendations for the proposed 
information collection should be sent within 30 days of publication of 
this notice to <a href="http://www.reginfo.gov/public/do/PRAMain">www.reginfo.gov/public/do/PRAMain</a>. Find this particular 
information collection by selecting ``Currently under 30-day Review--
Open for Public Comments'' or by using the search function. 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#742631243b2620273738313526353a37313b32323d37312634151c06055a1c1c075a131b02"><span class="__cf_email__" data-cfemail="500215001f020403131c151102111e13151f16161913150210313822217e3838237e373f26">[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 reinstatement, 
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).
    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 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''

[[Page 58565]]

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)].

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 DUAs 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
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                                                     Number of       Number of
                    Form name                      respondents/    responses per     Hours per     Total burden
                                                       POCs             POC          response          hours
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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
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    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
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                                                                                     Adjusted
                    Form name                      Total burden   Average hourly    hourly wage     Total cost
                                                       hours        wage rate *       rate **         burden
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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
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* National Compensation Survey: Occupational wages in the United States May 2024, ``U.S. Department of Labor,
  Bureau of Labor Statistics.'' <a href="https://data.bls.gov/oes/#/industry/000000">https://data.bls.gov/oes/#/industry/000000</a>.
** 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).

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\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 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: December 10, 2025.
Jeffrey Toven,
Executive Officer.
[FR Doc. 2025-23096 Filed 12-16-25; 8:45 am]
BILLING CODE 4160-90-P


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