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View ICR - Agency Submission
COMMENT
Time Remaining
Days
HR
Min
Sec
OMB Control No:
0935-0162
ICR Reference No:
202512-0935-004
Status:
Received in OIRA
Previous ICR Reference No:
202208-0935-002
Agency/Subagency:
HHS/AHRQ
Agency Tracking No:
20206
Title:
Collection of Information for AHRQ's Hospital Survey on Patient Safety Culture Comparative Database
Type of Information Collection:
Reinstatement with change of a previously approved collection
Common Form ICR:
No
Type of Review Request:
Regular
Date Submitted to OIRA:
01/06/2026
Requested
Previously Approved
Expiration Date
36 Months From Approved
Responses
990
0
Time Burden (Hours)
222
0
Cost Burden (Dollars)
31,878
0
Abstract:
The SOPS Hospital Survey is designed to enable hospitals to assess provider and staff perspectives about patient safety issues, medical error, and error reporting. In 2004, Version 1.0 of the survey, which includes 42 items that measure 12 composites of patient safety culture, was released on the AHRQ website. AHRQ made the survey publicly available along with a Survey User’s Guide and other toolkit materials. In 2019, an updated version of the survey, Version 2.0, was released on the AHRQ website (OMB 0935-0230, approved 01/21/2016). This version includes a total of 40 items: 32 items across 10 composite measures, 2 single-item measures, and 6 background questions. The AHRQ SOPS Hospital Database consists of data from the AHRQ SOPS Hospital Survey 2.0 and may include reportable, non-required supplemental items . Hospitals in the U.S. can voluntarily submit data from the survey to AHRQ, through its contractor, Westat. The SOPS Hospital Database (OMB NO. 0935-0162, last approved on October 18, 2022) was developed by AHRQ in 2006 in response to requests from hospitals interested in tracking their own survey results. Organizations submitting data receive a feedback report, as well as a report of the aggregated, de-identified findings of the other hospitals submitting data. These reports are used to assist hospital staff in their efforts to improve patient safety culture in their organizations. Rationale for the information collection. The SOPS Hospital Survey and the SOPS Hospital Database support AHRQ’s goals of promoting improvements in the quality and safety of healthcare in hospitals. 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 hospitals, to facilitate the use of these materials for hospital patient safety and quality improvement. The SOPS Hospital Database seeks to answer the following research questions: 1. What is the current state of patient safety culture in hospitals? 2. Has there been a change in patient safety culture scores since the previous database? 3. Are there differences in scores based on staff position and unit/work area? The goals of the SOPS Hospital Database are: 1. Produce aggregated results from hospitals that voluntarily submit their data; and 2. Provide feedback reports to hospitals that voluntarily submit their data to help them identify their strengths and areas for improvement in patient safety culture.
Authorizing Statute(s):
US Code:
42 USC 299
Name of Law: Healthcare Research and Quality Act of 1999
Citations for New Statutory Requirements:
None
Associated Rulemaking Information
RIN:
Stage of Rulemaking:
Federal Register Citation:
Date:
Not associated with rulemaking
Federal Register Notices & Comments
60-day Notice:
Federal Register Citation:
Citation Date:
90 FR 44379
09/15/2025
30-day Notice:
Federal Register Citation:
Citation Date:
90 FR 57469
12/11/2025
Did the Agency receive public comments on this ICR?
No
Number of Information Collection (IC) in this ICR:
4
IC Title
Form No.
Form Name
Attachment C- Data Use Agreement
3
Attachment C Data Use Agreement
Attachment D- Data File Emails
4
Data Submission Emails
Data Files Submission
Attachment D
Data Files Submission
Data Use Agreement
Form # 2
Attachment B: Hospital Data Use Agreement
Eligibility/Registration Form and Data Submission
Form # 1
Attachment A: Hospital Eligibility and Registration Form
Hospital Eligibility and Registration Form
1
Hospital Eligibility and Registration Form
Hospital Information Form
Form # 3
Attachment C: Hospital Site Information Form
Hospital Site Information
2
Hospital Site Information
ICR Summary of Burden
Total Request
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
990
0
0
0
-1,050
2,040
Annual Time Burden (Hours)
222
0
0
0
-237
459
Annual Cost Burden (Dollars)
31,878
0
0
-270
32,148
0
Burden increases because of Program Change due to Agency Discretion:
No
Burden Increase Due to:
Burden decreases because of Program Change due to Agency Discretion:
No
Burden Reduction Due to:
Short Statement:
The estimated number of POCs decreased from 340 in the previous information collection request (ICR) to 165 in this ICR. This updated estimate is based on the actual number of POCs from the 2024 SOPS Hospital data submission. As a result of fewer POCs submitting data, the total burden hours have decreased from 459 to 222.75.
Annual Cost to Federal Government:
$296,016
Does this IC contain surveys, censuses, or employ statistical methods?
Yes
Part B of Supporting Statement
Does this ICR request any personally identifiable information (see
OMB Circular No. A-130
for an explanation of this term)? Please consult with your agency's privacy program when making this determination.
Yes
Does this ICR include a form that requires a Privacy Act Statement (see
5 U.S.C. §552a(e)(3)
)? Please consult with your agency's privacy program when making this determination.
No
Is this ICR related to the Affordable Care Act [Pub. L. 111-148 & 111-152]?
No
Is this ICR related to the Dodd-Frank Wall Street Reform and Consumer Protection Act, [Pub. L. 111-203]?
No
Is this ICR related to the American Recovery and Reinvestment Act of 2009 (ARRA)?
No
Is this ICR related to the Pandemic Response?
No
Agency Contact:
Margie Shofer 301 427-1696 margie.shofer@ahrq.hhs.gov
Common Form ICR:
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:
(a) It is necessary for the proper performance of agency functions;
(b) It avoids unnecessary duplication;
(c) It reduces burden on small entities;
(d) It uses plain, coherent, and unambiguous language that is understandable to respondents;
(e) Its implementation will be consistent and compatible with current reporting and recordkeeping practices;
(f) It indicates the retention periods for recordkeeping requirements;
(g) It informs respondents of the information called for under 5 CFR 1320.8 (b)(3) about:
(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;
(h) It was developed by an office that has planned and allocated resources for the efficient and effective management and use of the information to be collected.
(i) It uses effective and efficient statistical survey methodology (if applicable); and
(j) It makes appropriate use of information technology.
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.
Certification Date:
01/06/2026