# Proposed Collection; Comment Request
**AGENCY:**
The Office of the Assistant Secretary of Defense for Health Affairs (OASD(HA)), Department of Defense (DoD).
**ACTION:**
60-Day information collection notice.
**SUMMARY:**
In compliance with the *Paperwork Reduction Act of 1995,* the Defense Health Agency announces a proposed public information collection and seeks public comment on the provisions thereof. Comments are invited on: whether the proposed collection of information is necessary for the proper performance of the functions of the agency, including whether the information shall have practical utility; the accuracy of the agency's estimate of the burden of the proposed information collection; ways to enhance the quality, utility, and clarity of the information to be collected; and ways to minimize the burden of the information collection on respondents, including through the use of automated collection techniques or other forms of information technology.
**DATES:**
Consideration will be given to all comments received by July 19, 2024.
**ADDRESSES:**
You may submit comments, identified by docket number and title, by any of the following methods:
*Federal eRulemaking Portal: http://www.regulations.gov.* Follow the instructions for submitting comments.
*Mail:* Department of Defense, Office of the Assistant to the Secretary of Defense for Privacy, Civil Liberties, and Transparency, Regulatory Directorate, 4800 Mark Center Drive, Mailbox #24, Suite 08D09, Alexandria, VA 22350-1700.
*Instructions:* All submissions received must include the agency name, docket number and title for this *Federal Register* document. The general policy for comments and other submissions from members of the public is to make these submissions available for public viewing on the internet at *http://www.regulations.gov* as they are received without change, including any personal identifiers or contact information.
**FOR FURTHER INFORMATION CONTACT:**
To request more information on this proposed information collection or to obtain a copy of the proposal and associated collection instruments, please write to Defense Health Agency, 7700 Arlington Blvd., Falls Church, VA 22042, ATTN: Amanda Grifka, 703-681-1771.
**SUPPLEMENTARY INFORMATION:**
*Title; Associated Form; and OMB Number:* Safety Culture, Operational reliability, Resilience/burnout, and Engagement (SCORE <sub>TM</sub> ) Survey; OMB Control Number 0720-SCOR.
*Needs and Uses:* The 2001 National Defense Authorization Act addresses patient safety in military and veteran's healthcare and requires an examination of systemic factors which lead to medical error. The SCORE <sub>TM</sub> Survey, a validated commercial assessment tool for patient safety that engages all levels of staff from executive leaders to frontline teams, is a response to this legislation. Defense Health Network National Capital Region (DHN NCR) uses results from the SCORE <sub>TM</sub> to meet requirements for Leapfrog, a nonprofit advocate of transparency and quality in healthcare which evaluates military facilities. Furthermore, SCORE <sub>TM</sub> provides the granular, customized data necessary for true culture change at echelon or process for driving cultural change with the survey results.
Required post-survey debriefings drive team engagement: in 2020 and 2021 alone, DHN NCR SCORE <sub>TM</sub> debriefs generated over 1,000 frontline action plans which have driven Fiscal Year 2024 year-over-year increases in improvement readiness and local leadership engagement. Additionally, since SCORE <sub>TM</sub> is repeated every 12-24 months, it meets the highest-level Leapfrog requirements and have helped our largest facilities earn Leapfrog “A” designation.
*Affected Public:* Federal Government, Individuals, or Households.
*Annual Burden Hours:* 16,333.
*Number of Respondents:* 98,000.
*Responses per Respondent:* 1.
*Annual Responses:* 98,000.
*Average Burden per Response:* 10 minutes.
*Frequency:* As required.
Dated: May 15, 2024.
Aaron T. Siegel,
Alternate OSD Federal Register Liaison Officer, Department of Defense.