81 FR 3144 - Proposed Data Collection Submitted for Public Comment and Recommendations

DEPARTMENT OF HEALTH AND HUMAN SERVICES
Centers for Disease Control and Prevention

Federal Register Volume 81, Issue 12 (January 20, 2016)

Page Range		3144-3146
FR Document		2016-00937

The Centers for Disease Control and Prevention (CDC), as part of its continuing efforts to reduce public burden and maximize the utility of government information, invites the general public and other Federal agencies to take this opportunity to comment on proposed and/or continuing information collections, as required by the Paperwork Reduction Act of 1995. This notice invites comment on the revision of the ``Asthma Information Reporting System (AIRS)'' information collection plan. The purpose of AIRS is to collect performance measure and surveillance data spreadsheets designed to increase the efficiency and effectiveness of state asthma programs and to monitor the impact of the state and national programs.

Federal Register, Volume 81 Issue 12 (Wednesday, January 20, 2016)

[Federal Register Volume 81, Number 12 (Wednesday, January 20, 2016)]
[Notices]
[Pages 3144-3146]
From the Federal Register Online  [www.thefederalregister.org]
[FR Doc No: 2016-00937]


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

DEPARTMENT OF HEALTH AND HUMAN SERVICES

Centers for Disease Control and Prevention

[60 Day-16-0853; Docket No. CDC-2016-0007]


Proposed Data Collection Submitted for Public Comment and 
Recommendations

AGENCY: Centers for Disease Control and Prevention (CDC), Department of 
Health and Human Services (HHS).

ACTION: Notice with comment period.

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

SUMMARY: The Centers for Disease Control and Prevention (CDC), as part 
of its continuing efforts to reduce public burden and maximize the 
utility of government information, invites the general public and other 
Federal agencies to take this opportunity to comment on proposed and/or 
continuing information collections, as required by the Paperwork 
Reduction Act of 1995. This notice invites comment on the revision of 
the ``Asthma Information Reporting System (AIRS)'' information 
collection plan. The purpose of AIRS is to collect performance measure 
and surveillance data spreadsheets designed to increase the efficiency 
and effectiveness of state asthma programs and to monitor the impact of 
the state and national programs.

DATES: Written comments must be received on or before March 21, 2016.

ADDRESSES: You may submit comments, identified by Docket No. CDC-2016-
0007 by any of the following methods:
     Federal eRulemaking Portal: Regulation.gov. Follow the 
instructions for submitting comments.
     Mail: Leroy A. Richardson, Information Collection Review 
Office, Centers for Disease Control and Prevention, 1600 Clifton Road 
NE., MS-D74, Atlanta, Georgia 30329.
    Instructions: All submissions received must include the agency name 
and Docket Number. All relevant comments received will be posted 
without change to Regulations.gov, including any personal information 
provided. For access to the docket to read background documents or 
comments received, go to Regulations.gov.

    Please note:  All public comment should be submitted through the 
Federal eRulemaking portal (Regulations.gov) or by U.S. mail to the 
address listed above.


FOR FURTHER INFORMATION CONTACT: To request more information on the 
proposed project or to obtain a copy of the information collection plan 
and instruments, contact the Information Collection Review Office, 
Centers for Disease Control and Prevention, 1600 Clifton Road NE., MS-
D74, Atlanta, Georgia 30329; phone: 404-639-7570; Email: [email protected].

SUPPLEMENTARY INFORMATION: Under the Paperwork Reduction Act of 1995 
(PRA) (44 U.S.C. 3501-3520), Federal agencies must obtain approval from 
the Office of Management and Budget (OMB) for each collection of 
information they conduct or sponsor. In addition, the PRA also requires 
Federal agencies to provide a 60-day notice in the Federal Register 
concerning each proposed collection of information, including each new 
proposed collection, each proposed extension of existing collection of 
information, and each reinstatement of previously approved information 
collection before submitting the collection to OMB for approval. To 
comply with this requirement, we are publishing this notice of a 
proposed data collection as described below.
    Comments are invited on: (a) 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; (b) the accuracy of the agency's estimate of the burden of the 
proposed collection of information; (c) ways to enhance the quality, 
utility, and clarity of the information to be collected; (d) ways to 
minimize the burden of the collection of information on respondents, 
including through the use of automated collection techniques or other 
forms of information technology; and (e) estimates of capital or start-
up costs and costs of operation, maintenance, and purchase of services 
to provide information. Burden means the total time, effort, or 
financial resources expended by persons to generate, maintain, retain, 
disclose or provide information to or for a Federal agency. This 
includes the time needed to review instructions; to develop, acquire, 
install and utilize technology and systems for the purpose of 
collecting, validating and verifying information, processing and 
maintaining information, and disclosing and providing information; to 
train personnel and to be able to respond to a collection of 
information, to search data sources, to complete and review the 
collection of information; and to transmit or otherwise disclose the 
information.

Proposed Project

    Asthma Information and Reporting System (AIRS)--(OMB Control No. 
0920-0853; exp. 05/31/2016)--Revision--National Center for 
Environmental Health (NCEH), Centers

[[Page 3145]]

for Disease Control and Prevention (CDC).

Background and Brief Description

    In 1999, the CDC began its National Asthma Control Program (NACP), 
a population-based public health approach to address the burden of 
asthma. The program supports the goals and objectives of ``Healthy 
People 2010'' for asthma and is based on the public health principles 
of surveillance, partnerships, interventions, and evaluation. The CDC 
requests to revise the ``Asthma Information and Reporting System 
(AIRS)'' (OMB Control No. 0920-0853; expiration date 5/31/2016). The 
goal of this data collection is to provide NCEH with routine 
information about the activities and performance of the state and 
territorial awardees funded under the NACP through an annual reporting 
system. As regular reporting of this information is a requirement of 
the cooperative agreement mechanism utilized to fund state asthma 
control programs, a three-year extension for PRA clearance is 
requested.
    This data collection was first approved by OMB in 2010 to collect 
data in a Web-based system to monitor and guide participating state 
health departments. Since implementation in 2010, AIRS and the 
technical assistance provided by CDC staff have provided states with 
uniform data reporting methods and linkages to other states' asthma 
programs and data. Thus, AIRS has saved state resources and staff time 
when asthma programs embark on asthma activities similar to those done 
elsewhere. Furthermore, access to standardized surveillance and 
programmatic data allows CDC to provide timely and accurate responses 
to the public and Congress regarding the NACP (e.g., trends in rates of 
hospital discharges and emergency department visits, how many states 
have asthma interventions targeting schools or day care facilities, 
etc.). In the past three-years, AIRS data were used to:
    [ssquf] Serve as a resource to the branch, division, and center 
when addressing congressional, departmental and institutional 
inquiries;
    [ssquf] Help the branch align its current interventions with CDC 
goals and allowed the monitoring of progress toward these goals;
    [ssquf] Allow the NACP and the state asthma programs to make more 
informed decisions about activities to achieve objectives;
    [ssquf] Facilitate communication about interventions across states, 
and enable inquiries regarding interventions by populations with a 
disproportionate burden, age groups, geographic areas and other 
variables of interest.
    Aggregated data from AIRS was presented at the 2015 State Asthma 
Grantee in Atlanta for the purposes of providing feedback to the state 
programs, clarifying CDC's expectations of the awardees and obtaining 
feedback from the awardees to CDC on the measures and the process of 
submitting information. Also, a presentation about the performance 
measurement development and implementation process was given in Chicago 
at the 2015 American Evaluation Association (AEA) annual meeting.
    A revision is necessary because: (1) The Web-based reporting 
platform is no longer supported by CDC; (2) in collaboration with state 
asthma programs, reporting requirements have been prioritized to 
provide specific information on the two main strategies in the FOA: 
Services (home visits and school-based self-management education) and 
services strategies (improving quality of medical management, improving 
referrals to and communication with school and home-based providers and 
increasing provision or reimbursement for non-clinical asthma services 
by health plans); and (3) CDC now endorses limiting state program 
reporting to once a year. AIRS also includes forms to collect aggregate 
emergency department (ED) visit and hospital discharge (HD) data from 
awardees. As in the previous version of AIRS, NACP requires awardees to 
report hospital discharge and emergency department visit counts by 19 
age groups to permit age adjusted rates and thus monitor the state 
programs' performance in reducing the burden of asthma. Specifically, 
CDC seeks to make the following changes:
     Rather than using the web-based system, state awardees 
will use AIRS Excel spreadsheets to report CDC-developed outcome 
performance measures.
     The performance measures will be collected annually, 
rather than biannually as previously approved.
    There will be no cost for respondents other than the time taken to 
complete the 3 three AIRS spreadsheets. With this revision, the number 
of awardees has been reduced from 34 to 23 states, and the total 
estimated annual burden hours are reduced from 288 to 82 hours.

                                        Estimated Annualized Burden Hours
----------------------------------------------------------------------------------------------------------------
                                                                     Number of    Average burden
      Type of respondents           Form name        Number of     responses per   per response    Total burden
                                                    respondents     respondent       (in hrs.)       (in hrs.)
----------------------------------------------------------------------------------------------------------------
State Asthma Program Awardees.  AIRS Reporting                23               1             2.5              58
                                 Spreadsheets.
                                Emergency                     23               1           30/60              12
                                 Department
                                 Visits
                                 Reporting Forms.
                                Hospital                      23               1           30/60              12
                                 Discharge
                                 Reporting Forms.
                                                 ---------------------------------------------------------------
    Total.....................  ................  ..............  ..............  ..............              82
----------------------------------------------------------------------------------------------------------------



[[Page 3146]]

Leroy A. Richardson,
Chief, Information Collection Review Office, Office of Scientific 
Integrity, Office of the Associate Director for Science, Office of the 
Director, Centers for Disease Control and Prevention.
[FR Doc. 2016-00937 Filed 1-19-16; 8:45 am]
BILLING CODE 4163-18-P

Federal Register / Vol. 81, No. 12 / Wednesday, January 20, 2016 / Notices 3145

for Disease Control and Prevention programmatic data allows CDC to longer supported by CDC; (2) in
(CDC). provide timely and accurate responses collaboration with state asthma
to the public and Congress regarding the programs, reporting requirements have
Background and Brief Description
NACP (e.g., trends in rates of hospital been prioritized to provide specific
In 1999, the CDC began its National discharges and emergency department information on the two main strategies
Asthma Control Program (NACP), a visits, how many states have asthma in the FOA: Services (home visits and
population-based public health interventions targeting schools or day school-based self-management
approach to address the burden of care facilities, etc.). In the past three- education) and services strategies
asthma. The program supports the goals years, AIRS data were used to: (improving quality of medical
and objectives of ‘‘Healthy People 2010’’ D Serve as a resource to the branch, management, improving referrals to and
for asthma and is based on the public division, and center when addressing communication with school and home-
health principles of surveillance, congressional, departmental and based providers and increasing
partnerships, interventions, and institutional inquiries; provision or reimbursement for non-
evaluation. The CDC requests to revise D Help the branch align its current clinical asthma services by health
the ‘‘Asthma Information and Reporting interventions with CDC goals and plans); and (3) CDC now endorses
System (AIRS)’’ (OMB Control No. allowed the monitoring of progress limiting state program reporting to once
0920–0853; expiration date 5/31/2016). toward these goals; a year. AIRS also includes forms to
The goal of this data collection is to D Allow the NACP and the state collect aggregate emergency department
provide NCEH with routine information asthma programs to make more (ED) visit and hospital discharge (HD)
about the activities and performance of informed decisions about activities to data from awardees. As in the previous
the state and territorial awardees funded achieve objectives; version of AIRS, NACP requires
under the NACP through an annual D Facilitate communication about awardees to report hospital discharge
reporting system. As regular reporting of interventions across states, and enable and emergency department visit counts
this information is a requirement of the inquiries regarding interventions by by 19 age groups to permit age adjusted
cooperative agreement mechanism populations with a disproportionate rates and thus monitor the state
utilized to fund state asthma control burden, age groups, geographic areas programs’ performance in reducing the
programs, a three-year extension for and other variables of interest. burden of asthma. Specifically, CDC
PRA clearance is requested. Aggregated data from AIRS was seeks to make the following changes:
This data collection was first presented at the 2015 State Asthma • Rather than using the web-based
approved by OMB in 2010 to collect Grantee in Atlanta for the purposes of system, state awardees will use AIRS
data in a Web-based system to monitor providing feedback to the state Excel spreadsheets to report CDC-
and guide participating state health programs, clarifying CDC’s expectations developed outcome performance
departments. Since implementation in of the awardees and obtaining feedback measures.
2010, AIRS and the technical assistance from the awardees to CDC on the • The performance measures will be
provided by CDC staff have provided measures and the process of submitting collected annually, rather than
states with uniform data reporting information. Also, a presentation about biannually as previously approved.
methods and linkages to other states’ the performance measurement There will be no cost for respondents
asthma programs and data. Thus, AIRS development and implementation other than the time taken to complete
has saved state resources and staff time process was given in Chicago at the the 3 three AIRS spreadsheets. With this
when asthma programs embark on 2015 American Evaluation Association revision, the number of awardees has
asthma activities similar to those done (AEA) annual meeting. been reduced from 34 to 23 states, and
elsewhere. Furthermore, access to A revision is necessary because: (1) the total estimated annual burden hours
standardized surveillance and The Web-based reporting platform is no are reduced from 288 to 82 hours.

ESTIMATED ANNUALIZED BURDEN HOURS
Average
Number of
Number of burden per Total burden
Type of respondents Form name responses per
respondents response (in hrs.)
respondent (in hrs.)

State Asthma Program Awardees ................ AIRS Reporting Spread- 23 1 2.5 58
sheets.
Emergency Department Vis- 23 1 30/60 12
its Reporting Forms.
Hospital Discharge Reporting 23 1 30/60 12
Forms.

Total ....................................................... ............................................... ........................ ........................ ........................ 82
tkelley on DSK4VPTVN1PROD with NOTICES

VerDate Sep<11>2014 18:12 Jan 19, 2016 Jkt 238001 PO 00000 Frm 00052 Fmt 4703 Sfmt 9990 E:\FR\FM\20JAN1.SGM 20JAN1

Document Created: 2016-01-19 23:44:00
Document Modified: 2016-01-19 23:44:00

Category		Regulatory Information
Collection		Federal Register
sudoc Class		AE 2.7: GS 4.107: AE 2.106:
Publisher		Office of the Federal Register, National Archives and Records Administration
Section		Notices
Action		Notice with comment period.
Dates		Written comments must be received on or before March 21, 2016.
Contact		To request more information on the proposed project or to obtain a copy of the information collection plan and instruments, contact the Information Collection Review Office, Centers for Disease Control and Prevention, 1600 Clifton Road NE., MS- D74, Atlanta, Georgia 30329; phone: 404-639-7570; Email: [email protected]
FR Citation		81 FR 3144

81 FR 3144 - Proposed Data Collection Submitted for Public Comment and Recommendations

DEPARTMENT OF HEALTH AND HUMAN SERVICESCenters for Disease Control and Prevention

Federal Register Volume 81, Issue 12 (January 20, 2016)

DEPARTMENT OF HEALTH AND HUMAN SERVICES
Centers for Disease Control and Prevention