81 FR 58513 - Agency Forms Undergoing Paperwork Reduction Act Review
DEPARTMENT OF HEALTH AND HUMAN SERVICES
Centers for Disease Control and Prevention Federal Register Volume 81, Issue 165 (August 25, 2016)
Centers for Disease Control and Prevention
Federal Register Volume 81, Issue 165 (August 25, 2016)
| Page Range | 58513-58514 | |
| FR Document | 2016-20366 |
[Federal Register Volume 81, Number 165 (Thursday, August 25, 2016)] [Notices] [Pages 58513-58514] From the Federal Register Online [www.thefederalregister.org] [FR Doc No: 2016-20366] [[Page 58513]] ----------------------------------------------------------------------- DEPARTMENT OF HEALTH AND HUMAN SERVICES Centers for Disease Control and Prevention [30Day-16-0852] Agency Forms Undergoing Paperwork Reduction Act Review The Centers for Disease Control and Prevention (CDC) has submitted the following information collection request to the Office of Management and Budget (OMB) for review and approval in accordance with the Paperwork Reduction Act of 1995. The notice for the proposed information collection is published to obtain comments from the public and affected agencies. Written comments and suggestions from the public and affected agencies concerning the proposed collection of information are encouraged. Your comments should address any of the following: (a) Evaluate whether the proposed collection of information is necessary for the proper performance of the functions of the agency, including whether the information will have practical utility; (b) Evaluate the accuracy of the agencies estimate of the burden of the proposed collection of information, including the validity of the methodology and assumptions used; (c) Enhance the quality, utility, and clarity of the information to be collected; (d) Minimize the burden of the collection of information on those who are to respond, including through the use of appropriate automated, electronic, mechanical, or other technological collection techniques or other forms of information technology, e.g., permitting electronic submission of responses; and (e) Assess information collection costs. To request additional information on the proposed project or to obtain a copy of the information collection plan and instruments, call (404) 639-7570 or send an email to [email protected]. Written comments and/or suggestions regarding the items contained in this notice should be directed to the Attention: CDC Desk Officer, Office of Management and Budget, Washington, DC 20503 or by fax to (202) 395-5806. Written comments should be received within 30 days of this notice. Proposed Project Prevalence Survey of Healthcare-Associated Infections (HAIs) and Antimicrobial Use in U.S. Acute Care Hospitals (OMB Control No. 0920- 0852, Expires 12/31/2016)--Revision--National Center for Emerging and Zoonotic Infectious Diseases (NCEZID), Centers for Disease Control and Prevention (CDC). Background and Brief Description Preventing healthcare-associated infections (HAIs) and reducing the emergence and spread of antimicrobial resistance are priorities for the CDC and the U.S. Department of Health and Human Services (DHHS). Improving antimicrobial drug prescribing in the United States is a critical component of strategies to reduce antimicrobial resistance, and is a key component of the President's National Strategy for Combating Antibiotic Resistant Bacteria (CARB), which calls for ``inappropriate inpatient antibiotic use for monitored conditions/ agents'' to be ``reduced 20% from 2014 levels'' (page 9, https://www.whitehouse.gov/sites/default/files/docs/carb_national_strategy.pdf). To achieve these goals and improve patient safety in the United States, it is necessary to know the current burden of infections and antimicrobial drug use in different healthcare settings, including the types of infections and drugs used in short- term acute care hospitals, the pathogens causing infections, and the quality of antimicrobial drug prescribing. Today more than 5,000 short-term acute care hospitals participate in national HAI surveillance through the CDC's National Healthcare Safety Network (NHSN, OMB Control No. 0920-0666, expiration 12/31/18). These hospitals' surveillance efforts are focused on those HAIs that are required to be reported as part of state legislative mandates or Centers for Medicare & Medicaid Services (CMS) Inpatient Quality Reporting (IQR) Program. Hospitals do not report data on all types of HAIs occurring hospital-wide. Data from a previous prevalence survey showed that approximately 28% of all HAIs are included in the CMS IQR Program. Periodic assessments of the magnitude and types of HAIs occurring in all patient populations in hospitals are needed to inform decisions by local and national policy makers and by hospital infection prevention professionals regarding appropriate targets and strategies for HAI prevention. The CDC's hospital prevalence survey efforts began in 2008-2009. A pilot survey was conducted over a 1-day period at each of nine acute care hospitals in one U.S. city. This pilot phase was followed in 2010 by a phase 2, limited roll-out HAI and antimicrobial use prevalence survey, conducted in 22 hospitals across 10 Emerging Infections Program sites (California, Colorado, Connecticut, Georgia, Maryland, Minnesota, New Mexico, New York, Oregon, and Tennessee). A full-scale, phase 3 survey was conducted in 2011, involving 183 hospitals in the 10 EIP sites. Data from this survey conducted in 2011 showed that there were an estimated 722,000 HAIs in U.S acute care hospitals in 2011, and about half of the 11,282 patients included in the survey in 2011 were receiving antimicrobial drugs. The survey was repeated in 2015-2016 to update the national HAI and antimicrobial drug use burden; data from this survey will also provide baseline information on the quality of antimicrobial drug prescribing for selected, common clinical conditions in hospitals. Data collection is ongoing at this time. A revision of the prevalence survey's existing OMB approval is sought to reduce the data collection burden and to extend the approval to allow another short-term acute care hospital survey to be conducted in 2019. Data from the 2019 survey will be used to evaluate progress in eliminating HAIs and improving antimicrobial drug use. The 2019 survey will be performed in a sample of up to 300 acute care hospitals, drawn from the acute care hospital populations in each of the 10 EIP sites (and including participation from many hospitals that participated in prior phases of the survey). Infection prevention personnel in participating hospitals and EIP site personnel will collect demographic and clinical data from the medical records of a sample of eligible patients in their hospitals on a single day in 2019, to identify CDC-defined HAIs and collect information on antimicrobial drug use. The survey data will be used to estimate the prevalence of HAIs and antimicrobial drug use and describe the distribution of infection types and pathogens. The data will also be used to determine the quality of antimicrobial drug prescribing. These data will inform strategies to reduce and eliminate healthcare-associated infections--a DHHS Healthy People 2020 objective (http://www.healthypeople.gov/2020/topicsobjectives2020/overview.aspx?topicid=17). This survey project also supports the CDC Winnable Battle goal of improving national surveillance for healthcare-associated infections (http://www.cdc.gov/winnablebattles/Goals.html) and the CARB National Strategy (https://www.whitehouse.gov/sites/default/files/docs/carb_national_strategy.pdf) and Action Plan (https://www.whitehouse.gov/sites/default/files/docs/national_action_plan_for_combating_antibotic-resistant_bacteria.pdf). [[Page 58514]] There are no costs to the respondents other than their time. The total estimated annual burden hours is 1,860. This represents a reduction in the total estimated annual burden hours from the previous approval due to a reduction in the number of respondents. Estimated Annualized Burden Hours ---------------------------------------------------------------------------------------------------------------- Average Number of Number of burden per Type of respondents Form Name respondents responses per response (in respondent hrs.) ---------------------------------------------------------------------------------------------------------------- Infection Preventionist............... Healthcare Facility 100 1 45/60 Assessment (HFA). Infection Preventionist............... Patient Information Form 100 63 17/60 (PIF). ---------------------------------------------------------------------------------------------------------------- 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. 2016-20366 Filed 8-24-16; 8:45 am] BILLING CODE 4163-18-P
![Federal Register / Vol. 81, No. 165 / Thursday, August 25, 2016 / Notices 58513
DEPARTMENT OF HEALTH AND Centers for Disease Control and Mexico, New York, Oregon, and
HUMAN SERVICES Prevention (CDC). Tennessee). A full-scale, phase 3 survey
was conducted in 2011, involving 183
Centers for Disease Control and Background and Brief Description
hospitals in the 10 EIP sites. Data from
Prevention Preventing healthcare-associated this survey conducted in 2011 showed
infections (HAIs) and reducing the that there were an estimated 722,000
[30Day-16–0852] emergence and spread of antimicrobial HAIs in U.S acute care hospitals in
resistance are priorities for the CDC and 2011, and about half of the 11,282
Agency Forms Undergoing Paperwork the U.S. Department of Health and patients included in the survey in 2011
Reduction Act Review Human Services (DHHS). Improving were receiving antimicrobial drugs. The
antimicrobial drug prescribing in the survey was repeated in 2015–2016 to
The Centers for Disease Control and
United States is a critical component of update the national HAI and
Prevention (CDC) has submitted the strategies to reduce antimicrobial
following information collection request antimicrobial drug use burden; data
resistance, and is a key component of from this survey will also provide
to the Office of Management and Budget the President’s National Strategy for
(OMB) for review and approval in baseline information on the quality of
Combating Antibiotic Resistant Bacteria antimicrobial drug prescribing for
accordance with the Paperwork (CARB), which calls for ‘‘inappropriate
Reduction Act of 1995. The notice for selected, common clinical conditions in
inpatient antibiotic use for monitored hospitals. Data collection is ongoing at
the proposed information collection is conditions/agents’’ to be ‘‘reduced 20%
published to obtain comments from the this time.
from 2014 levels’’ (page 9, https:// A revision of the prevalence survey’s
public and affected agencies. www.whitehouse.gov/sites/default/files/
Written comments and suggestions existing OMB approval is sought to
docs/carb_national_strategy.pdf). To reduce the data collection burden and to
from the public and affected agencies achieve these goals and improve patient
concerning the proposed collection of extend the approval to allow another
safety in the United States, it is short-term acute care hospital survey to
information are encouraged. Your necessary to know the current burden of
comments should address any of the be conducted in 2019. Data from the
infections and antimicrobial drug use in 2019 survey will be used to evaluate
following: (a) Evaluate whether the different healthcare settings, including
proposed collection of information is progress in eliminating HAIs and
the types of infections and drugs used
necessary for the proper performance of improving antimicrobial drug use.
in short-term acute care hospitals, the The 2019 survey will be performed in
the functions of the agency, including pathogens causing infections, and the
whether the information will have a sample of up to 300 acute care
quality of antimicrobial drug hospitals, drawn from the acute care
practical utility; (b) Evaluate the prescribing.
accuracy of the agencies estimate of the Today more than 5,000 short-term hospital populations in each of the 10
burden of the proposed collection of acute care hospitals participate in EIP sites (and including participation
information, including the validity of national HAI surveillance through the from many hospitals that participated in
the methodology and assumptions used; CDC’s National Healthcare Safety prior phases of the survey). Infection
(c) Enhance the quality, utility, and Network (NHSN, OMB Control No. prevention personnel in participating
clarity of the information to be 0920–0666, expiration 12/31/18). These hospitals and EIP site personnel will
collected; (d) Minimize the burden of hospitals’ surveillance efforts are collect demographic and clinical data
the collection of information on those focused on those HAIs that are required from the medical records of a sample of
who are to respond, including through to be reported as part of state legislative eligible patients in their hospitals on a
the use of appropriate automated, mandates or Centers for Medicare & single day in 2019, to identify CDC-
electronic, mechanical, or other Medicaid Services (CMS) Inpatient defined HAIs and collect information on
technological collection techniques or Quality Reporting (IQR) Program. antimicrobial drug use. The survey data
other forms of information technology, Hospitals do not report data on all types will be used to estimate the prevalence
e.g., permitting electronic submission of of HAIs occurring hospital-wide. Data of HAIs and antimicrobial drug use and
responses; and (e) Assess information from a previous prevalence survey describe the distribution of infection
collection costs. showed that approximately 28% of all types and pathogens. The data will also
To request additional information on HAIs are included in the CMS IQR be used to determine the quality of
the proposed project or to obtain a copy Program. Periodic assessments of the antimicrobial drug prescribing. These
of the information collection plan and magnitude and types of HAIs occurring data will inform strategies to reduce and
instruments, call (404) 639–7570 or in all patient populations in hospitals eliminate healthcare-associated
send an email to omb@cdc.gov. Written are needed to inform decisions by local infections—a DHHS Healthy People
comments and/or suggestions regarding and national policy makers and by 2020 objective (http://
the items contained in this notice hospital infection prevention www.healthypeople.gov/2020/
should be directed to the Attention: professionals regarding appropriate topicsobjectives2020/
CDC Desk Officer, Office of Management targets and strategies for HAI overview.aspx?topicid=17). This survey
and Budget, Washington, DC 20503 or prevention. project also supports the CDC Winnable
by fax to (202) 395–5806. Written The CDC’s hospital prevalence survey Battle goal of improving national
comments should be received within 30 efforts began in 2008–2009. A pilot surveillance for healthcare-associated
days of this notice. survey was conducted over a 1-day infections (http://www.cdc.gov/
asabaliauskas on DSK3SPTVN1PROD with NOTICES
period at each of nine acute care winnablebattles/Goals.html) and the
Proposed Project hospitals in one U.S. city. This pilot CARB National Strategy (https://
Prevalence Survey of Healthcare- phase was followed in 2010 by a phase www.whitehouse.gov/sites/default/files/
Associated Infections (HAIs) and 2, limited roll-out HAI and docs/carb_national_strategy.pdf) and
Antimicrobial Use in U.S. Acute Care antimicrobial use prevalence survey, Action Plan (https://
Hospitals (OMB Control No. 0920–0852, conducted in 22 hospitals across 10 www.whitehouse.gov/sites/default/files/
Expires 12/31/2016)—Revision— Emerging Infections Program sites docs/national_action_
National Center for Emerging and (California, Colorado, Connecticut, plan_for_combating_antibotic-resistant_
Zoonotic Infectious Diseases (NCEZID), Georgia, Maryland, Minnesota, New bacteria.pdf).
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![58514 Federal Register / Vol. 81, No. 165 / Thursday, August 25, 2016 / Notices
There are no costs to the respondents This represents a reduction in the total previous approval due to a reduction in
other than their time. The total estimated annual burden hours from the the number of respondents.
estimated annual burden hours is 1,860.
ESTIMATED ANNUALIZED BURDEN HOURS
Average
Number of
Number of burden per
Type of respondents Form Name responses per
respondents response
respondent (in hrs.)
Infection Preventionist ..................................... Healthcare Facility Assessment (HFA) .......... 100 1 45/60
Infection Preventionist ..................................... Patient Information Form (PIF) ...................... 100 63 17/60
Leroy A. Richardson, I. Under Chapter KG, Office of administrative, personnel and data
Chief, Information Collection Review Office, Community Services, delete KG in its processing support services.
Office of Scientific Integrity, Office of the entirety and replace with the following: B. Division of Energy Assistance
Associate Director for Science, Office of the KG.00 Mission. The Office of
Director, Centers for Disease Control and administers the Low Income Home
Community Services (OCS) advises the Energy Assistance program (LIHEAP) at
Prevention. Secretary, through the Assistant
[FR Doc. 2016–20366 Filed 8–24–16; 8:45 am] the federal level. It develops guidelines,
Secretary for Children and Families, on
policies and regulations to provide
BILLING CODE 4163–18–P matters relating to community programs
direction to states, territories, Indian
to promote economic self-sufficiency.
OCS is responsible for administering tribes and tribal organizations in
DEPARTMENT OF HEALTH AND programs that serve low-income and administering LIHEAP. The Division of
HUMAN SERVICES needy individuals and address the LIHEAP calculates state allotments and
overall goal of economic security for develops statistical information
Administration for Children and regarding state plan characteristics,
individuals and families with low
Families energy consumption, state median
incomes and community improvement
for distressed neighborhoods. OCS income estimates, fuel costs, and
Statement of Organization, Functions,
administers the Community Services housing and demographic
and Delegations of Authority
Block Grant, Social Services Block characteristics. It prepares, analyzes and
AGENCY:Administration for Children Grant, and the Low Income Home recommends specific proposals for new
and Families, HHS. Energy Assistance Block Grant legislation; prepares reports as required
programs. OCS also administers a by Congress; and identifies and
ACTION: Notice.
variety of discretionary grant programs develops research and evaluation
SUMMARY: Statement of Organization, that foster family stability, economic priorities and assesses the impact of
Functions, and Delegations of security, responsibility and self-support, research and evaluation findings and
Authority. promote and provide services to statistical data in terms of program
homeless and individuals with low- directions.
The Administration for Children and
income and develop new and The Division of LIHEAP provides
Families (ACF) has realigned the Office
innovative approaches to reduce the leadership in interpretation and
of Community Services (OCS). This
need for public assistance. application of federal program policy as
notice announces the realignment of
KG.10 Organization. The Office of
OCS functions to rename the Division of it relates to compliance activities. The
Community Services is headed by a
State Assistance to the Division of Division of LIHEAP reviews grantee
Director who reports directly to the
Community Assistance and establishes applications and amendments; provides
Assistant Secretary for Children and
the Division of Social Services. It also the Office of Administration, Division of
Families. The office is organized as
consolidates the Division of Community Mandatory Grants with information
follows:
Discretionary Programs and the Division necessary to issue grants; and
of Community Demonstration Programs Office of the Director (KGA) investigates complaints. It provides
to establish the Division of Community Division of Community Assistance
assistance to states, tribes and territories
Discretionary and Demonstration (KGB)
in developing energy program policies
Programs. Division of Energy Assistance (KGE)
Division of Community Discretionary and operational procedures; evaluates
FOR FURTHER INFORMATION CONTACT: and Demonstration Programs (KGG) compliance of state and tribal policies
Jeannie Chaffin, Director, Office of Division of Social Services (KGH) and operations with statutory and
Community Services, 330 C Street SW., regulatory requirements; and provides
KG.20 Functions. A. Office of the
Washington, DC 20201, (202) 401–9333. support in developing and
Director provides executive direction
implementing program improvements.
This notice amends Part K of the and leadership to the Office of
The Division of LIHEAP assists states
Statement of Organization, Functions, Community Services (OCS) and
asabaliauskas on DSK3SPTVN1PROD with NOTICES
and other public and private
and Delegations of Authority of the coordinates all elements of the Office.
Department of Health and Human The Deputy Director assists the Director organizations by providing training and
Services (DHHS), Administration for in carrying out the responsibilities of technical assistance in areas related to
Children and Families (ACF), as the Office. Within the Office, the home energy consumption.
follows: Office of Community Services administrative staff assists the Director C. Division of Community Assistance
(OCS), as last amended by 767 FR in managing the formulation and administers the Community Services
67198, November 4, 2002, the changes execution of program and salaries and Block Grant (CSBG). It is responsible for
are as follows: expenses budgets, and in providing developing, updating and implementing
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Document Created: 2016-08-25 00:35:19
Document Modified: 2016-08-25 00:35:19
| 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 | |
| FR Citation | 81 FR 58513 |
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