81_FR_64337 81 FR 64156 - Agency Forms Undergoing Paperwork Reduction Act Review

81 FR 64156 - Agency Forms Undergoing Paperwork Reduction Act Review

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

Federal Register Volume 81, Issue 181 (September 19, 2016)

Page Range64156-64157
FR Document2016-22446

Federal Register, Volume 81 Issue 181 (Monday, September 19, 2016)
[Federal Register Volume 81, Number 181 (Monday, September 19, 2016)]
[Notices]
[Pages 64156-64157]
From the Federal Register Online  [www.thefederalregister.org]
[FR Doc No: 2016-22446]


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

DEPARTMENT OF HEALTH AND HUMAN SERVICES

Centers for Disease Control and Prevention

[30Day-16-0976]


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

    Million Hearts[supreg] Hypertension Control Challenge (OMB No. 
0920-0976, exp. 7/31/2016)--Reinstatement with Change--National Center 
for Chronic Disease Prevention and Health Promotion (NCCDPHP), Centers 
for Disease Control and Prevention (CDC).

Background and Brief Description

    In September 2011, HHS launched the Million Hearts[supreg] 
initiative to prevent one million heart attacks and strokes by 2017. 
There is scientific evidence that provides general guidance on the 
types of system-based changes to clinical practice that can improve 
patient blood pressure control, but more information is needed to fully 
understand implementation practices so that they can be shared and 
promoted.
    In 2013, CDC launched the Million Hearts[supreg] Hypertension 
Control Challenge (OMB No. 0920-0976, exp. 7/31/2016). The Challenge is 
authorized by Public Law 111-358, the America Creating Opportunities to 
Meaningfully Promote Excellence in Technology, Education and Science 
Reauthorization Act of 2010 (COMPETES Act). The annual Challenge is 
designed to help CDC (1) identify clinical practices and health systems 
that have been successful in achieving high rates of hypertension 
control, and (2) develop models for dissemination. The Challenge is 
open to single practice providers, group practice providers, and 
healthcare systems.
    In 2013, 2014, and 2015, CDC collected information needed to assess 
candidates for recognition through the Million Hearts[supreg] 
Hypertension Control Challenge. A total of 59 public and private health 
care practices and systems were recognized as Million Hearts[supreg] 
Hypertension Control Champions for achieving exemplary levels of 
hypertension control in adults ages 18-85.
    CDC plans to reinstate the Million Hearts[supreg] Hypertension 
Control Challenge, with changes, for information collection beginning 
in 2017. Challenges were previously launched in late summer/early fall. 
The 2016 Challenge is scheduled to launch in February 2017, coinciding 
with American Heart Month. The nomination period will be open for 
approximately 60 days, with recognition of the 2016 Million 
Hearts[supreg] Hypertension Control Champions in the fall of 2017. A 
similar calendar year schedule is planned for 2018 (information 
collection and recognition for the 2017 Champions) and 2019 
(information collection and recognition for the 2018 Champions).
    Information collection supporting the Challenge will be conducted 
in three steps. First, interested providers or practices will complete 
a web-based nomination form which provides the minimum amount of data 
needed to demonstrate evidence of clinical success in achieving 
hypertension control, including: (a) Two point-in-time measures of the 
clinical hypertension control rate for the patient population, (b) the 
size of the clinic population served, (c) a description of the patient 
population served and geographic location, and (d) a description of the 
sustainable systems and strategies adopted to achieve and maintain 
hypertension control rates. The estimated burden for completing the 
nomination form is 30 minutes. CDC scientists or contractors will 
review each nomination form and assign a preliminary score.
    In the second phase of assessment, nominees with the highest 
preliminary scores (finalists) will be asked to participate in a one-
hour data verification process. The nominee will review the nomination 
form with a reviewer or abstractor, describe how information was 
obtained from the provider's (or practice's) electronic

[[Page 64157]]

records, chart reviews, or other sources, and review the methodology 
used to calculate the reported hypertension control rate. CDC conducts 
data verification to ensure that all nominees meet eligibility criteria 
and calculate their reported hypertension control rate according to a 
standardized method.
    In the third phase of the assessment, each remaining finalist will 
participate in a two-hour, semi-structured interview and provide 
detailed information about the patient population served, the 
geographic region served, and the strategies employed by the practice 
or health system to achieve exemplary rates of hypertension control, 
including barriers and facilitators for those strategies.
    Based on experience with administration of the Challenge in 
previous years, CDC plans to eliminate the cash prize awarded to 
Champions in previous years, and to implement minor changes to the 
nomination form and the data verification form that will improve 
usability and data quality. There are no changes to the estimated 
burden per response. Finally, CDC anticipates an overall reduction in 
burden due to a reduction in the estimated number of nominees. During 
the period of this Reinstatement request, on an annual basis, CDC 
estimates that information will be collected from up to 500 nominees 
using the nomination form, at most 40 data verifications, and at most 
40 semi-structured interviews.
    CDC will use the information collected through the Million 
Hearts[supreg] Hypertension Control Challenge to increase widespread 
attention to hypertension at the clinical practice level, improve 
understanding of successful and sustainable implementation strategies 
at the practice or health system level, bring visibility to 
organizations that invest in hypertension control, and motivate 
individual practices to strengthen their hypertension control efforts. 
Information collected through the Million Hearts[supreg] Hypertension 
Control Challenge will link success in clinical outcomes of 
hypertension control with information about procedures that can be used 
to achieve similar favorable outcomes so that the strategies can be 
replicated by other providers and health care systems.
    OMB approval is requested for three years. Participation is 
voluntary and there are no costs to the respondents other than their 
time. The total estimated annualized burden hours are 370.

                                        Estimated Annualized Burden Hours
----------------------------------------------------------------------------------------------------------------
                                                                                     Number of    Average burden
           Type of responses                    Form name            Number of     responses per   per response
                                                                    respondents     respondent        (in hr)
----------------------------------------------------------------------------------------------------------------
Physicians (Single or Group Practices)  Million Hearts[supreg]               500               1           30/60
                                         Hypertension Control
                                         Champion Nomination
                                         form.
Finalists.............................  Data Verification Form..              40               1               1
                                        Semi-structured                       40               1               2
                                         Interview.
----------------------------------------------------------------------------------------------------------------


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. 2016-22446 Filed 9-16-16; 8:45 am]
 BILLING CODE 4163-18-P



                                                  64156                             Federal Register / Vol. 81, No. 181 / Monday, September 19, 2016 / Notices

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

                                                  Office-based physicians ....................             NEHRS .............................................                        10,302                             1                    30/60              5,151
                                                  Office-based physicians ....................             Follow-up NEHRS ............................                                3,434                             1                    30/60              1,717

                                                       Total ...........................................   ...........................................................   ........................   ........................   ........................          6,868



                                                  Leroy A. Richardson,                                                      To request additional information on                                        private health care practices and
                                                  Chief, Information Collection Review Office,                            the proposed project or to obtain a copy                                      systems were recognized as Million
                                                  Office of Scientific Integrity, Office of the                           of the information collection plan and                                        Hearts® Hypertension Control
                                                  Associate Director for Science, Office of the                           instruments, call (404) 639–7570 or                                           Champions for achieving exemplary
                                                  Director, Centers for Disease Control and                               send an email to omb@cdc.gov. Written                                         levels of hypertension control in adults
                                                  Prevention.                                                             comments and/or suggestions regarding                                         ages 18–85.
                                                  [FR Doc. 2016–22448 Filed 9–16–16; 8:45 am]                             the items contained in this notice                                              CDC plans to reinstate the Million
                                                  BILLING CODE 4163–18–P                                                  should be directed to the Attention:                                          Hearts® Hypertension Control
                                                                                                                          CDC Desk Officer, Office of Management                                        Challenge, with changes, for
                                                                                                                          and Budget, Washington, DC 20503 or                                           information collection beginning in
                                                  DEPARTMENT OF HEALTH AND                                                by fax to (202) 395–5806. Written                                             2017. Challenges were previously
                                                  HUMAN SERVICES                                                          comments should be received within 30                                         launched in late summer/early fall. The
                                                                                                                          days of this notice.                                                          2016 Challenge is scheduled to launch
                                                  Centers for Disease Control and
                                                  Prevention                                                              Proposed Project                                                              in February 2017, coinciding with
                                                                                                                                                                                                        American Heart Month. The nomination
                                                  [30Day–16–0976]                                                           Million Hearts® Hypertension Control                                        period will be open for approximately
                                                                                                                          Challenge (OMB No. 0920–0976, exp.                                            60 days, with recognition of the 2016
                                                  Agency Forms Undergoing Paperwork                                       7/31/2016)—Reinstatement with                                                 Million Hearts® Hypertension Control
                                                  Reduction Act Review                                                    Change—National Center for Chronic                                            Champions in the fall of 2017. A similar
                                                                                                                          Disease Prevention and Health                                                 calendar year schedule is planned for
                                                     The Centers for Disease Control and                                  Promotion (NCCDPHP), Centers for
                                                  Prevention (CDC) has submitted the                                                                                                                    2018 (information collection and
                                                                                                                          Disease Control and Prevention (CDC).                                         recognition for the 2017 Champions)
                                                  following information collection request
                                                  to the Office of Management and Budget                                  Background and Brief Description                                              and 2019 (information collection and
                                                  (OMB) for review and approval in                                           In September 2011, HHS launched the                                        recognition for the 2018 Champions).
                                                  accordance with the Paperwork                                           Million Hearts® initiative to prevent one                                       Information collection supporting the
                                                  Reduction Act of 1995. The notice for                                   million heart attacks and strokes by                                          Challenge will be conducted in three
                                                  the proposed information collection is                                  2017. There is scientific evidence that                                       steps. First, interested providers or
                                                  published to obtain comments from the                                   provides general guidance on the types                                        practices will complete a web-based
                                                  public and affected agencies.                                           of system-based changes to clinical                                           nomination form which provides the
                                                     Written comments and suggestions                                     practice that can improve patient blood                                       minimum amount of data needed to
                                                  from the public and affected agencies                                   pressure control, but more information                                        demonstrate evidence of clinical success
                                                  concerning the proposed collection of                                   is needed to fully understand                                                 in achieving hypertension control,
                                                  information are encouraged. Your                                        implementation practices so that they                                         including: (a) Two point-in-time
                                                  comments should address any of the                                      can be shared and promoted.                                                   measures of the clinical hypertension
                                                  following: (a) Evaluate whether the                                        In 2013, CDC launched the Million                                          control rate for the patient population,
                                                  proposed collection of information is                                   Hearts® Hypertension Control Challenge                                        (b) the size of the clinic population
                                                  necessary for the proper performance of                                 (OMB No. 0920–0976, exp. 7/31/2016).                                          served, (c) a description of the patient
                                                  the functions of the agency, including                                  The Challenge is authorized by Public                                         population served and geographic
                                                  whether the information will have                                       Law 111–358, the America Creating                                             location, and (d) a description of the
                                                  practical utility; (b) Evaluate the                                     Opportunities to Meaningfully Promote                                         sustainable systems and strategies
                                                  accuracy of the agencies estimate of the                                Excellence in Technology, Education                                           adopted to achieve and maintain
                                                  burden of the proposed collection of                                    and Science Reauthorization Act of                                            hypertension control rates. The
                                                  information, including the validity of                                  2010 (COMPETES Act). The annual                                               estimated burden for completing the
                                                  the methodology and assumptions used;                                   Challenge is designed to help CDC (1)                                         nomination form is 30 minutes. CDC
                                                  (c) Enhance the quality, utility, and                                   identify clinical practices and health                                        scientists or contractors will review
                                                  clarity of the information to be                                        systems that have been successful in                                          each nomination form and assign a
                                                  collected; (d) Minimize the burden of                                   achieving high rates of hypertension                                          preliminary score.
                                                  the collection of information on those                                  control, and (2) develop models for                                             In the second phase of assessment,
                                                  who are to respond, including through                                   dissemination. The Challenge is open to                                       nominees with the highest preliminary
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                                                  the use of appropriate automated,                                       single practice providers, group practice                                     scores (finalists) will be asked to
                                                  electronic, mechanical, or other                                        providers, and healthcare systems.                                            participate in a one-hour data
                                                  technological collection techniques or                                     In 2013, 2014, and 2015, CDC                                               verification process. The nominee will
                                                  other forms of information technology,                                  collected information needed to assess                                        review the nomination form with a
                                                  e.g., permitting electronic submission of                               candidates for recognition through the                                        reviewer or abstractor, describe how
                                                  responses; and (e) Assess information                                   Million Hearts® Hypertension Control                                          information was obtained from the
                                                  collection costs.                                                       Challenge. A total of 59 public and                                           provider’s (or practice’s) electronic


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                                                                                      Federal Register / Vol. 81, No. 181 / Monday, September 19, 2016 / Notices                                                              64157

                                                  records, chart reviews, or other sources,                                the cash prize awarded to Champions in                       successful and sustainable
                                                  and review the methodology used to                                       previous years, and to implement minor                       implementation strategies at the practice
                                                  calculate the reported hypertension                                      changes to the nomination form and the                       or health system level, bring visibility to
                                                  control rate. CDC conducts data                                          data verification form that will improve                     organizations that invest in
                                                  verification to ensure that all nominees                                 usability and data quality. There are no                     hypertension control, and motivate
                                                  meet eligibility criteria and calculate                                  changes to the estimated burden per                          individual practices to strengthen their
                                                  their reported hypertension control rate                                 response. Finally, CDC anticipates an                        hypertension control efforts.
                                                  according to a standardized method.                                      overall reduction in burden due to a                         Information collected through the
                                                     In the third phase of the assessment,                                 reduction in the estimated number of                         Million Hearts® Hypertension Control
                                                  each remaining finalist will participate                                 nominees. During the period of this                          Challenge will link success in clinical
                                                  in a two-hour, semi-structured interview                                 Reinstatement request, on an annual                          outcomes of hypertension control with
                                                  and provide detailed information about                                   basis, CDC estimates that information                        information about procedures that can
                                                  the patient population served, the                                       will be collected from up to 500                             be used to achieve similar favorable
                                                  geographic region served, and the                                        nominees using the nomination form, at                       outcomes so that the strategies can be
                                                  strategies employed by the practice or                                   most 40 data verifications, and at most                      replicated by other providers and health
                                                  health system to achieve exemplary                                       40 semi-structured interviews.                               care systems.
                                                  rates of hypertension control, including                                   CDC will use the information                                 OMB approval is requested for three
                                                  barriers and facilitators for those                                      collected through the Million Hearts®                        years. Participation is voluntary and
                                                  strategies.                                                              Hypertension Control Challenge to                            there are no costs to the respondents
                                                     Based on experience with                                              increase widespread attention to                             other than their time. The total
                                                  administration of the Challenge in                                       hypertension at the clinical practice                        estimated annualized burden hours are
                                                  previous years, CDC plans to eliminate                                   level, improve understanding of                              370.

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

                                                  Physicians (Single or Group Practices) ..........                       Million Hearts® Hypertension Control Cham-                            500                 1            30/60
                                                                                                                            pion Nomination form.
                                                  Finalists ...........................................................   Data Verification Form ...................................             40                 1                  1
                                                                                                                          Semi-structured Interview ..............................               40                 1                  2



                                                  Leroy A. Richardson,                                                     comment on proposed and/or                                     Please note: All public comment should be
                                                  Chief, Information Collection Review Office,                             continuing information collections, as                       submitted through the Federal eRulemaking
                                                  Office of Scientific Integrity, Office of the                            required by the Paperwork Reduction                          portal (Regulations.gov) or by U.S. mail to the
                                                  Associate Director for Science, Office of the                            Act of 1995. This notice invites                             address listed above.
                                                  Director, Centers for Disease Control and                                comment on a proposed information
                                                  Prevention.                                                              collection plan entitled Evaluation of                       FOR FURTHER INFORMATION CONTACT:    To
                                                  [FR Doc. 2016–22446 Filed 9–16–16; 8:45 am]                              Effectiveness of NIOSH Publications:                         request more information on the
                                                  BILLING CODE 4163–18–P                                                   NIOSH Customer Satisfaction and                              proposed project or to obtain a copy of
                                                                                                                           Impact Survey.                                               the information collection plan and
                                                                                                                                                                                        instruments, contact the Information
                                                  DEPARTMENT OF HEALTH AND                                                 DATES: Written comments must be                              Collection Review Office, Centers for
                                                  HUMAN SERVICES                                                           received on or before November 18,
                                                                                                                                                                                        Disease Control and Prevention, 1600
                                                                                                                           2016.
                                                                                                                                                                                        Clifton Road NE., MS–D74, Atlanta,
                                                  Centers for Disease Control and                                                                                                       Georgia 30329; phone: 404–639–7570;
                                                                                                                           ADDRESSES:   You may submit comments,
                                                  Prevention                                                                                                                            Email: omb@cdc.gov.
                                                                                                                           identified by Docket No. CDC–2016–
                                                  [60Day–16–160544; Docket No. CDC–2016–                                   0088 by any of the following methods:
                                                                                                                                                                                        SUPPLEMENTARY INFORMATION:     Under the
                                                  0088]                                                                      • Federal eRulemaking Portal:                              Paperwork Reduction Act of 1995 (PRA)
                                                                                                                           Regulations.gov. Follow the instructions                     (44 U.S.C. 3501–3520), Federal agencies
                                                  Proposed Data Collection Submitted                                       for submitting comments.                                     must obtain approval from the Office of
                                                  for Public Comment and                                                     • Mail: Leroy A. Richardson,                               Management and Budget (OMB) for each
                                                  Recommendations                                                          Information Collection Review Office,                        collection of information they conduct
                                                  AGENCY: Centers for Disease Control and                                  Centers for Disease Control and                              or sponsor. In addition, the PRA also
                                                  Prevention (CDC), Department of Health                                   Prevention, 1600 Clifton Road NE., MS–                       requires Federal agencies to provide a
                                                  and Human Services (HHS).                                                D74, Atlanta, Georgia 30329.                                 60-day notice in the Federal Register
                                                  ACTION: Notice with comment period.                                        Instructions: All submissions received                     concerning each proposed collection of
                                                                                                                           must include the agency name and                             information, including each new
mstockstill on DSK3G9T082PROD with NOTICES




                                                  SUMMARY:   The Centers for Disease                                       Docket Number. All relevant comments                         proposed collection, each proposed
                                                  Control and Prevention (CDC), as part of                                 received will be posted without change                       extension of existing collection of
                                                  its continuing efforts to reduce public                                  to Regulations.gov, including any                            information, and each reinstatement of
                                                  burden and maximize the utility of                                       personal information provided. For                           previously approved information
                                                  government information, invites the                                      access to the docket to read background                      collection before submitting the
                                                  general public and other Federal                                         documents or comments received, go to                        collection to OMB for approval. To
                                                  agencies to take this opportunity to                                     Regulations.gov.                                             comply with this requirement, we are


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Document Created: 2016-09-17 02:29:54
Document Modified: 2016-09-17 02:29:54
CategoryRegulatory Information
CollectionFederal Register
sudoc ClassAE 2.7:
GS 4.107:
AE 2.106:
PublisherOffice of the Federal Register, National Archives and Records Administration
SectionNotices
FR Citation81 FR 64156 

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