81 FR 66965 - Agency Forms Undergoing Paperwork Reduction Act Review
DEPARTMENT OF HEALTH AND HUMAN SERVICES
Centers for Disease Control and Prevention Federal Register Volume 81, Issue 189 (September 29, 2016)
Centers for Disease Control and Prevention
Federal Register Volume 81, Issue 189 (September 29, 2016)
| Page Range | 66965-66966 | |
| FR Document | 2016-23506 |
[Federal Register Volume 81, Number 189 (Thursday, September 29, 2016)] [Notices] [Pages 66965-66966] From the Federal Register Online [www.thefederalregister.org] [FR Doc No: 2016-23506] ======================================================================= ----------------------------------------------------------------------- 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--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 Emerging Infections Program (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/ [[Page 66966]] 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). 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 ---------------------------------------------------------------------------------------------------------------- Number of Average burden Type of respondents Form name Number of responses per per response respondents respondent (in 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. 2016-23506 Filed 9-28-16; 8:45 am] BILLING CODE 4163-18-P
![Federal Register / Vol. 81, No. 189 / Thursday, September 29, 2016 / Notices 66965
Board of Governors of the Federal Reserve Proposed Project hospitals in one U.S. city. This pilot
System, September 26, 2016. phase was followed in 2010 by a phase
Prevalence Survey of Healthcare-
Michele Taylor Fennell,
Associated Infections (HAIs) and 2, limited roll-out HAI and
Assistant Secretary of the Board. Antimicrobial Use in U.S. Acute Care antimicrobial use prevalence survey,
[FR Doc. 2016–23549 Filed 9–28–16; 8:45 am] Hospitals—Revision—National Center conducted in 22 hospitals across 10
BILLING CODE 6210–01–P for Emerging and Zoonotic Infectious Emerging Infections Program sites
Diseases (NCEZID), Centers for Disease (California, Colorado, Connecticut,
Control and Prevention (CDC). Georgia, Maryland, Minnesota, New
Mexico, New York, Oregon, and
DEPARTMENT OF HEALTH AND Background and Brief Description Tennessee). A full-scale, phase 3 survey
HUMAN SERVICES
Preventing healthcare-associated was conducted in 2011, involving 183
Centers for Disease Control and infections (HAIs) and reducing the hospitals in the 10 Emerging Infections
Prevention emergence and spread of antimicrobial Program (EIP) sites. Data from this
resistance are priorities for the CDC and survey conducted in 2011 showed that
[30Day–16–0852]
the U.S. Department of Health and there were an estimated 722,000 HAIs in
Human Services (DHHS). Improving U.S acute care hospitals in 2011, and
Agency Forms Undergoing Paperwork about half of the 11,282 patients
Reduction Act Review antimicrobial drug prescribing in the
United States is a critical component of included in the survey in 2011 were
The Centers for Disease Control and strategies to reduce antimicrobial receiving antimicrobial drugs. The
Prevention (CDC) has submitted the resistance, and is a key component of survey was repeated in 2015–2016 to
following information collection request the President’s National Strategy for update the national HAI and
to the Office of Management and Budget antimicrobial drug use burden; data
Combating Antibiotic Resistant Bacteria
(OMB) for review and approval in from this survey will also provide
(CARB), which calls for ‘‘inappropriate
accordance with the Paperwork baseline information on the quality of
inpatient antibiotic use for monitored
antimicrobial drug prescribing for
Reduction Act of 1995. The notice for conditions/agents’’ to be ‘‘reduced 20%
selected, common clinical conditions in
the proposed information collection is from 2014 levels’’ (page 9, https://
hospitals. Data collection is ongoing at
published to obtain comments from the www.whitehouse.gov/sites/default/files/
this time.
public and affected agencies. docs/carb_national_strategy.pdf). To A revision of the prevalence survey’s
Written comments and suggestions achieve these goals and improve patient existing OMB approval is sought to
from the public and affected agencies safety in the United States, it is reduce the data collection burden and to
concerning the proposed collection of necessary to know the current burden of extend the approval to allow another
information are encouraged. Your infections and antimicrobial drug use in short-term acute care hospital survey to
comments should address any of the different healthcare settings, including be conducted in 2019. Data from the
following: (a) Evaluate whether the the types of infections and drugs used 2019 survey will be used to evaluate
proposed collection of information is in short-term acute care hospitals, the progress in eliminating HAIs and
necessary for the proper performance of pathogens causing infections, and the improving antimicrobial drug use.
the functions of the agency, including quality of antimicrobial drug The 2019 survey will be performed in
whether the information will have prescribing. a sample of up to 300 acute care
practical utility; (b) Evaluate the Today more than 5,000 short-term hospitals, drawn from the acute care
accuracy of the agencies estimate of the acute care hospitals participate in hospital populations in each of the 10
burden of the proposed collection of national HAI surveillance through the EIP sites (and including participation
information, including the validity of CDC’s National Healthcare Safety from many hospitals that participated in
the methodology and assumptions used; Network (NHSN, OMB Control No. prior phases of the survey). Infection
(c) Enhance the quality, utility, and 0920–0666, expiration 12/31/18). These prevention personnel in participating
clarity of the information to be hospitals’ surveillance efforts are hospitals and EIP site personnel will
collected; (d) Minimize the burden of focused on those HAIs that are required collect demographic and clinical data
the collection of information on those to be reported as part of state legislative from the medical records of a sample of
who are to respond, including through mandates or Centers for Medicare & eligible patients in their hospitals on a
the use of appropriate automated, Medicaid Services (CMS) Inpatient single day in 2019, to identify CDC-
electronic, mechanical, or other Quality Reporting (IQR) Program. defined HAIs and collect information on
technological collection techniques or Hospitals do not report data on all types antimicrobial drug use. The survey data
other forms of information technology, of HAIs occurring hospital-wide. Data will be used to estimate the prevalence
e.g., permitting electronic submission of from a previous prevalence survey of HAIs and antimicrobial drug use and
responses; and (e) Assess information showed that approximately 28% of all describe the distribution of infection
collection costs. HAIs are included in the CMS IQR types and pathogens. The data will also
To request additional information on Program. Periodic assessments of the be used to determine the quality of
the proposed project or to obtain a copy magnitude and types of HAIs occurring antimicrobial drug prescribing. These
of the information collection plan and in all patient populations in hospitals data will inform strategies to reduce and
instruments, call (404) 639–7570 or are needed to inform decisions by local eliminate healthcare-associated
send an email to omb@cdc.gov. Written and national policy makers and by infections—a DHHS Healthy People
comments and/or suggestions regarding hospital infection prevention 2020 objective (http://
mstockstill on DSK3G9T082PROD with NOTICES
the items contained in this notice professionals regarding appropriate www.healthypeople.gov/2020/
should be directed to the Attention: targets and strategies for HAI topicsobjectives2020/
CDC Desk Officer, Office of Management prevention. overview.aspx?topicid=17). This survey
and Budget, Washington, DC 20503 or The CDC’s hospital prevalence survey project also supports the CDC Winnable
by fax to (202) 395–5806. Written efforts began in 2008–2009. A pilot Battle goal of improving national
comments should be received within 30 survey was conducted over a 1-day surveillance for healthcare-associated
days of this notice. period at each of nine acute care infections (http://www.cdc.gov/
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![66966 Federal Register / Vol. 81, No. 189 / Thursday, September 29, 2016 / Notices
winnablebattles/Goals.html) and the www.whitehouse.gov/sites/default/files/ estimated annual burden hours is 1,860.
CARB National Strategy (https:// docs/national_action_plan_for_ This represents a reduction in the total
www.whitehouse.gov/sites/default/files/ combating_antibotic-resistant_ estimated annual burden hours from the
docs/carb_national_strategy.pdf) and bacteria.pdf). previous approval due to a reduction in
Action Plan (https:// There are no costs to the respondents the number of respondents.
other than their time. The total
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, of automated collection techniques or to publish a 30-day notice in the
Chief, Information Collection Review Office, other forms of information technology to Federal Register concerning each
Office of Scientific Integrity, Office of the minimize the information collection proposed collection of information,
Associate Director for Science, Office of the burden. including each proposed extension or
Director, Centers for Disease Control and reinstatement of an existing collection
Prevention. DATES: Comments on the collection(s) of
information must be received by the of information, before submitting the
[FR Doc. 2016–23506 Filed 9–28–16; 8:45 am]
OMB desk officer by October 31, 2016. collection to OMB for approval. To
BILLING CODE 4163–18–P comply with this requirement, CMS is
ADDRESSES: When commenting on the
proposed information collections, publishing this notice that summarizes
please reference the document identifier the following proposed collection(s) of
DEPARTMENT OF HEALTH AND
or OMB control number. To be assured information for public comment:
HUMAN SERVICES
consideration, comments and 1. Type of Information Collection
Centers for Medicare & Medicaid recommendations must be received by Request: Extension of a currently
Services the OMB desk officer via one of the approved collection; Title of
following transmissions: OMB, Office of Information Collection: Request for
[Document Identifier: CMS–R–297 (CMS– Information and Regulatory Affairs, Employment Information; Use: Section
L564)] Attention: CMS Desk Officer, Fax 1837(i) of the Social Security Act
Number: (202) 395–5806 OR, Email: provides for a special enrollment period
Agency Information Collection
OIRA_submission@omb.eop.gov. for individuals who delay enrolling in
Activities: Submission for OMB To obtain copies of a supporting
Review; Comment Request Medicare Part B because they are
statement and any related forms for the covered by a group health plan based on
AGENCY: Centers for Medicare & proposed collection(s) summarized in their own or a spouse’s current
Medicaid Services, Department of this notice, you may make your request employment status. Disabled
Health and Human Services. using one of following: individuals with Medicare may also
1. Access CMS’ Web site address at delay enrollment because they have
ACTION: Notice.
http://www.cms.hhs.gov/ large group health plan coverage based
SUMMARY: The Centers for Medicare & PaperworkReductionActof1995. on their own or a family member’s
Medicaid Services (CMS) is announcing 2. Email your request, including your
current employment status. When these
an opportunity for the public to address, phone number, OMB number,
individuals apply for Medicare Part B,
comment on CMS’ intention to collect and CMS document identifier, to
they must provide proof that the group
information from the public. Under the Paperwork@cms.hhs.gov.
3. Call the Reports Clearance Office at health plan coverage is (or was) based
Paperwork Reduction Act of 1995 on current employment status. Form
(PRA), federal agencies are required to (410) 786–1326.
Number: CMS–R–297 (CMS–L564)
publish notice in the Federal Register FOR FURTHER INFORMATION CONTACT:
(OMB control number: 0938–0787);
concerning each proposed collection of Reports Clearance Office at (410) 786–
Frequency: Once; Affected Public:
information, including each proposed 1326.
Private sector (Business or other for-
extension or reinstatement of an existing SUPPLEMENTARY INFORMATION: Under the profits and Not-for-profit institutions);
collection of information, and to allow Paperwork Reduction Act of 1995 (PRA) Number of Respondents: 15,000; Total
a second opportunity for public (44 U.S.C. 3501–3520), federal agencies Annual Responses: 15,000; Total
comment on the notice. Interested must obtain approval from the Office of Annual Hours: 5,000. (For policy
persons are invited to send comments Management and Budget (OMB) for each questions regarding this collection
regarding the burden estimate or any collection of information they conduct contact Lindsay Scully at 410–786–
other aspect of this collection of or sponsor. The term ‘‘collection of 6843.)
information, including any of the information’’ is defined in 44 U.S.C.
mstockstill on DSK3G9T082PROD with NOTICES
Dated: September 26, 2016.
following subjects: The necessity and 3502(3) and 5 CFR 1320.3(c) and
utility of the proposed information includes agency requests or William N. Parham, III,
collection for the proper performance of requirements that members of the public Director, Paperwork Reduction Staff, Office
the agency’s functions; the accuracy of submit reports, keep records, or provide of Strategic Operations and Regulatory
the estimated burden; ways to enhance information to a third party. Section Affairs.
the quality, utility, and clarity of the 3506(c)(2)(A) of the PRA (44 U.S.C. [FR Doc. 2016–23537 Filed 9–28–16; 8:45 am]
information to be collected; and the use 3506(c)(2)(A)) requires federal agencies BILLING CODE 4120–01–P
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Document Created: 2016-09-29 04:15:04
Document Modified: 2016-09-29 04:15:04
| 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 66965 |
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