81 FR 96000 - 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 250 (December 29, 2016)

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 a proposed information collection entitled ``Test Predictability of Falls Screening Tools.'' CDC will use the information collected to evaluate current screening tools and potentially design a new screening tool for health care practitioners to identify community-dwelling adults 65 and older at risk for falls.

[Federal Register Volume 81, Number 250 (Thursday, December 29, 2016)]
[Notices]
[Pages 96000-96001]
From the Federal Register Online  [www.thefederalregister.org]
[FR Doc No: 2016-31604]


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DEPARTMENT OF HEALTH AND HUMAN SERVICES

Centers for Disease Control and Prevention

[60Day-17-17HO; Docket No. CDC-2016-0118]


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.

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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 a proposed 
information collection entitled ``Test Predictability of Falls 
Screening Tools.'' CDC will use the information collected to evaluate 
current screening tools and potentially design a new screening tool for 
health care practitioners to identify community-dwelling adults 65 and 
older at risk for falls.

DATES: Written comments must be received on or before February 27, 
2017.

ADDRESSES: You may submit comments, identified by Docket No. CDC-2016-
0118 by any of the following methods:
     Federal eRulemaking Portal: Regulations.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

    Test Predictability of Falls Screening Tools--New--National Center 
for Injury Prevention and Control (NCIPC), Centers for Disease Control 
and Prevention (CDC).

Background and Brief Description

    NCIPC seeks to request a two-year OMB approval for the ``Test 
Predictability of Falls Screening Tools'' information collection 
project. Falls are the leading cause of fatal and nonfatal injuries 
among older adults in the U.S. and represent a significant burden to 
the healthcare system. Research demonstrates that clinical 
interventions can reduce fall risk, and the American and British 
Geriatrics Societies (AGS/BGS) have developed a clinical practice 
guideline to manage fall risk among their older adult patients. Based 
on these guidelines, the CDC developed a falls prevention initiative 
called STEADI (Stopping Elderly Accidents, Deaths, and Injuries). 
STEADI includes a suite of materials (available at www.cdc.gov/STEADI) 
that help health care practitioners implement these clinical 
guidelines.
    The first step in clinical falls prevention is for health care 
practitioners to administer a fall risk screening. The screening 
identifies whether adults 65 and older are at ``increased risk'' for a 
fall. The initial screening step is critical because it identifies who 
will receive the assessments and follow-up care, which has the 
potential to place a large burden on health care practitioners and the 
healthcare system. While medical organizations such as the American 
Geriatrics Society recommend that adults 65 and older be screened 
annually for fall risk, and although there are a number of tools used 
to screen older adults for fall risk, there is currently no standard 
for fall risk screening across care settings.
    The CDC proposes to conduct a new data collection in order to 
develop a set of brief screening questions that are clinically-useful 
for quickly sorting patients into risk levels for falls. The goals of 
this study are to: (1) Test the ability of existing falls screening 
tools to predict falls in the subsequent year; (2) design an effective 
and parsimonious screening tool for health care practitioners to 
identify community-dwelling adults 65 and older at risk for falls; and 
(3) assess how responses to questions change over time and how

[[Page 96001]]

well questions predict falls for specific groups (e.g., gender, race, 
disability status).
    The intended use of the resulting data is to evaluate current 
screening tools and potentially design a new screening tool for health 
care practitioners to identify community-dwelling adults 65 and older 
at risk for falls. The analysis will consider individual questions and 
groupings of questions that predict fall risk for multiple subgroups 
(e.g., gender, race, disability status) of adults 65 and older.
    The only cost to respondents will be time spent responding to the 
survey/screener.

                                        Estimated Annualized Burden Hours
----------------------------------------------------------------------------------------------------------------
                                                                                      Average
                                                     Number of       Number of      burden per     Total burden
          Respondents               Form name       respondents    responses per     response         (hours)
                                                                    respondent        (Hours)
----------------------------------------------------------------------------------------------------------------
Contacted Panelists...........  Initial Call....           1,463               1            2/60              49
Participating Panelists.......  Baseline Survey/             380               1           20/60             127
                                 Final Survey
                                 (month 12) Web
                                 Mode.
                                Baseline Survey/             570               1           30/60             285
                                 Final Survey
                                 (month 12)
                                 Phone Mode.
                                Monthly Update               380              11           10/60             697
                                 Survey (months
                                 1-11) Web Mode.
                                Monthly Update               570              11           15/60           1,568
                                 Survey (months
                                 1-11) Phone
                                 Mode.
                                Falls Diary.....             276               1            5/60              23
Proxy Respondents.............  Proxy Survey Web              38               1            3/60               2
                                 Mode.
                                Proxy Survey                  57               1            5/60               5
                                 Phone Mode.
                                                 ---------------------------------------------------------------
    Total Hours...............  ................  ..............  ..............  ..............           2,756
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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. 2016-31604 Filed 12-28-16; 8:45 am]
 BILLING CODE 4163-18-P