81_FR_96250 81 FR 96000 - Proposed Data Collection Submitted for Public Comment and Recommendations

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)

Page Range96000-96001
FR Document2016-31604

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 Issue 250 (Thursday, December 29, 2016)
[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.

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

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


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



                                                    96000                     Federal Register / Vol. 81, No. 250 / Thursday, December 29, 2016 / Notices

                                                    Leroy A. Richardson,                                       Please note: All public comment                    data sources, to complete and review
                                                    Chief, Information Collection Review Office,            should be submitted through the                       the collection of information; and to
                                                    Office of Scientific Integrity, Office of the           Federal eRulemaking portal                            transmit or otherwise disclose the
                                                    Associate Director for Science, Office of the           (Regulations.gov) or by U.S. mail to the              information.
                                                    Director, Centers for Disease Control and               address listed above.
                                                    Prevention.                                                                                                   Proposed Project
                                                                                                            FOR FURTHER INFORMATION CONTACT: To
                                                    [FR Doc. 2016–31554 Filed 12–28–16; 8:45 am]
                                                                                                            request more information on the                         Test Predictability of Falls Screening
                                                    BILLING CODE 4163–18–P
                                                                                                            proposed project or to obtain a copy of               Tools—New—National Center for Injury
                                                                                                            the information collection plan and                   Prevention and Control (NCIPC),
                                                                                                            instruments, contact the Information                  Centers for Disease Control and
                                                    DEPARTMENT OF HEALTH AND                                                                                      Prevention (CDC).
                                                                                                            Collection Review Office, Centers for
                                                    HUMAN SERVICES
                                                                                                            Disease Control and Prevention, 1600                  Background and Brief Description
                                                    Centers for Disease Control and                         Clifton Road NE., MS–D74, Atlanta,                       NCIPC seeks to request a two-year
                                                    Prevention                                              Georgia 30329; phone: 404–639–7570;                   OMB approval for the ‘‘Test
                                                                                                            Email: omb@cdc.gov.                                   Predictability of Falls Screening Tools’’
                                                    [60Day–17–17HO; Docket No. CDC–2016–                    SUPPLEMENTARY INFORMATION: Under the
                                                    0118]                                                                                                         information collection project. Falls are
                                                                                                            Paperwork Reduction Act of 1995 (PRA)                 the leading cause of fatal and nonfatal
                                                    Proposed Data Collection Submitted                      (44 U.S.C. 3501–3520), Federal agencies               injuries among older adults in the U.S.
                                                    for Public Comment and                                  must obtain approval from the Office of               and represent a significant burden to the
                                                    Recommendations                                         Management and Budget (OMB) for each                  healthcare system. Research
                                                                                                            collection of information they conduct                demonstrates that clinical interventions
                                                    AGENCY: Centers for Disease Control and                 or sponsor. In addition, the PRA also                 can reduce fall risk, and the American
                                                    Prevention (CDC), Department of Health                  requires Federal agencies to provide a                and British Geriatrics Societies (AGS/
                                                    and Human Services (HHS).                               60-day notice in the Federal Register                 BGS) have developed a clinical practice
                                                    ACTION: Notice with comment period.                     concerning each proposed collection of                guideline to manage fall risk among
                                                                                                            information, including each new                       their older adult patients. Based on
                                                    SUMMARY:    The Centers for Disease                     proposed collection, each proposed                    these guidelines, the CDC developed a
                                                    Control and Prevention (CDC), as part of                extension of existing collection of                   falls prevention initiative called
                                                    its continuing efforts to reduce public                 information, and each reinstatement of                STEADI (Stopping Elderly Accidents,
                                                    burden and maximize the utility of                      previously approved information                       Deaths, and Injuries). STEADI includes
                                                    government information, invites the                     collection before submitting the                      a suite of materials (available at
                                                    general public and other Federal                        collection to OMB for approval. To                    www.cdc.gov/STEADI) that help health
                                                    agencies to take this opportunity to                    comply with this requirement, we are                  care practitioners implement these
                                                    comment on proposed and/or                              publishing this notice of a proposed                  clinical guidelines.
                                                    continuing information collections, as                  data collection as described below.                      The first step in clinical falls
                                                    required by the Paperwork Reduction                        Comments are invited on: (a) Whether               prevention is for health care
                                                    Act of 1995. This notice invites                        the proposed collection of information                practitioners to administer a fall risk
                                                    comment on a proposed information                       is necessary for the proper performance               screening. The screening identifies
                                                    collection entitled ‘‘Test Predictability               of the functions of the agency, including             whether adults 65 and older are at
                                                    of Falls Screening Tools.’’ CDC will use                whether the information shall have                    ‘‘increased risk’’ for a fall. The initial
                                                    the information collected to evaluate                   practical utility; (b) the accuracy of the            screening step is critical because it
                                                    current screening tools and potentially                 agency’s estimate of the burden of the                identifies who will receive the
                                                    design a new screening tool for health                  proposed collection of information; (c)               assessments and follow-up care, which
                                                    care practitioners to identify                          ways to enhance the quality, utility, and             has the potential to place a large burden
                                                    community-dwelling adults 65 and                        clarity of the information to be                      on health care practitioners and the
                                                    older at risk for falls.                                collected; (d) ways to minimize the                   healthcare system. While medical
                                                    DATES: Written comments must be                         burden of the collection of information               organizations such as the American
                                                    received on or before February 27, 2017.                on respondents, including through the                 Geriatrics Society recommend that
                                                    ADDRESSES: You may submit comments,                     use of automated collection techniques                adults 65 and older be screened
                                                    identified by Docket No. CDC–2016–                      or other forms of information                         annually for fall risk, and although there
                                                    0118 by any of the following methods:                   technology; and (e) estimates of capital              are a number of tools used to screen
                                                       • Federal eRulemaking Portal:                        or start-up costs and costs of operation,             older adults for fall risk, there is
                                                    Regulations.gov. Follow the instructions                maintenance, and purchase of services                 currently no standard for fall risk
                                                    for submitting comments.                                to provide information. Burden means                  screening across care settings.
                                                       • Mail: Leroy A. Richardson,                         the total time, effort, or financial                     The CDC proposes to conduct a new
                                                    Information Collection Review Office,                   resources expended by persons to                      data collection in order to develop a set
                                                    Centers for Disease Control and                         generate, maintain, retain, disclose or               of brief screening questions that are
                                                    Prevention, 1600 Clifton Road NE., MS–                  provide information to or for a Federal               clinically-useful for quickly sorting
                                                    D74, Atlanta, Georgia 30329.                            agency. This includes the time needed                 patients into risk levels for falls. The
                                                       Instructions: All submissions received               to review instructions; to develop,                   goals of this study are to: (1) Test the
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                                                    must include the agency name and                        acquire, install and utilize technology               ability of existing falls screening tools to
                                                    Docket Number. All relevant comments                    and systems for the purpose of                        predict falls in the subsequent year; (2)
                                                    received will be posted without change                  collecting, validating and verifying                  design an effective and parsimonious
                                                    to Regulations.gov, including any                       information, processing and                           screening tool for health care
                                                    personal information provided. For                      maintaining information, and disclosing               practitioners to identify community-
                                                    access to the docket to read background                 and providing information; to train                   dwelling adults 65 and older at risk for
                                                    documents or comments received, go to                   personnel and to be able to respond to                falls; and (3) assess how responses to
                                                    Regulations.gov.                                        a collection of information, to search                questions change over time and how


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                                                                                  Federal Register / Vol. 81, No. 250 / Thursday, December 29, 2016 / Notices                                                                                               96001

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

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

                                                    Contacted Panelists ..........................      Initial Call ..........................................                      1,463                            1                     2/60                 49
                                                    Participating Panelists .......................     Baseline         Survey/Final               Survey                             380                            1                    20/60                127
                                                                                                           (month 12) Web Mode.
                                                                                                        Baseline         Survey/Final               Survey                              570                            1                   30/60                285
                                                                                                           (month 12) Phone Mode.
                                                                                                        Monthly Update Survey (months 1–                                                380                          11                    10/60                697
                                                                                                           11) Web Mode.
                                                                                                        Monthly Update Survey (months 1–                                                570                          11                    15/60              1,568
                                                                                                           11) Phone Mode.
                                                                                                        Falls Diary ........................................                           276                            1                     5/60                 23
                                                    Proxy Respondents ...........................       Proxy Survey Web Mode .................                                         38                            1                     3/60                  2
                                                                                                        Proxy Survey Phone Mode ..............                                          57                            1                     5/60                  5

                                                         Total Hours ................................   ...........................................................   ........................   ........................   ........................          2,756



                                                    Leroy A. Richardson,                                               quality of life. CDC is mandated to                                           INFORMATION.   Information regarding
                                                    Chief, Information Collection Review Office,                       provide ongoing administrative,                                               meeting logistics will be available on
                                                    Office of Scientific Integrity, Office of the                      research, and technical support for the                                       the Community Guide Web site
                                                    Associate Director for Science, Office of the                      operations of the Task Force. During its                                      (www.thecommunityguide.org) closer to
                                                    Director, Centers for Disease Control and                          meetings, the Task Force considers the                                        the date of the meeting.
                                                    Prevention.
                                                                                                                       findings of systematic reviews on                                                Meeting Accessibility: This meeting is
                                                    [FR Doc. 2016–31604 Filed 12–28–16; 8:45 am]                       existing research and practice-based                                          open to the public, limited only by
                                                    BILLING CODE 4163–18–P                                             evidence and issues recommendations.                                          space availability. All meeting attendees
                                                                                                                       Task Force recommendations are not                                            must RSVP to ensure the required
                                                                                                                       mandates for compliance or spending.                                          security procedures are completed to
                                                    DEPARTMENT OF HEALTH AND                                           Instead, they provide information about                                       gain access to the CDC’s Global
                                                    HUMAN SERVICES                                                     evidence-based options that decision                                          Communications Center.
                                                    Centers for Disease Control and                                    makers and stakeholders can consider                                             Public Comment: The opportunity for
                                                    Prevention                                                         when they are determining what best                                           public comment will be available during
                                                                                                                       meets the specific needs, preferences,                                        the meeting. A public comment period
                                                    Meeting of the Community Preventive                                available resources, and constraints of                                       limited to 3 minutes per person will
                                                    Services Task Force (Task Force)                                   their jurisdictions and constituents. The                                     follow the Task Force’s discussion of
                                                                                                                       Task Force’s recommendations, along                                           each systematic review. Individuals
                                                    AGENCY: Centers for Disease Control and                            with the systematic reviews of the                                            wishing to make public comments must
                                                    Prevention (CDC), Department of Health                             evidence on which they are based, are                                         indicate their desire to do so in advance
                                                    and Human Services (HHS).                                          compiled in the Guide to Community                                            by providing their name, organizational
                                                    ACTION: Notice of meeting.                                         Preventive Services (The Community                                            affiliation, and the topic to be addressed
                                                    SUMMARY:   The Centers for Disease                                 Guide).                                                                       with their RSVP. Public comments will
                                                    Control and Prevention (CDC)                                       DATES: The meeting will be held on                                            become part of the meeting summary.
                                                    announces the next meeting of the                                  Wednesday, February 15, 2017 from                                             Public comment is not possible via
                                                    Community Preventive Services Task                                 8:30 a.m. to 6:00 p.m. EST and                                                Webcast.
                                                    Force (Task Force). The Task Force is an                           Thursday, February 16, 2017 from 8:30                                            U.S. citizens must RSVP by 02/13/
                                                    independent, nonpartisan, nonfederal,                              a.m. to 1:00 p.m. EST.                                                        2017. Non U.S. citizens must RSVP by
                                                    and unpaid panel. Its members                                      ADDRESSES: The Task Force Meeting                                             01/30/2017 due to additional security
                                                    represent a broad range of research,                               will be held at the CDC Edward R.                                             steps that must be completed. Failure to
                                                    practice, and policy expertise in                                  Roybal Campus, Centers for Disease                                            RSVP by the dates identified could
                                                    prevention, wellness, health promotion,                            Control and Prevention Headquarters                                           result in the inability to attend the Task
asabaliauskas on DSK3SPTVN1PROD with NOTICES




                                                    and public health, and are appointed by                            (Building 19), 1600 Clifton Road NE.,                                         Force meeting due to the strict security
                                                    the CDC Director. The Task Force was                               Atlanta, GA 30329. You should be                                              regulations on federal facilities.
                                                    convened in 1996 by the Department of                              aware that the meeting location is in a                                          Meeting Accessibility: This meeting is
                                                    Health and Human Services (HHS) to                                 Federal government building; therefore,                                       available to the public via Webcast. The
                                                    identify community preventive                                      Federal security measures are                                                 Webcast URL will be sent to registrants
                                                    programs, services, and policies that                              applicable. For additional information,                                       upon receipt of their RSVP. All meeting
                                                    increase healthy longevity, save lives                             please see Roybal Campus Security                                             attendees must RSVP to receive the
                                                    and dollars, and improve Americans’                                Guidelines under SUPPLEMENTARY                                                webcast information which will be


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Document Created: 2016-12-29 01:59:12
Document Modified: 2016-12-29 01:59:12
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
ActionNotice with comment period.
DatesWritten comments must be received on or before February 27, 2017.
ContactTo request more information on the proposed project or to obtain a copy of the information collection plan and instruments, contact the Information Collection Review Office, Centers for Disease Control and Prevention, 1600 Clifton Road NE., MS- D74, Atlanta, Georgia 30329; phone: 404-639-7570; Email: [email protected]
FR Citation81 FR 96000 

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