82_FR_24813 82 FR 24711 - Proposed Data Collection Submitted for Public Comment and Recommendations

82 FR 24711 - Proposed Data Collection Submitted for Public Comment and Recommendations

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

Federal Register Volume 82, Issue 102 (May 30, 2017)

Page Range24711-24714
FR Document2017-11020

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 the National Healthcare Safety Network (NHSN). NHSN is a system designed to accumulate, exchange, and integrate relevant information and resources among private and public stakeholders to support local and national efforts to protect patients and promote healthcare safety.

Federal Register, Volume 82 Issue 102 (Tuesday, May 30, 2017)
[Federal Register Volume 82, Number 102 (Tuesday, May 30, 2017)]
[Notices]
[Pages 24711-24714]
From the Federal Register Online  [www.thefederalregister.org]
[FR Doc No: 2017-11020]



[[Page 24711]]

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

DEPARTMENT OF HEALTH AND HUMAN SERVICES

Centers for Disease Control and Prevention

[60Day-16-0666; Docket No. CDC-2017-0047]


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 the National 
Healthcare Safety Network (NHSN). NHSN is a system designed to 
accumulate, exchange, and integrate relevant information and resources 
among private and public stakeholders to support local and national 
efforts to protect patients and promote healthcare safety.

DATES: Written comments must be received on or before July 31, 2017.

ADDRESSES: You may submit comments, identified by Docket No. CDC-2017-
0047 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 Leroy Richardson, 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

National Healthcare Safety Network (NHSN) (OMB Control Number 0920-
0666, Expires--Revision--National Center for Emerging and Zoonotic 
Infection Diseases (NCEZID), Centers for Disease Control and Prevention 
(CDC)

Background and Brief Description
    The Centers for Disease Control and Prevention (CDC) is requesting 
a three-year approval of the National Healthcare Safety Network 
information collection project.
    The National Healthcare Safety Network (NHSN) is a system designed 
to accumulate, exchange, and integrate relevant information and 
resources among private and public stakeholders to support local and 
national efforts to protect patients and promote healthcare safety. 
Specifically, the data is used to determine the magnitude of various 
healthcare-associated adverse events and trends in the rates of these 
events among patients and healthcare workers with similar risks.
    The data collected will be used to inform and detect changes in the 
epidemiology of adverse events resulting from new and current medical 
therapies and changing risks. The NHSN currently consists of five 
components: Patient Safety, Healthcare Personnel Safety, Biovigilance, 
Long-Term Care Facility (LTCF), and Dialysis. The Outpatient Procedure 
Component is on track to be released in NHSN in 2018. The development 
of this component has been previously delayed to obtain additional user 
feedback and support from outside partners.
    Changes were made to four facility surveys. Based on user feedback 
and internal reviews of the annual facility surveys it was determined 
that questions and response options be amended, removed, or added to 
fit the evolving uses of the annual facility surveys. Also, the surveys 
are being increasingly used to help intelligently interpret the other 
data elements reported into NHSN. Currently, the surveys are used to 
appropriately risk adjust the numerator and denominator data entered 
into NHSN while also guiding decisions on future division priorities 
for prevention.
    Further, two new forms were added to expand NHSN surveillance to 
enhance data collection by Ambulatory Surgical Centers to identify 
areas where prevention of SSIs may be improved. An additional 14 forms 
were modified within the Hemovigilance module to streamline data 
collection/entry for adverse reaction events.

[[Page 24712]]

    Overall, minor revisions have been made to a total of 38 forms 
within the package to clarify and/or update surveillance definitions, 
increase or decrease the number of reporting facilities, and adding new 
forms. The previously approved NHSN package included 70 individual 
collection forms; the current revision request includes a total of 72 
forms. The reporting burden will decrease by 811,985 hours, for a total 
of 5,922,953 hours.
    This collection of information is authorized by the Public Health 
Service Act (42 U.S.C. 242b, 242k, and 242m (d)). There is no cost to 
respondents other than the time to participate.

                                        Estimated Annualized Burden Hours
----------------------------------------------------------------------------------------------------------------
                                                                     Number of    Average burden
      Type of respondent         Form No. & name     Number of     responses per   per response    Total burden
                                                    respondents     respondent        (hours)         (hours)
----------------------------------------------------------------------------------------------------------------
Registered Nurse (Infection     57.100 NHSN                2,000               1            5/60             167
 Preventionist).                 Registration
                                 Form.
Registered Nurse (Infection     57.101 Facility            2,000               1           10/60             333
 Preventionist).                 Contact
                                 Information.
Registered Nurse (Infection     57.103 Patient             5,000               1           55/60           4,583
 Preventionist).                 Safety
                                 Component--Annu
                                 al Hospital
                                 Survey.
Registered Nurse (Infection     57.105 Group               1,000               1            5/60              83
 Preventionist).                 Contact
                                 Information.
Registered Nurse (Infection     57.106 Patient             6,000              12           15/60          18,000
 Preventionist).                 Safety Monthly
                                 Reporting Plan.
Registered Nurse (Infection     57.108 Primary             6,000              44           30/60         132,000
 Preventionist).                 Bloodstream
                                 Infection (BSI).
Registered Nurse (Infection     57.111 Pneumonia           6,000              72           30/60         216,000
 Preventionist).                 (PNEU).
Registered Nurse (Infection     57.112                     6,000             144           25/60         360,000
 Preventionist).                 Ventilator--Ass
                                 ociated Event.
Registered Nurse (Infection     57.113 Pediatric           2,000             120           25/60         100,000
 Preventionist).                 Ventilator--Ass
                                 ociated Event
                                 (PedVAE).
Registered Nurse (Infection     57.114 Urinary             6,000              40           20/60          80,000
 Preventionist).                 Tract Infection
                                 (UTI).
Registered Nurse (Infection     57.115 Custom              2,000              91           35/60         106,167
 Preventionist).                 Event.
Staff RN......................  57.116                     6,000              12               4         288,000
                                 Denominators
                                 for Neonatal
                                 Intensive Care
                                 Unit (NICU).
Staff RN......................  57.117                     6,000               9               5         270,000
                                 Denominators
                                 for Specialty
                                 Care Area (SCA)/
                                 Oncology (ONC).
Staff RN......................  57.118                     6,000              60               5       1,800,000
                                 Denominators
                                 for Intensive
                                 Care Unit (ICU)/
                                 Other locations
                                 (not NICU or
                                 SCA).
Registered Nurse (Infection     57.120 Surgical            6,000              36           35/60         126,000
 Preventionist).                 Site Infection
                                 (SSI).
Staff RN......................  57.121                     6,000             540           10/60         540,000
                                 Denominator for
                                 Procedure.
Laboratory Technician.........  57.123                     6,000              12            5/60           6,000
                                 Antimicrobial
                                 Use and
                                 Resistance
                                 (AUR)--Microbio
                                 logy Data
                                 Electronic
                                 Upload
                                 Specification
                                 Tables.
Pharmacist....................  57.124                     6,000              12            5/60           6,000
                                 Antimicrobial
                                 Use and
                                 Resistance
                                 (AUR)--Pharmacy
                                 Data Electronic
                                 Upload
                                 Specification
                                 Tables.
Registered Nurse (Infection     57.125 Central               100             100           25/60           4,167
 Preventionist).                 Line Insertion
                                 Practices
                                 Adherence
                                 Monitoring.
Registered Nurse (Infection     57.126 MDRO or             6,000              72           30/60         216,000
 Preventionist).                 CDI Infection
                                 Form.
Registered Nurse (Infection     57.127 MDRO and            6,000              24           15/60          36,000
 Preventionist).                 CDI Prevention
                                 Process and
                                 Outcome
                                 Measures
                                 Monthly
                                 Monitoring.
Registered Nurse (Infection     57.128                     6,000             240           20/60         480,000
 Preventionist).                 Laboratory-
                                 identified MDRO
                                 or CDI Event.
Registered Nurse (Infection     57.129 Adult                  50             250           25/60           5,208
 Preventionist).                 Sepsis.
Registered Nurse (Infection     57.137 Long-Term           2,600               1               2           5,200
 Preventionist).                 Care Facility
                                 Component--Annu
                                 al Facility
                                 Survey.
Registered Nurse (Infection     57.138                     2,600              12           15/60           7,800
 Preventionist).                 Laboratory-
                                 identified MDRO
                                 or CDI Event
                                 for LTCF.
Registered Nurse (Infection     57.139 MDRO and            2,600              12           10/60           5,200
 Preventionist).                 CDI Prevention
                                 Process
                                 Measures
                                 Monthly
                                 Monitoring for
                                 LTCF.
Registered Nurse (Infection     57.140 Urinary             2,600              14           30/60          18,200
 Preventionist).                 Tract Infection
                                 (UTI) for LTCF.

[[Page 24713]]

 
Registered Nurse (Infection     57.141 Monthly             2,600              12            5/60           2,600
 Preventionist).                 Reporting Plan
                                 for LTCF.
Registered Nurse (Infection     57.142                     2,600              12               4         124,800
 Preventionist).                 Denominators
                                 for LTCF
                                 Locations.
Registered Nurse (Infection     57.143                     2,600              12            5/60             600
 Preventionist).                 Prevention
                                 Process
                                 Measures
                                 Monthly
                                 Monitoring for
                                 LTCF.
Registered Nurse (Infection     57.150 LTAC                  400               1           55/60             367
 Preventionist).                 Annual Survey.
Registered Nurse (Infection     57.151 Rehab               1,000               1           55/60             917
 Preventionist).                 Annual Survey.
Occupational Health RN/         57.200                        50               1               8             400
 Specialist.                     Healthcare
                                 Personnel
                                 Safety
                                 Component
                                 Annual Facility
                                 Survey.
Occupational Health RN/         57.203                    17,000               1            5/60           1,417
 Specialist.                     Healthcare
                                 Personnel
                                 Safety Monthly
                                 Reporting Plan.
Occupational Health RN/         57.204                        50             200           20/60           3,333
 Specialist.                     Healthcare
                                 Worker
                                 Demographic
                                 Data.
Occupational Health RN/         57.205 Exposure               50              50               1           2,500
 Specialist.                     to Blood/Body
                                 Fluids.
Occupational Health RN/         57.206                        50              30           15/60             375
 Specialist.                     Healthcare
                                 Worker
                                 Prophylaxis/
                                 Treatment.
Laboratory Technician.........  57.207 Follow-Up              50              50           15/60             625
                                 Laboratory
                                 Testing.
Occupational Health RN/         57.210                        50              50           10/60             417
 Specialist.                     Healthcare
                                 Worker
                                 Prophylaxis/
                                 Treatment--Infl
                                 uenza.
Medical/Clinical Laboratory     57.300                       500               1               2           1,000
 Technologist.                   Hemovigilance
                                 Module Annual
                                 Survey.
Medical/Clinical Laboratory     57.301                       500              12            1/60             100
 Technologist.                   Hemovigilance
                                 Module Monthly
                                 Reporting Plan.
Medical/Clinical Laboratory     57.303                       500              12            1.17           7,020
 Technologist.                   Hemovigilance
                                 Module Monthly
                                 Reporting
                                 Denominators.
Medical/Clinical Laboratory     57.305                       500              10           10/60             833
 Technologist.                   Hemovigilance
                                 Incident.
Medical/Clinical Laboratory     57.306                       200               1           35/60             117
 Technologist.                   Hemovigilance
                                 Module Annual
                                 Survey--Non-
                                 acute care
                                 facility.
Medical/Clinical Laboratory     57.307                       500               4           20/60             667
 Technologist.                   Hemovigilance
                                 Adverse
                                 Reaction--Acute
                                 Hemolytic
                                 Transfusion
                                 Reaction.
Medical/Clinical Laboratory     57.308                       500               4           20/60             667
 Technologist.                   Hemovigilance
                                 Adverse
                                 Reaction--Aller
                                 gic Transfusion
                                 Reaction.
Medical/Clinical Laboratory     57.309                       500               1           20/60             167
 Technologist.                   Hemovigilance
                                 Adverse
                                 Reaction--Delay
                                 ed Hemolytic
                                 Transfusion
                                 Reaction.
Medical/Clinical Laboratory     57.310                       500               2           20/60             333
 Technologist.                   Hemovigilance
                                 Adverse
                                 Reaction--Delay
                                 ed Serologic
                                 Transfusion
                                 Reaction.
Medical/Clinical Laboratory     57.311                       500               4           20/60             667
 Technologist.                   Hemovigilance
                                 Adverse
                                 Reaction--Febri
                                 le Non-
                                 hemolytic
                                 Transfusion
                                 Reaction.
Medical/Clinical Laboratory     57.312                       500               1           20/60             167
 Technologist.                   Hemovigilance
                                 Adverse
                                 Reaction--Hypot
                                 ensive
                                 Transfusion
                                 Reaction.
Medical/Clinical Laboratory     57.313                       500               1           20/60             167
 Technologist.                   Hemovigilance
                                 Adverse
                                 Reaction--Infec
                                 tion.
Medical/Clinical Laboratory     57.314                       500               1           20/60             167
 Technologist.                   Hemovigilance
                                 Adverse
                                 Reaction--Post
                                 Transfusion
                                 Purpura.
Medical/Clinical Laboratory     57.315                       500               1           20/60             167
 Technologist.                   Hemovigilance
                                 Adverse
                                 Reaction--Trans
                                 fusion
                                 Associated
                                 Dyspnea.
Medical/Clinical Laboratory     57.316                       500               1           20/60             167
 Technologist.                   Hemovigilance
                                 Adverse
                                 Reaction--Trans
                                 fusion
                                 Associated
                                 Graft vs. Host
                                 Disease.
Medical/Clinical Laboratory     57.317                       500               1           20/60             167
 Technologist.                   Hemovigilance
                                 Adverse
                                 Reaction--Trans
                                 fusion Related
                                 Acute Lung
                                 Injury.

[[Page 24714]]

 
Medical/Clinical Laboratory     57.318                       500               2           20/60             333
 Technologist.                   Hemovigilance
                                 Adverse
                                 Reaction--Trans
                                 fusion
                                 Associated
                                 Circulatory
                                 Overload.
Medical/Clinical Laboratory     57.319                       500               1           20/60             167
 Technologist.                   Hemovigilance
                                 Adverse
                                 Reaction--Unkno
                                 wn Transfusion
                                 Reaction.
Medical/Clinical Laboratory     57.320                       500               1           20/60             167
 Technologist.                   Hemovigilance
                                 Adverse
                                 Reaction--Other
                                 Transfusion
                                 Reaction.
Medical/Clinical Laboratory     57.400                     5,000               1            5/60             417
 Technologist.                   Outpatient
                                 Procedure
                                 Component--Annu
                                 al Facility
                                 Survey.
Staff RN......................  57.401                     5,000              12           15/60          15,000
                                 Outpatient
                                 Procedure
                                 Component--Mont
                                 hly Reporting
                                 Plan.
Staff RN......................  57.402--Outpatie           5,000              25           40/60          83,333
                                 nt Procedure
                                 Component Same
                                 Day Outcome
                                 Measures &
                                 Prophylactic
                                 Intravenous(IV)
                                 Antibiotic
                                 Timing Event.
Staff RN......................  57.403--Outpatie           5,000              12           40/60          40,000
                                 nt Procedure
                                 Component--Mont
                                 hly
                                 Denominators
                                 for Same Day
                                 Outcome
                                 Measures &
                                 Prophylactic
                                 Intravenous(IV)
                                 Antibiotic
                                 Timing Event.
Staff RN......................  57.404                     5,000             540           10/60          450,00
                                 Outpatient
                                 Procedure
                                 Component--Annu
                                 al Facility
                                 Survey.
Registered Nurse (Infection     57.405                     5,000              36           35/60          105,00
 Preventionist).                 Outpatient
                                 Procedure
                                 Component--Surg
                                 ical Site (SSI)
                                 Event.
Staff RN......................  57.500                     7,000               1             2.0          14,000
                                 Outpatient
                                 Dialysis Center
                                 Practices
                                 Survey.
Registered Nurse (Infection     57.501 Dialysis            7,000              12            5/60           7,000
 Preventionist).                 Monthly
                                 Reporting Plan.
Staff RN......................  57.502 Dialysis            7,000              60           25/60         175,000
                                 Event.
Staff RN......................  57.503                     7,000              12           10/60          14,000
                                 Denominator for
                                 Outpatient
                                 Dialysis.
Staff RN......................  57.504                     2,000              12            1.25          30,000
                                 Prevention
                                 Process
                                 Measures
                                 Monthly
                                 Monitoring for
                                 Dialysis.
Staff RN......................  57.505 Dialysis              325              75           10/60           4,063
                                 Patient
                                 Influenza
                                 Vaccination.
Staff RN......................  57.506 Dialysis              325               5           10/60             271
                                 Patient
                                 Influenza
                                 Vaccination
                                 Denominator.
Staff RN......................  57.507 Home                  350               1           30/60             175
                                 Dialysis Center
                                 Practices
                                 Survey.
                                                 ---------------------------------------------------------------
    Total.....................  ................  ..............  ..............  ..............        5922,953
----------------------------------------------------------------------------------------------------------------


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. 2017-11020 Filed 5-26-17; 8:45 am]
BILLING CODE 4163-18-P



                                                                               Federal Register / Vol. 82, No. 102 / Tuesday, May 30, 2017 / Notices                                           24711

                                                DEPARTMENT OF HEALTH AND                                instruments, contact Leroy Richardson,                Proposed Project
                                                HUMAN SERVICES                                          Information Collection Review Office,
                                                                                                                                                              National Healthcare Safety Network
                                                                                                        Centers for Disease Control and                       (NHSN) (OMB Control Number 0920–
                                                Centers for Disease Control and                         Prevention, 1600 Clifton Road NE., MS–
                                                Prevention                                                                                                    0666, Expires—Revision—National
                                                                                                        D74, Atlanta, Georgia 30329; phone:                   Center for Emerging and Zoonotic
                                                [60Day–16–0666; Docket No. CDC–2017–                    404–639–7570; Email: omb@cdc.gov.                     Infection Diseases (NCEZID), Centers for
                                                0047]                                                                                                         Disease Control and Prevention (CDC)
                                                                                                        SUPPLEMENTARY INFORMATION:       Under the
                                                Proposed Data Collection Submitted                      Paperwork Reduction Act of 1995 (PRA)                 Background and Brief Description
                                                for Public Comment and                                  (44 U.S.C. 3501–3520), Federal agencies
                                                                                                        must obtain approval from the Office of                  The Centers for Disease Control and
                                                Recommendations
                                                                                                        Management and Budget (OMB) for each                  Prevention (CDC) is requesting a three-
                                                AGENCY: Centers for Disease Control and                 collection of information they conduct                year approval of the National
                                                Prevention (CDC), Department of Health                  or sponsor. In addition, the PRA also                 Healthcare Safety Network information
                                                and Human Services (HHS).                               requires Federal agencies to provide a                collection project.
                                                ACTION: Notice with comment period.                     60-day notice in the Federal Register                    The National Healthcare Safety
                                                                                                        concerning each proposed collection of                Network (NHSN) is a system designed to
                                                SUMMARY:    The Centers for Disease                                                                           accumulate, exchange, and integrate
                                                                                                        information, including each new
                                                Control and Prevention (CDC), as part of                                                                      relevant information and resources
                                                its continuing efforts to reduce public                 proposed collection, each proposed
                                                                                                                                                              among private and public stakeholders
                                                burden and maximize the utility of                      extension of existing collection of
                                                                                                                                                              to support local and national efforts to
                                                government information, invites the                     information, and each reinstatement of
                                                                                                                                                              protect patients and promote healthcare
                                                general public and other Federal                        previously approved information
                                                                                                                                                              safety. Specifically, the data is used to
                                                agencies to take this opportunity to                    collection before submitting the                      determine the magnitude of various
                                                comment on proposed and/or                              collection to OMB for approval. To                    healthcare-associated adverse events
                                                continuing information collections, as                  comply with this requirement, we are                  and trends in the rates of these events
                                                required by the Paperwork Reduction                     publishing this notice of a proposed                  among patients and healthcare workers
                                                Act of 1995. This notice invites                        data collection as described below.                   with similar risks.
                                                comment on the National Healthcare                         Comments are invited on: (a) Whether                  The data collected will be used to
                                                Safety Network (NHSN). NHSN is a                        the proposed collection of information                inform and detect changes in the
                                                system designed to accumulate,                          is necessary for the proper performance               epidemiology of adverse events
                                                exchange, and integrate relevant                        of the functions of the agency, including             resulting from new and current medical
                                                information and resources among                         whether the information shall have                    therapies and changing risks. The NHSN
                                                private and public stakeholders to                      practical utility; (b) the accuracy of the            currently consists of five components:
                                                support local and national efforts to                   agency’s estimate of the burden of the                Patient Safety, Healthcare Personnel
                                                protect patients and promote healthcare                                                                       Safety, Biovigilance, Long-Term Care
                                                                                                        proposed collection of information; (c)
                                                safety.                                                                                                       Facility (LTCF), and Dialysis. The
                                                                                                        ways to enhance the quality, utility, and
                                                DATES: Written comments must be                         clarity of the information to be                      Outpatient Procedure Component is on
                                                received on or before July 31, 2017.                    collected; (d) ways to minimize the                   track to be released in NHSN in 2018.
                                                ADDRESSES: You may submit comments,                     burden of the collection of information               The development of this component has
                                                identified by Docket No. CDC–2017–                      on respondents, including through the                 been previously delayed to obtain
                                                0047 by any of the following methods:                   use of automated collection techniques                additional user feedback and support
                                                   • Federal eRulemaking Portal:                        or other forms of information
                                                                                                                                                              from outside partners.
                                                Regulations.gov. Follow the instructions                technology; and (e) estimates of capital                 Changes were made to four facility
                                                for submitting comments.                                or start-up costs and costs of operation,             surveys. Based on user feedback and
                                                   • Mail: Leroy A. Richardson,                                                                               internal reviews of the annual facility
                                                                                                        maintenance, and purchase of services
                                                Information Collection Review Office,                                                                         surveys it was determined that
                                                                                                        to provide information. Burden means
                                                Centers for Disease Control and                                                                               questions and response options be
                                                Prevention, 1600 Clifton Road NE., MS–                  the total time, effort, or financial
                                                                                                                                                              amended, removed, or added to fit the
                                                D74, Atlanta, Georgia 30329.                            resources expended by persons to                      evolving uses of the annual facility
                                                   Instructions: All submissions received               generate, maintain, retain, disclose or               surveys. Also, the surveys are being
                                                must include the agency name and                        provide information to or for a Federal               increasingly used to help intelligently
                                                Docket Number. All relevant comments                    agency. This includes the time needed                 interpret the other data elements
                                                received will be posted without change                  to review instructions; to develop,                   reported into NHSN. Currently, the
                                                to Regulations.gov, including any                       acquire, install and utilize technology               surveys are used to appropriately risk
                                                personal information provided. For                      and systems for the purpose of                        adjust the numerator and denominator
                                                access to the docket to read background                 collecting, validating and verifying                  data entered into NHSN while also
                                                documents or comments received, go to                   information, processing and                           guiding decisions on future division
                                                Regulations.gov.                                        maintaining information, and disclosing               priorities for prevention.
                                                   Please note: All public comment                      and providing information; to train                      Further, two new forms were added to
                                                should be submitted through the                         personnel and to be able to respond to                expand NHSN surveillance to enhance
sradovich on DSK3GMQ082PROD with NOTICES




                                                Federal eRulemaking portal                              a collection of information, to search                data collection by Ambulatory Surgical
                                                (Regulations.gov) or by U.S. mail to the                data sources, to complete and review                  Centers to identify areas where
                                                address listed above.                                   the collection of information; and to                 prevention of SSIs may be improved. An
                                                FOR FURTHER INFORMATION CONTACT: To                     transmit or otherwise disclose the                    additional 14 forms were modified
                                                request more information on the                         information.                                          within the Hemovigilance module to
                                                proposed project or to obtain a copy of                                                                       streamline data collection/entry for
                                                the information collection plan and                                                                           adverse reaction events.


                                           VerDate Sep<11>2014   19:59 May 26, 2017   Jkt 241001   PO 00000   Frm 00053   Fmt 4703   Sfmt 4703   E:\FR\FM\30MYN1.SGM   30MYN1


                                                24712                                  Federal Register / Vol. 82, No. 102 / Tuesday, May 30, 2017 / Notices

                                                  Overall, minor revisions have been                               previously approved NHSN package                        This collection of information is
                                                made to a total of 38 forms within the                             included 70 individual collection forms;              authorized by the Public Health Service
                                                package to clarify and/or update                                   the current revision request includes a               Act (42 U.S.C. 242b, 242k, and 242m
                                                surveillance definitions, increase or                              total of 72 forms. The reporting burden               (d)). There is no cost to respondents
                                                decrease the number of reporting                                   will decrease by 811,985 hours, for a                 other than the time to participate.
                                                facilities, and adding new forms. The                              total of 5,922,953 hours.

                                                                                                                  ESTIMATED ANNUALIZED BURDEN HOURS
                                                                                                                                                                                             Average
                                                                                                                                                                        Number of
                                                                                                                                                       Number of                           burden per       Total burden
                                                            Type of respondent                                    Form No. & name                                     responses per
                                                                                                                                                      respondents                           response          (hours)
                                                                                                                                                                        respondent           (hours)

                                                Registered          Nurse             (Infection        57.100    NHSN Registration Form ...                  2,000                 1             5/60               167
                                                  Preventionist).
                                                Registered          Nurse             (Infection        57.101    Facility Contact Information                2,000                 1            10/60               333
                                                  Preventionist).
                                                Registered          Nurse             (Infection        57.103 Patient Safety Compo-                          5,000                 1            55/60             4,583
                                                  Preventionist).                                         nent—Annual Hospital Survey.
                                                Registered          Nurse             (Infection        57.105 Group Contact Information                      1,000                 1             5/60                83
                                                  Preventionist).
                                                Registered          Nurse             (Infection        57.106 Patient Safety Monthly Re-                     6,000                12            15/60            18,000
                                                  Preventionist).                                         porting Plan.
                                                Registered          Nurse             (Infection        57.108 Primary Bloodstream Infec-                     6,000                44            30/60           132,000
                                                  Preventionist).                                         tion (BSI).
                                                Registered          Nurse             (Infection        57.111 Pneumonia (PNEU) ...........                   6,000                72            30/60           216,000
                                                  Preventionist).
                                                Registered          Nurse             (Infection        57.112 Ventilator—Associated                          6,000               144            25/60           360,000
                                                  Preventionist).                                         Event.
                                                Registered          Nurse             (Infection        57.113 Pediatric Ventilator—Asso-                     2,000               120            25/60           100,000
                                                  Preventionist).                                         ciated Event (PedVAE).
                                                Registered          Nurse             (Infection        57.114 Urinary     Tract  Infection                   6,000                40            20/60            80,000
                                                  Preventionist).                                         (UTI).
                                                Registered          Nurse             (Infection        57.115 Custom Event ....................              2,000                91            35/60           106,167
                                                  Preventionist).
                                                Staff RN ............................................   57.116 Denominators for Neonatal                      6,000                12                   4        288,000
                                                                                                          Intensive Care Unit (NICU).
                                                Staff RN ............................................   57.117 Denominators for Specialty                     6,000                 9                   5        270,000
                                                                                                          Care Area (SCA)/Oncology (ONC).
                                                Staff RN ............................................   57.118 Denominators for Intensive                     6,000                60                   5      1,800,000
                                                                                                          Care Unit (ICU)/Other locations
                                                                                                          (not NICU or SCA).
                                                Registered          Nurse             (Infection        57.120 Surgical     Site     Infection                6,000                36            35/60           126,000
                                                  Preventionist).                                         (SSI).
                                                Staff RN ............................................   57.121 Denominator for Procedure                      6,000               540            10/60           540,000
                                                Laboratory Technician ......................            57.123 Antimicrobial Use and Re-                      6,000                12             5/60             6,000
                                                                                                          sistance     (AUR)—Microbiology
                                                                                                          Data Electronic Upload Specifica-
                                                                                                          tion Tables.
                                                Pharmacist ........................................     57.124 Antimicrobial Use and Re-                      6,000                12             5/60             6,000
                                                                                                          sistance (AUR)—Pharmacy Data
                                                                                                          Electronic Upload Specification
                                                                                                          Tables.
                                                Registered       Nurse                 (Infection       57.125 Central Line Insertion Prac-                     100               100            25/60             4,167
                                                  Preventionist).                                         tices Adherence Monitoring.
                                                Registered       Nurse                 (Infection       57.126 MDRO or CDI Infection                          6,000                72            30/60           216,000
                                                  Preventionist).                                         Form.
                                                Registered       Nurse                 (Infection       57.127 MDRO and CDI Prevention                        6,000                24            15/60            36,000
                                                  Preventionist).                                         Process and Outcome Measures
                                                                                                          Monthly Monitoring.
                                                Registered       Nurse                 (Infection       57.128 Laboratory-identified                          6,000               240            20/60           480,000
                                                  Preventionist).                                         MDRO or CDI Event.
                                                Registered       Nurse                 (Infection       57.129 Adult Sepsis .......................              50               250            25/60             5,208
                                                  Preventionist).
                                                Registered       Nurse                 (Infection       57.137 Long-Term Care Facility                        2,600                 1                   2          5,200
                                                  Preventionist).                                         Component—Annual Facility Sur-
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                                                                                                          vey.
                                                Registered       Nurse                 (Infection       57.138 Laboratory-identified                          2,600                12            15/60             7,800
                                                  Preventionist).                                         MDRO or CDI Event for LTCF.
                                                Registered       Nurse                 (Infection       57.139 MDRO and CDI Prevention                        2,600                12            10/60             5,200
                                                  Preventionist).                                         Process Measures Monthly Moni-
                                                                                                          toring for LTCF.
                                                Registered       Nurse                 (Infection       57.140 Urinary     Tract   Infection                  2,600                14            30/60            18,200
                                                  Preventionist).                                         (UTI) for LTCF.



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                                                                                Federal Register / Vol. 82, No. 102 / Tuesday, May 30, 2017 / Notices                                                   24713

                                                                                                ESTIMATED ANNUALIZED BURDEN HOURS—Continued
                                                                                                                                                                                    Average
                                                                                                                                                               Number of
                                                                                                                                             Number of                            burden per       Total burden
                                                          Type of respondent                             Form No. & name                                     responses per
                                                                                                                                            respondents                            response          (hours)
                                                                                                                                                               respondent           (hours)

                                                Registered       Nurse   (Infection            57.141 Monthly Reporting Plan for                     2,600                12             5/60             2,600
                                                  Preventionist).                                LTCF.
                                                Registered       Nurse   (Infection            57.142 Denominators for LTCF Lo-                      2,600                12                   4        124,800
                                                  Preventionist).                                cations.
                                                Registered       Nurse   (Infection            57.143 Prevention Process Meas-                       2,600                12             5/60               600
                                                  Preventionist).                                ures Monthly Monitoring for LTCF.
                                                Registered       Nurse   (Infection            57.150 LTAC Annual Survey .........                     400                 1            55/60               367
                                                  Preventionist).
                                                Registered       Nurse   (Infection            57.151    Rehab Annual Survey .......                 1,000                 1            55/60               917
                                                  Preventionist).
                                                Occupational Health RN/Specialist ...          57.200 Healthcare         Personnel                      50                 1                   8            400
                                                                                                 Safety Component Annual Facility
                                                                                                 Survey.
                                                Occupational Health RN/Specialist ...          57.203 Healthcare         Personnel                  17,000                 1             5/60             1,417
                                                                                                 Safety Monthly Reporting Plan.
                                                Occupational Health RN/Specialist ...          57.204 Healthcare Worker Demo-                           50               200            20/60             3,333
                                                                                                 graphic Data.
                                                Occupational Health RN/Specialist ...          57.205 Exposure to Blood/Body                            50                50                   1          2,500
                                                                                                 Fluids.
                                                Occupational Health RN/Specialist ...          57.206 Healthcare Worker Prophy-                         50                30            15/60               375
                                                                                                 laxis/Treatment.
                                                Laboratory Technician ......................   57.207 Follow-Up Laboratory Test-                        50                50            15/60               625
                                                                                                 ing.
                                                Occupational Health RN/Specialist ...          57.210 Healthcare Worker Prophy-                         50                50            10/60               417
                                                                                                 laxis/Treatment—Influenza.
                                                Medical/Clinical     Laboratory        Tech-   57.300 Hemovigilance Module An-                         500                 1                   2          1,000
                                                 nologist.                                       nual Survey.
                                                Medical/Clinical     Laboratory        Tech-   57.301 Hemovigilance        Module                      500                12             1/60               100
                                                 nologist.                                       Monthly Reporting Plan.
                                                Medical/Clinical     Laboratory        Tech-   57.303 Hemovigilance        Module                      500                12             1.17             7,020
                                                 nologist.                                       Monthly Reporting Denominators.
                                                Medical/Clinical     Laboratory        Tech-   57.305 Hemovigilance Incident .....                     500                10            10/60               833
                                                 nologist.
                                                Medical/Clinical     Laboratory        Tech-   57.306 Hemovigilance Module An-                         200                 1            35/60               117
                                                 nologist.                                       nual Survey—Non-acute care fa-
                                                                                                 cility.
                                                Medical/Clinical     Laboratory        Tech-   57.307 Hemovigilance       Adverse                      500                 4            20/60               667
                                                 nologist.                                       Reaction—Acute          Hemolytic
                                                                                                 Transfusion Reaction.
                                                Medical/Clinical     Laboratory        Tech-   57.308 Hemovigilance       Adverse                      500                 4            20/60               667
                                                 nologist.                                       Reaction—Allergic     Transfusion
                                                                                                 Reaction.
                                                Medical/Clinical     Laboratory        Tech-   57.309 Hemovigilance       Adverse                      500                 1            20/60               167
                                                 nologist.                                       Reaction—Delayed        Hemolytic
                                                                                                 Transfusion Reaction.
                                                Medical/Clinical     Laboratory        Tech-   57.310 Hemovigilance       Adverse                      500                 2            20/60               333
                                                 nologist.                                       Reaction—Delayed        Serologic
                                                                                                 Transfusion Reaction.
                                                Medical/Clinical     Laboratory        Tech-   57.311 Hemovigilance       Adverse                      500                 4            20/60               667
                                                 nologist.                                       Reaction—Febrile Non-hemolytic
                                                                                                 Transfusion Reaction.
                                                Medical/Clinical     Laboratory        Tech-   57.312 Hemovigilance       Adverse                      500                 1            20/60               167
                                                 nologist.                                       Reaction—Hypotensive       Trans-
                                                                                                 fusion Reaction.
                                                Medical/Clinical     Laboratory        Tech-   57.313 Hemovigilance       Adverse                      500                 1            20/60               167
                                                 nologist.                                       Reaction—Infection.
                                                Medical/Clinical     Laboratory        Tech-   57.314 Hemovigilance       Adverse                      500                 1            20/60               167
                                                 nologist.                                       Reaction—Post Transfusion Pur-
                                                                                                 pura.
                                                Medical/Clinical     Laboratory        Tech-   57.315 Hemovigilance       Adverse                      500                 1            20/60               167
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                                                 nologist.                                       Reaction—Transfusion Associated
                                                                                                 Dyspnea.
                                                Medical/Clinical     Laboratory        Tech-   57.316 Hemovigilance       Adverse                      500                 1            20/60               167
                                                 nologist.                                       Reaction—Transfusion Associated
                                                                                                 Graft vs. Host Disease.
                                                Medical/Clinical     Laboratory        Tech-   57.317 Hemovigilance       Adverse                      500                 1            20/60               167
                                                 nologist.                                       Reaction—Transfusion      Related
                                                                                                 Acute Lung Injury.



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                                                24714                                    Federal Register / Vol. 82, No. 102 / Tuesday, May 30, 2017 / Notices

                                                                                                           ESTIMATED ANNUALIZED BURDEN HOURS—Continued
                                                                                                                                                                                                                                   Average
                                                                                                                                                                                                     Number of
                                                                                                                                                                          Number of                                              burden per              Total burden
                                                            Type of respondent                                          Form No. & name                                                            responses per
                                                                                                                                                                         respondents                                              response                 (hours)
                                                                                                                                                                                                     respondent                    (hours)

                                                Medical/Clinical          Laboratory          Tech-       57.318 Hemovigilance         Adverse                                            500                            2                   20/60                333
                                                 nologist.                                                  Reaction—Transfusion Associated
                                                                                                            Circulatory Overload.
                                                Medical/Clinical          Laboratory          Tech-       57.319 Hemovigilance         Adverse                                            500                            1                   20/60                167
                                                 nologist.                                                  Reaction—Unknown Transfusion
                                                                                                            Reaction.
                                                Medical/Clinical          Laboratory          Tech-       57.320 Hemovigilance         Adverse                                           500                             1                   20/60                167
                                                 nologist.                                                  Reaction—Other Transfusion Re-
                                                                                                            action.
                                                Medical/Clinical Laboratory Tech-                         57.400 Outpatient Procedure Com-                                            5,000                             1                      5/60               417
                                                  nologist.                                                 ponent—Annual Facility Survey.
                                                Staff RN ............................................     57.401 Outpatient Procedure Com-                                            5,000                            12                    15/60             15,000
                                                                                                            ponent—Monthly Reporting Plan.
                                                Staff RN ............................................     57.402—Outpatient Procedure Com-                                            5,000                            25                    40/60             83,333
                                                                                                            ponent Same Day Outcome
                                                                                                            Measures & Prophylactic Intra-
                                                                                                            venous(IV)      Antibiotic   Timing
                                                                                                            Event.
                                                Staff RN ............................................     57.403—Outpatient Procedure Com-                                            5,000                            12                    40/60             40,000
                                                                                                            ponent—Monthly        Denominators
                                                                                                            for Same Day Outcome Measures
                                                                                                            & Prophylactic Intravenous(IV)
                                                                                                            Antibiotic Timing Event.
                                                Staff RN ............................................     57.404 Outpatient Procedure Com-                                            5,000                          540                     10/60             450,00
                                                                                                            ponent—Annual Facility Survey.
                                                Registered          Nurse             (Infection          57.405 Outpatient Procedure Com-                                            5,000                            36                    35/60             105,00
                                                  Preventionist).                                           ponent—Surgical Site (SSI) Event.
                                                Staff RN ............................................     57.500 Outpatient Dialysis Center                                           7,000                             1                        2.0           14,000
                                                                                                            Practices Survey.
                                                Registered          Nurse             (Infection          57.501 Dialysis Monthly Reporting                                           7,000                            12                      5/60             7,000
                                                  Preventionist).                                           Plan.
                                                Staff RN ............................................     57.502 Dialysis Event ....................                                  7,000                           60                    25/60             175,000
                                                Staff RN ............................................     57.503 Denominator for Outpatient                                           7,000                           12                    10/60              14,000
                                                                                                            Dialysis.
                                                Staff RN ............................................     57.504 Prevention Process Meas-                                             2,000                            12                      1.25            30,000
                                                                                                            ures Monthly Monitoring for Dialy-
                                                                                                            sis.
                                                Staff RN ............................................     57.505 Dialysis Patient Influenza                                               325                          75                    10/60              4,063
                                                                                                            Vaccination.
                                                Staff RN ............................................     57.506 Dialysis Patient Influenza                                              325                             5                   10/60                271
                                                                                                            Vaccination Denominator.
                                                Staff RN ............................................     57.507 Home        Dialysis    Center                                           350                            1                   30/60                175
                                                                                                            Practices Survey.

                                                      Total ...........................................   ...........................................................   ........................   ........................   ........................       5922,953



                                                Leroy A. Richardson,                                                     DEPARTMENT OF HEALTH AND                                                      Assistance for Needy Families (TANF)
                                                Chief, Information Collection Review Office,                             HUMAN SERVICES                                                                program. States participating in the
                                                Office of Scientific Integrity, Office of the                                                                                                          TANF program are required by statute to
                                                Associate Director for Science, Office of the                            Administration for Children and                                               report financial data on a quarterly
                                                Director, Centers for Disease Control and                                Families                                                                      basis. The forms meet the legal standard
                                                Prevention.                                                                                                                                            and provide essential data on the use of
                                                [FR Doc. 2017–11020 Filed 5–26–17; 8:45 am]                              Proposed Information Collection
                                                                                                                         Activity; Comment Request                                                     federal TANF funds. Failure to collect
                                                BILLING CODE 4163–18–P                                                                                                                                 the data would seriously compromise
                                                                                                                           Proposed Projects:                                                          ACF’s ability to monitor program
                                                                                                                           Title: Form ACF–196R, ‘‘TANF                                                expenditures, estimate funding needs,
                                                                                                                         Quarterly Financial Report.’’                                                 and to prepare budget submissions and
                                                                                                                           OMB No.: 0970–0446.
sradovich on DSK3GMQ082PROD with NOTICES




                                                                                                                                                                                                       annual reports required by Congress.
                                                                                                                           Description: This information
                                                                                                                                                                                                       Financial reporting under the TANF
                                                                                                                         collection is authorized under Section
                                                                                                                         411(a)(3) of the Social Security Act. This                                    program is governed by 45 CFR part
                                                                                                                         request is for continued approval of                                          265.
                                                                                                                         Form ACF–196R for quarterly financial                                           Respondents: State agencies
                                                                                                                         reporting under the Temporary                                                 administering the TANF program.




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Document Created: 2018-11-08 08:54:15
Document Modified: 2018-11-08 08:54:15
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 July 31, 2017.
ContactTo request more information on the proposed project or to obtain a copy of the information collection plan and instruments, contact Leroy Richardson, 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 Citation82 FR 24711 

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