82 FR 39438 - Agency Forms Undergoing Paperwork Reduction Act Review

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

Federal Register Volume 82, Issue 159 (August 18, 2017)

Page Range		39438-39439
FR Document		2017-17518

Federal Register, Volume 82 Issue 159 (Friday, August 18, 2017)

[Federal Register Volume 82, Number 159 (Friday, August 18, 2017)]
[Notices]
[Pages 39438-39439]
From the Federal Register Online [www.thefederalregister.org]
[FR Doc No: 2017-17518]

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

DEPARTMENT OF HEALTH AND HUMAN SERVICES

Centers for Disease Control and Prevention

[30Day-17-17ABC]

Agency Forms Undergoing Paperwork Reduction Act Review

The Centers for Disease Control and Prevention (CDC) has submitted
the following information collection request to the Office of
Management and Budget (OMB) for review and approval in accordance with
the Paperwork Reduction Act of 1995. The notice for the proposed
information collection is published to obtain comments from the public
and affected agencies.
Written comments and suggestions from the public and affected
agencies concerning the proposed collection of information are
encouraged. Your comments should address any of the following: (a)
Evaluate whether the proposed collection of information is necessary
for the proper performance of the functions of the agency, including
whether the information will have practical utility; (b) Evaluate the
accuracy of the agencies estimate of the burden of the proposed
collection of information, including the validity of the methodology
and assumptions used; (c) Enhance the quality, utility, and clarity of
the information to be collected; (d) Minimize the burden of the
collection of information on those who are to respond, including
through the use of appropriate automated, electronic, mechanical, or
other technological collection techniques or other forms of information
technology, e.g., permitting electronic submission of responses; and
(e) Assess information collection costs.
To request additional information on the proposed project or to
obtain a copy of the information collection plan and instruments, call
(404) 639-7570 or send an email to omb@cdc.gov. Written comments and/or
suggestions regarding the items contained in this notice should be
directed to the Attention: CDC Desk Officer, Office of Management and
Budget, Washington, DC 20503 or by fax to (202) 395-5806. Written
comments should be received within 30 days of this notice.

Proposed Project

Zika Postpartum Emergency Response Survey (ZPER), Puerto Rico,
2017--New--National Center for Chronic Disease Prevention and Health
Promotion (NCCDPHP), Centers for Disease Control and Prevention (CDC).

Background and Brief Description

In December 2015, the Puerto Rico Department of Health (PRDH)
reported the first locally acquired (index) case of Zika virus disease
in the United States. Since then, 38,733 cases have been confirmed in
Puerto Rico, including 3,076 among pregnant women. Because the most
common mosquito vector of Zika virus, Aedes aegypti, is present
throughout Puerto Rico, Zika virus transmission is ongoing. The island
has been designated at the highest level of risk according to a 3-
tiered Zika virus infection risk scale developed by CDC's Emergency
Operations Center.
While pregnant women do not differ from the general population in
terms of susceptibility to Zika virus infection or severity of disease,
they are at risk for adverse pregnancy and birth outcomes associated
with Zika virus infection during pregnancy. After review of the
available evidence, CDC concluded that Zika virus infection during
pregnancy is a cause of microcephaly and other brain defects.
Given the adverse pregnancy and birth outcomes associated with Zika
virus infection during pregnancy, it is more important than ever to
understand the Zika-related concerns of pregnant women, interactions
regarding Zika between pregnant women and their health care providers,
sources of information that pregnant women consult regarding Zika
virus, and use of recommended precautions by pregnant women to reduce
the risk of exposure to Zika virus. This information was successfully
collected for the first time in a hospital-based survey of women 24-48
hours after delivery by the Puerto Rico Department of Health in the
fall of 2016 (Emergency OMB approval, Control #0920-1127), and has been
critical for informing clinical guidance, developing communication
messages, and providing resources for pregnant women.
The currently proposed data collection includes three components to
follow-up on the initial effort. The first component is a telephone
follow-back survey among a subset of the original participants. This
component would be the first population-based sample of postpartum
women who were pregnant during the early period of the Zika outbreak,
and would provide information on the accessibility and utilization of
postpartum and newborn services, and continued adherence to Zika
prevention behaviors. The second component would be to repeat the
hospital-based survey of pregnant women to assess the effectiveness of
emergency response efforts and to determine where there is a need for
further refinement of efforts and outstanding resource gaps; as with
the first hospital-based survey, there would be subsequent telephone
follow-up survey with a subset of the participants. The third and final
component is the addition of a separate hospital-based survey for
fathers of the infants born to surveyed mothers. This component would
assess father's concerns about Zika related birth defects and
contribution to prevention efforts.
There are no costs to respondents other than their time to
participate.

[[Page 39439]]

Estimated Annualized Burden Hours
----------------------------------------------------------------------------------------------------------------
Number of Avg. burden
Type of respondents Form name Number of responses per per response Total burden
respondents respondent (in hours) (in hours)
----------------------------------------------------------------------------------------------------------------
Women with recent births....... Maternal hospital- 2,990 1 25/60 1,247
based
questionnaire.
Fathers with recently born Father hospital- 1,790 1 15/60 448
infants. based
questionnaire.
Women with live births 2-10 Follow-up phone 3,070 1 15/60 768
months prior. questionnaire.
-------------------------------------------------------------
Total...................... ................. ............ .............. .............. 2,463
----------------------------------------------------------------------------------------------------------------

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. 2017-17518 Filed 8-17-17; 8:45 am]
BILLING CODE 4163-18-P

39438 Federal Register / Vol. 82, No. 159 / Friday, August 18, 2017 / Notices

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

Annual End of Year Survey .............................................. 230 1 15/60
Final Survey ...................................................................... 58 1 15/60

Leroy A. Richardson, responses; and (e) Assess information more important than ever to understand
Chief, Information Collection Review Office, collection costs. the Zika-related concerns of pregnant
Office of Scientific Integrity, Office of the To request additional information on women, interactions regarding Zika
Associate Director for Science, Office of the the proposed project or to obtain a copy between pregnant women and their
Director, Centers for Disease Control and of the information collection plan and health care providers, sources of
Prevention.
instruments, call (404) 639–7570 or information that pregnant women
[FR Doc. 2017–17519 Filed 8–17–17; 8:45 am] send an email to omb@cdc.gov. Written consult regarding Zika virus, and use of
BILLING CODE 4163–18–P comments and/or suggestions regarding recommended precautions by pregnant
the items contained in this notice women to reduce the risk of exposure to
should be directed to the Attention: Zika virus. This information was
DEPARTMENT OF HEALTH AND CDC Desk Officer, Office of Management
HUMAN SERVICES successfully collected for the first time
and Budget, Washington, DC 20503 or in a hospital-based survey of women
Centers for Disease Control and by fax to (202) 395–5806. Written 24–48 hours after delivery by the Puerto
Prevention comments should be received within 30 Rico Department of Health in the fall of
days of this notice. 2016 (Emergency OMB approval,
[30Day–17–17ABC] Control #0920–1127), and has been
Proposed Project
Agency Forms Undergoing Paperwork critical for informing clinical guidance,
Zika Postpartum Emergency Response developing communication messages,
Reduction Act Review Survey (ZPER), Puerto Rico, 2017— and providing resources for pregnant
The Centers for Disease Control and New—National Center for Chronic women.
Prevention (CDC) has submitted the Disease Prevention and Health
The currently proposed data
following information collection request Promotion (NCCDPHP), Centers for
collection includes three components to
to the Office of Management and Budget Disease Control and Prevention (CDC).
follow-up on the initial effort. The first
(OMB) for review and approval in Background and Brief Description component is a telephone follow-back
accordance with the Paperwork survey among a subset of the original
Reduction Act of 1995. The notice for In December 2015, the Puerto Rico
Department of Health (PRDH) reported participants. This component would be
the proposed information collection is
the first locally acquired (index) case of the first population-based sample of
published to obtain comments from the
Zika virus disease in the United States. postpartum women who were pregnant
public and affected agencies.
Written comments and suggestions Since then, 38,733 cases have been during the early period of the Zika
from the public and affected agencies confirmed in Puerto Rico, including outbreak, and would provide
concerning the proposed collection of 3,076 among pregnant women. Because information on the accessibility and
information are encouraged. Your the most common mosquito vector of utilization of postpartum and newborn
comments should address any of the Zika virus, Aedes aegypti, is present services, and continued adherence to
following: (a) Evaluate whether the throughout Puerto Rico, Zika virus Zika prevention behaviors. The second
proposed collection of information is transmission is ongoing. The island has component would be to repeat the
necessary for the proper performance of been designated at the highest level of hospital-based survey of pregnant
the functions of the agency, including risk according to a 3-tiered Zika virus women to assess the effectiveness of
whether the information will have infection risk scale developed by CDC’s emergency response efforts and to
practical utility; (b) Evaluate the Emergency Operations Center. determine where there is a need for
accuracy of the agencies estimate of the While pregnant women do not differ further refinement of efforts and
burden of the proposed collection of from the general population in terms of outstanding resource gaps; as with the
information, including the validity of susceptibility to Zika virus infection or first hospital-based survey, there would
the methodology and assumptions used; severity of disease, they are at risk for be subsequent telephone follow-up
(c) Enhance the quality, utility, and adverse pregnancy and birth outcomes survey with a subset of the participants.
clarity of the information to be associated with Zika virus infection The third and final component is the
collected; (d) Minimize the burden of during pregnancy. After review of the addition of a separate hospital-based
the collection of information on those available evidence, CDC concluded that survey for fathers of the infants born to
who are to respond, including through Zika virus infection during pregnancy is surveyed mothers. This component
the use of appropriate automated, a cause of microcephaly and other brain would assess father’s concerns about
electronic, mechanical, or other defects. Zika related birth defects and
mstockstill on DSK30JT082PROD with NOTICES

technological collection techniques or Given the adverse pregnancy and contribution to prevention efforts.
other forms of information technology, birth outcomes associated with Zika There are no costs to respondents
e.g., permitting electronic submission of virus infection during pregnancy, it is other than their time to participate.

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Federal Register / Vol. 82, No. 159 / Friday, August 18, 2017 / Notices 39439

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

Women with recent births .................. Maternal hospital-based question- 2,990 1 25/60 1,247
naire.
Fathers with recently born infants ..... Father hospital-based questionnaire 1,790 1 15/60 448
Women with live births 2–10 months Follow-up phone questionnaire ......... 3,070 1 15/60 768
prior.

Total ............................................ ............................................................ ...................... ........................ ........................ 2,463

Leroy A. Richardson, • Mail: Laura Cooley, National Center of Legionella in building water systems.
Chief, Information Collection Review Office, for Immunization and Respiratory Water management programs (WMPs)
Office of Scientific Integrity, Office of the Diseases, Division of Bacterial Diseases, identify hazardous conditions and take
Associate Director for Science, Office of the Centers for Disease Control and steps to minimize the growth and
Director, Centers for Disease Control and Prevention, 1600 Clifton Road NE., MS spread of Legionella and other
Prevention. C25, Atlanta, GA 30329. waterborne pathogens in building water
[FR Doc. 2017–17518 Filed 8–17–17; 8:45 am] Instructions: All submissions received systems. Developing and maintaining a
BILLING CODE 4163–18–P must include the agency name and water management program is a multi-
Docket Number. All relevant comments step process that requires continuous
received will be posted without change review.
DEPARTMENT OF HEALTH AND to http://regulations.gov, including any In 2015, ASHRAE (formerly known as
HUMAN SERVICES personal information provided. For the American Society of Heating,
access to the docket to read background Refrigerating, and Air-Conditioning
Centers for Disease Control and
documents or comments received, go to Engineers) published a consensus
Prevention
http://www.regulations.gov. standard for the primary prevention of
[Docket No. CDC–2017–0069] FOR FURTHER INFORMATION CONTACT: Legionnaires disease,2 which calls for
Laura Cooley, National Center for the development and implementation of
Effective Methods for Implementing WMPs in buildings with large or
Immunization and Respiratory Diseases,
Water Management Programs (WMPs) complex water systems and in buildings
Division of Bacterial Diseases, Centers
To Reduce Growth of Transmission of that house people who are particularly
for Disease Control and Prevention,
Legionella spp. susceptible to Legionnaires disease.
1600 Clifton Road NE., MS C25, Atlanta,
AGENCY: Centers for Disease Control and GA 30329. Email: ASHRAE recommends WMPs for the
Prevention (CDC), Department of Health travellegionella@cdc.gov. Phone: (404) following buildings and devices:
and Human Services (HHS). 639–2215. • Healthcare facilities where patients
ACTION: Request for information. SUPPLEMENTARY INFORMATION: stay overnight
Background: CDC assists state and • Buildings that house or treat people
SUMMARY: The Centers for Disease local health departments with who have chronic and acute medical
Control and Prevention (CDC) in the Legionnaires disease response and problems or weakened immune
Department of Health and Human prevention efforts by providing systems
Services (HHS) announces the opening technical assistance and developing • Buildings that primarily house people
of a docket to obtain information on resources focused on preventing and older than 65 years (like a retirement
effective methods for achieving investigating cases and outbreaks of home or assisted living facility)
implementation of water management • Buildings that have a centralized hot
Legionnaires disease (https://
programs (WMPs) intended to reduce water system (like a hotel or high-rise
www.cdc.gov/legionella/).
Legionella growth and transmission in apartment complex)
Legionnaires disease, a severe, • Buildings 10 stories or more
buildings at increased risk. The sometimes fatal pneumonia, can occur
information will inform CDC efforts to (including basement levels)
in persons who inhale aerosolized • Devices that have been linked to
prevent Legionnaires disease in the droplets of water contaminated with the
United States. Information gathered transmission of Legionella:
bacterium Legionella. The rate of Æ Cooling towers
should also inform CDC efforts to reported cases of Legionnaires disease Æ Hot tubs (or spas) that are not
prevent disease due to other in the United States has increased more drained between each use
opportunistic waterborne pathogens than four-fold since 2000.1 Legionella Æ Decorative fountains
(e.g., Pseudomonas, Acinetobacter, and other waterborne pathogens can Æ Centrally-installed misters,
Burkholderia, Stenotrophomonas, multiply in large, complex building atomizers, air washers, or
nontuberculous mycobacteria, various water systems where there are gaps in humidifiers
species of fungi, and Naegleria). water system maintenance; thus, the Additionally, stakeholders can use
DATES: Written comments must be most effective strategy for prevention of
mstockstill on DSK30JT082PROD with NOTICES

CDC’s toolkit, Developing a Water
received on or before October 17, 2017. Legionnaires disease is through control Management Program to Reduce
ADDRESSES: You may submit comments,
Legionella Growth & Spread in
identified by Docket No. CDC–2017– 1 Garrison LE, Kunz JM, Cooley LA, et al. Vital
Buildings: A Practical Guide to
0069 by any of the following methods: signs: Deficiencies in environmental control
identified in outbreaks of Legionnaires disease—
• Federal eRulemaking Portal: http:// North America, 2000–2014. MMWR Morb Mortal 2 ASHRAE 188: Legionellosis: Risk Management
www.regulations.gov. Follow the Wkly Rep 2016; 65:576–84. https://doi.org/ for Building Water Systems June 26, 2015.
instructions for submitting comments. 10.15585/mmwr.mm6522e1. ASHRAE: Atlanta. www.ashrae.org.

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Document Created: 2017-08-18 07:40:21
Document Modified: 2017-08-18 07:40:21

Category		Regulatory Information
Collection		Federal Register
sudoc Class		AE 2.7: GS 4.107: AE 2.106:
Publisher		Office of the Federal Register, National Archives and Records Administration
Section		Notices
FR Citation		82 FR 39438

82 FR 39438 - Agency Forms Undergoing Paperwork Reduction Act Review

DEPARTMENT OF HEALTH AND HUMAN SERVICESCenters for Disease Control and Prevention

Federal Register Volume 82, Issue 159 (August 18, 2017)

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