82_FR_41432 82 FR 41265 - Proposed Data Collection Submitted for Public Comment and Recommendations

82 FR 41265 - 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 167 (August 30, 2017)

Page Range41265-41267
FR Document2017-18405

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 proposed project titled ``ZEN Colombia Study: Zika in Pregnant Women and Children in Colombia.''

Federal Register, Volume 82 Issue 167 (Wednesday, August 30, 2017)
[Federal Register Volume 82, Number 167 (Wednesday, August 30, 2017)]
[Notices]
[Pages 41265-41267]
From the Federal Register Online  [www.thefederalregister.org]
[FR Doc No: 2017-18405]


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

DEPARTMENT OF HEALTH AND HUMAN SERVICES

Centers for Disease Control and Prevention

[60Day-17-1190; Docket No. CDC-2017-0073]


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 proposed 
project titled ``ZEN Colombia Study: Zika in Pregnant Women and 
Children in Colombia.''

DATES: Written comments must be received on or before October 30, 2017.

ADDRESSES: You may submit comments, identified by Docket No. CDC-2017-
0073 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 A. Richardson, Information Collection

[[Page 41266]]

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

    ZEN Colombia Study: Zika in Pregnant Women and Children in 
Colombia, (OMB No. 0920-1190, expires 07/31/2019)--Revision--Pregnancy 
and Birth Defects Task Force, National Center for Birth Defects and 
Developmental Disabilities, Centers for Disease Control and Prevention 
(CDC).

Background and Brief Description

    Zika virus (ZIKV) infection is a mosquito-borne flavivirus 
transmitted by Aedes species mosquitoes, and through sexual and mother-
to-child transmission. Laboratory-acquired infections have also been 
reported.
    Health officials observed sporadic evidence of human ZIKV infection 
in Africa and Asia prior to 2007, when an outbreak of ZIKV caused an 
estimated 5,000 infections in the State of Yap, Federated States of 
Micronesia. Since then, health officials have found evidence of ZIKV in 
65 countries and territories, mostly in Central and South America.
    Common symptoms of ZIKV in humans include rash, fever, arthralgia, 
and nonpurulent conjunctivitis. The illness is usually mild and self-
limited, with symptoms lasting for several days to a week; however, 
based on previous outbreaks, some infections are asymptomatic. The 
prevalence of asymptomatic infection in the current Central and South 
American epidemic is unknown.
    Although the clinical presentation of ZIKV infection is typically 
mild, ZIKV infection in pregnancy can cause microcephaly and related 
brain abnormalities when fetuses are exposed in utero. Other adverse 
pregnancy outcomes related to ZIKV infection remain under study, and 
include pregnancy loss, other major birth defects, arthrogryposis, eye 
abnormalities, and neurologic abnormalities.
    As the spectrum of adverse health outcomes potentially related to 
ZIKV infection continues to grow, large gaps remain in our 
understanding of ZIKV infection in pregnancy. These include the full 
spectrum of adverse health outcomes in pregnant women, fetuses, and 
infants associated with ZIKV infection; the relative contributions of 
sexual transmission and mosquito-borne transmission to occurrence of 
infections in pregnancy; and variability in the risk of adverse fetal 
outcomes by gestational week of maternal infection or symptoms of 
infection. There is an urgency to fill these large gaps in our 
understanding given the rapidity of the epidemic's spread and the 
severe health outcomes associated with ZIKV to date.
    Colombia's Instituto Nacional de Salud (INS) began surveillance for 
ZIKV in 2015, reporting the first autochthonous transmission in October 
2015 in the north of the country. As of December 2016, Colombia has 
reported over 106,000-suspected ZIKV cases, with over 19,000 of them 
among pregnant women. With a causal link established between ZIKV 
infection in pregnancy and microcephaly, there is an urgent need to 
understand: How to prevent ZIKV transmission; the full spectrum of 
adverse maternal, fetal, and infant health outcomes associated with 
ZIKV infection; and risk factors for occurrence of these outcomes. To 
answer these questions, INS and the CDC will follow 5,000 women 
enrolled in the first trimester of pregnancy, their male partners, and 
their infants, in various cities in Colombia where ZIKV transmission is 
currently ongoing.
    The primary study objectives are to: (1) Describe the 
sociodemographic and clinical characteristics of the study population; 
(2) Identify risk factors for ZIKV infection in pregnant women and 
their infants. These include behaviors such as use of mosquito-bite 
prevention measures or condoms, and factors associated with maternal-
to-child transmission; (3) Assess the risk for adverse maternal, fetal, 
and infant outcomes associated with ZIKV infection; (4) Assess 
modifiers of the risk for adverse outcomes among pregnant women and 
their infants following ZIKV infection. This includes investigating 
associations with gestational age at infection, presence of ZIKV 
symptoms, extended viremia, mode of transmission, prior infections or 
immunizations, and co-infections.
    The project aims to enroll approximately 5,000 women, 1,250 male 
partners, 4,500 newborns, and a subset of 1000 infants/children. 
Pregnant women will be recruited in the first trimester of pregnancy 
for study enrollment, followed by assessments during pregnancy (every 
other week until 32 weeks gestation and monthly thereafter), and within 
10 days postpartum. At all visits, participants will complete visit-
specific questionnaires. In addition to the questionnaires, at all 
pregnancy and delivery visits, participants will receive Colombian 
national recommended clinical care and provide samples for laboratory 
testing.
    Researchers will recruit male partners around the time of the 
pregnant partners' study enrollment, followed by monthly visits until 
his pregnant partner reaches the third trimester (approximately 27 
weeks gestation). If the male partner contracts ZIKV during this time, 
visits will occur every other week until the partner has two negative 
consecutive tests for ZIKV or the pregnancy ends. At all study visits, 
male partners will complete visit-specific

[[Page 41267]]

questionnaires and provide samples for laboratory testing.
    Researchers will follow all study-participating mothers' newborns 
every other week from birth to 6 months of age. At all visits, infants 
will receive national recommended clinical care (at birth and follow-up 
visits at 1, 2, and 6 months), provide samples for laboratory testing, 
and mothers will complete study-specific questionnaires about infant 
ZIKV symptoms and developmental milestones. During follow-up, infants 
will also have cranial ultrasounds, their head circumference measured, 
and hearing and vision tests. For mothers and their infants, 
researchers will abstract relevant clinical care information from 
medical records.
    The revised information collection package includes the following 
changes. During the data collection period, researchers will follow a 
subset of 300 infants until 2-years of age. These infants will have 
answer questionnaires at 6, 12, 18, and 24 months, as well as have 
other clinical assessments performed to exam developmental delays.
    Researchers will use the study results use to guide recommendations 
made by both INS and CDC to prevent ZIKV infection; to improve 
counseling of patients about risks to themselves, their pregnancies, 
their partners, and their infants; and to help agencies prepare to 
provide services to affected children and families. Participation in 
this study is voluntary and there are no costs to participants other 
than their time.

                                        Estimated Annualized Burden Hours
----------------------------------------------------------------------------------------------------------------
                                                                     Number of    Average burden
          Respondents               Form name        Number of     responses per   per response    Total burden
                                                    respondents     respondent      (in hours)         hours
----------------------------------------------------------------------------------------------------------------
Pregnant women................  Pregnant women             3,125               1            5/60             260
                                 eligibility               2,500               1           35/60           1,458
                                 questionnaire.            2,500              15           10/60           6,250
                                Pregnant women             2,500               8           15/60           5,000
                                 enrollment                2,250              14           10/60           5,250
                                 questionnaire.
                                Adult symptoms
                                 questionnaire.
                                Pregnant women
                                 follow-up
                                 questionnaire.
                                Infant symptoms
                                 questionnaire.
                                Ages and Stages            2,250               2           15/60           1,125
                                 Questionnaire:              300               3           15/60             225
                                 2, 4, 6 Month.              300               3            5/60              75
                                Ages and Stages
                                 Questionnaire:
                                 12, 18, 24
                                 Month.
                                Center for
                                 Epidemiologic
                                 Studies
                                 Depression--10.
Male partners.................  Male partner               2,500               1            5/60             208
                                 eligibility                 625               1           25/60             260
                                 questionnaire.              625               7           10/60             729
                                Male enrollment
                                 questionnaire.
                                Adult symptoms
                                 questionnaire.
                                                 ---------------------------------------------------------------
    Total.....................  ................  ..............  ..............  ..............          20,840
----------------------------------------------------------------------------------------------------------------


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. 2017-18405 Filed 8-29-17; 8:45 am]
 BILLING CODE 4163-18-P



                                                                                     Federal Register / Vol. 82, No. 167 / Wednesday, August 30, 2017 / Notices                                                                                                 41265

                                                  releases and determine their health                                      Incidents may occur at businesses or in                                       needs resulting from the incident,
                                                  statuses;                                                                the community setting; therefore,                                             communication during the release,
                                                     2. Identify needs (i.e., medical and                                  respondents may also include business                                         health impact on children and pets, and
                                                  basic) of those exposed during the                                       owners, managers, workers, customers,                                         demographic data. Hospital personnel
                                                  releases to aid in planning interventions                                community residents, pet owners, and                                          are asked about the surge, response and
                                                  in the community;                                                        those passing through the affected area.                                      communication, decontamination, and
                                                     3. Assess the impact of the incidents                                    The multidisciplinary ACE team                                             lessons learned.
                                                  on health services use and share lessons                                 consisting of staff from ATSDR, the
                                                                                                                                                                                                            Depending on the situation, data
                                                  learned for use in hospital, local, and                                  Centers for Disease Control and
                                                                                                                                                                                                         collected by face-to-face interviews,
                                                  state planning for chemical incidents;                                   Prevention (CDC), and the requesting
                                                                                                                                                                                                         telephone interviews, written surveys,
                                                  and                                                                      agencies that will be collecting data.
                                                     4. Identify cohorts may be followed                                   ATSDR has developed a quickly tailored                                        mailed surveys, or on-line surveys can
                                                  and assessed for persistent health effects                               series of draft survey forms used in the                                      be consider collected. Medical and
                                                  resulting from acute releases.                                           field to collect data that will meet the                                      veterinary charts may also be consider
                                                     Because each chemical incident is                                     goals of the investigation. ATSDR                                             for review. In rare situations, an
                                                  different, it is not possible to predict in                              collections will be administered based                                        investigation might involve collection of
                                                  advance exactly what type of and how                                     on time permitted and urgency. For                                            clinical specimens.
                                                  many respondents will be consented                                       example, it is preferable to administer                                          ATSDR anticipates up to four ACE
                                                  and interviewed too effectively evaluate                                 the general survey to as many                                                 investigations per year. The number of
                                                  the incident. Respondents typically                                      respondents as possible. However, if                                          participants has ranged from 30–715,
                                                  include, but are not limited to                                          there are time constraints, the shorter                                       averaging about 300 per year. Therefore,
                                                  emergency responders such as police,                                     household survey or the ACE Short                                             the total annualized estimated burden
                                                  fire, hazardous material technicians,                                    Form may be administered instead. The                                         will be 591 hours per year. Participation
                                                  emergency medical services, and                                          individual surveys collect information                                        in ACE investigations is voluntary and
                                                  personnel at hospitals where patients                                    about exposure, acute health effects,                                         there are no anticipated costs to
                                                  from the incident were treated.                                          health services use, medical history,                                         respondents other than their time.

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

                                                  Residents, first responders, business                     General Survey ................................                                800                            1                    30/60                400
                                                    owners, employees, customers.                           ACE Short Form ...............................                                  50                            1                     7/60                  6
                                                  Residents ..........................................      Household Survey ............................                                  120                            1                    15/60                 30
                                                  Hospital staff .....................................      Hospital Survey ................................                                40                            1                    30/60                 20
                                                  Staff from state, local, or tribal health                 Medical Chart Abstraction Form ......                                          250                            1                    30/60                125
                                                    agencies.
                                                                                                            Veterinary Chart Abstraction Form ..                                             30                            1                  20/60                  10

                                                        Total ...........................................   ...........................................................   ........................   ........................   ........................            591



                                                  Leroy A. Richardson,                                                     ACTION:        Notice with comment period.                                      • Mail: Leroy A. Richardson,
                                                  Chief, Information Collection Review Office,                                                                                                           Information Collection Review Office,
                                                  Office of Scientific Integrity, Office of the                            SUMMARY:   The Centers for Disease                                            Centers for Disease Control and
                                                  Associate Director for Science, Office of the                            Control and Prevention (CDC), as part of                                      Prevention, 1600 Clifton Road NE., MS–
                                                  Director, Centers for Disease Control and                                its continuing efforts to reduce public                                       D74, Atlanta, Georgia 30329.
                                                  Prevention.
                                                                                                                           burden and maximize the utility of                                              Instructions: All submissions received
                                                  [FR Doc. 2017–18404 Filed 8–29–17; 8:45 am]                              government information, invites the                                           must include the agency name and
                                                  BILLING CODE 4163–18–P                                                   general public and other Federal                                              Docket Number. All relevant comments
                                                                                                                           agencies to take this opportunity to                                          received will be posted without change
                                                                                                                           comment on proposed and/or                                                    to Regulations.gov, including any
                                                  DEPARTMENT OF HEALTH AND                                                 continuing information collections, as                                        personal information provided. For
                                                  HUMAN SERVICES                                                           required by the Paperwork Reduction                                           access to the docket to read background
                                                  Centers for Disease Control and                                          Act of 1995. This notice invites                                              documents or comments received, go to
                                                  Prevention                                                               comment on the proposed project titled                                        Regulations.gov.
                                                                                                                           ‘‘ZEN Colombia Study: Zika in Pregnant                                          Please note: All public comment
                                                                                                                           Women and Children in Colombia.’’                                             should be submitted through the
                                                  [60Day–17–1190; Docket No. CDC–2017–                                                                                                                   Federal eRulemaking portal
                                                  0073]                                                                    DATES: Written comments must be
                                                                                                                                                                                                         (Regulations.gov) or by U.S. mail to the
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                                                                                                                           received on or before October 30, 2017.
                                                  Proposed Data Collection Submitted                                                                                                                     address listed above.
                                                  for Public Comment and                                                   ADDRESSES:  You may submit comments,                                          FOR FURTHER INFORMATION CONTACT: To
                                                  Recommendations                                                          identified by Docket No. CDC–2017–                                            request more information on the
                                                                                                                           0073 by any of the following methods:                                         proposed project or to obtain a copy of
                                                  AGENCY: Centers for Disease Control and                                    • Federal eRulemaking Portal:                                               the information collection plan and
                                                  Prevention (CDC), Department of Health                                   Regulations.gov. Follow the instructions                                      instruments, contact Leroy A.
                                                  and Human Services (HHS).                                                for submitting comments.                                                      Richardson, Information Collection


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                                                  41266                      Federal Register / Vol. 82, No. 167 / Wednesday, August 30, 2017 / Notices

                                                  Review Office, Centers for Disease                      Pregnancy and Birth Defects Task Force,               December 2016, Colombia has reported
                                                  Control and Prevention, 1600 Clifton                    National Center for Birth Defects and                 over 106,000-suspected ZIKV cases,
                                                  Road NE., MS–D74, Atlanta, Georgia                      Developmental Disabilities, Centers for               with over 19,000 of them among
                                                  30329; phone: 404–639–7570; Email:                      Disease Control and Prevention (CDC).                 pregnant women. With a causal link
                                                  omb@cdc.gov.                                                                                                  established between ZIKV infection in
                                                                                                          Background and Brief Description
                                                  SUPPLEMENTARY INFORMATION: Under the                                                                          pregnancy and microcephaly, there is an
                                                  Paperwork Reduction Act of 1995 (PRA)                      Zika virus (ZIKV) infection is a                   urgent need to understand: How to
                                                  (44 U.S.C. 3501–3520), Federal agencies                 mosquito-borne flavivirus transmitted                 prevent ZIKV transmission; the full
                                                  must obtain approval from the Office of                 by Aedes species mosquitoes, and                      spectrum of adverse maternal, fetal, and
                                                  Management and Budget (OMB) for each                    through sexual and mother-to-child                    infant health outcomes associated with
                                                  collection of information they conduct                  transmission. Laboratory-acquired                     ZIKV infection; and risk factors for
                                                  or sponsor. In addition, the PRA also                   infections have also been reported.                   occurrence of these outcomes. To
                                                                                                             Health officials observed sporadic                 answer these questions, INS and the
                                                  requires Federal agencies to provide a
                                                                                                          evidence of human ZIKV infection in                   CDC will follow 5,000 women enrolled
                                                  60-day notice in the Federal Register
                                                                                                          Africa and Asia prior to 2007, when an                in the first trimester of pregnancy, their
                                                  concerning each proposed collection of                  outbreak of ZIKV caused an estimated
                                                  information, including each new                                                                               male partners, and their infants, in
                                                                                                          5,000 infections in the State of Yap,                 various cities in Colombia where ZIKV
                                                  proposed collection, each proposed                      Federated States of Micronesia. Since
                                                  extension of existing collection of                                                                           transmission is currently ongoing.
                                                                                                          then, health officials have found                        The primary study objectives are to:
                                                  information, and each reinstatement of                  evidence of ZIKV in 65 countries and
                                                  previously approved information                                                                               (1) Describe the sociodemographic and
                                                                                                          territories, mostly in Central and South              clinical characteristics of the study
                                                  collection before submitting the                        America.
                                                  collection to OMB for approval. To                                                                            population; (2) Identify risk factors for
                                                                                                             Common symptoms of ZIKV in                         ZIKV infection in pregnant women and
                                                  comply with this requirement, we are                    humans include rash, fever, arthralgia,               their infants. These include behaviors
                                                  publishing this notice of a proposed                    and nonpurulent conjunctivitis. The                   such as use of mosquito-bite prevention
                                                  data collection as described below.                     illness is usually mild and self-limited,             measures or condoms, and factors
                                                     Comments are invited on: (a) Whether                 with symptoms lasting for several days                associated with maternal-to-child
                                                  the proposed collection of information                  to a week; however, based on previous                 transmission; (3) Assess the risk for
                                                  is necessary for the proper performance                 outbreaks, some infections are                        adverse maternal, fetal, and infant
                                                  of the functions of the agency, including               asymptomatic. The prevalence of                       outcomes associated with ZIKV
                                                  whether the information shall have                      asymptomatic infection in the current                 infection; (4) Assess modifiers of the
                                                  practical utility; (b) the accuracy of the              Central and South American epidemic                   risk for adverse outcomes among
                                                  agency’s estimate of the burden of the                  is unknown.                                           pregnant women and their infants
                                                  proposed collection of information; (c)                    Although the clinical presentation of              following ZIKV infection. This includes
                                                  ways to enhance the quality, utility, and               ZIKV infection is typically mild, ZIKV                investigating associations with
                                                  clarity of the information to be                        infection in pregnancy can cause                      gestational age at infection, presence of
                                                  collected; (d) ways to minimize the                     microcephaly and related brain                        ZIKV symptoms, extended viremia,
                                                  burden of the collection of information                 abnormalities when fetuses are exposed                mode of transmission, prior infections
                                                  on respondents, including through the                   in utero. Other adverse pregnancy                     or immunizations, and co-infections.
                                                  use of automated collection techniques                  outcomes related to ZIKV infection                       The project aims to enroll
                                                  or other forms of information                           remain under study, and include                       approximately 5,000 women, 1,250 male
                                                  technology; and (e) estimates of capital                pregnancy loss, other major birth                     partners, 4,500 newborns, and a subset
                                                  or start-up costs and costs of operation,               defects, arthrogryposis, eye                          of 1000 infants/children. Pregnant
                                                  maintenance, and purchase of services                   abnormalities, and neurologic                         women will be recruited in the first
                                                  to provide information. Burden means                    abnormalities.                                        trimester of pregnancy for study
                                                  the total time, effort, or financial                       As the spectrum of adverse health                  enrollment, followed by assessments
                                                  resources expended by persons to                        outcomes potentially related to ZIKV                  during pregnancy (every other week
                                                  generate, maintain, retain, disclose or                 infection continues to grow, large gaps               until 32 weeks gestation and monthly
                                                  provide information to or for a Federal                 remain in our understanding of ZIKV                   thereafter), and within 10 days
                                                  agency. This includes the time needed                   infection in pregnancy. These include                 postpartum. At all visits, participants
                                                  to review instructions; to develop,                     the full spectrum of adverse health                   will complete visit-specific
                                                  acquire, install and utilize technology                 outcomes in pregnant women, fetuses,                  questionnaires. In addition to the
                                                  and systems for the purpose of                          and infants associated with ZIKV                      questionnaires, at all pregnancy and
                                                  collecting, validating and verifying                    infection; the relative contributions of              delivery visits, participants will receive
                                                  information, processing and                             sexual transmission and mosquito-borne                Colombian national recommended
                                                  maintaining information, and disclosing                 transmission to occurrence of infections              clinical care and provide samples for
                                                  and providing information; to train                     in pregnancy; and variability in the risk             laboratory testing.
                                                  personnel and to be able to respond to                  of adverse fetal outcomes by gestational                 Researchers will recruit male partners
                                                  a collection of information, to search                  week of maternal infection or symptoms                around the time of the pregnant
                                                  data sources, to complete and review                    of infection. There is an urgency to fill             partners’ study enrollment, followed by
                                                  the collection of information; and to                   these large gaps in our understanding                 monthly visits until his pregnant
                                                  transmit or otherwise disclose the                      given the rapidity of the epidemic’s                  partner reaches the third trimester
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                                                  information.                                            spread and the severe health outcomes                 (approximately 27 weeks gestation). If
                                                                                                          associated with ZIKV to date.                         the male partner contracts ZIKV during
                                                  Proposed Project                                           Colombia’s Instituto Nacional de                   this time, visits will occur every other
                                                    ZEN Colombia Study: Zika in                           Salud (INS) began surveillance for ZIKV               week until the partner has two negative
                                                  Pregnant Women and Children in                          in 2015, reporting the first                          consecutive tests for ZIKV or the
                                                  Colombia, (OMB No. 0920–1190,                           autochthonous transmission in October                 pregnancy ends. At all study visits, male
                                                  expires 07/31/2019)—Revision—                           2015 in the north of the country. As of               partners will complete visit-specific


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                                                                                   Federal Register / Vol. 82, No. 167 / Wednesday, August 30, 2017 / Notices                                                                                                  41267

                                                  questionnaires and provide samples for                                  ultrasounds, their head circumference                                         performed to exam developmental
                                                  laboratory testing.                                                     measured, and hearing and vision tests.                                       delays.
                                                    Researchers will follow all study-                                    For mothers and their infants,                                                   Researchers will use the study results
                                                  participating mothers’ newborns every                                   researchers will abstract relevant                                            use to guide recommendations made by
                                                  other week from birth to 6 months of                                    clinical care information from medical
                                                  age. At all visits, infants will receive                                                                                                              both INS and CDC to prevent ZIKV
                                                                                                                          records.
                                                  national recommended clinical care (at                                     The revised information collection                                         infection; to improve counseling of
                                                  birth and follow-up visits at 1, 2, and 6                               package includes the following changes.                                       patients about risks to themselves, their
                                                  months), provide samples for laboratory                                 During the data collection period,                                            pregnancies, their partners, and their
                                                  testing, and mothers will complete                                      researchers will follow a subset of 300                                       infants; and to help agencies prepare to
                                                  study-specific questionnaires about                                     infants until 2-years of age. These                                           provide services to affected children
                                                  infant ZIKV symptoms and                                                infants will have answer questionnaires                                       and families. Participation in this study
                                                  developmental milestones. During                                        at 6, 12, 18, and 24 months, as well as                                       is voluntary and there are no costs to
                                                  follow-up, infants will also have cranial                               have other clinical assessments                                               participants other than their time.

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

                                                  Pregnant women ...................           Pregnant women eligibility questionnaire ....                                            3,125                            1                     5/60                260
                                                                                               Pregnant women enrollment questionnaire                                                  2,500                            1                    35/60              1,458
                                                                                               Adult symptoms questionnaire .....................                                       2,500                           15                    10/60              6,250
                                                                                               Pregnant women follow-up questionnaire ....                                              2,500                            8                    15/60              5,000
                                                                                               Infant symptoms questionnaire ....................                                       2,250                           14                    10/60              5,250
                                                                                               Ages and Stages Questionnaire: 2, 4, 6                                                   2,250                            2                    15/60              1,125
                                                                                                  Month.                                                                                  300                            3                    15/60                225
                                                                                               Ages and Stages Questionnaire: 12, 18, 24                                                  300                            3                     5/60                 75
                                                                                                  Month.
                                                                                               Center for Epidemiologic Studies Depres-
                                                                                                  sion—10.
                                                  Male partners ........................       Male partner eligibility questionnaire ...........                                       2,500                             1                    5/60                208
                                                                                               Male enrollment questionnaire .....................                                        625                             1                   25/60                260
                                                                                               Adult symptoms questionnaire .....................                                         625                             7                   10/60                729

                                                       Total ...............................   .......................................................................   ........................   ........................   ........................         20,840



                                                  Leroy A. Richardson,                                                       Written comments and suggestions                                           send an email to omb@cdc.gov. Written
                                                  Chief, Information Collection Review Office,                            from the public and affected agencies                                         comments and/or suggestions regarding
                                                  Office of Scientific Integrity, Office of the                           concerning the proposed collection of                                         the items contained in this notice
                                                  Associate Director for Science, Office of the                           information are encouraged. Your                                              should be directed to the Attention:
                                                  Director, Centers for Disease Control and                               comments should address any of the                                            CDC Desk Officer, Office of Management
                                                  Prevention.                                                             following: (a) Evaluate whether the                                           and Budget, Washington, DC 20503 or
                                                  [FR Doc. 2017–18405 Filed 8–29–17; 8:45 am]                             proposed collection of information is                                         by fax to (202) 395–5806. Written
                                                  BILLING CODE 4163–18–P                                                  necessary for the proper performance of                                       comments should be received within 30
                                                                                                                          the functions of the agency, including                                        days of this notice.
                                                                                                                          whether the information will have
                                                  DEPARTMENT OF HEALTH AND                                                practical utility; (b) Evaluate the                                           Proposed Project
                                                  HUMAN SERVICES                                                          accuracy of the agencies estimate of the                                        National Disease Surveillance
                                                                                                                          burden of the proposed collection of                                          Program II. Disease Summaries (OMB
                                                  Centers for Disease Control and                                         information, including the validity of                                        Control Number 0920–0004, Expires
                                                  Prevention                                                              the methodology and assumptions used;                                         10/31/2017)—Revision—National
                                                                                                                          (c) Enhance the quality, utility, and                                         Center for Immunization and
                                                  [30Day–17–0004]                                                         clarity of the information to be                                              Respiratory Diseases, Centers for
                                                                                                                          collected; (d) Minimize the burden of                                         Disease Control and Prevention (CDC).
                                                  Agency Forms Undergoing Paperwork                                       the collection of information on those
                                                                                                                                                                                                        Background and Brief Description
                                                  Reduction Act Review                                                    who are to respond, including through
                                                                                                                          the use of appropriate automated,                                               CDC requests a three-year approval for
                                                    The Centers for Disease Control and                                   electronic, mechanical, or other                                              the proposed revision of the ‘‘National
                                                  Prevention (CDC) has submitted the                                      technological collection techniques or                                        Disease Surveillance Program II. Disease
                                                  following information collection request                                other forms of information technology,                                        Summaries’’ information collection
mstockstill on DSK30JT082PROD with NOTICES




                                                  to the Office of Management and Budget                                  e.g., permitting electronic submission of                                     project.
                                                  (OMB) for review and approval in                                        responses; and (e) Assess information                                           As with the previous approval, these
                                                  accordance with the Paperwork                                           collection costs.                                                             data are essential for measuring trends
                                                  Reduction Act of 1995. The notice for                                      To request additional information on                                       in diseases, evaluating the effectiveness
                                                  the proposed information collection is                                  the proposed project or to obtain a copy                                      of current preventive strategies, and
                                                  published to obtain comments from the                                   of the information collection plan and                                        determining the need to modify current
                                                  public and affected agencies.                                           instruments, call (404) 639–7570 or                                           preventive measures.


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Document Created: 2017-08-30 04:08:21
Document Modified: 2017-08-30 04:08:21
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 October 30, 2017.
ContactTo request more information on the proposed project or to obtain a copy of the information collection plan and instruments, contact Leroy A. 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 41265 

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