82 FR 44796 - Agency Forms Undergoing Paperwork Reduction Act Review

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

Federal Register Volume 82, Issue 185 (September 26, 2017)

Page Range		44796-44798
FR Document		2017-20507
Federal Register, Volume 82 Issue 185 (Tuesday, September 26, 2017)
[Federal Register Volume 82, Number 185 (Tuesday, September 26, 2017)]
[Notices]
[Pages 44796-44798]
From the Federal Register Online  [www.thefederalregister.org]
[FR Doc No: 2017-20507]


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

DEPARTMENT OF HEALTH AND HUMAN SERVICES

Centers for Disease Control and Prevention

[30Day-17-17HO]


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

[[Page 44797]]

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 [email protected]. 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

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

Background and Brief Description

    Falls are the leading cause of fatal and nonfatal injuries among 
adults aged 65 and older in the US and represent a significant burden 
to the healthcare system. The first step in clinical falls prevention 
is for health care practitioners to administer a fall risk screening. 
The screening identifies whether adults 65 and older are at ``increased 
risk'' for a fall. Additional assessments and follow-up medical care 
(e.g., medication review, vitamin D supplements, vision testing, and 
physical therapy) are then given to those at increased risk. The 
initial screening step is critical because it identifies who will 
receive the assessments and follow-up care, which has the potential to 
place a large burden on health care practitioners and the health care 
system. Given the demands on health care practitioners, among them to 
reduce health care costs, it is important to have a screening tool that 
can reliably identify adults 65 and older who are likely to fall and 
thus need this additional care. Although there are a number of tools 
used to screen older adults for fall risk, there is currently no 
standard for fall risk screening across care settings. This is in part 
because many of the existing tools have never been tested to determine 
how well they predict future falls. Thus, research is needed to test 
the ability of existing screening tools and questions to predict falls 
in subsequent years.
    The proposed data collection will compile a brief set of screening 
questions that are clinically useful for quickly sorting patients into 
risk levels for falls. It is expected that the screening questions 
identified in this project will be recommended for use by CDC as the 
standard for screening of falls for adults 65 and older in clinical 
settings. Questions will be asked to a nationally representative sample 
of adults 65 and older, who will then be followed with surveys repeated 
monthly over the following year to determine whether and how often they 
fall. Study data will be collected by internet or phone interviews, 
depending on respondents' preference. Interviews will consist of a 
baseline survey beginning immediately after OMB approval, 11 brief 
monthly update surveys for the 11 months after initial survey, and a 
final survey (similar in content to the baseline survey) 12 months 
after initial survey.
    At baseline, exploratory factor analysis and confirmatory factor 
analysis will be used to demonstrate which survey items have the 
greatest likelihood of predicting future falls. To narrow down the 
larger list of survey items, item response theory will be used. 
Descriptive data analysis techniques will be used at every data 
collection time point in order to clean the data and to look for trends 
and outliers. Univariate and multivariate data analysis (primarily 
logistic regression) techniques will be used at 6 and 12 months after 
initial survey in order to determine which survey questions are related 
to fall status with statistical significance and to identify which 
survey questions have the greatest likelihood of predicting fall status 
while considering whether separate tools are necessary for key 
subgroups at high risk for falls, such as women and persons with prior 
history of falls.
    OMB approval is requested for two years for this new collection. 
Findings from this data collection will be used to examine the 
predictability (sensitivity and specificity) of various sets of 
screening questions on the occurrence of falls, including medically 
treated falls. The estimated annual burden hours are 2,970. There are 
no costs to respondents.

                                        Estimated Annualized Burden Hours
----------------------------------------------------------------------------------------------------------------
                                                                                                      Average
                                                                     Number of       Number of      burden per
        Type of respondents                   Form name             respondents    responses per   response  (in
                                                                                    respondent        hours)
----------------------------------------------------------------------------------------------------------------
Participating AmeriSpeak Panelists.  Initial Postcard-Email.....           1,463               1            2/60
                                     Baseline Survey Web Mode...             570               1           20/60
                                     Baseline Survey Phone Mode.             380               1           30/60
                                     Monthly Update Survey                   570              11           10/60
                                      (months 1-11) Web Mode.
                                     Monthly Update Survey                   380              11           15/60
                                      (months 1-11) Phone Mode.
                                     Final Survey Web Mode......             570               1           20/60
                                     Final Survey Phone Mode....             380               1           30/60
                                     Falls Diary................             276               2            5/60
Proxy Respondents..................  Proxy Survey Web Mode......              57               4            3/60
                                     Proxy Survey Phone Mode....              38               4            5/60
----------------------------------------------------------------------------------------------------------------



[[Page 44798]]

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. 2017-20507 Filed 9-25-17; 8:45 am]
 BILLING CODE 4163-18-P
44796 Federal Register / Vol. 82, No. 185 / Tuesday, September 26, 2017 / Notices

government agencies, universities, and These additional data requests will operated by government agencies,
research institutions to request a permit not affect the burden hours. universities, research institutions, and
for the importation of biological agents, In addition, CDC proposes to revise for educational, exhibition, or scientific
infectious substances, or vectors of the Application for Permit to Import purposes to request a permit for the
human disease. This form currently Biological Agents, Infectious Substances importation, and any subsequent
requests applicant and sender contact and Vectors of Human Disease into the distribution after importation, of live
information; description of material for United States form to verify that the bats. This form currently requests the
importation; facility isolation and recipient for subsequent transfers has applicant and sender contact
containment information; and personnel implemented biosafety measures information; a description and intended
qualifications. CDC plans to revise this commensurate with the hazard posed by use of bats to be imported; and facility
application to: the infectious biological agent, isolation and containment information.
(1) Based on processing applications, infectious substance, and/or vector to be CDC plans to revise this application to
remove questions that duplicative or not imported, and the level of risk given its add a question about what personal
required to process the import permit intended use. CDC believes that it will protective measures will be used. This
request such as CDC plans to revise this take the applicant additional 10 minutes additional data request will not affect
application to request information on to complete this section for subsequent the burden hours.
where the imported material will be transfers. Estimates of burden for the
stored at the recipient facility and who additional questions survey are based Estimates of burden for the survey are
would be responsible for this location on information obtained from the CDC based on information obtained from the
and revise the format for the form to import permit database on the number CDC import permit database on the
ease of user to complete the form. of permits issued for 2016 for number of permits issued on annual
(2) Request information the biosafety subsequent transfers, which is 380 basis since 2010. The total estimated
officer’s contact information for the permits. burden for the one-time data collection
permittee to provide biosafety The Application for Permit to Import is 1592.
information in case the permittee is or Transport Live Bats form is used by There are no costs to respondents
unavailable. laboratory facilities such as those except their time.

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

Applicants Requesting to Import Bio- Application for Permit to Import Bio- 2380 1 30/60 1190
logical Agents, Infectious Sub- logical Agents, Infectious Sub-
stances and Vectors. stances and Vectors of Human
Disease into the United States.
Applicants Requesting to Import Bio- Application for Permit to Import Bio- 2380 1 10/60 397
logical Agents, Infectious Sub- logical Agents, Infectious Sub-
stances and Vectors. stances and Vectors of Human
Disease into the United States
Guidance.
Applicants Requesting to Import Live Application for a Permit to Import 10 1 20/60 3
Bats. Live Bats.
Applicants Requesting to Import Live Application for a Permit to Import 10 1 10/60 2
Bats. Live Bats.

Total ........................................... .......................................................... ........................ ........................ ........................ 1592

Leroy A. Richardson, DEPARTMENT OF HEALTH AND Written comments and suggestions
Chief, Information Collection Review Office, HUMAN SERVICES from the public and affected agencies
Office of Scientific Integrity, Office of the concerning the proposed collection of
Associate Director for Science, Office of the Centers for Disease Control and information are encouraged. Your
Director, Centers for Disease Control and Prevention comments should address any of the
Prevention. following: (a) Evaluate whether the
[30Day–17–17HO]
[FR Doc. 2017–20509 Filed 9–25–17; 8:45 am] proposed collection of information is
BILLING CODE 4163–18–P Agency Forms Undergoing Paperwork necessary for the proper performance of
Reduction Act Review the functions of the agency, including
whether the information will have
The Centers for Disease Control and practical utility; (b) Evaluate the
Prevention (CDC) has submitted the accuracy of the agencies estimate of the
following information collection request burden of the proposed collection of
to the Office of Management and Budget information, including the validity of
(OMB) for review and approval in the methodology and assumptions used;
accordance with the Paperwork (c) Enhance the quality, utility, and
Reduction Act of 1995. The notice for clarity of the information to be
the proposed information collection is collected; (d) Minimize the burden of
published to obtain comments from the the collection of information on those
public and affected agencies. who are to respond, including through

VerDate Sep<11>2014 18:28 Sep 25, 2017 Jkt 241001 PO 00000 Frm 00038 Fmt 4703 Sfmt 4703 E:\FR\FM\26SEN1.SGM 26SEN1
Federal Register / Vol. 82, No. 185 / Tuesday, September 26, 2017 / Notices 44797

the use of appropriate automated, physical therapy) are then given to those baseline survey beginning immediately
electronic, mechanical, or other at increased risk. The initial screening after OMB approval, 11 brief monthly
technological collection techniques or step is critical because it identifies who update surveys for the 11 months after
other forms of information technology, will receive the assessments and follow- initial survey, and a final survey
e.g., permitting electronic submission of up care, which has the potential to place (similar in content to the baseline
responses; and (e) Assess information a large burden on health care survey) 12 months after initial survey.
collection costs. practitioners and the health care system. At baseline, exploratory factor
To request additional information on Given the demands on health care analysis and confirmatory factor
the proposed project or to obtain a copy practitioners, among them to reduce analysis will be used to demonstrate
of the information collection plan and health care costs, it is important to have which survey items have the greatest
instruments, call (404) 639–7570 or a screening tool that can reliably likelihood of predicting future falls. To
send an email to omb@cdc.gov. Written identify adults 65 and older who are narrow down the larger list of survey
comments and/or suggestions regarding likely to fall and thus need this items, item response theory will be
the items contained in this notice additional care. Although there are a used. Descriptive data analysis
should be directed to the Attention: number of tools used to screen older
techniques will be used at every data
CDC Desk Officer, Office of Management adults for fall risk, there is currently no
collection time point in order to clean
and Budget, Washington, DC 20503 or standard for fall risk screening across
the data and to look for trends and
by fax to (202) 395–5806. Written care settings. This is in part because
outliers. Univariate and multivariate
comments should be received within 30 many of the existing tools have never
data analysis (primarily logistic
days of this notice. been tested to determine how well they
regression) techniques will be used at 6
predict future falls. Thus, research is
Proposed Project and 12 months after initial survey in
needed to test the ability of existing
order to determine which survey
Test Predictability of Falls Screening screening tools and questions to predict
questions are related to fall status with
Tools—New—National Center for Injury falls in subsequent years.
The proposed data collection will statistical significance and to identify
Prevention and Control (NCIPC),
compile a brief set of screening which survey questions have the
Centers for Disease Control and
questions that are clinically useful for greatest likelihood of predicting fall
Prevention (CDC).
quickly sorting patients into risk levels status while considering whether
Background and Brief Description for falls. It is expected that the screening separate tools are necessary for key
Falls are the leading cause of fatal and questions identified in this project will subgroups at high risk for falls, such as
nonfatal injuries among adults aged 65 be recommended for use by CDC as the women and persons with prior history
and older in the US and represent a standard for screening of falls for adults of falls.
significant burden to the healthcare 65 and older in clinical settings. OMB approval is requested for two
system. The first step in clinical falls Questions will be asked to a nationally years for this new collection. Findings
prevention is for health care representative sample of adults 65 and from this data collection will be used to
practitioners to administer a fall risk older, who will then be followed with examine the predictability (sensitivity
screening. The screening identifies surveys repeated monthly over the and specificity) of various sets of
whether adults 65 and older are at following year to determine whether screening questions on the occurrence
‘‘increased risk’’ for a fall. Additional and how often they fall. Study data will of falls, including medically treated
assessments and follow-up medical care be collected by internet or phone falls. The estimated annual burden
(e.g., medication review, vitamin D interviews, depending on respondents’ hours are 2,970. There are no costs to
supplements, vision testing, and preference. Interviews will consist of a respondents.

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

Participating AmeriSpeak Panelists ................ Initial Postcard-Email ..................................... 1,463 1 2/60
Baseline Survey Web Mode .......................... 570 1 20/60
Baseline Survey Phone Mode ....................... 380 1 30/60
Monthly Update Survey (months 1–11) Web 570 11 10/60
Mode.
Monthly Update Survey (months 1–11) 380 11 15/60
Phone Mode.
Final Survey Web Mode ................................ 570 1 20/60
Final Survey Phone Mode ............................. 380 1 30/60
Falls Diary ...................................................... 276 2 5/60
Proxy Respondents ......................................... Proxy Survey Web Mode ............................... 57 4 3/60
Proxy Survey Phone Mode ............................ 38 4 5/60

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Document Created: 2017-09-26 02:48:51
Document Modified: 2017-09-26 02:48:51
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 44796
82 FR 44796 - Agency Forms Undergoing Paperwork Reduction Act Review

DEPARTMENT OF HEALTH AND HUMAN SERVICESCenters for Disease Control and Prevention

Federal Register Volume 82, Issue 185 (September 26, 2017)

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