82 FR 46993 - 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 194 (October 10, 2017)

Page Range		46993-46994
FR Document		2017-21751

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 Paul Coverdell National Acute Stroke Program (2015-2020) Evaluation.

Federal Register, Volume 82 Issue 194 (Tuesday, October 10, 2017)

[Federal Register Volume 82, Number 194 (Tuesday, October 10, 2017)]
[Notices]
[Pages 46993-46994]
From the Federal Register Online  [www.thefederalregister.org]
[FR Doc No: 2017-21751]


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DEPARTMENT OF HEALTH AND HUMAN SERVICES

Centers for Disease Control and Prevention

[60Day-17-17BAW; Docket No. CDC-2017-0083]


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 Paul 
Coverdell National Acute Stroke Program (2015-2020) Evaluation.

DATES: CDC must receive written comments on or before December 11, 
2017.

ADDRESSES: You may submit comments, identified by Docket No. CDC-2017-
0083 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. CDC will post, without change, all relevant comments 
to Regulations.gov.
    Please note: Submit all comments 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 
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 the OMB for approval. To 
comply with this requirement, we are publishing this notice of a 
proposed data collection as described below.
    The OMB is particularly interested in comments that will help:
    1. 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;
    2. Evaluate the accuracy of the agency's estimate of the burden of 
the proposed collection of information, including the validity of the 
methodology and assumptions used;
    3. Enhance the quality, utility, and clarity of the information to 
be collected; and
    4. 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 
submissions of responses.
    5. Assess information collection costs.

Proposed Project

    Paul Coverdell National Acute Stroke Program (2015-2020) 
Evaluation--New--National Center for Chronic Disease Prevention and 
Health Promotion (NCCDPHP), Centers for Disease Control and Prevention 
(CDC).

Background and Brief Description

    The Centers for Disease Control and Prevention (CDC), Division for 
Heart Disease and Stroke Prevention (DHDSP), requests a three-year OMB 
approval for a new collection.
    The CDC is the primary Federal agency for protecting health and 
promoting quality of life through the prevention and control of 
disease, injury, and disability. CDC is committed to programs that 
reduce the health and economic consequences of the leading causes of 
death and disability, thereby ensuring a long, productive, healthy life 
for all people.
    Stroke remains a leading cause of serious, long-term disability and 
is the fifth leading cause of death in the United States after heart 
disease, cancer, chronic lower respiratory diseases, and accidents. 
Estimates indicate that approximately 795,000 people suffer a first-
ever or recurrent stroke each year with more than 130,000 deaths 
annually. Although there have been significant advances in preventing 
and treating stroke, the rising prevalence of heart disease, diabetes, 
and obesity has increased the relative risk for stroke, especially in 
African American populations. Moreover, stroke's lifetime direct cost 
of health care and indirect cost of lost productivity is staggering and 
imposes a substantial societal economic burden. Coverdell-funded state 
programs are in the forefront of developing and implementing system-
change efforts to improve emergency response systems, enhance the 
quality

[[Page 46994]]

of care for stroke, and improve transitions across stroke systems of 
care, including pre-event; transitions from EMS to acute care in 
hospitals; and transitions from hospitals to home, rehabilitation, 
stroke specialist care, and primary care providers.
    When Congress directed the Centers for Disease Control and 
Prevention (CDC) to establish the Paul Coverdell National Acute Stroke 
Program (PCNASP) in 2001, CDC intended to monitor trends in stroke and 
stroke care, with the ultimate mission of improving the quality of care 
for stroke patients in the United States. Since 2015, CDC has funded 
and provided technical assistance to nine state health departments to 
develop comprehensive stroke systems of care. A comprehensive system of 
care improves quality of care by creating seamless transitions for 
individuals experiencing stroke. In such a system, pre-hospital 
providers, in-hospital providers, and early post-hospital providers 
coordinate patient hand-offs and ensure continuity of care. CDC 
contracted with RTI International to conduct a national evaluation of 
the state health departments awarded grants in 2015 to assess their 
implementation in their state-based contexts and progress toward short- 
and intermediate-term outcomes.
    CDC and RTI International propose to collect information from all 
nine funded PCNASP grantees to gain insight into the effectiveness of 
implementation of their quality improvement strategies, development 
(and use) of a data integrated management system, and partner 
collaboration in building comprehensive state-wide stroke systems of 
care. The information collection will focus on describing PCNASP 
specific contributions to effective state-based stroke systems of care 
and the costs associated with this work.
    Two components of the information collection include: (1) Program 
implementation cost data collection from program partners using a cost 
and resource utilization tool; and (2) telephone interviews with key 
program stakeholders, such as the PCNASP principal investigator, 
program manager, quality improvement specialist, data analyst/program 
evaluator, and partner support staff. Cost data collection will focus 
on a stratified sample of partners' cumulative spending to support 
PCNASP activities, spending by reporting period, and spending 
associated with specific PCNASP strategies related to building 
comprehensive state-wide stroke systems of care. Interview questions 
will target how each grantee implemented its strategies, challenges 
encountered and how they were overcome, factors that facilitated 
implementation, lessons learned along the way, and observed outcomes 
and improvements.
    The information to be collected does not currently exist for large 
scale, statewide programs that employ multiple combinations of 
strategies led by state public health departments to build 
comprehensive stroke systems of care. The insights to be gained from 
this data collection will be critical to improving immediate efforts 
and achieving the goals of spreading and replicating state-level 
strategies that are proven programmatically and are cost-effective in 
contributing to a higher quality of care for stroke patients.

                                        Estimated Annualized Burden Hours
----------------------------------------------------------------------------------------------------------------
                                                                     Number of    Average burden
      Type of respondent            Form name        Number of     responses per   per response    Total burden
                                                    respondents     respondent      (in hours)      (in hours)
----------------------------------------------------------------------------------------------------------------
Partner Program Manager.......  Cost Resource                205               2               2             820
                                 and Utilization
                                 Tool.
Principal Investigator........  Telephonic                     9               1               1               9
                                 Interviews.
Grantee Program Manager.......  Telephonic                     9               1               1               9
                                 Interviews.
Quality Improvement Specialist  Telephonic                     9               1               1               9
                                 Interviews.
Data Analyst/Program Evaluator  Telephonic                     9               1               1               9
                                 Interviews.
Partner Support Staff.........  Telephonic                    18               1               1              18
                                 Interviews.
                                                 ---------------------------------------------------------------
    Total.....................  ................  ..............  ..............  ..............             874
----------------------------------------------------------------------------------------------------------------


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. 2017-21751 Filed 10-6-17; 8:45 am]
BILLING CODE 4163-18-P

Federal Register / Vol. 82, No. 194 / Tuesday, October 10, 2017 / Notices 46993

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

PHAP Host Site Supervisors PHAP Host Site Supervisor Survey ............. 400 1 20/60 133
PHAP Alumni ........................ PHAP Alumni Survey ................................... 600 1 8/60 80

Total ............................... ....................................................................... ........................ ........................ ........................ 213

Leroy A. Richardson, Docket Number. CDC will post, without are to respond, including through the
Chief, Information Collection Review Office, change, all relevant comments to use of appropriate automated,
Office of Scientific Integrity, Office of the Regulations.gov. electronic, mechanical, or other
Associate Director for Science, Office of the Please note: Submit all comments technological collection techniques or
Director, Centers for Disease Control and through the Federal eRulemaking portal other forms of information technology,
Prevention. (regulations.gov) or by U.S. mail to the e.g., permitting electronic submissions
[FR Doc. 2017–21753 Filed 10–6–17; 8:45 am] address listed above. of responses.
BILLING CODE 4163–18–P
FOR FURTHER INFORMATION CONTACT: To 5. Assess information collection costs.
request more information on the Proposed Project
proposed project or to obtain a copy of
DEPARTMENT OF HEALTH AND Paul Coverdell National Acute Stroke
the information collection plan and
HUMAN SERVICES Program (2015–2020) Evaluation—
instruments, contact Leroy A.
New—National Center for Chronic
Centers for Disease Control and Richardson, Information Collection
Disease Prevention and Health
Prevention Review Office, Centers for Disease
Promotion (NCCDPHP), Centers for
Control and Prevention, 1600 Clifton
[60Day–17–17BAW; Docket No. CDC–2017– Disease Control and Prevention (CDC).
Road NE., MS–D74, Atlanta, Georgia
0083] 30329; phone: 404–639–7570; Email: Background and Brief Description
omb@cdc.gov. The Centers for Disease Control and
Proposed Data Collection Submitted
for Public Comment and SUPPLEMENTARY INFORMATION: Under the Prevention (CDC), Division for Heart
Recommendations Paperwork Reduction Act of 1995 (PRA) Disease and Stroke Prevention (DHDSP),
(44 U.S.C. 3501–3520), Federal agencies requests a three-year OMB approval for
AGENCY: Centers for Disease Control and must obtain approval from the Office of a new collection.
Prevention (CDC), Department of Health Management and Budget (OMB) for each The CDC is the primary Federal
and Human Services (HHS). collection of information they conduct agency for protecting health and
ACTION: Notice with comment period. or sponsor. In addition, the PRA also promoting quality of life through the
requires Federal agencies to provide a prevention and control of disease,
SUMMARY: The Centers for Disease 60-day notice in the Federal Register injury, and disability. CDC is committed
Control and Prevention (CDC), as part of concerning each proposed collection of to programs that reduce the health and
its continuing efforts to reduce public information, including each new economic consequences of the leading
burden and maximize the utility of proposed collection, each proposed causes of death and disability, thereby
government information, invites the extension of existing collection of ensuring a long, productive, healthy life
general public and other Federal information, and each reinstatement of for all people.
agencies to take this opportunity to previously approved information Stroke remains a leading cause of
comment on proposed and/or collection before submitting the serious, long-term disability and is the
continuing information collections, as collection to the OMB for approval. To fifth leading cause of death in the
required by the Paperwork Reduction comply with this requirement, we are United States after heart disease, cancer,
Act of 1995. This notice invites publishing this notice of a proposed chronic lower respiratory diseases, and
comment on the Paul Coverdell data collection as described below. accidents. Estimates indicate that
National Acute Stroke Program (2015– The OMB is particularly interested in approximately 795,000 people suffer a
2020) Evaluation. comments that will help: first-ever or recurrent stroke each year
DATES: CDC must receive written 1. Evaluate whether the proposed with more than 130,000 deaths
comments on or before December 11, collection of information is necessary annually. Although there have been
2017. for the proper performance of the significant advances in preventing and
ADDRESSES: You may submit comments, functions of the agency, including treating stroke, the rising prevalence of
identified by Docket No. CDC–2017– whether the information will have heart disease, diabetes, and obesity has
0083 by any of the following methods: practical utility; increased the relative risk for stroke,
• Federal eRulemaking Portal: 2. Evaluate the accuracy of the especially in African American
Regulations.gov. Follow the instructions agency’s estimate of the burden of the populations. Moreover, stroke’s lifetime
direct cost of health care and indirect
sradovich on DSK3GMQ082PROD with NOTICES

for submitting comments. proposed collection of information,
• Mail: Leroy A. Richardson, including the validity of the cost of lost productivity is staggering
Information Collection Review Office, methodology and assumptions used; and imposes a substantial societal
Centers for Disease Control and 3. Enhance the quality, utility, and economic burden. Coverdell-funded
Prevention, 1600 Clifton Road NE., MS– clarity of the information to be state programs are in the forefront of
D74, Atlanta, Georgia 30329. collected; and developing and implementing system-
Instructions: All submissions received 4. Minimize the burden of the change efforts to improve emergency
must include the agency name and collection of information on those who response systems, enhance the quality

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46994 Federal Register / Vol. 82, No. 194 / Tuesday, October 10, 2017 / Notices

of care for stroke, and improve in 2015 to assess their implementation Cost data collection will focus on a
transitions across stroke systems of care, in their state-based contexts and stratified sample of partners’ cumulative
including pre-event; transitions from progress toward short- and spending to support PCNASP activities,
EMS to acute care in hospitals; and intermediate-term outcomes. spending by reporting period, and
transitions from hospitals to home, CDC and RTI International propose to spending associated with specific
rehabilitation, stroke specialist care, and collect information from all nine funded PCNASP strategies related to building
primary care providers. PCNASP grantees to gain insight into comprehensive state-wide stroke
When Congress directed the Centers the effectiveness of implementation of systems of care. Interview questions will
for Disease Control and Prevention their quality improvement strategies,
target how each grantee implemented its
(CDC) to establish the Paul Coverdell development (and use) of a data
strategies, challenges encountered and
National Acute Stroke Program integrated management system, and
(PCNASP) in 2001, CDC intended to partner collaboration in building how they were overcome, factors that
monitor trends in stroke and stroke care, comprehensive state-wide stroke facilitated implementation, lessons
with the ultimate mission of improving systems of care. The information learned along the way, and observed
the quality of care for stroke patients in collection will focus on describing outcomes and improvements.
the United States. Since 2015, CDC has PCNASP specific contributions to The information to be collected does
funded and provided technical effective state-based stroke systems of not currently exist for large scale,
assistance to nine state health care and the costs associated with this statewide programs that employ
departments to develop comprehensive work. multiple combinations of strategies led
stroke systems of care. A comprehensive Two components of the information by state public health departments to
system of care improves quality of care collection include: (1) Program build comprehensive stroke systems of
by creating seamless transitions for implementation cost data collection care. The insights to be gained from this
individuals experiencing stroke. In such from program partners using a cost and
data collection will be critical to
a system, pre-hospital providers, in- resource utilization tool; and (2)
improving immediate efforts and
hospital providers, and early post- telephone interviews with key program
achieving the goals of spreading and
hospital providers coordinate patient stakeholders, such as the PCNASP
hand-offs and ensure continuity of care. principal investigator, program replicating state-level strategies that are
CDC contracted with RTI International manager, quality improvement proven programmatically and are cost-
to conduct a national evaluation of the specialist, data analyst/program effective in contributing to a higher
state health departments awarded grants evaluator, and partner support staff. quality of care for stroke patients.

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

Partner Program Manager ................ Cost Resource and Utilization Tool 205 2 2 820
Principal Investigator ......................... Telephonic Interviews ...................... 9 1 1 9
Grantee Program Manager ............... Telephonic Interviews ...................... 9 1 1 9
Quality Improvement Specialist ........ Telephonic Interviews ...................... 9 1 1 9
Data Analyst/Program Evaluator ....... Telephonic Interviews ...................... 9 1 1 9
Partner Support Staff ........................ Telephonic Interviews ...................... 18 1 1 18

Total ........................................... .......................................................... ........................ ........................ ........................ 874

Leroy A. Richardson, DEPARTMENT OF HEALTH AND agencies the opportunity to comment on
Chief, Information Collection Review Office, HUMAN SERVICES a proposed and/or continuing
Office of Scientific Integrity, Office of the information collection, as required by
Associate Director for Science, Office of the Centers for Disease Control and the Paperwork Reduction Act of 1995.
Director, Centers for Disease Control and Prevention This notice invites comment on a
Prevention. proposed information collection project
[60Day–17–1071; Docket No. CDC–2017–
[FR Doc. 2017–21751 Filed 10–6–17; 8:45 am] 0087] titled Generic Clearance for the
BILLING CODE 4163–18–P Collection of Qualitative Feedback on
Proposed Data Collection Submitted Agency Service Delivery. In order to
for Public Comment and work continuously to ensure that our
Recommendations programs are effective and meet our
customers’ needs, the National Center
AGENCY: Centers for Disease Control and
for Emerging and Zoonotic Infectious
Prevention (CDC), Department of Health
and Human Services (HHS). Diseases, Centers for Disease Control
and Prevention (CDC) seeks to obtain
sradovich on DSK3GMQ082PROD with NOTICES

ACTION: Notice with comment period.
Office of Management and Budget
SUMMARY: The Centers for Disease approval of a generic information
Control and Prevention (CDC), as part of collection request to collect qualitative
its continuing effort to reduce public feedback on our service delivery.
burden and maximize the utility of DATES: CDC must receive written
government information, invites the comments on or before December 11,
general public and other Federal 2017.

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Document Created: 2017-10-07 10:31:58
Document Modified: 2017-10-07 10:31:58

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
Action		Notice with comment period.
Dates		CDC must receive written comments on or before December 11, 2017.
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 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 Citation		82 FR 46993

82 FR 46993 - Proposed Data Collection Submitted for Public Comment and Recommendations

DEPARTMENT OF HEALTH AND HUMAN SERVICESCenters for Disease Control and Prevention

Federal Register Volume 82, Issue 194 (October 10, 2017)

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