82 FR 47738 - 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 197 (October 13, 2017)

Page Range		47738-47740
FR Document		2017-22200

The Centers for Disease Control and Prevention (CDC), as part of its continuing effort to reduce public burden and maximize the utility of government information, invites the general public and other Federal agencies the opportunity to comment on a proposed and/or continuing information collection, as required by the Paperwork Reduction Act of 1995. This notice invites comment on a proposed information collection project entitled Implementing the 6[verbar]18 Initiative: Case Studies. CDC proposes to seek a three-year clearance to conduct semi-structured interviews with state public health department and Medicaid agency officials. CDC designed this information collection project to improve understanding of facilitators and barriers to increased utilization of evidence-based interventions for selected chronic and infectious diseases.

Federal Register, Volume 82 Issue 197 (Friday, October 13, 2017)

[Federal Register Volume 82, Number 197 (Friday, October 13, 2017)]
[Notices]
[Pages 47738-47740]
From the Federal Register Online  [www.thefederalregister.org]
[FR Doc No: 2017-22200]


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DEPARTMENT OF HEALTH AND HUMAN SERVICES

Centers for Disease Control and Prevention

[60Day-17-17BAM; Docket No. CDC-2017-0080]


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 effort to reduce public burden and maximize the 
utility of government information, invites the general public and other 
Federal agencies the opportunity to comment on a proposed and/or 
continuing information collection, as required by the Paperwork 
Reduction Act of 1995. This notice invites comment on a proposed 
information collection project entitled Implementing the 6[verbar]18 
Initiative: Case Studies. CDC proposes to seek a three-year clearance 
to conduct semi-structured interviews with state public health 
department and Medicaid agency officials. CDC designed this information 
collection project to improve understanding of facilitators and 
barriers to increased utilization of evidence-based interventions for 
selected chronic and infectious diseases.

DATES: CDC must receive written comments on or before December 12, 
2017.

ADDRESSES: You may submit comments, identified by Docket No. CDC-2017-
0080 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. Access Regulations.gov.
    Please note: Submit all public 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 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

[[Page 47739]]

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.

Proposed Project

    Implementing the 6[verbar]18 Initiative: Case Studies--New--Office 
of the Director (OD), Centers for Disease Control and Prevention (CDC).

Background and Brief Description

    Major trends in health care are providing new opportunities to pay 
for and deliver prevention and to improve population health. New and 
alternative health care payment and delivery models are more patient-
centered and facilitate the delivery of greater comprehensive care and 
prevention. Public health departments have been eager to leverage their 
skill sets and resources to complement those of the health care sector, 
to maximize impact for population health in this time of dynamic health 
system change and opportunity.
    In this context, CDC developed the CDC's 6[verbar]18 Initiative to 
provide health care purchasers, payers, and providers with rigorous 
evidence about high-burden health conditions and associated evidence-
based interventions. With a focus on the greatest short-term health and 
potential cost impact (generally in less than five years), the evidence 
informs their coverage decisions.
    The name ``6[verbar]18'' comes from the initial focus on six 
common, costly and preventable health conditions (tobacco use, high 
blood pressure, diabetes, asthma, healthcare-associated infections and 
unintended pregnancies) and 18 evidence-based prevention and control 
interventions, which form the content of dialogue with health care 
purchasers, payers and providers. More information on the Initiative 
content and progress can be found at http://www.cdc.gov/sixeighteen.
    The 6[verbar]18 initiative links the health care and public health 
sectors by providing a shared focus across a spectrum of prevention 
interventions, from traditional clinical settings to care outside the 
clinical setting. Public health's strength in identifying and analyzing 
scientific evidence complements the purchaser, payer, and provider role 
of financing and delivering care.
    Since cross-sector public health-health care collaboration to 
improve population health is still not a standard practice, information 
regarding public-payer collaboration with public health agencies is 
scarce. There are few or no case studies related to public health-
health care collaboration around increasing preventive service 
utilization. CDC intends to fill this knowledge gap through this data 
collection effort.
    As part of the 6[verbar]18 Initiative, CDC and its partners (Center 
for Health Care Strategies, Inc. (CHCS) and the Centers for Medicare 
and Medicaid Services (CMS)) provided technical assistance to state 
teams (i.e., State Medicaid and Public Health Agencies), to support and 
accelerate their implementation of the 6[verbar]18 Initiative's 
interventions. In Year 1 of the 6[verbar]18 Initiative (2016), CDC and 
its partners worked with nine state teams. In Year 2 (2017), CDC and 
its partners will work with 8 new teams from 6 states, the District of 
Columbia, and a large city (hereafter, ``states''). No data has been 
collected to date.
    To document qualitative lessons learned related to the 
collaboration, CDC and its cooperative agreement sub-contractor, George 
Washington University, plan to conduct in-person and telephone semi-
structured individual interviews with state Public Health Department 
and State Medicaid Agency officials.
    Interview participants will have been directly involved in 
conceptualizing, planning, and/or implementing 6[verbar]18 Initiative-
related activities, and will have participated in the cross-sector 
collaboration. CDC plans to engage up to 82 respondents (four to seven 
officials from each of the 17 state teams who participated in the 
6[verbar]18 Initiative). The officials from each state team will be 
leadership and staff from public health agencies at the state, city, 
and tribal level. For each state, we will request interviews with: One 
Public Health Division Director, one to four Public Health Services 
Managers (one per health condition), one Medicaid Director, and one 
Medicaid Services Manager. When joining the 6[verbar]18 Initiative, 
each state selected one to four conditions from the list of 6[verbar]18 
conditions, and assigned one public health manager to each condition.
    CDC plans to administer the interviews from 2018 to 2021, to allow 
time for unanticipated delays; and to accommodate state team schedules, 
busy seasons, and holidays. All participants will speak in their 
official capacity as state public health department or Medicaid agency 
officials. Prior to granting public access to written products, CDC 
will provide participants the opportunity to review written products.
    CDC anticipates using the interview findings: (1) To describe, 
disseminate, and scale best practices to participating and non-
participating states, and (2) for program improvement of the CDC's 
6[verbar]18 Initiative. CDC will disseminate findings via written 
products such as peer-reviewed manuscripts and in-depth written case 
studies. The written products, which will share lessons learned and 
effective approaches to collaboration, can inform and potentially 
accelerate related efforts by other state teams. In addition, 
6[verbar]18 participants can use findings and written products to 
highlight their accomplishments to their stakeholders, such as their 
Medicaid leadership, and/or governors.
    Participants will have a maximum estimated burden of one hour and 
15 minutes: One hour for the interview, and fifteen minutes for any 
needed preparation. CDC will base all interviews on the same interview 
guide.
    CDC will seek a three-year OMB approval for this information 
collection project. CDC estimates that they will conduct 29 interviews 
per year. Participation is voluntary and respondents will not receive 
incentives for participation. There are no costs to respondents other 
than their time.

[[Page 47740]]



                                        Estimated Annualized Burden Hours
----------------------------------------------------------------------------------------------------------------
                                                                            Number of     Average
                                                               Number of    responses    burden per     Total
      Type of respondents                 Form name           respondents      per        response    burden (in
                                                                            respondent   (in hours)     hours)
----------------------------------------------------------------------------------------------------------------
State Public Health Director...  Interview Guide............            6            1        75/60            8
State Public Health Manager....  Interview Guide............           11            1        75/60           14
State Medicaid Director........  Interview Guide............            6            1        75/60            8
State Medicaid Manager.........  Interview Guide............            6            1        75/60            8
                                                             ---------------------------------------------------
    Total......................  ...........................  ...........  ...........  ...........           38
----------------------------------------------------------------------------------------------------------------


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. 2017-22200 Filed 10-12-17; 8:45 am]
BILLING CODE 4163-18-P

47738 Federal Register / Vol. 82, No. 197 / Friday, October 13, 2017 / Notices

Following approval, course sponsors Approved courses that elect to offer evaluate our service to courses, the
submit any subsequent changes to the NIOSH-Approved Spirometry Refresher effectiveness of the program changes
course via letter or email. In addition, Courses must submit a separate implemented since 2005, and the
NIOSH staff review subsequent changes application and supporting documents usefulness of potential Program
to assure that the changes in faculty or for review by NIOSH staff. Institutions enhancements. The annualized figures
course content continue to meet course and organizations throughout the slightly overestimate the actual burden,
requirements. Course sponsors also country voluntarily submit applications due to rounding of the number of
voluntarily submit an annual report to and materials to become course respondents for even allocation over the
inform NIOSH of their class activity sponsors and carry out training. three-year clearance period.
level and any faculty changes. Submissions are required for NIOSH to The respondent burden hours have
Sponsors who elect to have their evaluate a course and determine decreased from 201 burden hours to 147
approval renewed for an additional five- whether the course meets the Standard’s burden hours. Over the last three-year
year period submit a renewal criteria and whether technicians meet period, there are fewer sponsors, fewer
application and supporting the training requirements. refresher course applications, and all
documentation for review by NIOSH NIOSH will disseminate a one-time collection instruments are now available
staff to ensure the course curriculum customer satisfaction survey to course in electronic submittal formats.
meets all current standard requirements. directors and sponsor representatives to There will be no cost to respondents.

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

Potential Sponsors .................. Initial Application .................................................................... 3 1 3.5
Annual Report ........................................................................ 30 1 30/60
Report for Course Changes ................................................... 24 1 30/60
Renewal Application ............................................................... 13 1 6
Refresher Course Application ................................................ 3 1 8
One-time Customer Satisfaction Survey ................................ 32 1 12/60

Leroy A. Richardson, proposed information collection project FOR FURTHER INFORMATION CONTACT: To
Chief, Information Collection Review Office, entitled Implementing the 6|18 request more information on the
Office of Scientific Integrity, Office of the Initiative: Case Studies. CDC proposes proposed project or to obtain a copy of
Associate Director for Science, Office of the to seek a three-year clearance to conduct the information collection plan and
Director, Centers for Disease Control and semi-structured interviews with state instruments, contact Leroy A.
Prevention.
public health department and Medicaid Richardson, Information Collection
[FR Doc. 2017–22198 Filed 10–12–17; 8:45 am]
agency officials. CDC designed this Review Office, Centers for Disease
BILLING CODE 4163–18–P information collection project to Control and Prevention, 1600 Clifton
improve understanding of facilitators Road NE., MS–D74, Atlanta, Georgia
and barriers to increased utilization of 30329; phone: 404–639–7570; Email:
DEPARTMENT OF HEALTH AND
evidence-based interventions for omb@cdc.gov.
HUMAN SERVICES
selected chronic and infectious diseases. SUPPLEMENTARY INFORMATION: Under the
Centers for Disease Control and DATES: CDC must receive written Paperwork Reduction Act of 1995 (PRA)
Prevention comments on or before December 12, (44 U.S.C. 3501–3520), Federal agencies
2017. must obtain approval from the Office of
[60Day–17–17BAM; Docket No. CDC–2017–
0080] ADDRESSES: You may submit comments, Management and Budget (OMB) for each
identified by Docket No. CDC–2017– collection of information they conduct
Proposed Data Collection Submitted 0080 by any of the following methods: or sponsor. In addition, the PRA also
for Public Comment and • Federal eRulemaking Portal: requires Federal agencies to provide a
Recommendations Regulations.gov. Follow the instructions 60-day notice in the Federal Register
for submitting comments. concerning each proposed collection of
AGENCY: Centers for Disease Control and information, including each new
Prevention (CDC), Department of Health • Mail: Leroy A. Richardson,
Information Collection Review Office, proposed collection, each proposed
and Human Services (HHS).
Centers for Disease Control and extension of existing collection of
ACTION: Notice with comment period. information, and each reinstatement of
Prevention, 1600 Clifton Road NE., MS–
SUMMARY: The Centers for Disease D74, Atlanta, Georgia 30329. previously approved information
Control and Prevention (CDC), as part of Instructions: All submissions received collection before submitting the
collection to OMB for approval. To
asabaliauskas on DSKBBXCHB2PROD with NOTICES

its continuing effort to reduce public must include the agency name and
burden and maximize the utility of Docket Number. CDC will post, without comply with this requirement, we are
government information, invites the change, all relevant comments to publishing this notice of a proposed
general public and other Federal Regulations.gov. Access data collection as described below.
agencies the opportunity to comment on Regulations.gov. The OMB is particularly interested in
a proposed and/or continuing Please note: Submit all public comments that will help:
information collection, as required by comments through the Federal 1. Evaluate whether the proposed
the Paperwork Reduction Act of 1995. eRulemaking portal (regulations.gov) or collection of information is necessary
This notice invites comment on a by U.S. mail to the address listed above. for the proper performance of the

VerDate Sep<11>2014 18:05 Oct 12, 2017 Jkt 244001 PO 00000 Frm 00052 Fmt 4703 Sfmt 4703 E:\FR\FM\13OCN1.SGM 13OCN1

47740 Federal Register / Vol. 82, No. 197 / Friday, October 13, 2017 / Notices

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

State Public Health Director ........................................................ Interview Guide ...... 6 1 75/60 8
State Public Health Manager ...................................................... Interview Guide ...... 11 1 75/60 14
State Medicaid Director ............................................................... Interview Guide ...... 6 1 75/60 8
State Medicaid Manager ............................................................. Interview Guide ...... 6 1 75/60 8

Total ...................................................................................... ................................ .................... .................... .................... 38

Leroy A. Richardson, Centers for Disease Control and including the validity of the
Chief, Information Collection Review Office, Prevention, 1600 Clifton Road NE., MS– methodology and assumptions used;
Office of Scientific Integrity, Office of the D74, Atlanta, Georgia 30329. 3. Enhance the quality, utility, and
Associate Director for Science, Office of the Instructions: All submissions received clarity of the information to be
Director, Centers for Disease Control and must include the agency name and collected; and
Prevention. Docket Number. CDC will post, without 4. Minimize the burden of the
[FR Doc. 2017–22200 Filed 10–12–17; 8:45 am] change, all relevant comments to collection of information on those who
BILLING CODE 4163–18–P Regulations.gov. are to respond, including through the
Please note: Submit all Federal use of appropriate automated,
comments through the Federal electronic, mechanical, or other
DEPARTMENT OF HEALTH AND eRulemaking portal (regulations.gov) or technological collection techniques or
HUMAN SERVICES by U.S. mail to the address listed above. other forms of information technology,
FOR FURTHER INFORMATION CONTACT: To e.g., permitting electronic submissions
Centers for Disease Control and of responses.
Prevention request more information on the
proposed project or to obtain a copy of 5. Assess information collection costs.
[60Day–17–0621; Docket No. CDC–2017– the information collection plan and Proposed Project
0092] instruments, contact Leroy A. National Youth Tobacco Surveys
Proposed Data Collections Submitted Richardson, Information Collection (NYTS) 2018–2020 (OMB Control
for Public Comment and Review Office, Centers for Disease Number 0920–0621, expires 01/31/
Recommendations Control and Prevention, 1600 Clifton 2018)—Revision—National Center for
Road NE., MS–D74, Atlanta, Georgia Chronic Disease Prevention and Health
AGENCY: Centers for Disease Control and 30329; phone: 404–639–7570; Email: Promotion (NCCDPHP), Centers for
Prevention (CDC), Department of Health omb@cdc.gov. Disease Control and Prevention (CDC).
and Human Services (HHS). SUPPLEMENTARY INFORMATION: Under the
ACTION: Notice with comment period. Paperwork Reduction Act of 1995 (PRA) Background and Brief Description
(44 U.S.C. 3501–3520), Federal agencies Tobacco use is the leading cause of
SUMMARY: The Centers for Disease must obtain approval from the Office of preventable disease and death in the
Control and Prevention (CDC), as part of Management and Budget (OMB) for each United States, and nearly all tobacco use
its continuing efforts to reduce public collection of information they conduct begins during youth and young
burden and maximize the utility of or sponsor. In addition, the PRA also adulthood. A limited number of health
government information, invites the requires Federal agencies to provide a risk behaviors, including tobacco use,
general public and other Federal 60-day notice in the Federal Register account for the overwhelming majority
agencies to take this opportunity to concerning each proposed collection of of immediate and long-term sources of
comment on proposed and/or information, including each new morbidity and mortality. Because many
continuing information collections, as proposed collection, each proposed health risk behaviors are established
required by the Paperwork Reduction extension of existing collection of during adolescence, there is a critical
Act of 1995. This notice invites information, and each reinstatement of need for public health programs
comment on the proposed revision of previously approved information directed towards youth, and for
the information collection project collection before submitting the information to support these programs.
entitled National Youth Tobacco collection to the OMB for approval. To Since 2004, the Centers for Disease
Surveys (NYTS) 2018–2020, which aims comply with this requirement, we are Control and Prevention (CDC) has
to collect data on tobacco use among publishing this notice of a proposed periodically collected information about
middle- and high school students. data collection as described below. tobacco use among adolescents
DATES: Written comments must be The OMB is particularly interested in (National Youth Tobacco Survey
received on or before December 12, comments that will help: (NYTS) 2004, 2006, 2009, 2011, 2012,
2017.
asabaliauskas on DSKBBXCHB2PROD with NOTICES

1. Evaluate whether the proposed 2013–2017, OMB Control Number
ADDRESSES: You may submit comments, collection of information is necessary 0920–0621). This surveillance activity
identified by Docket No. CDC–2017– for the proper performance of the builds on previous surveys funded by
0092 by any of the following methods: functions of the agency, including the American Legacy Foundation in
• Federal eRulemaking Portal: whether the information will have 1999, 2000, and 2002.
Regulations.gov. Follow the instructions practical utility; At present, the NYTS is the most
for submitting comments. 2. Evaluate the accuracy of the comprehensive source of nationally
• Mail: Leroy A. Richardson, agency’s estimate of the burden of the representative tobacco data among
Information Collection Review Office, proposed collection of information, students in grades 9–12, moreover, the

VerDate Sep<11>2014 18:05 Oct 12, 2017 Jkt 244001 PO 00000 Frm 00054 Fmt 4703 Sfmt 4703 E:\FR\FM\13OCN1.SGM 13OCN1

Document Created: 2017-10-13 04:34:09
Document Modified: 2017-10-13 04:34:09

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 12, 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 47738

82 FR 47738 - 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 197 (October 13, 2017)

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