82_FR_60853 82 FR 60609 - Proposed Data Collection Submitted for Public Comment and Recommendations

82 FR 60609 - 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 244 (December 21, 2017)

Page Range60609-60610
FR Document2017-27481

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 titled Enhanced Surveillance for Histoplasmosis. CDC will collect state health department and patient furnished histoplasmosis case data.

Federal Register, Volume 82 Issue 244 (Thursday, December 21, 2017)
[Federal Register Volume 82, Number 244 (Thursday, December 21, 2017)]
[Notices]
[Pages 60609-60610]
From the Federal Register Online  [www.thefederalregister.org]
[FR Doc No: 2017-27481]


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

DEPARTMENT OF HEALTH AND HUMAN SERVICES

Centers for Disease Control and Prevention

[60Day-18-18EV; Docket No. CDC-2017-0105]


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 titled Enhanced Surveillance for 
Histoplasmosis. CDC will collect state health department and patient 
furnished histoplasmosis case data.

DATES: CDC must receive written comments on or before February 20, 
2018.

ADDRESSES: You may submit comments, identified by Docket No. CDC-2017-
0105 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 Federal 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

[[Page 60610]]

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

    Enhanced Surveillance for Histoplasmosis--New--National Center for 
Emerging and Zoonotic Infectious Diseases, Centers for Disease Control 
and Prevention (CDC).

Background and Brief Description

    Histoplasmosis is an infectious disease caused by inhalation of the 
environmental fungus Histoplasma capsulatum. Histoplasmosis can range 
from asymptomatic or mild illness to severe disseminated disease, and 
it is often described as the most common endemic mycosis in North 
America. However, much still remains unknown about the epidemiology and 
patient burden of histoplasmosis in the United States. Histoplasmosis 
is currently reportable in 11 states but is not nationally notifiable. 
In June 2016, the Council of State and Territorial Epidemiologists 
(CSTE) passed a position statement to standardize the case definition 
for histoplasmosis, a first step towards more consistent surveillance 
methodology. A recent multistate analysis of histoplasmosis cases 
reported to public health during 2011-2014 also revealed variation in 
the data elements collected by each state, limiting inter-state 
comparability. In addition, data on possible exposures, underlying 
medical conditions, symptoms, and antifungal treatment was only 
collected in a few states. Furthermore, no multistate data exists about 
histoplasmosis cases identified using the newly-created CSTE case 
definition.
    More detailed data about histoplasmosis cases detected during 
routine surveillance are needed to better understand the features of 
persons at risk, characterize the effects of histoplasmosis on patients 
(e.g., delays in diagnosis, symptom duration, and decreased 
productivity), understand patient awareness of histoplasmosis, and 
determine its true public health burden. This information will not only 
help inform routine surveillance practices, but also guide awareness 
efforts and appropriate prevention strategies.
    For a period of one year, health department personnel in 
participating states will conduct telephone interviews with reported 
histoplasmosis cases that meet the CSTE case definition and will record 
responses on a standardized form. The form will collect information on 
demographics, underlying medical conditions, exposures, symptom type 
and duration, healthcare-seeking behaviors, diagnosis, treatment, and 
outcomes.
    This interview activity is consistent with the state's existing 
authority to investigate reports of notifiable diseases for routine 
surveillance purposes; therefore, formal consent to participate in the 
surveillance is not required. However, cases may choose not to 
participate and may choose not to answer any question they do not wish 
to answer.
    It will take health department personnel approximately 15 minutes 
to administer the questionnaire to 300 patient respondents and 15 
minutes for health department personnel to retrieve and record 
diagnostic information from their state reportable disease database. 
This results in an estimated annual burden to the public of 150 hours.

                                        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)
----------------------------------------------------------------------------------------------------------------
Histoplasmosis cases................  Case Report Form for            300            1        15/60           75
                                       Histoplasmosis
                                       Enhanced Surveillance.
Health department personnel.........  Case Report Form for             10           30        15/60           75
                                       Histoplasmosis
                                       Enhanced Surveillance.
                                                             ---------------------------------------------------
    Total...........................  ......................  ...........  ...........  ...........          150
----------------------------------------------------------------------------------------------------------------


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. 2017-27481 Filed 12-20-17; 8:45 am]
 BILLING CODE 4163-18-P



                                                                                    Federal Register / Vol. 82, No. 244 / Thursday, December 21, 2017 / Notices                                                                                                                             60609

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

                                                                                                    ABCs Invasive Pneumococcal Disease in Children Case Report                                                                       10                      22               10/60                37
                                                                                                       Form.
                                                                                                    ABCs Surveillance for Non-Invasive Pneumococcal Pneumonia                                                                        10                   125                  10/60              208
                                                                                                       (SNiPP) Case Report Form.
                                                                                                    ABCs H.influenzae Neonatal Sepsis Expanded Surveillance Form ....                                                                10                    6                  10/60                10
                                                                                                    ABCs Severe GAS Infection Supplemental Form—NEW FORM ........                                                                    10                  136                  20/60               453
                                                                                                    ABCs Neonatal Infection Expanded Tracking Form .............................                                                     10                   37                  20/60               123
                                                                                                    FoodNet Campylobacter .......................................................................                                    10                  850                  21/60             2,975
                                                                                                    FoodNet Cryptosporidium .....................................................................                                    10                  130                  10/60               217
                                                                                                    FoodNet Cyclospora .............................................................................                                 10                    3                  10/60                 5
                                                                                                    FoodNet Listeria monocytogenes .........................................................                                         10                   13                  20/60                43
                                                                                                    FoodNet Salmonella .............................................................................                                 10                  827                  21/60             2,895
                                                                                                    FoodNet Shiga toxin producing E. coli .................................................                                          10                  190                  20/60               633
                                                                                                    FoodNet Shigella ..................................................................................                              10                  290                  10/60               483
                                                                                                    FoodNet Vibrio ......................................................................................                            10                   25                  10/60                42
                                                                                                    FoodNet Yersinia ..................................................................................                              10                   30                  10/60                50
                                                                                                    FoodNet Hemolytic Uremic Syndrome .................................................                                              10                   10                      1               100
                                                                                                    Influenza Hospitalization Surveillance Network Case Report Form .....                                                            10                1,000                  25/60             4,167
                                                                                                    Influenza Hospitalization Surveillance Project Vaccination Phone                                                                 10                  333                   5/60               278
                                                                                                       Script Consent Form (English).
                                                                                                    Influenza Hospitalization Surveillance Project Vaccination Phone                                                                 10                   333                    5/60             278
                                                                                                       Script Consent Form (Spanish).
                                                                                                    Influenza Hospitalization Surveillance Project Provider Vaccination                                                              10                    333                   5/60             278
                                                                                                       History Fax Form (Children/Adults).
                                                                                                    HAIC CDI Case Report Form ...............................................................                                        10                 1,650                 30/60             8,250
                                                                                                    HAIC Multi-site Gram-Negative Bacilli Case Report Form (MuGSI–                                                                   10                   500                 20/60             1,667
                                                                                                       CRE/CRAB).
                                                                                                    HAIC Multi-site Gram-Negative Bacilli Case Report Form for                                                                       10                   344                 45/60             2,580
                                                                                                       Carbapenem-resistant Pseudomonas aeruginosa(CR–PA)—NEW
                                                                                                       FORM.
                                                                                                    HAIC Multi-site Gram-Negative Surveillance Initiative—Extended-                                                                  10                 1,200                  20/60            4,000
                                                                                                       Spectrum Beta-Lactamase-Producing Enterobacteriaceae (MuGSI–
                                                                                                       ESBL)—NEW FORM.
                                                                                                    HAIC Invasive Methicillin-resistant Staphylococcus aureus (MRSA) ...                                                             10                  609                  20/60             2,030
                                                                                                    HAIC Invasive Methicillin-sensitive Staphylococcus aureus (MSSA)—                                                                10                1,035                  20/60             3,450
                                                                                                       NEW FORM.
                                                                                                    HAIC Candidemia Case Report Form—NEW FORM ..........................                                                               9                  800                  20/60            2,400

                                                   Total ........................................   ...............................................................................................................   ....................   ....................   ....................       40,347



                                               Leroy A. Richardson,                                                              burden and maximize the utility of                                                        Docket Number. CDC will post, without
                                               Chief, Information Collection Review Office,                                      government information, invites the                                                       change, all relevant comments to
                                               Office of Scientific Integrity, Office of the                                     general public and other Federal                                                          Regulations.gov.
                                               Associate Director for Science, Office of the                                     agencies the opportunity to comment on                                                      Please note: Submit all Federal
                                               Director, Centers for Disease Control and                                         a proposed and/or continuing                                                              comments through the Federal
                                               Prevention.                                                                       information collection, as required by                                                    eRulemaking portal (regulations.gov) or
                                               [FR Doc. 2017–27482 Filed 12–20–17; 8:45 am]                                      the Paperwork Reduction Act of 1995.                                                      by U.S. mail to the address listed above.
                                               BILLING CODE 4163–18–P                                                            This notice invites comment on a                                                          FOR FURTHER INFORMATION CONTACT: To
                                                                                                                                 proposed information collection project                                                   request more information on the
                                                                                                                                 titled Enhanced Surveillance for                                                          proposed project or to obtain a copy of
                                               DEPARTMENT OF HEALTH AND                                                          Histoplasmosis. CDC will collect state                                                    the information collection plan and
                                               HUMAN SERVICES                                                                    health department and patient furnished                                                   instruments, contact Leroy A.
                                               Centers for Disease Control and                                                   histoplasmosis case data.                                                                 Richardson, Information Collection
                                               Prevention                                                                        DATES: CDC must receive written                                                           Review Office, Centers for Disease
                                                                                                                                 comments on or before February 20,                                                        Control and Prevention, 1600 Clifton
                                               [60Day–18–18EV; Docket No. CDC–2017–                                              2018.                                                                                     Road NE, MS–D74, Atlanta, Georgia
                                               0105]                                                                                                                                                                       30329; phone: 404–639–7570; Email:
                                                                                                                                 ADDRESSES: You may submit comments,
                                                                                                                                 identified by Docket No. CDC–2017–                                                        omb@cdc.gov.
                                               Proposed Data Collection Submitted
                                                                                                                                 0105 by any of the following methods:                                                     SUPPLEMENTARY INFORMATION: Under the
                                               for Public Comment and
                                               Recommendations                                                                      • Federal eRulemaking Portal:                                                          Paperwork Reduction Act of 1995 (PRA)
                                                                                                                                 Regulations.gov. Follow the instructions                                                  (44 U.S.C. 3501–3520), Federal agencies
                                               AGENCY: Centers for Disease Control and                                           for submitting comments.                                                                  must obtain approval from the Office of
daltland on DSKBBV9HB2PROD with NOTICES




                                               Prevention (CDC), Department of Health                                               • Mail: Leroy A. Richardson,                                                           Management and Budget (OMB) for each
                                               and Human Services (HHS).                                                         Information Collection Review Office,                                                     collection of information they conduct
                                               ACTION: Notice with comment period.                                               Centers for Disease Control and                                                           or sponsor. In addition, the PRA also
                                                                                                                                 Prevention, 1600 Clifton Road NE, MS–                                                     requires Federal agencies to provide a
                                               SUMMARY:   The Centers for Disease                                                D74, Atlanta, Georgia 30329.                                                              60-day notice in the Federal Register
                                               Control and Prevention (CDC), as part of                                             Instructions: All submissions received                                                 concerning each proposed collection of
                                               its continuing effort to reduce public                                            must include the agency name and                                                          information, including each new


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                                               60610                                 Federal Register / Vol. 82, No. 244 / Thursday, December 21, 2017 / Notices

                                               proposed collection, each proposed                                                 Background and Brief Description                                                          decreased productivity), understand
                                               extension of existing collection of                                                   Histoplasmosis is an infectious                                                        patient awareness of histoplasmosis,
                                               information, and each reinstatement of                                             disease caused by inhalation of the                                                       and determine its true public health
                                               previously approved information                                                    environmental fungus Histoplasma                                                          burden. This information will not only
                                               collection before submitting the                                                   capsulatum. Histoplasmosis can range                                                      help inform routine surveillance
                                               collection to the OMB for approval. To                                             from asymptomatic or mild illness to                                                      practices, but also guide awareness
                                               comply with this requirement, we are                                               severe disseminated disease, and it is                                                    efforts and appropriate prevention
                                               publishing this notice of a proposed                                               often described as the most common                                                        strategies.
                                               data collection as described below.                                                endemic mycosis in North America.
                                                 The OMB is particularly interested in                                                                                                                                         For a period of one year, health
                                                                                                                                  However, much still remains unknown                                                       department personnel in participating
                                               comments that will help:                                                           about the epidemiology and patient
                                                 1. Evaluate whether the proposed                                                                                                                                           states will conduct telephone interviews
                                                                                                                                  burden of histoplasmosis in the United                                                    with reported histoplasmosis cases that
                                               collection of information is necessary
                                                                                                                                  States. Histoplasmosis is currently
                                               for the proper performance of the                                                                                                                                            meet the CSTE case definition and will
                                                                                                                                  reportable in 11 states but is not
                                               functions of the agency, including                                                                                                                                           record responses on a standardized
                                                                                                                                  nationally notifiable. In June 2016, the
                                               whether the information will have                                                                                                                                            form. The form will collect information
                                                                                                                                  Council of State and Territorial
                                               practical utility;                                                                                                                                                           on demographics, underlying medical
                                                                                                                                  Epidemiologists (CSTE) passed a
                                                 2. Evaluate the accuracy of the                                                                                                                                            conditions, exposures, symptom type
                                                                                                                                  position statement to standardize the
                                               agency’s estimate of the burden of the                                                                                                                                       and duration, healthcare-seeking
                                                                                                                                  case definition for histoplasmosis, a first
                                               proposed collection of information,                                                                                                                                          behaviors, diagnosis, treatment, and
                                                                                                                                  step towards more consistent
                                               including the validity of the                                                                                                                                                outcomes.
                                               methodology and assumptions used;                                                  surveillance methodology. A recent
                                                 3. Enhance the quality, utility, and                                             multistate analysis of histoplasmosis                                                        This interview activity is consistent
                                               clarity of the information to be                                                   cases reported to public health during                                                    with the state’s existing authority to
                                               collected; and                                                                     2011–2014 also revealed variation in the                                                  investigate reports of notifiable diseases
                                                 4. Minimize the burden of the                                                    data elements collected by each state,                                                    for routine surveillance purposes;
                                               collection of information on those who                                             limiting inter-state comparability. In                                                    therefore, formal consent to participate
                                               are to respond, including through the                                              addition, data on possible exposures,                                                     in the surveillance is not required.
                                               use of appropriate automated,                                                      underlying medical conditions,                                                            However, cases may choose not to
                                               electronic, mechanical, or other                                                   symptoms, and antifungal treatment was                                                    participate and may choose not to
                                               technological collection techniques or                                             only collected in a few states.                                                           answer any question they do not wish
                                               other forms of information technology,                                             Furthermore, no multistate data exists                                                    to answer.
                                               e.g., permitting electronic submissions                                            about histoplasmosis cases identified
                                                                                                                                  using the newly-created CSTE case                                                            It will take health department
                                               of responses.
                                                 5. Assess information collection costs.                                          definition.                                                                               personnel approximately 15 minutes to
                                                                                                                                     More detailed data about                                                               administer the questionnaire to 300
                                               Proposed Project                                                                   histoplasmosis cases detected during                                                      patient respondents and 15 minutes for
                                                 Enhanced Surveillance for                                                        routine surveillance are needed to better                                                 health department personnel to retrieve
                                               Histoplasmosis—New—National Center                                                 understand the features of persons at                                                     and record diagnostic information from
                                               for Emerging and Zoonotic Infectious                                               risk, characterize the effects of                                                         their state reportable disease database.
                                               Diseases, Centers for Disease Control                                              histoplasmosis on patients (e.g., delays                                                  This results in an estimated annual
                                               and Prevention (CDC).                                                              in diagnosis, symptom duration, and                                                       burden to the public of 150 hours.
                                                                                                                                 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)

                                               Histoplasmosis cases ...........................            Case Report Form for Histoplasmosis Enhanced Surveillance ....                                                           300                       1                15/60                75
                                               Health department personnel ...............                 Case Report Form for Histoplasmosis Enhanced Surveillance ....                                                            10                      30                15/60                75

                                                    Total ..............................................   .........................................................................................................   ....................   ....................   ....................          150



                                               Leroy A. Richardson,                                                               DEPARTMENT OF HEALTH AND                                                                  erroneous re-publication of a notice
                                               Chief, Information Collection Review Office,                                       HUMAN SERVICES                                                                            published on 10/20/2017 at vol. 82,
                                               Office of Scientific Integrity, Office of the                                                                                                                                page 48821. No additional comments
                                               Associate Director for Science, Office of the                                      Administration for Children and                                                           are being solicited at this time. We
                                               Director, Centers for Disease Control and                                          Families                                                                                  regret the confusion it may have caused.
                                               Prevention.
                                               [FR Doc. 2017–27481 Filed 12–20–17; 8:45 am]                                       Correction to Notice Published                                                            Robert Sargis,
                                               BILLING CODE 4163–18–P
                                                                                                                                  12/13/2017                                                                                Reports Clearance Officer.
daltland on DSKBBV9HB2PROD with NOTICES




                                                                                                                                                                                                                            [FR Doc. 2017–27479 Filed 12–20–17; 8:45 am]
                                                                                                                                    Title: Adoption and Foster Care
                                                                                                                                  Analysis Reporting System for title IV–                                                   BILLING CODE 4184–01–P
                                                                                                                                  B and title
                                                                                                                                  IV–E (AFCARS).
                                                                                                                                    OMB No.: 0970–0422.
                                                                                                                                    Description: The notice, vol. 82, page
                                                                                                                                  58615, published 12/13/2017 was an


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Document Created: 2018-10-25 11:00:04
Document Modified: 2018-10-25 11:00:04
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.
DatesCDC must receive written comments on or before February 20, 2018.
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 60609 

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