83 FR 17414 - Agency Forms Undergoing Paperwork Reduction Act Review

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

Federal Register Volume 83, Issue 76 (April 19, 2018)

Page Range		17414-17415
FR Document		2018-08165
Federal Register, Volume 83 Issue 76 (Thursday, April 19, 2018)
[Federal Register Volume 83, Number 76 (Thursday, April 19, 2018)]
[Notices]
[Pages 17414-17415]
From the Federal Register Online  [www.thefederalregister.org]
[FR Doc No: 2018-08165]


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

DEPARTMENT OF HEALTH AND HUMAN SERVICES

Centers for Disease Control and Prevention

[30Day-18-17BAW]


Agency Forms Undergoing Paperwork Reduction Act Review

    In accordance with the Paperwork Reduction Act of 1995, the Centers 
for Disease Control and Prevention (CDC) has submitted the information 
collection request titled the Paul Coverdell National Acute Stroke 
Program (PCNASP) 2015-2020 Assessment to the Office of Management and 
Budget (OMB) for review and approval. CDC previously published a 
``Proposed Data Collection Submitted for Public Comment and 
Recommendations'' notice on October 10, 2017 to obtain comments from 
the public and affected agencies. CDC did not receive comments related 
to the previous notice. This notice serves to allow an additional 30 
days for public and affected agency comments.
    CDC will accept all comments for this proposed information 
collection project. The Office of Management and Budget is particularly 
interested in comments that:
    (a) Evaluate whether the proposed collection of information is 
necessary for the proper performance of the functions of the agency, 
including whether the information will have practical utility;
    (b) Evaluate the accuracy of the agencies estimate of the burden of 
the proposed collection of information, including the validity of the 
methodology and assumptions used;
    (c) Enhance the quality, utility, and clarity of the information to 
be collected;
    (d) Minimize the burden of the collection of information on those 
who are to respond, including, through the use of appropriate 
automated, electronic, mechanical, or other technological collection 
techniques or other forms of information technology, e.g., permitting 
electronic submission of responses; and
    (e) Assess information collection costs.
    To request additional information on the proposed project or to 
obtain a copy of the information collection plan and instruments, call 
(404) 639-7570 or send an email to [email protected]. Direct written comments 
and/or suggestions regarding the items contained in this notice to the 
Attention: CDC Desk Officer, Office of Management and Budget, 725 17th 
Street NW, Washington, DC 20503 or by fax to (202) 395-5806. Provide 
written comments within 30 days of notice publication.

Proposed Project

    Paul Coverdell National Acute Stroke Program (2015-2020) 
Assessment--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 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 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,

[[Page 17415]]

rehabilitation, stroke specialist care, and primary care providers.
    When Congress directed the 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 an 
assessment 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.
    The total estimated annual burden hours are 328. There are no costs 
to the respondents other than their time.

                                        Estimated Annualized Burden Hours
----------------------------------------------------------------------------------------------------------------
                                                                                     Number of    Average burden
          Type of respondents                   Form name            Number of     responses per   per response
                                                                    respondents     respondent      (in hours)
----------------------------------------------------------------------------------------------------------------
Partner Program Manager...............  Cost Resource and                    137               1               2
                                         Utilization Tool.
Principal Investigator................  Telephonic Interviews...               3               1               1
Grantee Program Manager...............  Telephonic Interviews...               3               1               1
Quality Improvement Specialist........  Telephonic Interviews...               3               1               1
Data Analyst/Program Evaluator........  Telephonic Interviews...               3               1               1
Partner Support Staff.................  Telephonic Interviews...               6               1               1
----------------------------------------------------------------------------------------------------------------


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. 2018-08165 Filed 4-18-18; 8:45 am]
 BILLING CODE 4163-18-P
17414 Federal Register / Vol. 83, No. 76 / Thursday, April 19, 2018 / Notices

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

HAIC Multi-site Gram-Negative Bacilli Case 10 500 20/60
Report Form (MuGSI–CRE/CRAB).
HAIC Multi-site Gram-Negative Bacilli Case 10 344 45/60
Report Form for Carbapenem-resistant
Pseudomonas aeruginosa(CR–PA)—NEW
FORM.
HAIC Multi-site Gram-Negative Surveillance 10 1200 20/60
Initiative—Extended-Spectrum Beta-
Lactamase-Producing Enterobacteriaceae
(MuGSI–ESBL)—NEW FORM.
HAIC Invasive Methicillin-resistant Staphy- 10 609 20/60
lococcus aureus (MRSA).
HAIC Invasive Methicillin-sensitive Staphy- 10 1,035 20/60
lococcus aureus (MSSA)—NEW FORM.
HAIC Candidemia Case Report Form—NEW 9 800 20/60
FORM.

Leroy A. Richardson, for the proper performance of the Background and Brief Description
Chief, Information Collection Review Office, functions of the agency, including The Centers for Disease Control and
Office of Scientific Integrity, Office of the whether the information will have
Associate Director for Science, Office of the
Prevention (CDC), Division for Heart
practical utility; Disease and Stroke Prevention (DHDSP),
Director, Centers for Disease Control and
Prevention. (b) Evaluate the accuracy of the requests OMB approval for a new
agencies estimate of the burden of the collection.
[FR Doc. 2018–08166 Filed 4–18–18; 8:45 am]
proposed collection of information, The CDC is the primary Federal
BILLING CODE 4163–18–P
including the validity of the agency for protecting health and
methodology and assumptions used; promoting quality of life through the
DEPARTMENT OF HEALTH AND (c) Enhance the quality, utility, and prevention and control of disease,
HUMAN SERVICES clarity of the information to be injury, and disability. CDC is committed
collected; to programs that reduce the health and
Centers for Disease Control and (d) Minimize the burden of the economic consequences of the leading
Prevention collection of information on those who causes of death and disability, thereby
are to respond, including, through the ensuring a long, productive, healthy life
[30Day–18–17BAW]
use of appropriate automated, for all people.
Agency Forms Undergoing Paperwork electronic, mechanical, or other Stroke remains a leading cause of
Reduction Act Review technological collection techniques or serious, long-term disability and is the
other forms of information technology, fifth leading cause of death in the
In accordance with the Paperwork e.g., permitting electronic submission of United States after heart disease, cancer,
Reduction Act of 1995, the Centers for responses; and chronic lower respiratory diseases, and
Disease Control and Prevention (CDC) accidents. Estimates indicate that
has submitted the information (e) Assess information collection approximately 795,000 people suffer a
collection request titled the Paul costs. first-ever or recurrent stroke each year
Coverdell National Acute Stroke To request additional information on with more than 130,000 deaths
Program (PCNASP) 2015–2020 the proposed project or to obtain a copy annually. Although there have been
Assessment to the Office of Management of the information collection plan and significant advances in preventing and
and Budget (OMB) for review and instruments, call (404) 639–7570 or treating stroke, the rising prevalence of
approval. CDC previously published a send an email to omb@cdc.gov. Direct heart disease, diabetes, and obesity has
‘‘Proposed Data Collection Submitted written comments and/or suggestions increased the relative risk for stroke,
for Public Comment and regarding the items contained in this especially in African American
Recommendations’’ notice on October notice to the Attention: CDC Desk populations. Moreover, stroke’s lifetime
10, 2017 to obtain comments from the Officer, Office of Management and direct cost of health care and indirect
public and affected agencies. CDC did Budget, 725 17th Street NW, cost of lost productivity is staggering
not receive comments related to the Washington, DC 20503 or by fax to (202) and imposes a substantial societal
previous notice. This notice serves to 395–5806. Provide written comments economic burden. Coverdell-funded
allow an additional 30 days for public within 30 days of notice publication. state programs are in the forefront of
and affected agency comments. Proposed Project developing and implementing system-
daltland on DSKBBV9HB2PROD with NOTICES

CDC will accept all comments for this change efforts to improve emergency
proposed information collection project. Paul Coverdell National Acute Stroke response systems, enhance the quality
The Office of Management and Budget Program (2015–2020) Assessment— of care for stroke, and improve
is particularly interested in comments New—National Center for Chronic transitions across stroke systems of care,
that: Disease Prevention and Health including pre-event; transitions from
(a) Evaluate whether the proposed Promotion (NCCDPHP), Centers for EMS to acute care in hospitals; and
collection of information is necessary Disease Control and Prevention (CDC). transitions from hospitals to home,

VerDate Sep<11>2014 17:49 Apr 18, 2018 Jkt 244001 PO 00000 Frm 00056 Fmt 4703 Sfmt 4703 E:\FR\FM\19APN1.SGM 19APN1
Federal Register / Vol. 83, No. 76 / Thursday, April 19, 2018 / Notices 17415

rehabilitation, stroke specialist care, and CDC and RTI International propose to spending by reporting period, and
primary care providers. collect information from all nine funded spending associated with specific
When Congress directed the CDC to PCNASP grantees to gain insight into PCNASP strategies related to building
establish the Paul Coverdell National the effectiveness of implementation of comprehensive state-wide stroke
Acute Stroke Program (PCNASP) in their quality improvement strategies, systems of care. Interview questions will
2001, CDC intended to monitor trends development (and use) of a data target how each grantee implemented its
in stroke and stroke care, with the integrated management system, and strategies, challenges encountered and
ultimate mission of improving the partner collaboration in building how they were overcome, factors that
quality of care for stroke patients in the comprehensive state-wide stroke facilitated implementation, lessons
United States. Since 2015, CDC has systems of care. The information learned along the way, and observed
funded and provided technical collection will focus on describing outcomes and improvements. The
assistance to nine state health PCNASP specific contributions to information to be collected does not
departments to develop comprehensive effective state-based stroke systems of currently exist for large scale, statewide
stroke systems of care. A comprehensive care and the costs associated with this programs that employ multiple
system of care improves quality of care work. Two components of the combinations of strategies led by state
by creating seamless transitions for information collection include: (1) public health departments to build
individuals experiencing stroke. In such Program implementation cost data comprehensive stroke systems of care.
a system, pre-hospital providers, in- collection from program partners using The insights to be gained from this data
hospital providers, and early post- a cost and resource utilization tool; and collection will be critical to improving
hospital providers coordinate patient (2) telephone interviews with key immediate efforts and achieving the
hand-offs and ensure continuity of care. program stakeholders, such as the goals of spreading and replicating state-
CDC contracted with RTI International PCNASP principal investigator, program level strategies that are proven
to conduct an assessment of the state manager, quality improvement programmatically and are cost-effective
health departments awarded grants in specialist, data analyst/program in contributing to a higher quality of
2015 to assess their implementation in evaluator, and partner support staff. care for stroke patients.
their state-based contexts and progress Cost data collection will focus on a The total estimated annual burden
toward short- and intermediate-term stratified sample of partners’ cumulative hours are 328. There are no costs to the
outcomes. spending to support PCNASP activities, respondents other than their time.

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

Partner Program Manager .............................. Cost Resource and Utilization Tool ............... 137 1 2
Principal Investigator ....................................... Telephonic Interviews .................................... 3 1 1
Grantee Program Manager ............................. Telephonic Interviews .................................... 3 1 1
Quality Improvement Specialist ...................... Telephonic Interviews .................................... 3 1 1
Data Analyst/Program Evaluator .................... Telephonic Interviews .................................... 3 1 1
Partner Support Staff ...................................... Telephonic Interviews .................................... 6 1 1

Leroy A. Richardson, SUMMARY: The Centers for Disease • Federal eRulemaking Portal:
Chief, Information Collection Review Office, Control and Prevention (CDC), as part of Regulations.gov. Follow the instructions
Office of Scientific Integrity, Office of the its continuing effort to reduce public for submitting comments.
Associate Director for Science, Office of the burden and maximize the utility of • Mail: Leroy A. Richardson,
Director, Centers for Disease Control and government information, invites the Information Collection Review Office,
Prevention.
general public and other Federal Centers for Disease Control and
[FR Doc. 2018–08165 Filed 4–18–18; 8:45 am] agencies to take this opportunity to Prevention, 1600 Clifton Road NE, MS–
BILLING CODE 4163–18–P comment on proposed and/or D74, Atlanta, Georgia 30329.
continuing information collections, as Instructions: All submissions received
required by the Paperwork Reduction must include the agency name and
DEPARTMENT OF HEALTH AND Act of 1995. This notice invites
HUMAN SERVICES Docket Number. CDC will post, without
comment on a proposed information change, all relevant comments to
Centers for Disease Control and collection project titled ‘‘Evaluation of Regulations.gov.
Prevention the third decade of the National Please note: Submit all Federal
Occupational Research Agenda (NORA) comments through the Federal
[60Day-18–18XG; Docket No. CDC–2018– Council Effectiveness’’. This is a survey
0034] eRulemaking portal (regulations.gov) or
to collect information from NORA by U.S. mail to the address listed above.
Proposed Data Collection Submitted council members and leaders about
FOR FURTHER INFORMATION CONTACT: To
council activities and satisfaction with
daltland on DSKBBV9HB2PROD with NOTICES

for Public Comment and request more information on the
Recommendations council functioning.
proposed project or to obtain a copy of
DATES: Written comments must be the information collection plan and
AGENCY: Centers for Disease Control and received on or before June 18, 2018.
Prevention (CDC), Department of Health instruments, contact Leroy A.
and Human Services (HHS). ADDRESSES: You may submit comments, Richardson, Information Collection
identified by Docket No. CDC–2018– Review Office, Centers for Disease
ACTION: Notice with comment period.
0034 by any of the following methods: Control and Prevention, 1600 Clifton

VerDate Sep<11>2014 17:49 Apr 18, 2018 Jkt 244001 PO 00000 Frm 00057 Fmt 4703 Sfmt 4703 E:\FR\FM\19APN1.SGM 19APN1
Document Created: 2018-04-19 00:40:42
Document Modified: 2018-04-19 00:40:42
Category		Regulatory Information
Collection		Federal Register
sudoc Class		AE 2.7: GS 4.107: AE 2.106:
Publisher		Office of the Federal Register, National Archives and Records Administration
Section		Notices
FR Citation		83 FR 17414
83 FR 17414 - Agency Forms Undergoing Paperwork Reduction Act Review

DEPARTMENT OF HEALTH AND HUMAN SERVICESCenters for Disease Control and Prevention

Federal Register Volume 83, Issue 76 (April 19, 2018)

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