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)

[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