83 FR 22069 - Proposed Data Collection Submitted for Public Comment and Recommendations
DEPARTMENT OF HEALTH AND HUMAN SERVICES
Centers for Disease Control and Prevention Federal Register Volume 83, Issue 92 (May 11, 2018)
Centers for Disease Control and Prevention
Federal Register Volume 83, Issue 92 (May 11, 2018)
| Page Range | 22069-22071 | |
| FR Document | 2018-10066 |
[Federal Register Volume 83, Number 92 (Friday, May 11, 2018)] [Notices] [Pages 22069-22071] From the Federal Register Online [www.thefederalregister.org] [FR Doc No: 2018-10066] ----------------------------------------------------------------------- DEPARTMENT OF HEALTH AND HUMAN SERVICES Centers for Disease Control and Prevention [60Day-18-0950; Docket No. CDC-2018-0040] Proposed Data Collection Submitted for Public Comment and Recommendations AGENCY: Centers for Disease Control and Prevention (CDC), Department of Health and Human Services (HHS) ACTION: Notice with comment period. ----------------------------------------------------------------------- SUMMARY: The Centers for Disease Control and Prevention (CDC), as part of its continuing efforts to reduce public burden and maximize the utility of government information, invites the general public and other Federal agencies the opportunity to comment on 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 National Health and Nutrition Examination Survey (NHANES). NHANES programs produce descriptive statistics, which measure the health and nutrition status of the general population. DATES: CDC must receive written comments on or before July 10, 2018. ADDRESSES: You may submit comments, identified by Docket No. CDC-2018- 0040 by any of the following methods:Federal eRulemaking Portal: Regulation.gov. Follow the instructions for submitting comments. Mail: Leroy A. Richardson, Information Collection Review Office, Centers for Disease Control and Prevention, 1600 Clifton Road NE, MS-D74, Atlanta, Georgia 30329. Instructions: All submissions received must include the agency name and Docket Number. CDC will post, without change, all relevant comments to Regulations.gov. Please note: Submit all comments through the Federal eRulemaking portal (regulations.gov) or by U.S. mail to the address listed above. FOR FURTHER INFORMATION CONTACT: To request more information on the proposed project or to obtain a copy of the information collection plan and instruments, contact Leroy A. Richardson, Information Collection Review Office, Centers for Disease Control and Prevention, 1600 Clifton Road NE, MS-D74, Atlanta, Georgia 30329; phone: 404-639-7570; Email: [email protected]. SUPPLEMENTARY INFORMATION: Under the Paperwork Reduction Act of 1995 (PRA) (44 U.S.C. 3501-3520), Federal agencies must obtain approval from the Office of Management and Budget (OMB) for each collection of information they conduct or sponsor. In addition, the PRA also requires Federal agencies to provide a 60-day notice in the Federal Register concerning each proposed collection of information, including each new proposed collection, each proposed extension of existing collection of information, and each reinstatement of previously approved information collection before submitting the collection to the OMB for approval. To comply with this requirement, we are publishing this notice of a proposed data collection as described below. The OMB is particularly interested in comments that will help: 1. Evaluate whether the proposed collection of information is necessary for the proper performance of the functions of the agency, including whether the information will have practical utility; 2. Evaluate the accuracy of the agency's estimate of the burden of the proposed collection of information, including the validity of the methodology and assumptions used; 3. Enhance the quality, utility, and clarity of the information to be collected; and 4. Minimize the burden of the collection of information on those who are to respond, including through the use of appropriate automated, electronic, mechanical, or other technological collection techniques or other forms of information technology, e.g., permitting electronic submissions of responses. 5. Assess information collection costs. Proposed Project The National Health and Nutrition Examination Survey (NHANES), (OMB Control Number 0920-0950, Expiration Date 12/31/2019)--Revision -- National Center for Health Statistics (NCHS), Centers for Disease Control and Prevention (CDC). Background and Brief Description Section 306 of the Public Health Service (PHS) Act (42 U.S.C. 242k), as amended, authorizes that the Secretary of Health and Human Services (DHHS), acting through NCHS, shall collect statistics on the extent and nature of illness and disability; environmental, social and other health hazards; and determinants of health of the population of the United States. The National Health and Nutrition Examination Surveys (NHANES) have been conducted periodically between 1970 and 1994, and continuously since 1999 by the National Center for Health Statistics, CDC. NHANES programs produce descriptive statistics, which measure the health and nutrition status of the general population. With physical examinations, laboratory tests, and interviews, NHANES studies the relationship between diet, nutrition and health in a representative sample of the United States. NHANES monitors the prevalence of chronic conditions and risk factors. NHANES data are used to produce national reference data on height, weight, and nutrient levels in the blood. Results from more recent NHANES can be compared to findings reported from previous surveys to monitor changes in [[Page 22070]] the health of the U.S. population over time. In 2019, a new sampling strategy is being implemented. To increase operational efficiency, NHANES will survey a nationally representative sample over the course of a two-year cycle instead of annually. The change to a two-year cycle will permit more days allocated to each primary sampling unit (PSU), which will result in more time to screen and recruit potential participants, and allow for more exam slots. As in previous years, the base sample will remain at approximately 5,000 interviewed and examined individuals annually. NCHS collects personal identification information. Participant level data items will include basic demographic information, name, address, social security number, Medicare number and participant health information to allow for linkages to other data sources such as the National Death Index and data from the Centers for Medicare and Medicaid Services (CMS). A variety of agencies sponsor data collection components on NHANES. To keep burden down, NCHS cycles in and out various components. The 2019-20 NHANES physical examination includes the following components: Anthropometry (all ages), 24-hour dietary recall (all ages), physician's examination (all ages, blood pressure is collected here), oral health examination (ages 1 and older), and hearing (ages 6-19 and 70+). Starting in 2019, we will collect blood pressure using an automated device, instead of using manual devises. While at the examination center additional interview questions are asked (6 and older), a second 24-hour dietary recall (all ages) is scheduled to be conducted by phone 3-10 days later. In 2019, we plan to add a Words-In-Noise (ages 70+) exam, genetic testing related to the liver elastography exam, and a balance exam (ages 40+). The 2019-20 survey will bring back the cognitive function test (ages 60+). NHANES also plans to conduct a 24-hour blood pressure measurement pilot among NHANES participants ages 18 and older. The bio specimens collected for laboratory tests include urine, blood, and vaginal and penile swabs. Serum, plasma and urine specimens are stored for future testing, including genetic research, if the participant consents. Consent to store DNA is continuing in NHANES. Oral rinse samples for HPV analyses is cycling back into the survey (ages 8-69 years). The following analytes are being discontinued in 2018 for participants from the smoking sample subset: Aromatic Amines, Heterocyclic Amines, Urine Cotinine, Tobacco-Specific Nitrosamines, Perchlorate, Nitrates, and Thiocyanate, Urinary Arsenic, Mercury, Iodine and Metals. Cycling out of NHANES 2019-20 are the blood pressure methodology project, Human Papillomavirus (HPV) in serum, Aldehydes in serum, Volatile N-nitrosamines (VNAs) tobacco biomarkers, Urine heterocyclic amines, urine aromatic amines and urine tobacco-specific nitrosamines New additions to the survey questionnaires include two questions on WIC participation, a birth to less than 24-month questionnaire module and collecting information on infant formula ingredients. We are also considering modifications to multiple existing questionnaire sections in order to better align with questions asked in the National Health Interview Survey (NHIS) (OMB Control No. 0920-0214, Exp. 12/31/2019) or to streamline the instruments to reduce respondent burden. Most sections of the NHANES interviews provide self-reported information to be used either in concert with specific examination or laboratory content, as independent prevalence estimates, or as covariates in statistical analysis (e.g., socio-demographic characteristics). Some examples include alcohol, drug, and tobacco use, sexual behavior, prescription and aspirin use, and indicators of oral, bone, reproductive, and mental health. Several interview components support the nutrition-monitoring objective of NHANES, including questions about food security and nutrition program participation, dietary supplement use, and weight history/self-image/related behavior. In 2019-2020, we plan to continue or expand upon existing multi- mode screening and electronic consent procedures in NHANES. Our yearly goal for interview, exam and post exam components is 5,000 participants. To achieve this goal we may need to screen up to 15,000 individuals. Burden for individuals will vary based on their level of participation. For example, infants and children tend to have shorter interviews and exams than adults. This occurs because young people may have fewer health conditions or medications to report so their interviews take less time or because certain exams are only conducted on individuals 18 and older, etc. In addition, adults often serve as proxy respondents for young people in their families. Participation in NHANES is voluntary and confidential. There is no cost to respondents other than their time. The total estimated annual burden hours are 72,917. We are requesting a three-year approval. Estimated Annualized Burden Hours ---------------------------------------------------------------------------------------------------------------- Average Number of Number of burden per Total burden Type of respondent Form name respondents responses per response (in (in hours) respondent hours) ---------------------------------------------------------------------------------------------------------------- Individuals in households..... Screener........ 15,000 1 3/60 750 Individuals in households..... Household 5,000 1 1.5 7,500 Interview. Individuals in households..... MEC Exam........ 5,000 1 4 20,000 Individuals in households..... Dietary 5,000 1 30/60 2,500 Interview Phone Follow-Up. Individuals in households..... Flexible 5,000 1 20/60 1,667 Consumer Behavior Survey Phone Follow-Up. Individuals in households..... Developmental 3,500 1 3 10,500 Projects & Special Studies. Individuals in households..... 24 hour Blood 1,200 1 25 30,000 Pressure Pilot. --------------------------------------------------------------- Total..................... ................ .............. .............. .............. 72,917 ---------------------------------------------------------------------------------------------------------------- [[Page 22071]] Jeffrey M. Zirger, Acting 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. 2018-10066 Filed 5-10-18; 8:45 am] BILLING CODE 4163-18-P
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ESTIMATED ANNUALIZED BURDEN HOURS—Continued
Average
Number of
Number of burden per Total burden
Type of respondents Form name responses per
respondents response (in hours)
respondent (in hours)
Responder/Survivor/Advocate (physi- Petition for the addition of health 60 1 60/60 60
cian). conditions.
Total ........................................... .......................................................... ........................ ........................ ........................ 14,061
Prevention, 1600 Clifton Road NE, MS– 3. Enhance the quality, utility, and
Jeffrey M. Zirger, D74, Atlanta, Georgia 30329. clarity of the information to be
Acting Chief, Information Collection Review Instructions: All submissions received collected; and
Office, Office of Scientific Integrity, Office must include the agency name and 4. Minimize the burden of the
of the Associate Director for Science, Office Docket Number. CDC will post, without collection of information on those who
of the Director, Centers for Disease Control change, all relevant comments to are to respond, including through the
and Prevention. Regulations.gov. use of appropriate automated,
[FR Doc. 2018–10067 Filed 5–10–18; 8:45 am] electronic, mechanical, or other
Please note: Submit all comments through
BILLING CODE 4163–18–P
the Federal eRulemaking portal
technological collection techniques or
(regulations.gov) or by U.S. mail to the other forms of information technology,
address listed above. e.g., permitting electronic submissions
DEPARTMENT OF HEALTH AND of responses.
HUMAN SERVICES FOR FURTHER INFORMATION CONTACT: To 5. Assess information collection costs.
request more information on the
Centers for Disease Control and Proposed Project
proposed project or to obtain a copy of
Prevention the information collection plan and The National Health and Nutrition
[60Day–18–0950; Docket No. CDC–2018– instruments, contact Leroy A. Examination Survey (NHANES), (OMB
0040] Richardson, Information Collection Control Number 0920–0950, Expiration
Review Office, Centers for Disease Date 12/31/2019)—Revision — National
Proposed Data Collection Submitted Control and Prevention, 1600 Clifton Center for Health Statistics (NCHS),
for Public Comment and Road NE, MS–D74, Atlanta, Georgia Centers for Disease Control and
Recommendations 30329; phone: 404–639–7570; Email: Prevention (CDC).
AGENCY: Centers for Disease Control and omb@cdc.gov. Background and Brief Description
Prevention (CDC), Department of Health SUPPLEMENTARY INFORMATION: Under the Section 306 of the Public Health
and Human Services (HHS) Paperwork Reduction Act of 1995 (PRA) Service (PHS) Act (42 U.S.C. 242k), as
ACTION: Notice with comment period. (44 U.S.C. 3501–3520), Federal agencies amended, authorizes that the Secretary
must obtain approval from the Office of of Health and Human Services (DHHS),
SUMMARY: The Centers for Disease Management and Budget (OMB) for each acting through NCHS, shall collect
Control and Prevention (CDC), as part of collection of information they conduct statistics on the extent and nature of
its continuing efforts to reduce public or sponsor. In addition, the PRA also illness and disability; environmental,
burden and maximize the utility of requires Federal agencies to provide a social and other health hazards; and
government information, invites the 60-day notice in the Federal Register determinants of health of the population
general public and other Federal concerning each proposed collection of of the United States. The National
agencies the opportunity to comment on information, including each new Health and Nutrition Examination
proposed and/or continuing information proposed collection, each proposed Surveys (NHANES) have been
collection, as required by the Paperwork extension of existing collection of conducted periodically between 1970
Reduction Act of 1995. This notice information, and each reinstatement of and 1994, and continuously since 1999
invites comment on a proposed previously approved information by the National Center for Health
information collection project titled collection before submitting the Statistics, CDC.
National Health and Nutrition collection to the OMB for approval. To NHANES programs produce
Examination Survey (NHANES). comply with this requirement, we are descriptive statistics, which measure the
NHANES programs produce descriptive publishing this notice of a proposed health and nutrition status of the
statistics, which measure the health and data collection as described below. general population. With physical
nutrition status of the general The OMB is particularly interested in examinations, laboratory tests, and
population. comments that will help: interviews, NHANES studies the
DATES: CDC must receive written 1. Evaluate whether the proposed relationship between diet, nutrition and
comments on or before July 10, 2018. collection of information is necessary health in a representative sample of the
ADDRESSES: You may submit comments, for the proper performance of the United States.
functions of the agency, including NHANES monitors the prevalence of
sradovich on DSK3GMQ082PROD with NOTICES
identified by Docket No. CDC–2018–
0040 by any of the following methods: whether the information will have chronic conditions and risk factors.
• Federal eRulemaking Portal: practical utility; NHANES data are used to produce
Regulation.gov. Follow the instructions 2. Evaluate the accuracy of the national reference data on height,
for submitting comments. agency’s estimate of the burden of the weight, and nutrient levels in the blood.
• Mail: Leroy A. Richardson, proposed collection of information, Results from more recent NHANES can
Information Collection Review Office, including the validity of the be compared to findings reported from
Centers for Disease Control and methodology and assumptions used; previous surveys to monitor changes in
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![Federal Register / Vol. 83, No. 92 / Friday, May 11, 2018 / Notices 22071
Jeffrey M. Zirger, use of appropriate automated, period so far (September 2011 through
Acting Chief, Information Collection Review electronic, mechanical, or other the most current quarter which ended in
Office, Office of Scientific Integrity, Office technological collection techniques or May 2017) is 69 percent.
of the Associate Director for Science, Office other forms of information technology, The NSFG program produces
of the Director, Centers for Disease Control e.g., permitting electronic submission of descriptive statistics which document
and Prevention. responses; and factors associated with birth and
[FR Doc. 2018–10066 Filed 5–10–18; 8:45 am] (e) Assess information collection pregnancy rates, including
BILLING CODE 4163–18–P costs. contraception, infertility, marriage,
To request additional information on divorce, and sexual activity, in the US
the proposed project or to obtain a copy household population 15–49 years (15–
DEPARTMENT OF HEALTH AND of the information collection plan and 44 years in survey periods before 2015);
HUMAN SERVICES instruments, call (404) 639–7570 or and behaviors that affect the risk of
send an email to omb@cdc.gov. Direct sexually transmitted diseases (STD),
Centers for Disease Control and written comments and/or suggestions
Prevention including HIV, and the medical care
regarding the items contained in this associated with contraception,
[30Day–18–0314] notice to the Attention: CDC Desk infertility, and pregnancy and
Officer, Office of Management and childbirth.
Agency Forms Undergoing Paperwork Budget, 725 17th Street NW, NSFG data users include the DHHS
Reduction Act Review Washington, DC 20503 or by fax to (202) programs that fund it, including CDC/
395–5806. Provide written comments NCHS and eleven others (The Eunice
In accordance with the Paperwork within 30 days of notice publication.
Reduction Act of 1995, the Centers for Kennedy Shriver National Institute for
Disease Control and Prevention (CDC) Proposed Project Child Health and Human Development
has submitted the information The National Survey of Family (NIH/NICHD); the Office of Population
collection request titled National Survey Growth (NSFG)(OMB Control Number Affairs (DHHS/OPA); the Children’s
of Family Growth (NSFG) to the Office 0920–0314, Expiration Date 05/31/ Bureau (DHHS/ACF/CB); the ACF’s
of Management and Budget (OMB) for 2018)—Revision—National Center for Office of Planning, Research, and
review and approval. CDC previously Health Statistics (NCHS), Centers for Evaluation; the CDC’s Division of HIV/
published a ‘‘Proposed Data Collection Disease Control and Prevention (CDC). AIDS Prevention (CDC/DHAP); the
Submitted for Public Comment and CDC’s Division of STD Prevention
Recommendations’’ notice on December Background and Brief Description (CDC/DSTD); the CDC’s Division of
26, 2017 to obtain comments from the Section 306 of the Public Health Adolescent and School Health (CDC/
public and affected agencies. CDC Service (PHS) Act (42 U.S.C. 242k), as DASH); the CDC’s Division of
received four comments related to the amended, authorizes that the Secretary Reproductive Health (CDC/DRH); the
previous notice. This notice serves to of Health and Human Services (DHHS), CDC’s Division of Cancer Prevention
allow an additional 30 days for public acting through NCHS, shall collect and Control (CDC/DCPC); the CDC’s
and affected agency comments. statistics on ‘‘family formation, growth, Division of Nutrition, Physical Activity,
CDC will accept all comments for this and dissolution,’’ as well as and Obesity (CDC/DNPAO); and the
proposed information collection project. ‘‘determinants of health’’ and CDC’s Division of Birth Defects and
The Office of Management and Budget ‘‘utilization of health care’’ in the Developmental Disabilities (CDC/
is particularly interested in comments United States. This clearance request DBDDD)). The NSFG is also used by
that: includes the data collection in 2018 state and local governments (primarily
(a) Evaluate whether the proposed forward for the continuous NSFG. for benchmarking to national data);
collection of information is necessary The National Survey of Family private research and action
for the proper performance of the Growth (NSFG) was conducted organizations focused on men’s and
functions of the agency, including periodically between 1973 and 2002, women’s health, child well-being, and
whether the information will have continuously in 2006–2010, and marriage and the family; academic
practical utility; continuously starting in September researchers in the social and public
(b) Evaluate the accuracy of the 2011, by the National Center for Health health sciences; journalists, and many
agencies estimate of the burden of the Statistics, CDC. Each year, about 15,000 others.
proposed collection of information, households are screened, with about This submission requests approval to
including the validity of the 5,000 participants interviewed annually. continue NSFG fieldwork for three
methodology and assumptions used; Participation in the NSFG is completely years. While no questionnaire revisions
(c) Enhance the quality, utility, and voluntary and confidential. Interviews are requested, two methodological
clarity of the information to be average 60 minutes for males and 80 studies are proposed. The total
collected; minutes for females. The response rate estimated annualized time burden to
(d) Minimize the burden of the since 2011 has ranged from 69 percent respondents is 6,759 hours. There is no
collection of information on those who to 77 percent, and the cumulative cost to respondents other than their
are to respond, including, through the response rate for the entire fieldwork time.
ESTIMATED ANNUALIZED BURDEN HOURS
sradovich on DSK3GMQ082PROD with NOTICES
Average
Number of
Number of burden per
Type of respondents Form name responses per
respondents response
respondent (in hours)
Household member ................................................................. Screener Interview ................. 15,000 1 3/60
Household ............................................................................... Female Interview .................... 2,750 1 80/60
Female 15–49 years of age ....................................................
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Document Created: 2018-11-02 09:49:54
Document Modified: 2018-11-02 09:49:54
| 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 July 10, 2018. | |
| 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 | 83 FR 22069 |
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