83_FR_26574 83 FR 26464 - Proposed Data Collection Submitted for Public Comment and Recommendations

83 FR 26464 - 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 110 (June 7, 2018)

Page Range26464-26465
FR Document2018-12251

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 Traumatic Brain Injury Disparities in Rural Areas (TBIDRA). This study will conduct a formative research to understand the challenges that rural healthcare providers face when diagnosing, treating, and managing traumatic brain injury (TBI) and develop a knowledge base to address gaps in services to improve clinical care and TBI outcomes in rural communities.

Federal Register, Volume 83 Issue 110 (Thursday, June 7, 2018)
[Federal Register Volume 83, Number 110 (Thursday, June 7, 2018)]
[Notices]
[Pages 26464-26465]
From the Federal Register Online  [www.thefederalregister.org]
[FR Doc No: 2018-12251]



[[Page 26464]]

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DEPARTMENT OF HEALTH AND HUMAN SERVICES

Centers for Disease Control and Prevention

[60Day-18-18AFX; Docket No. CDC-2018-0052]


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 Traumatic Brain Injury 
Disparities in Rural Areas (TBIDRA). This study will conduct a 
formative research to understand the challenges that rural healthcare 
providers face when diagnosing, treating, and managing traumatic brain 
injury (TBI) and develop a knowledge base to address gaps in services 
to improve clinical care and TBI outcomes in rural communities.

DATES: CDC must receive written comments on or before August 6, 2018.

ADDRESSES: You may submit comments, identified by Docket No. CDC-2018-
0052 by any of the following methods:
     Federal eRulemaking Portal: Regulations.gov. Follow the 
instructions for submitting comments.
     Mail: Jeffrey M. Zirger, 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 Jeffery M. Zirger, 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

    Traumatic Brain Injury Disparities in Rural Areas (TBIDRA)--New--
National Center for Injury Prevention and Control (NCIPC), Centers for 
Disease Control and Prevention (CDC).

Background and Brief Description

    Traumatic Brain Injury (TBI) is a significant public health concern 
in the United States, research indicates that residents of rural areas 
have both higher incidence and higher mortality rates from TBI than do 
residents of urban areas, and that the prevalence of TBI-related 
disability in rural geographical areas is higher than in urban and 
suburban areas. The obstacles healthcare providers and patients face in 
rural areas are vastly different than those in urban areas. There is 
little published research specifically related to the challenges rural 
providers face in TBI diagnosis and treatment, and even less 
examination into effective ways to address gaps in service and improve 
TBI outcomes. The National Center for Injury Prevention and Control at 
the CDC, in a 2015 ``Report to Congress on TBI in the United States,'' 
determined that certain population groups, including residents of rural 
geographic areas, require special consideration when it comes to 
researching TBI.
    This is a new Information Collection Request for 2 years to collect 
information on challenges that rural healthcare providers face in 
diagnosing, treating, and managing TBI of all severities and develop a 
knowledge base upon which we can begin to address gaps in services to 
improve clinical care and TBI outcomes in rural communities. The target 
population for the data collection effort includes physicians, nurse 
practitioners (NPs), and physician assistants (PAs) in selected 
specialties (general or family practice, emergency medicine, 
pediatrics) working in direct patient care in rural and urban areas. 
The focus of the study is rural healthcare providers; urban healthcare 
providers will be included in this study to allow for comparison in 
identifying the distinct challenges and opportunities for rural 
healthcare providers. This study has two data collection methods. A web 
survey to gather quantitative data on the unique challenges faced by 
rural clinicians, and focus groups to gain deeper insight into the 
context supporting and/or inhibiting access to comprehensive TBI 
evaluation and treatment, the study will collect qualitative data 
through focus groups with rural clinicians.
    The proposed information collection is authorized by the Public 
Health Services Act (PHS Act) which provides the legislative means for 
states to advance public health across the lifespan and to reduce 
health disparities.
    The total estimated annualized burden hours is 200. There are no 
costs to respondents other than their time.

[[Page 26465]]



                                        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)
----------------------------------------------------------------------------------------------------------------
Health care providers (Primary  TBI Provider                 600               1           15/60             150
 Care Physician, Emergency       Survey.
 Physician, Nurse Practitioner
 and Physician Assistant).
                                Focus group                   36               1            5/60               3
                                 screener.
                                Focus group                   31               1            5/60               3
                                 questionnaire.
                                Focus group                   31               1           85/60              44
                                 discussion
                                 guide.
                               ---------------------------------------------------------------------------------
    Total.....................  ................  ..............  ..............  ..............             200
----------------------------------------------------------------------------------------------------------------


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. 2018-12251 Filed 6-6-18; 8:45 am]
BILLING CODE 4163-18-P



                                                26464                          Federal Register / Vol. 83, No. 110 / Thursday, June 7, 2018 / Notices

                                                DEPARTMENT OF HEALTH AND                                instruments, contact Jeffery M. Zirger,                incidence and higher mortality rates
                                                HUMAN SERVICES                                          Information Collection Review Office,                  from TBI than do residents of urban
                                                                                                        Centers for Disease Control and                        areas, and that the prevalence of TBI-
                                                Centers for Disease Control and                         Prevention, 1600 Clifton Road NE, MS–                  related disability in rural geographical
                                                Prevention                                              D74, Atlanta, Georgia 30329; phone:                    areas is higher than in urban and
                                                [60Day–18–18AFX; Docket No. CDC–2018–                   404–639–7570; Email: omb@cdc.gov.                      suburban areas. The obstacles
                                                0052]                                                   SUPPLEMENTARY INFORMATION: Under the                   healthcare providers and patients face
                                                                                                        Paperwork Reduction Act of 1995 (PRA)                  in rural areas are vastly different than
                                                Proposed Data Collection Submitted                      (44 U.S.C. 3501–3520), Federal agencies                those in urban areas. There is little
                                                for Public Comment and                                  must obtain approval from the Office of                published research specifically related
                                                Recommendations                                         Management and Budget (OMB) for each                   to the challenges rural providers face in
                                                                                                        collection of information they conduct                 TBI diagnosis and treatment, and even
                                                AGENCY: Centers for Disease Control and                                                                        less examination into effective ways to
                                                Prevention (CDC), Department of Health                  or sponsor. In addition, the PRA also
                                                                                                        requires Federal agencies to provide a                 address gaps in service and improve TBI
                                                and Human Services (HHS).                                                                                      outcomes. The National Center for
                                                                                                        60-day notice in the Federal Register
                                                ACTION: Notice with comment period.                                                                            Injury Prevention and Control at the
                                                                                                        concerning each proposed collection of
                                                                                                        information, including each new                        CDC, in a 2015 ‘‘Report to Congress on
                                                SUMMARY:    The Centers for Disease
                                                                                                        proposed collection, each proposed                     TBI in the United States,’’ determined
                                                Control and Prevention (CDC), as part of
                                                                                                        extension of existing collection of                    that certain population groups,
                                                its continuing effort to reduce public
                                                                                                        information, and each reinstatement of                 including residents of rural geographic
                                                burden and maximize the utility of
                                                                                                        previously approved information                        areas, require special consideration
                                                government information, invites the
                                                                                                        collection before submitting the                       when it comes to researching TBI.
                                                general public and other Federal
                                                agencies the opportunity to comment on                  collection to the OMB for approval. To                    This is a new Information Collection
                                                a proposed and/or continuing                            comply with this requirement, we are                   Request for 2 years to collect
                                                information collection, as required by                  publishing this notice of a proposed                   information on challenges that rural
                                                the Paperwork Reduction Act of 1995.                    data collection as described below.                    healthcare providers face in diagnosing,
                                                This notice invites comment on a                          The OMB is particularly interested in                treating, and managing TBI of all
                                                proposed information collection project                 comments that will help:                               severities and develop a knowledge base
                                                titled Traumatic Brain Injury Disparities                 1. Evaluate whether the proposed                     upon which we can begin to address
                                                in Rural Areas (TBIDRA). This study                     collection of information is necessary                 gaps in services to improve clinical care
                                                will conduct a formative research to                    for the proper performance of the                      and TBI outcomes in rural communities.
                                                understand the challenges that rural                    functions of the agency, including                     The target population for the data
                                                healthcare providers face when                          whether the information will have                      collection effort includes physicians,
                                                diagnosing, treating, and managing                      practical utility;                                     nurse practitioners (NPs), and physician
                                                traumatic brain injury (TBI) and develop                  2. Evaluate the accuracy of the                      assistants (PAs) in selected specialties
                                                a knowledge base to address gaps in                     agency’s estimate of the burden of the                 (general or family practice, emergency
                                                services to improve clinical care and                   proposed collection of information,                    medicine, pediatrics) working in direct
                                                TBI outcomes in rural communities.                      including the validity of the                          patient care in rural and urban areas.
                                                                                                        methodology and assumptions used;                      The focus of the study is rural
                                                DATES: CDC must receive written
                                                                                                          3. Enhance the quality, utility, and                 healthcare providers; urban healthcare
                                                comments on or before August 6, 2018.                   clarity of the information to be                       providers will be included in this study
                                                ADDRESSES: You may submit comments,                     collected; and                                         to allow for comparison in identifying
                                                identified by Docket No. CDC–2018–                        4. Minimize the burden of the                        the distinct challenges and
                                                0052 by any of the following methods:                   collection of information on those who                 opportunities for rural healthcare
                                                   • Federal eRulemaking Portal:                        are to respond, including through the                  providers. This study has two data
                                                Regulations.gov. Follow the instructions                use of appropriate automated,                          collection methods. A web survey to
                                                for submitting comments.                                electronic, mechanical, or other
                                                   • Mail: Jeffrey M. Zirger, Information                                                                      gather quantitative data on the unique
                                                                                                        technological collection techniques or                 challenges faced by rural clinicians, and
                                                Collection Review Office, Centers for                   other forms of information technology,
                                                Disease Control and Prevention, 1600                                                                           focus groups to gain deeper insight into
                                                                                                        e.g., permitting electronic submissions                the context supporting and/or inhibiting
                                                Clifton Road NE, MS–D74, Atlanta,                       of responses.
                                                Georgia 30329.                                                                                                 access to comprehensive TBI evaluation
                                                                                                          5. Assess information collection costs.              and treatment, the study will collect
                                                   Instructions: All submissions received
                                                must include the agency name and                        Proposed Project                                       qualitative data through focus groups
                                                Docket Number. CDC will post, without                                                                          with rural clinicians.
                                                                                                          Traumatic Brain Injury Disparities in
                                                change, all relevant comments to                        Rural Areas (TBIDRA)—New—National                         The proposed information collection
                                                Regulations.gov.                                        Center for Injury Prevention and Control               is authorized by the Public Health
                                                   Please note: Submit all comments                     (NCIPC), Centers for Disease Control                   Services Act (PHS Act) which provides
                                                through the Federal eRulemaking portal                  and Prevention (CDC).                                  the legislative means for states to
                                                (regulations.gov) or by U.S. mail to the                                                                       advance public health across the
                                                address listed above.                                   Background and Brief Description                       lifespan and to reduce health
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                                                FOR FURTHER INFORMATION CONTACT: To                       Traumatic Brain Injury (TBI) is a                    disparities.
                                                request more information on the                         significant public health concern in the                  The total estimated annualized
                                                proposed project or to obtain a copy of                 United States, research indicates that                 burden hours is 200. There are no costs
                                                the information collection plan and                     residents of rural areas have both higher              to respondents other than their time.




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                                                                                        Federal Register / Vol. 83, No. 110 / Thursday, June 7, 2018 / Notices                                                                                               26465

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

                                                Health care providers (Primary Care                      TBI Provider Survey .........................                                   600                            1                  15/60                 150
                                                  Physician, Emergency Physician,
                                                  Nurse Practitioner and Physician
                                                  Assistant).
                                                                                                         Focus group screener ......................                                      36                            1                   5/60                   3
                                                                                                         Focus group questionnaire ..............                                         31                            1                   5/60                   3
                                                                                                         Focus group discussion guide .........                                           31                            1                  85/60                  44

                                                     Total ...........................................   ...........................................................   ........................   ........................   ........................            200



                                                Jeffrey M. Zirger,                                                      instructions for submitting comments.                                         https://www.regulations.gov or at the
                                                Acting Chief, Information Collection Review                             Comments submitted electronically,                                            Dockets Management Staff between 9
                                                Office, Office of Scientific Integrity, Office                          including attachments, to https://                                            a.m. and 4 p.m., Monday through
                                                of the Associate Director for Science, Office                           www.regulations.gov will be posted to                                         Friday. FDA will consider any
                                                of the Director, Centers for Disease Control                            the docket unchanged. Because your                                            comments received in determining
                                                and Prevention.                                                         comment will be made public, you are                                          whether to amend the current listing of
                                                [FR Doc. 2018–12251 Filed 6–6–18; 8:45 am]                              solely responsible for ensuring that your                                     modifications to the list of recognized
                                                BILLING CODE 4163–18–P                                                  comment does not include any                                                  standards, Recognition List Number:
                                                                                                                        confidential information that you or a                                        049.
                                                                                                                        third party may not wish to be posted,                                           • Confidential Submissions—To
                                                DEPARTMENT OF HEALTH AND                                                such as medical information, your or                                          submit a comment with confidential
                                                HUMAN SERVICES                                                          anyone else’s Social Security number, or                                      information that you do not wish to be
                                                                                                                        confidential business information, such                                       made publicly available, submit your
                                                Food and Drug Administration                                                                                                                          comments only as a written/paper
                                                                                                                        as a manufacturing process. Please note
                                                [Docket No. FDA–2004–N–0451]                                            that if you include your name, contact                                        submission. You should submit two
                                                                                                                        information, or other information that                                        copies total. One copy will include the
                                                Food and Drug Administration                                            identifies you in the body of your                                            information you claim to be confidential
                                                Modernization Act of 1997:                                              comments, that information will be                                            with a heading or cover note that states
                                                Modifications to the List of Recognized                                 posted on https://www.regulations.gov.                                        ‘‘THIS DOCUMENT CONTAINS
                                                Standards, Recognition List Number:                                       • If you want to submit a comment                                           CONFIDENTIAL INFORMATION’’. The
                                                049                                                                     with confidential information that you                                        Agency will review this copy, including
                                                                                                                        do not wish to be made available to the                                       the claimed confidential information, in
                                                AGENCY:      Food and Drug Administration,                                                                                                            its consideration of comments. The
                                                                                                                        public, submit the comment as a
                                                HHS.                                                                                                                                                  second copy, which will have the
                                                                                                                        written/paper submission and in the
                                                ACTION:     Notice.                                                     manner detailed (see ‘‘Written/Paper                                          claimed confidential information
                                                                                                                        Submissions’’ and ‘‘Instructions’’).                                          redacted/blacked out, will be available
                                                SUMMARY:    The Food and Drug                                                                                                                         for public viewing and posted on
                                                Administration (FDA or Agency) is                                       Written/Paper Submissions                                                     https://www.regulations.gov. Submit
                                                announcing a publication containing                                       Submit written/paper submissions as                                         both copies to the Dockets Management
                                                modifications the Agency is making to                                   follows:                                                                      Staff. If you do not wish your name and
                                                the list of standards FDA recognizes for                                  • Mail/Hand delivery/Courier (for                                           contact information to be made publicly
                                                use in premarket reviews (FDA                                           written/paper submissions): Dockets                                           available, you can provide this
                                                Recognized Consensus Standards). This                                   Management Staff (HFA–305), Food and                                          information on the cover sheet and not
                                                publication, entitled ‘‘Modifications to                                Drug Administration, 5630 Fishers                                             in the body of your comments and you
                                                the List of Recognized Standards,                                       Lane, Rm. 1061, Rockville, MD 20852.                                          must identify this information as
                                                Recognition List Number: 049’’                                            • For written/paper comments                                                ‘‘confidential.’’ Any information marked
                                                (Recognition List Number: 049), will                                    submitted to the Dockets Management                                           as ‘‘confidential’’ will not be disclosed
                                                assist manufacturers who elect to                                       Staff, FDA will post your comment, as                                         except in accordance with 21 CFR 10.20
                                                declare conformity with consensus                                       well as any attachments, except for                                           and other applicable disclosure law. For
                                                standards to meet certain requirements                                  information submitted, marked and                                             more information about FDA’s posting
                                                for medical devices.                                                    identified, as confidential, if submitted                                     of comments to public dockets, see 80
                                                DATES: These modifications to the list of                               as detailed in ‘‘Instructions.’’                                              FR 56469, September 18, 2015, or access
                                                recognized standards are applicable                                       Instructions: All submissions received                                      the information at: https://www.gpo.gov/
                                                June 7, 2018.                                                           must include the Docket No. FDA–                                              fdsys/pkg/FR-2015-09-18/pdf/2015-
                                                                                                                        2004–N–0451 for ‘‘Food and Drug
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                                                ADDRESSES: You may submit comments                                                                                                                    23389.pdf.
                                                as follows:                                                             Administration Modernization Act of                                              Docket: For access to the docket to
                                                                                                                        1997: Modifications to the List of                                            read background documents or the
                                                Electronic Submissions                                                  Recognized Standards, Recognition List                                        electronic and written/paper comments
                                                  Submit electronic comments in the                                     Number: 049.’’ Received comments will                                         received, go to https://
                                                following way:                                                          be placed in the docket and, except for                                       www.regulations.gov and insert the
                                                  • Federal eRulemaking Portal:                                         those submitted as ‘‘Confidential                                             docket number, found in brackets in the
                                                https://www.regulations.gov. Follow the                                 Submissions,’’ publicly viewable at                                           heading of this document, into the


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Document Created: 2018-06-07 00:49:48
Document Modified: 2018-06-07 00:49:48
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 August 6, 2018.
ContactTo request more information on the proposed project or to obtain a copy of the information collection plan and instruments, contact Jeffery M. Zirger, 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 Citation83 FR 26464 

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