83_FR_44042 83 FR 43875 - Agency Forms Undergoing Paperwork Reduction Act Review

83 FR 43875 - Agency Forms Undergoing Paperwork Reduction Act Review

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

Federal Register Volume 83, Issue 167 (August 28, 2018)

Page Range43875-43876
FR Document2018-18588

Federal Register, Volume 83 Issue 167 (Tuesday, August 28, 2018)
[Federal Register Volume 83, Number 167 (Tuesday, August 28, 2018)]
[Notices]
[Pages 43875-43876]
From the Federal Register Online  [www.thefederalregister.org]
[FR Doc No: 2018-18588]


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DEPARTMENT OF HEALTH AND HUMAN SERVICES

Centers for Disease Control and Prevention

[30Day-18-1102]


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 Information Collection for Tuberculosis Data 
from Panel Physicians 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 
May 29, 2018 to obtain comments from the public and affected agencies. 
CDC received three 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

    Information Collection for Tuberculosis Data from Panel 
Physicians--Revision--National Center for Emerging and Zoonotic 
Infectious Diseases (NCEZID), Centers for Disease Control and 
Prevention (CDC).

Background and Brief Description

    The Centers for Disease Control and Prevention's (CDC), National 
Center for Emerging and Zoonotic Infectious Diseases (NCEZID), Division 
of Global Migration and Quarantine (DGMQ), Immigrant, Refugee, and 
Migrant Health Branch (IRMH), requests approval for a revision of an 
existing information collection. This project pertains to collecting 
annual reports on certain tuberculosis data from U.S. panel physicians.
    The respondents are panel physicians. More than 760 panel 
physicians from 336 panel sites perform overseas pre-departure medical 
examinations in accordance with requirements, referred to as technical 
instructions, provided by DGMQs Quality Assessment Program (QAP). The 
role of QAP is to assist and guide panel physicians in the 
implementation of the Technical Instructions; evaluate the quality of 
the overseas medical examination for U.S.-bound immigrants and 
refugees; assess potential panel physician sites; and provide 
recommendations to the U.S. Department of State in matters of immigrant 
medical screening.
    To achieve DGMQ's mission, the Immigrant, Refugee and Migrant 
Health branch (IRMH) works with domestic and international programs to 
improve the health of U.S.-bound immigrants and refugees to protect the 
U.S. public by preventing the importation of infectious disease. These 
goals are accomplished through IRMH's oversight of medical exams 
required for all U.S.--bound immigrants and refugees who seek permanent 
residence in the U.S. IRMH is responsible for assisting and training 
the international panel physicians with the implementation of medical 
exam Technical Instructions (TI). Technical Instructions are detailed 
requirements and national policies regarding the medical screening and 
treatment of all U.S.-bound immigrants and refugees.
    Screening for tuberculosis (TB) is a particularly important 
component of the immigration medical exam and allows panel physicians 
to diagnose active TB disease prior to arrival in the United States. As 
part of the Technical Instructions requirements, panel physicians 
perform chest x-rays and laboratory tests that aid in the 
identification of tuberculosis infection (Class B1 applicants) and 
diagnosis of active tuberculosis disease (Class A, inadmissible 
applicants). CDC uses these classifications to report new immigrant and 
refugee arrivals with a higher risk of developing TB disease to U.S. 
state and local health departments for further follow-up. Some 
information that panel physicians collect as part of the medical exam 
is not reported on the standard Department of State forms (DS-forms), 
thereby preventing CDC from evaluating TB trends in globally mobile 
populations and monitoring program effectiveness.
    Currently, CDC is requesting this data be sent by panel physicians 
once per year. The consequences of reducing this frequency would be the 
loss of monitoring program impact and TB burdens in mobile populations 
and immigrants and refugees coming to the United States on an annual 
basis. Estimated annual burden is being reduced by 1,640 hours per 
year. The number of respondents is being reduced by 17. Reductions are 
due to revised estimates on burden time per response, and the removal 
of four variables from the data collection form and improved IT 
capacity at most panel sites. The total hours requested is 1,008. There 
is no cost to the respondents other than their time.

[[Page 43876]]



                                        Estimated Annualized Burden Hours
----------------------------------------------------------------------------------------------------------------
                                                                                     Number of    Average burden
          Type of respondents                   Form name            Number of     responses per   per response
                                                                    respondents     respondent      (in hours)
----------------------------------------------------------------------------------------------------------------
International panel physicians........  TB Indicators Excel                  336               1               3
                                         Spreadsheet.
----------------------------------------------------------------------------------------------------------------


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. 2018-18588 Filed 8-27-18; 8:45 am]
BILLING CODE 4163-18-P



                                                                            Federal Register / Vol. 83, No. 167 / Tuesday, August 28, 2018 / Notices                                           43875

                                               HISTORY:                                                  (c) Enhance the quality, utility, and                  To achieve DGMQ’s mission, the
                                                 The history of the Board’s various                    clarity of the information to be                      Immigrant, Refugee and Migrant Health
                                               systems can be located at: https://                     collected;                                            branch (IRMH) works with domestic
                                               www.federalreserve.gov/system-of-                         (d) Minimize the burden of the                      and international programs to improve
                                               records-notices.htm by clicking on the                  collection of information on those who                the health of U.S.-bound immigrants
                                               Federal Register Notice associated with                 are to respond, including, through the                and refugees to protect the U.S. public
                                               the SORN for each system. In order that                 use of appropriate automated,                         by preventing the importation of
                                               the Board’s General Routine Uses will                   electronic, mechanical, or other                      infectious disease. These goals are
                                               be contained in a single notice readily                 technological collection techniques or                accomplished through IRMH’s oversight
                                               accessible by the public, the Board is                  other forms of information technology,                of medical exams required for all U.S.—
                                               taking the opportunity to republish the                 e.g., permitting electronic submission of             bound immigrants and refugees who
                                               General Routine Uses previously                         responses; and                                        seek permanent residence in the U.S.
                                               published on May 6, 2008 (73 FR 24985)                    (e) Assess information collection                   IRMH is responsible for assisting and
                                               which were not revised under this                       costs.                                                training the international panel
                                               notice.                                                                                                       physicians with the implementation of
                                                                                                         To request additional information on
                                                 Board of Governors of the Federal Reserve             the proposed project or to obtain a copy              medical exam Technical Instructions
                                               System, August 23, 2018.                                of the information collection plan and                (TI). Technical Instructions are detailed
                                               Ann Misback,                                            instruments, call (404) 639–7570 or                   requirements and national policies
                                               Secretary of the Board.                                 send an email to omb@cdc.gov. Direct                  regarding the medical screening and
                                               [FR Doc. 2018–18627 Filed 8–27–18; 8:45 am]             written comments and/or suggestions                   treatment of all U.S.-bound immigrants
                                               BILLING CODE P                                          regarding the items contained in this                 and refugees.
                                                                                                       notice to the Attention: CDC Desk                        Screening for tuberculosis (TB) is a
                                                                                                       Officer, Office of Management and                     particularly important component of the
                                               DEPARTMENT OF HEALTH AND                                Budget, 725 17th Street NW,                           immigration medical exam and allows
                                               HUMAN SERVICES                                          Washington, DC 20503 or by fax to (202)               panel physicians to diagnose active TB
                                                                                                       395–5806. Provide written comments                    disease prior to arrival in the United
                                               Centers for Disease Control and                         within 30 days of notice publication.
                                               Prevention                                                                                                    States. As part of the Technical
                                                                                                       Proposed Project                                      Instructions requirements, panel
                                               [30Day–18–1102]                                                                                               physicians perform chest x-rays and
                                                                                                         Information Collection for                          laboratory tests that aid in the
                                               Agency Forms Undergoing Paperwork                       Tuberculosis Data from Panel
                                                                                                                                                             identification of tuberculosis infection
                                               Reduction Act Review                                    Physicians—Revision—National Center
                                                                                                                                                             (Class B1 applicants) and diagnosis of
                                                                                                       for Emerging and Zoonotic Infectious
                                                  In accordance with the Paperwork                                                                           active tuberculosis disease (Class A,
                                                                                                       Diseases (NCEZID), Centers for Disease
                                               Reduction Act of 1995, the Centers for                                                                        inadmissible applicants). CDC uses
                                                                                                       Control and Prevention (CDC).
                                               Disease Control and Prevention (CDC)                                                                          these classifications to report new
                                               has submitted the information                           Background and Brief Description                      immigrant and refugee arrivals with a
                                               collection request titled Information                                                                         higher risk of developing TB disease to
                                                                                                         The Centers for Disease Control and
                                               Collection for Tuberculosis Data from                                                                         U.S. state and local health departments
                                                                                                       Prevention’s (CDC), National Center for
                                               Panel Physicians to the Office of                                                                             for further follow-up. Some information
                                                                                                       Emerging and Zoonotic Infectious
                                               Management and Budget (OMB) for                                                                               that panel physicians collect as part of
                                                                                                       Diseases (NCEZID), Division of Global
                                               review and approval. CDC previously                                                                           the medical exam is not reported on the
                                                                                                       Migration and Quarantine (DGMQ),
                                               published a ‘‘Proposed Data Collection                                                                        standard Department of State forms (DS-
                                                                                                       Immigrant, Refugee, and Migrant Health
                                               Submitted for Public Comment and                                                                              forms), thereby preventing CDC from
                                                                                                       Branch (IRMH), requests approval for a
                                               Recommendations’’ notice on May 29,                                                                           evaluating TB trends in globally mobile
                                                                                                       revision of an existing information
                                               2018 to obtain comments from the                                                                              populations and monitoring program
                                                                                                       collection. This project pertains to
                                               public and affected agencies. CDC                                                                             effectiveness.
                                               received three comments related to the                  collecting annual reports on certain
                                                                                                       tuberculosis data from U.S. panel                        Currently, CDC is requesting this data
                                               previous notice. This notice serves to
                                                                                                       physicians.                                           be sent by panel physicians once per
                                               allow an additional 30 days for public
                                                                                                         The respondents are panel physicians.               year. The consequences of reducing this
                                               and affected agency comments.
                                                  CDC will accept all comments for this                More than 760 panel physicians from                   frequency would be the loss of
                                               proposed information collection project.                336 panel sites perform overseas pre-                 monitoring program impact and TB
                                               The Office of Management and Budget                     departure medical examinations in                     burdens in mobile populations and
                                               is particularly interested in comments                  accordance with requirements, referred                immigrants and refugees coming to the
                                               that:                                                   to as technical instructions, provided by             United States on an annual basis.
                                                  (a) Evaluate whether the proposed                    DGMQs Quality Assessment Program                      Estimated annual burden is being
                                               collection of information is necessary                  (QAP). The role of QAP is to assist and               reduced by 1,640 hours per year. The
                                               for the proper performance of the                       guide panel physicians in the                         number of respondents is being reduced
                                               functions of the agency, including                      implementation of the Technical                       by 17. Reductions are due to revised
                                               whether the information will have                       Instructions; evaluate the quality of the             estimates on burden time per response,
                                               practical utility;                                      overseas medical examination for U.S.-                and the removal of four variables from
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                                                  (b) Evaluate the accuracy of the                     bound immigrants and refugees; assess                 the data collection form and improved
                                               agencies estimate of the burden of the                  potential panel physician sites; and                  IT capacity at most panel sites. The total
                                               proposed collection of information,                     provide recommendations to the U.S.                   hours requested is 1,008. There is no
                                               including the validity of the                           Department of State in matters of                     cost to the respondents other than their
                                               methodology and assumptions used;                       immigrant medical screening.                          time.




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                                               43876                          Federal Register / Vol. 83, No. 167 / Tuesday, August 28, 2018 / Notices

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

                                               International panel physicians ........................   TB Indicators Excel Spreadsheet ..................             336                  1                 3



                                               Jeffrey M. Zirger,                                         Disease Control and Prevention, 1600                   4. Minimize the burden of the
                                               Acting Chief, Information Collection Review                Clifton Road NE, MS–D74, Atlanta,                    collection of information on those who
                                               Office, Office of Scientific Integrity, Office             Georgia 30329.                                       are to respond, including through the
                                               of the Associate Director for Science, Office                 Instructions: All submissions received            use of appropriate automated,
                                               of the Director, Centers for Disease Control                                                                    electronic, mechanical, or other
                                                                                                          must include the agency name and
                                               and Prevention.
                                                                                                          Docket Number. CDC will post, without                technological collection techniques or
                                               [FR Doc. 2018–18588 Filed 8–27–18; 8:45 am]
                                                                                                          change, all relevant comments to                     other forms of information technology,
                                               BILLING CODE 4163–18–P                                                                                          e.g., permitting electronic submissions
                                                                                                          Regulations.gov.
                                                                                                             Please note: Submit all comments                  of responses.
                                                                                                          through the Federal eRulemaking portal                 5. Assess information collection costs.
                                               DEPARTMENT OF HEALTH AND
                                               HUMAN SERVICES                                             (regulations.gov) or by U.S. mail to the             Proposed Project
                                                                                                          address listed above.
                                               Centers for Disease Control and                                                                                   CDC Model Performance Evaluation
                                                                                                          FOR FURTHER INFORMATION CONTACT: To
                                               Prevention                                                                                                      Program (MPEP) for Mycobacterium
                                                                                                          request more information on the
                                                                                                                                                               tuberculosis Susceptibility testing (OMB
                                               [60Day–18–0600; Docket No. CDC–CDC–                        proposed project or to obtain a copy of
                                                                                                                                                               #0920–0600, expiration 3/31/2019)—
                                               2008–0079]                                                 the information collection plan and
                                                                                                                                                               Revision—National Center for HIV/
                                                                                                          instruments, contact Jeffery M. Zirger,
                                                                                                                                                               AIDS, Viral Hepatitis, STD, and TB
                                               Proposed Data Collection Submitted                         Information Collection Review Office,
                                                                                                                                                               Prevention (NCHHSTP), Centers for
                                               for Public Comment and                                     Centers for Disease Control and
                                                                                                                                                               Disease Control and Prevention (CDC).
                                               Recommendations                                            Prevention, 1600 Clifton Road NE, MS–
                                                                                                          D74, Atlanta, Georgia 30329; phone:                  Background and Brief Description
                                               AGENCY: Centers for Disease Control and
                                                                                                          404–639–7570; Email: omb@cdc.gov.                       The CDC is requesting a revision to
                                               Prevention (CDC), Department of Health
                                               and Human Services (HHS).                                  SUPPLEMENTARY INFORMATION: Under the                 the approved information collection,
                                               ACTION: Notice with comment period.
                                                                                                          Paperwork Reduction Act of 1995 (PRA)                CDC Model Performance for
                                                                                                          (44 U.S.C. 3501–3520), Federal agencies              Mycobacterium tuberculosis Drug
                                               SUMMARY:   The Centers for Disease                         must obtain approval from the Office of              Susceptibility Testing (OMB Control
                                               Control and Prevention (CDC), as part of                   Management and Budget (OMB) for each                 Number 0920–0600). Clearance is
                                               its continuing effort to reduce public                     collection of information they conduct               requested for a period of three years.
                                               burden and maximize the utility of                         or sponsor. In addition, the PRA also                Revision of this information collection
                                               government information, invites the                        requires Federal agencies to provide a               will not require changes in the scope of
                                               general public and other Federal                           60-day notice in the Federal Register                the study. This revision includes (a)
                                               agencies the opportunity to comment on                     concerning each proposed collection of               modification of the Participant Biosafety
                                               a proposed and/or continuing                               information, including each new                      Compliance Letter of Agreement; (b)
                                               information collection, as required by                     proposed collection, each proposed                   modification of the Instructions to
                                               the Paperwork Reduction Act of 1995.                       extension of existing collection of                  Participants Letter; (c) modification of
                                               This notice invites comment on a                           information, and each reinstatement of               the MPEP Mycobacterium Results
                                               proposed information collection project                    previously approved information                      Worksheet; (d) Request for approval of
                                               titled CDC Model Performance                               collection before submitting the                     a MPEP Mycobacterium tuberculosis
                                               Evaluation Program (MPEP) for                              collection to the OMB for approval. To               Minimum Inhibitory Concentration
                                               Mycobacterium tuberculosis                                 comply with this requirement, we are                 (MIC) Results Form for laboratories that
                                               Susceptibility Testing information                         publishing this notice of a proposed                 perform Sensititre Drug Susceptibility
                                               collection. CDC is requesting a three-                     data collection as described below.                  Testing (DST) to record MIC results; and
                                               year approval for revision to the                             The OMB is particularly interested in             (e) reduction in request for burden
                                               previously approved project used to                        comments that will help:                             hours.
                                               monitor and evaluate performances and                         1. Evaluate whether the proposed                     While the overall number of cases of
                                               practices among national laboratories M.                   collection of information is necessary               TB in the U.S. has decreased, rates still
                                               tuberculosis susceptibility testing.                       for the proper performance of the                    remain high among foreign-born
                                               DATES: CDC must receive written                            functions of the agency, including                   persons, prisoners, homeless
                                               comments on or before October 29,                          whether the information will have                    populations, and individuals infected
                                               2018.                                                      practical utility;                                   with HIV in major metropolitan areas.
                                               ADDRESSES: You may submit comments,                           2. Evaluate the accuracy of the                   To reach the goal of eliminating TB, the
daltland on DSKBBV9HB2PROD with NOTICES




                                               identified by Docket No. CDC–2008–                         agency’s estimate of the burden of the               Model Performance Evaluation Program
                                               00791 by any of the following methods:                     proposed collection of information,                  for Mycobacterium tuberculosis
                                                  • Federal eRulemaking Portal:                           including the validity of the                        Susceptibility Testing is used to monitor
                                               Regulations.gov. Follow the instructions                   methodology and assumptions used;                    and evaluate performance and practices
                                               for submitting comments.                                      3. Enhance the quality, utility, and              among national laboratories performing
                                                  • Mail: Jeffrey M. Zirger, Information                  clarity of the information to be                     M. tuberculosis susceptibility testing.
                                               Collection Review Office, Centers for                      collected; and                                       Participation in this program is one way


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Document Created: 2018-08-28 00:22:56
Document Modified: 2018-08-28 00:22:56
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
FR Citation83 FR 43875 

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