83 FR 50934 - Agency Forms Undergoing Paperwork Reduction Act Review
DEPARTMENT OF HEALTH AND HUMAN SERVICES
Centers for Disease Control and Prevention Federal Register Volume 83, Issue 196 (October 10, 2018)
Centers for Disease Control and Prevention
Federal Register Volume 83, Issue 196 (October 10, 2018)
| Page Range | 50934-50936 | |
| FR Document | 2018-22008 |
[Federal Register Volume 83, Number 196 (Wednesday, October 10, 2018)] [Notices] [Pages 50934-50936] From the Federal Register Online [www.thefederalregister.org] [FR Doc No: 2018-22008] ----------------------------------------------------------------------- DEPARTMENT OF HEALTH AND HUMAN SERVICES Centers for Disease Control and Prevention [30Day-19-0950] Agency Forms Undergoing Paperwork Reduction Act Review In accordance with the Paperwork Reduction Act of 1995, the Centers for Disease Control and Prevention (CDC) has submitted the information collection request titled The National Health and Nutrition Examination Survey (NHANES) 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 11, 2018 to obtain comments from the public and affected agencies. CDC received five 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 The National Health and Nutrition Examination Survey (NHANES), (OMB No. 0920-0950, expires 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 [[Page 50935]] 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 and 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 the health of the U.S. population over time. In 2019, we will implement a new data collection schedule. 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). This results in less travel time, which allows more time to screen and recruit potential participants, and allows for more exam slots. As in previous years, the base sample will remain at approximately 5,000 interviewed and examined individuals annually. NCHS collects personally identifiable information (PII). 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 sponsors data collection components on NHANES. To keep burden down and respond to changing public health research needs, 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 (age one and older), dual X-ray absorptiometry (DXA) (ages 50+ bone density; ages 8-69 total body scan) and audiometry (ages 6-19 and 70+). While at the examination center, additional interview questions are asked (six and older)and a second 24-hour dietary recall (all ages) is scheduled to be conducted by phone 3-10 days later. Starting in 2019, we will collect blood pressure using an automated device, instead of using manual devices. The 2019-20 survey will bring back the cognitive function test (ages 60+). We plan to add a Words-In- Noise (ages 70+) exam to the audiometry component, genetic testing related to the liver elastography exam, and a standing balance exam (ages 40+,) which includes two vision tests (contrast sensitivity and visual acuity). NHANES also plans to conduct developmental projects during NHANES 2019-20. These may include a 24-hour blood pressure measurement pilot among NHANES participants ages 18 and older, creating and testing a social media campaign and testing modifications to incentive amounts or how incentives are provided. The biospecimens 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. Collecting an oral rinse for HPV analyses is cycling back into the survey (ages 8-69 years). In addition, we will again collect a water sample in the home for fluoride. The following analytes have been 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 in 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, collecting information on infant and toddler formula. We are also modifying multiple questionnaire sections so they better align with questions asked in the National Health Interview Survey (NHIS) (OMB Control No. 0920-0214, Exp. Date 12/31/2019), compliment exam or lab content, or in order to reduce respondent burden. Most sections of the NHANES interviews provide self-reported information to be used in combination 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 annually. 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 is 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. We are requesting a three- year approval, with 68,417 annualized hours of burden. [[Page 50936]] Estimated Annualized Burden Hours ---------------------------------------------------------------------------------------------------------------- Average Number of Number of burden per Type of respondent Form name respondents responses per response (in respondent hours) ---------------------------------------------------------------------------------------------------------------- Individuals in households............. Screener................ 15,000 1 5/60 Individuals in households............. Household Interview..... 5,000 1 1.5 Individuals in households............. MEC Interview & 5,000 1 4 Examination. Individuals in households............. Telephone Dietary Recall 5,000 1 30/60 & Dietary Supplements. Individuals in households............. Flexible Consumer 5,000 1 20/60 Behavior Survey Phone Follow-Up. Individuals in households............. Developmental Projects & 3,500 1 3 Special Studies. Individuals in households............. 24 hour Blood Pressure 1,000 1 25 Pilot. ---------------------------------------------------------------------------------------------------------------- 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. 2018-22008 Filed 10-9-18; 8:45 am] BILLING CODE 4163-18-P
![50934 Federal Register / Vol. 83, No. 196 / Wednesday, October 10, 2018 / Notices
Prevention’s (CDC) National Intimate Development or enhancement of a State of their annual non-competing
Partner and Sexual Violence Survey Action Plan (SAP) to increase the use of continuation application. The report has
(NISVS) data showed many victims of data for planning and the prioritization been designed in a way that collects
IPV began experiencing these forms of of primary prevention of IPV based on consistent information across recipients
violence prior to adulthood. any existing health inequities within while allowing the flexibility to account
Authorized by the Family Violence their jurisdictions. 3. Provision of for varying prevention strategies.
and Prevention Services Act (FVPSA) training and technical assistance (TA) to Information to be collected will
statute (42 U.S.C. 10414), CDC has DELTA Impact organizations on the provide crucial data for program
funded the Domestic Violence implementation of IPV prevention performance monitoring, will allow
Prevention Enhancements and strategies. CDC to analyze and synthesize
Leadership Through Alliances (DELTA) The Centers for Disease Control and information from grantees, help ensure
Program since 2002. The DELTA Prevention (CDC) seeks OMB approval consistency in documenting progress
program funds State Domestic Violence to collect annual progress report (APR) and technical assistance, enhance
Coalitions to implement statewide IPV information from the currently grantees accountability of the use of federal
prevention efforts, while also providing funded under Domestic Violence funds, and provide timely reports as
assistance and funding for local Prevention Enhancement and frequently requested by HHS, the White
communities to implement IPV Leadership Through Alliances (DELTA) House, and Congress.
prevention activities. The DELTA Impact. Recipients will report relevant Submission of the Annual Progress
Impact cooperative agreement advances information on the implementation of Report is required for cooperative
IPV prevention activities through these their prevention strategies, agreement grantees. Over the three-year
components: 1. Implementation and implementation of statewide planning, period of this information collection
program evaluation of state and local as well as the extent to which they request, the annualized estimated
level IPV prevention strategies targeting implement and evaluate multiple burden for 10 recipients is 117 with a
community or societal level change specific prevention programs. These total three-year burden of 350 hours.
using a public health approach and data will be submitted through an There is no cost to respondents other
effective prevention principles. 2. electronic reporting system at the time than their time.
ESTIMATED ANNUALIZED BURDEN HOURS
Average bur-
Number of
Number of den
Type of respondents Form name responses per
respondents per response
respondent (in hours)
DELTA Impact Program Recipients State Do- Annual Progress Report—Year 1 .................. 10 1 5
mestic Violence Coalitions.
Annual Progress Report—Year 2 and 3 ........ 10 2 3.3
Jeffrey M. Zirger, 2018 to obtain comments from the technological collection techniques or
Acting Chief, Office of Scientific Integrity, public and affected agencies. CDC other forms of information technology,
Office of the Associate Director for Science, received five comments related to the e.g., permitting electronic submission of
Office of the Director, Centers for Disease previous notice. This notice serves to responses; and
Control and Prevention. allow an additional 30 days for public (e) Assess information collection
[FR Doc. 2018–22007 Filed 10–9–18; 8:45 am] and affected agency comments. costs.
BILLING CODE 4163–18–P CDC will accept all comments for this To request additional information on
proposed information collection project. the proposed project or to obtain a copy
The Office of Management and Budget of the information collection plan and
DEPARTMENT OF HEALTH AND is particularly interested in comments instruments, call (404) 639–7570 or
HUMAN SERVICES that: send an email to omb@cdc.gov. Direct
(a) Evaluate whether the proposed written comments and/or suggestions
Centers for Disease Control and regarding the items contained in this
Prevention collection of information is necessary
for the proper performance of the notice to the Attention: CDC Desk
[30Day–19–0950] functions of the agency, including Officer, Office of Management and
whether the information will have Budget, 725 17th Street NW,
Agency Forms Undergoing Paperwork practical utility; Washington, DC 20503 or by fax to (202)
Reduction Act Review 395–5806. Provide written comments
(b) Evaluate the accuracy of the
within 30 days of notice publication.
In accordance with the Paperwork agencies estimate of the burden of the
Reduction Act of 1995, the Centers for proposed collection of information, Proposed Project
Disease Control and Prevention (CDC) including the validity of the The National Health and Nutrition
has submitted the information methodology and assumptions used; Examination Survey (NHANES), (OMB
collection request titled The National (c) Enhance the quality, utility, and No. 0920–0950, expires 12/31/2019)—
amozie on DSK3GDR082PROD with NOTICES1
Health and Nutrition Examination clarity of the information to be Revision—National Center for Health
Survey (NHANES) to the Office of collected; Statistics (NCHS), Centers for Disease
Management and Budget (OMB) for (d) Minimize the burden of the Control and Prevention (CDC).
review and approval. CDC previously collection of information on those who
published a ‘‘Proposed Data Collection are to respond, including, through the Background and Brief Description
Submitted for Public Comment and use of appropriate automated, Section 306 of the Public Health
Recommendations’’ notice on May 11, electronic, mechanical, or other Service (PHS) Act (42 U.S.C. 242k), as
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![50936 Federal Register / Vol. 83, No. 196 / Wednesday, October 10, 2018 / Notices
ESTIMATED ANNUALIZED BURDEN HOURS
Number of Average
Type of Number of responses burden per
Form name
respondent respondents per respond- response
ent (in hours)
Individuals in households ................. Screener ........................................................................ 15,000 1 5/60
Individuals in households ................. Household Interview ..................................................... 5,000 1 1.5
Individuals in households ................. MEC Interview & Examination ...................................... 5,000 1 4
Individuals in households ................. Telephone Dietary Recall & Dietary Supplements ....... 5,000 1 30/60
Individuals in households ................. Flexible Consumer Behavior Survey Phone Follow-Up 5,000 1 20/60
Individuals in households ................. Developmental Projects & Special Studies .................. 3,500 1 3
Individuals in households ................. 24 hour Blood Pressure Pilot ........................................ 1,000 1 25
Jeffrey M. Zirger, Blvd., Baltimore, MD 21244–1870, or OMB No.: New Collection.
Acting Chief, Information Collection Review Barbara.demopulos@cms.hhs.gov. Description: The Children’s Bureau
Office, Office of Scientific Integrity, Office SUPPLEMENTARY INFORMATION: A notice (CB) within the Administration for
of the Associate Director for Science, Office establishing or significantly modifying a Children and Families of the U.S.
of the Director, Centers for Disease Control system of records is required by Department of Health and Human
and Prevention. Services seeks approval to collect
subsection (r) of the Privacy Act (5
[FR Doc. 2018–22008 Filed 10–9–18; 8:45 am] information for the Regional Partnership
U.S.C. 552a(r)) to be reported to the
BILLING CODE 4163–18–P Committee on Government Operations Grants to Increase the Well-being of and
of the House of Representatives, the to Improve Permanency Outcomes for
Committee on Governmental Affairs of Children Affected by Substance Abuse
DEPARTMENT OF HEALTH AND the Senate, and the Office of (known as the Regional Partnership
HUMAN SERVICES Management and Budget (OMB) in Grants Program or ‘‘RPG’’) Cross-Site
advance of publication in the Federal Evaluation and Evaluation-Related
Centers for Medicare & Medicaid Technical Assistance project. The Child
Services Register, in order to permit an
evaluation of the potential effect of the and Family Services Improvement and
proposal on the privacy and other rights Innovation Act (Pub. L. 112–34)
Privacy Act of 1974; System of
of individuals. The notice published at includes a targeted grants program
Records
83 FR 46951 (Sept. 17, 2018) did not (section 437(f) of the Social Security
AGENCY: Centers for Medicare & comply with this requirement and is Act) that directs the Secretary of Health
Medicaid Services (CMS), Department therefore withdrawn, as prematurely and Human Services to reserve a
of Health and Human Services (HHS). published. A revised version will be specified portion of the appropriation
ACTION: Notice of withdrawal. published at a later date and in for these Regional Partnership Grants, to
compliance with 5 U.S.C. 552a(r) and be used to improve the well-being of
SUMMARY: The Department of Health and section 7 of OMB Circular A–108, children affected by substance abuse.
Human Services (HHS), Centers for ‘‘Federal Agency Responsibilities for Under three prior rounds of RPG, the
Medicare & Medicaid Services (CMS), is Review, Reporting, and Publication Children’s Bureau has issued 74 grants
withdrawing the notice published on under the Privacy Act,’’ 81 FR 94424 to organizations such as child welfare or
September 17, 2018 to modify system of (Dec. 23, 2016). substance abuse treatment providers or
records No. 09–70–0541, titled family court systems to develop
‘‘Medicaid Statistical Information Barbara Demopulos, interagency collaborations and
System (MSIS).’’ The notice was CMS Privacy Advisor, Division of Security, integration of programs, activities, and
prematurely published. A revised Privacy Policy and Governance Information services designed to increase well-being,
version will be published at a later date. Security and Privacy Group, Office of improve permanency, and enhance the
Information Technology, Centers for Medicare safety of children who are in an out-of-
DATES: The notice of withdrawal is & Medicaid Services.
applicable October 10, 2018. home placement or are at risk of being
[FR Doc. 2018–21899 Filed 10–9–18; 8:45 am] placed in out-of-home care as a result of
ADDRESSES: Any comments should be BILLING CODE 4120–03–P a parent’s or caretaker’s substance
submitted by mail or email to: CMS abuse. In 2017, CB awarded grants to a
Privacy Act Officer, Division of fourth cohort of 17 grantees and in 2018
Security, Privacy Policy & Governance, DEPARTMENT OF HEALTH AND they plan to award 10 grants to a fifth
Information Security & Privacy Group, HUMAN SERVICES cohort.
Office of Information Technology, CMS, The RPG cross-site evaluation will
Location N1–14–56, 7500 Security Administration for Children and
extend our understanding of what types
Blvd., Baltimore, MD 21244–1870, or Families
of programs and services grantees
walter.stone@cms.hhs.gov. provided to participants, how grantees
Children’s Bureau; Proposed
FOR FURTHER INFORMATION CONTACT: Information Collection Activity; leveraged their partnerships to
General questions may be submitted by coordinate services for children and
amozie on DSK3GDR082PROD with NOTICES1
Comment Request
phone, mail or email to Barbara families, and what the outcomes were
Demopulos, (phone 410–786–6340), AGENCY: Administration for Children for children and families enrolled in
CMS Privacy Advisor, Division of and Families, U.S. Department of Health RPG programs. First, the cross-site
Security, Privacy Policy & Governance, and Human Services. evaluation will describe the
Information Security & Privacy Group, Title: RPG National Cross-Site characteristics of participants served by
Office of Information Technology, CMS, Evaluation and Evaluation Technical RPG programs, the types of services
Location N1–14–40, 7500 Security Assistance. provided to families, the dosage of each
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Document Created: 2018-10-10 17:38:35
Document Modified: 2018-10-10 17:38:35
| Category | Regulatory Information | |
| Collection | Federal Register | |
| sudoc Class | AE 2.7: GS 4.107: AE 2.106: | |
| Publisher | Office of the Federal Register, National Archives and Records Administration | |
| Section | Notices | |
| FR Citation | 83 FR 50934 |
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