83_FR_52156 83 FR 51957 - Draft Guideline: Infection Control in Healthcare Personnel: Infrastructure and Routine Practices for Occupational Infection Prevention and Control Services

83 FR 51957 - Draft Guideline: Infection Control in Healthcare Personnel: Infrastructure and Routine Practices for Occupational Infection Prevention and Control Services

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

Federal Register Volume 83, Issue 199 (October 15, 2018)

Page Range51957-51958
FR Document2018-22377

The Centers for Disease Control and Prevention (CDC), in the Department of Health and Human Services (DHHS), announces the opening of a docket to obtain comment on the Draft Guideline: Infection Control in Healthcare Personnel: Infrastructure and Routine Practices for Occupational Infection Prevention and Control Services (Draft Guideline). The Draft Guideline is an update of two sections of the Guideline for Infection Control in Healthcare Personnel, 1998: C. Infection Control Objectives for a Personnel Health Service and D. Elements of a Personnel Health Service for Infection Control. The updated recommendations in the Draft Guideline are intended to facilitate the provision of occupational infection prevention and control services to healthcare personnel and to prevent transmission of infections between healthcare personnel and others.

Federal Register, Volume 83 Issue 199 (Monday, October 15, 2018)
[Federal Register Volume 83, Number 199 (Monday, October 15, 2018)]
[Notices]
[Pages 51957-51958]
From the Federal Register Online  [www.thefederalregister.org]
[FR Doc No: 2018-22377]


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DEPARTMENT OF HEALTH AND HUMAN SERVICES

Centers for Disease Control and Prevention

[Docket No. CDC-2018-0099]


Draft Guideline: Infection Control in Healthcare Personnel: 
Infrastructure and Routine Practices for Occupational Infection 
Prevention and Control Services

AGENCY: Centers for Disease Control and Prevention (CDC), Department of 
Health and Human Services (DHHS).

ACTION: Notice with comment period.

-----------------------------------------------------------------------

SUMMARY: The Centers for Disease Control and Prevention (CDC), in the 
Department of Health and Human Services (DHHS), announces the opening 
of a docket to obtain comment on the Draft Guideline: Infection Control 
in Healthcare Personnel: Infrastructure and Routine Practices for 
Occupational Infection Prevention and Control Services (Draft 
Guideline). The Draft Guideline is an update of two sections of the 
Guideline for Infection Control in Healthcare Personnel, 1998: C. 
Infection Control Objectives for a Personnel Health Service and D. 
Elements of a Personnel Health Service for Infection Control. The 
updated recommendations in the Draft Guideline are intended to 
facilitate the provision of occupational infection prevention and 
control services to healthcare personnel and to prevent transmission of 
infections between healthcare personnel and others.

DATES: Written comments must be received on or before December 14, 
2018.

ADDRESSES: You may submit comments, identified by Docket No. CDC-2018-
0099, by any of the following methods:
     Federal eRulemaking Portal: http://www.regulations.gov. 
Follow the instructions for submitting comments.
     Mail: Division of Healthcare Quality Promotion, National 
Center for Emerging and Zoonotic Infectious Diseases, Centers for 
Disease Control and Prevention, Attn: Docket No. CDC-2018-0099, HICPAC 
Secretariat, 1600 Clifton Road NE, Mailstop A07, Atlanta, Georgia 
30329.
    Instructions: Submissions via http://regulations.gov are preferred. 
All submissions received must include the agency name and Docket 
Number. All relevant comments received will be posted without change to 
http://regulations.gov, including any personal information provided. 
For access to the docket to read background documents or comments 
received, go to http://www.regulations.gov.

FOR FURTHER INFORMATION CONTACT: Kendra Cox, Division of Healthcare 
Quality Promotion, National Center for Emerging and Zoonotic Infectious 
Diseases, Centers for Disease Control and Prevention, 1600 Clifton Road 
NE, Mailstop A-07, Atlanta, Georgia 30329; Telephone: (404) 639-4000.

SUPPLEMENTARY INFORMATION:

Public Participation

    Interested persons or organizations are invited to participate by 
submitting written views, recommendations, and data.
    Please note that comments received, including attachments and other 
supporting materials, are part of the public record and are subject to 
public disclosure. Comments will be posted on https://www.regulations.gov. Therefore, do not include any information in your 
comments or supporting materials that you consider confidential or

[[Page 51958]]

inappropriate for public disclosure. If you include your name, contact 
information, or other information that identifies you in the body of 
your comments, that information will be on public display. CDC will 
review all submissions and may choose (but is not required) to redact, 
or withhold, submissions containing private or proprietary information 
such as Social Security numbers, medical information, inappropriate 
language, or duplicate/near-duplicate examples of a mass-mail campaign. 
CDC will carefully consider all comments timely submitted in 
preparation of the final guideline Infection Control in Healthcare 
Personnel: Infrastructure and Routine Practices for Occupational 
Infection Prevention and Control Services and may revise the final 
document as appropriate.

Background

    The Draft Guideline, located in the ``Supporting & Related 
Material'' tab of the docket, updates two sections from the 1998 
Guideline: C. Infection Control Objectives for a Personnel Health 
Service and D. Elements of a Personnel Health Service for Infection 
Control. Those sections described the infrastructure and routine 
practices of Occupational Health Services for providing occupational 
infection prevention and control services to healthcare personnel.
    Once finalized, the Draft Guideline is intended for use by the 
leaders and staff of Occupational Health Services and the 
administrators and leaders of healthcare organizations in order to 
facilitate the provision of occupational infection prevention and 
control services to healthcare personnel.
    Since 2015, the Healthcare Infection Control Practices Advisory 
Committee (HICPAC) has worked with national partners, academicians, 
public health professionals, healthcare providers, and other partners 
to develop this Draft Guideline as a recommendation for CDC to update 
sections of the 1998 Guideline. HICPAC includes representatives from 
public health, infectious diseases, regulatory and other federal 
agencies, professional societies, and other stakeholders.
    The draft recommendations in this Draft Guideline are informed by a 
systematic literature review of articles published in peer-reviewed 
journals or repositories of systematic reviews; and a review of 
occupational infection prevention and control guidelines, regulations, 
and standards. This Draft Guideline is not, and once finalized will not 
be, a federal rule or regulation; instead its purpose, as discussed 
above, will be to facilitate the provision of occupational prevention 
and control services to healthcare personnel.

    Dated: October 10, 2018.
Sandra Cashman,
Executive Secretary, Centers for Disease Control and Prevention.
[FR Doc. 2018-22377 Filed 10-12-18; 8:45 am]
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                                                                            Federal Register / Vol. 83, No. 199 / Monday, October 15, 2018 / Notices                                          51957

                                                  Response: GSA will implement                            Total annual responses: 143,334.                   Services (Draft Guideline). The Draft
                                               additional certifications and                              Hours per Response: 2.5.                           Guideline is an update of two sections
                                               representations into SAM, as directed                      Total Burden Hours: 358,335.                       of the Guideline for Infection Control in
                                               by OMB. At this time, only the                             Public comments are particularly                   Healthcare Personnel, 1998: C. Infection
                                               assurances in the SF–424B are being                     invited on: Whether this collection of                Control Objectives for a Personnel
                                               incorporated.                                           information is necessary for the proper               Health Service and D. Elements of a
                                                  Comment: One respondent stated that                  performance of functions of the System                Personnel Health Service for Infection
                                               the SAM registration process is time-                   for Award Management Registration                     Control. The updated recommendations
                                               consuming and frustrating for their                     Requirements for Prime Grant                          in the Draft Guideline are intended to
                                               foreign-based recipients and they object                Recipients, whether it will have                      facilitate the provision of occupational
                                               to adding another layer to the process.                 practical utility; whether our estimate of            infection prevention and control
                                               They further stated that their grants are               the public burden of this collection of               services to healthcare personnel and to
                                               usually under $10,000.                                  information is accurate, and based on                 prevent transmission of infections
                                                  Response: Although 2 CFR 25—                         valid assumptions and methodology;                    between healthcare personnel and
                                               Universal Identifier and System for                     ways to enhance the quality, utility, and             others.
                                               Award Management, requires that all                     clarity of the information to be
                                               entities applying for or receiving federal                                                                    DATES: Written comments must be
                                                                                                       collected; and ways in which we can
                                               awards, including subrecipients of                                                                            received on or before December 14,
                                                                                                       minimize the burden of the collection of
                                               federal awards, must register in SAM,                                                                         2018.
                                                                                                       information on those who are to
                                               there are conditions under which a                      respond, through the use of appropriate               ADDRESSES:  You may submit comments,
                                               federal agency may exempt a foreign                     technological collection techniques or                identified by Docket No. CDC–2018–
                                               entity from this requirement. 2 CFR                     other forms of information technology.                0099, by any of the following methods:
                                               25.110 (d)(2)(ii) allows agencies to                       Obtaining Copies of Proposals:                       • Federal eRulemaking Portal: http://
                                               determine the practicality of whether a                 Requesters may obtain a copy of the                   www.regulations.gov. Follow the
                                               ‘‘foreign entity applying for or receiving              information collection documents in                   instructions for submitting comments.
                                               an award or subaward for a project or                   hard-copy or electronic format. Hard                    • Mail: Division of Healthcare Quality
                                               program outside the United States                       copy: General Services Administration,                Promotion, National Center for
                                               valued at less than $25,000’’ must                      Regulatory Secretariat Division (MVCB),               Emerging and Zoonotic Infectious
                                               comply with the SAM registration                        1800 F Street NW, Washington, DC                      Diseases, Centers for Disease Control
                                               requirement.                                            20405, telephone 202–501–4755. Please                 and Prevention, Attn: Docket No. CDC–
                                                  Comment: One respondent stated that                  cite OMB Control No. 3090–0290,                       2018–0099, HICPAC Secretariat, 1600
                                               eliminating an agency’s ability to                      System for Award Management                           Clifton Road NE, Mailstop A07, Atlanta,
                                               require certifications and assurances on                Registration Requirements for Prime                   Georgia 30329.
                                               their own application is impractical.                   Grant Recipients, in all correspondence.                Instructions: Submissions via http://
                                                  Response: Although the standard                                                                            regulations.gov are preferred. All
                                                                                                         Dated: October 4, 2018.
                                               governmentwide certifications and                                                                             submissions received must include the
                                               representations will be certified in                    David A. Shive,
                                                                                                                                                             agency name and Docket Number. All
                                               SAM, Federal agencies will still be able                Chief Information Officer.                            relevant comments received will be
                                               to require the submission of agency or                  [FR Doc. 2018–22407 Filed 10–12–18; 8:45 am]          posted without change to http://
                                               program specific certifications and                     BILLING CODE 6820–WY–P                                regulations.gov, including any personal
                                               representations with applications.                                                                            information provided. For access to the
                                                  Comment: One respondent stated that                                                                        docket to read background documents
                                               the cost and implementation timeline                    DEPARTMENT OF HEALTH AND                              or comments received, go to http://
                                               considerations for agencies with online                 HUMAN SERVICES                                        www.regulations.gov.
                                               project and grant application systems.
                                                                                                       Centers for Disease Control and                       FOR FURTHER INFORMATION CONTACT:
                                               The respondent further stated that they
                                               could not implement system changes by                   Prevention                                            Kendra Cox, Division of Healthcare
                                               October 1.                                                                                                    Quality Promotion, National Center for
                                                                                                       [Docket No. CDC–2018–0099]                            Emerging and Zoonotic Infectious
                                                  Response: GSA has informed OMB of
                                               this consideration. The implementation                                                                        Diseases, Centers for Disease Control
                                                                                                       Draft Guideline: Infection Control in                 and Prevention, 1600 Clifton Road NE,
                                               date for entities to begin providing                    Healthcare Personnel: Infrastructure
                                               certifications during their initial                                                                           Mailstop A–07, Atlanta, Georgia 30329;
                                                                                                       and Routine Practices for                             Telephone: (404) 639–4000.
                                               registration and their subsequent annual                Occupational Infection Prevention and
                                               re-registration will be no earlier than                                                                       SUPPLEMENTARY INFORMATION:
                                                                                                       Control Services
                                               January 1, 2019. The full transition to                                                                       Public Participation
                                               grant certifications in SAM will not be                 AGENCY: Centers for Disease Control and
                                               completed for a year, since existing                    Prevention (CDC), Department of Health                  Interested persons or organizations
                                               registrants will complete the                           and Human Services (DHHS).                            are invited to participate by submitting
                                               certifications in their annual re-                      ACTION: Notice with comment period.                   written views, recommendations, and
                                               certification process. Once a recipient                                                                       data.
                                               has registered or re-registered, the                    SUMMARY:   The Centers for Disease                      Please note that comments received,
                                                                                                       Control and Prevention (CDC), in the                  including attachments and other
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                                               Federal agency will be able to download
                                               or print a copy of the entity’s                         Department of Health and Human                        supporting materials, are part of the
                                               certification to be entered into the                    Services (DHHS), announces the                        public record and are subject to public
                                               entity’s grant award file.                              opening of a docket to obtain comment                 disclosure. Comments will be posted on
                                                                                                       on the Draft Guideline: Infection Control             https://www.regulations.gov. Therefore,
                                               C. Annual Reporting Burden                              in Healthcare Personnel: Infrastructure               do not include any information in your
                                                 Respondents: 143,334.                                 and Routine Practices for Occupational                comments or supporting materials that
                                                 Responses per Respondent: 1.                          Infection Prevention and Control                      you consider confidential or


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                                               51958                        Federal Register / Vol. 83, No. 199 / Monday, October 15, 2018 / Notices

                                               inappropriate for public disclosure. If                 will be to facilitate the provision of                change, all relevant comments to
                                               you include your name, contact                          occupational prevention and control                   Regulations.gov.
                                               information, or other information that                  services to healthcare personnel.                        Please note: Submit all comments through
                                               identifies you in the body of your                        Dated: October 10, 2018.                            the Federal eRulemaking portal
                                               comments, that information will be on                   Sandra Cashman,                                       (regulations.gov) or by U.S. mail to the
                                               public display. CDC will review all                                                                           address listed above.
                                                                                                       Executive Secretary, Centers for Disease
                                               submissions and may choose (but is not
                                                                                                       Control and Prevention.                               FOR FURTHER INFORMATION:     To request
                                               required) to redact, or withhold,
                                               submissions containing private or                       [FR Doc. 2018–22377 Filed 10–12–18; 8:45 am]          more information on the proposed
                                               proprietary information such as Social                  BILLING CODE 4163–18–P                                project or to obtain a copy of the
                                               Security numbers, medical information,                                                                        information collection plan and
                                               inappropriate language, or duplicate/                                                                         instruments, contact Jeffrey M. Zirger,
                                                                                                       DEPARTMENT OF HEALTH AND                              Information Collection Review Office,
                                               near-duplicate examples of a mass-mail
                                               campaign. CDC will carefully consider                   HUMAN SERVICES                                        Centers for Disease Control and
                                               all comments timely submitted in                                                                              Prevention, 1600 Clifton Road NE, MS–
                                                                                                       Centers for Disease Control and                       D74, Atlanta, Georgia 30329; phone:
                                               preparation of the final guideline                      Prevention
                                               Infection Control in Healthcare                                                                               404–639–7570; Email: omb@cdc.gov.
                                               Personnel: Infrastructure and Routine                   [60Day–19–1105; Docket No. CDC–2018–                  SUPPLEMENTARY INFORMATION: Under the
                                               Practices for Occupational Infection                    0098]                                                 Paperwork Reduction Act of 1995 (PRA)
                                               Prevention and Control Services and                                                                           (44 U.S.C. 3501–3520), Federal agencies
                                               may revise the final document as                        Proposed Data Collection Submitted                    must obtain approval from the Office of
                                               appropriate.                                            for Public Comment and                                Management and Budget (OMB) for each
                                                                                                       Recommendations                                       collection of information they conduct
                                               Background                                                                                                    or sponsor. In addition, the PRA also
                                                                                                       AGENCY: Centers for Disease Control and
                                                  The Draft Guideline, located in the                  Prevention (CDC), Department of Health                requires Federal agencies to provide a
                                               ‘‘Supporting & Related Material’’ tab of                and Human Services (HHS).                             60-day notice in the Federal Register
                                               the docket, updates two sections from                                                                         concerning each proposed collection of
                                                                                                       ACTION: Notice with comment period.
                                               the 1998 Guideline: C. Infection Control                                                                      information, including each new
                                               Objectives for a Personnel Health                       SUMMARY:   The Centers for Disease                    proposed collection, each proposed
                                               Service and D. Elements of a Personnel                  Control and Prevention (CDC), as part of              extension of existing collection of
                                               Health Service for Infection Control.                   its continuing effort to reduce public                information, and each reinstatement of
                                               Those sections described the                            burden and maximize the utility of                    previously approved information
                                               infrastructure and routine practices of                 government information, invites the                   collection before submitting the
                                               Occupational Health Services for                        general public and other Federal                      collection to the OMB for approval. To
                                               providing occupational infection                        agencies the opportunity to comment on                comply with this requirement, we are
                                               prevention and control services to                      a proposed and/or continuing                          publishing this notice of a proposed
                                               healthcare personnel.                                   information collection, as required by                data collection as described below.
                                                  Once finalized, the Draft Guideline is               the Paperwork Reduction Act of 1995.                    The OMB is particularly interested in
                                               intended for use by the leaders and staff               This notice invites comment on a                      comments that will help:
                                               of Occupational Health Services and the                 proposed information collection project                 1. Evaluate whether the proposed
                                               administrators and leaders of healthcare                titled One Health Harmful Algal Bloom                 collection of information is necessary
                                               organizations in order to facilitate the                System (OHHABS). The OHHABS is a                      for the proper performance of the
                                               provision of occupational infection                     voluntary reporting system available to               functions of the agency, including
                                               prevention and control services to                      state and territorial public health                   whether the information will have
                                               healthcare personnel.                                   departments and their designated                      practical utility;
                                                  Since 2015, the Healthcare Infection                                                                         2. Evaluate the accuracy of the
                                                                                                       environmental health or animal health
                                               Control Practices Advisory Committee                                                                          agency’s estimate of the burden of the
                                                                                                       partners. It collects data on individual
                                               (HICPAC) has worked with national                                                                             proposed collection of information,
                                                                                                       human and animal cases of illnesses
                                               partners, academicians, public health                                                                         including the validity of the
                                                                                                       from harmful algal bloom (HAB)-
                                               professionals, healthcare providers, and                                                                      methodology and assumptions used;
                                                                                                       associated exposures, as well as
                                               other partners to develop this Draft                                                                            3. Enhance the quality, utility, and
                                                                                                       environmental data about HABs.
                                               Guideline as a recommendation for CDC                                                                         clarity of the information to be
                                               to update sections of the 1998                          DATES: CDC must receive written
                                                                                                                                                             collected; and
                                               Guideline. HICPAC includes                              comments on or before December 14,
                                                                                                                                                               4. Minimize the burden of the
                                               representatives from public health,                     2018.
                                                                                                                                                             collection of information on those who
                                               infectious diseases, regulatory and other               ADDRESSES:  You may submit comments,                  are to respond, including through the
                                               federal agencies, professional societies,               identified by Docket No. CDC–2018–                    use of appropriate automated,
                                               and other stakeholders.                                 0098 by any of the following methods:                 electronic, mechanical, or other
                                                  The draft recommendations in this                      • Federal eRulemaking Portal:                       technological collection techniques or
                                               Draft Guideline are informed by a                       Regulations.gov. Follow the instructions              other forms of information technology,
                                               systematic literature review of articles                for submitting comments.                              e.g., permitting electronic submissions
                                               published in peer-reviewed journals or                    • Mail: Jeffrey M. Zirger, Information
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                                                                                                                                                             of responses.
                                               repositories of systematic reviews; and a               Collection Review Office, Centers for                   5. Assess information collection costs.
                                               review of occupational infection                        Disease Control and Prevention, 1600
                                               prevention and control guidelines,                      Clifton Road NE, MS–D74, Atlanta,                     Proposed Project
                                               regulations, and standards. This Draft                  Georgia 30329.                                          One Health Harmful Algal Bloom
                                               Guideline is not, and once finalized will                 Instructions: All submissions received              System (OHHABS)—Extension—
                                               not be, a federal rule or regulation;                   must include the agency name and                      National Center for Emerging and
                                               instead its purpose, as discussed above,                Docket Number. CDC will post, without                 Zoonotic Infectious Diseases (NCEZID),


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Document Created: 2018-10-13 10:03:13
Document Modified: 2018-10-13 10:03:13
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.
DatesWritten comments must be received on or before December 14, 2018.
ContactKendra Cox, Division of Healthcare Quality Promotion, National Center for Emerging and Zoonotic Infectious Diseases, Centers for Disease Control and Prevention, 1600 Clifton Road NE, Mailstop A-07, Atlanta, Georgia 30329; Telephone: (404) 639-4000.
FR Citation83 FR 51957 

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