83_FR_58795 83 FR 58571 - Agency Forms Undergoing Paperwork Reduction Act Review

83 FR 58571 - Agency Forms Undergoing Paperwork Reduction Act Review

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

Federal Register Volume 83, Issue 224 (November 20, 2018)

Page Range58571-58572
FR Document2018-25274

Federal Register, Volume 83 Issue 224 (Tuesday, November 20, 2018)
[Federal Register Volume 83, Number 224 (Tuesday, November 20, 2018)]
[Notices]
[Pages 58571-58572]
From the Federal Register Online  [www.thefederalregister.org]
[FR Doc No: 2018-25274]


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

DEPARTMENT OF HEALTH AND HUMAN SERVICES

Centers for Disease Control and Prevention

[30Day-19-18AFX]


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 Traumatic Brain Injury Disparities in Rural 
Areas (TBIDRA) 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 June 7, 
2018 to obtain comments from the public and affected agencies. CDC 
received two 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

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

Background and Brief Description

    Traumatic Brain Injury (TBI) is a significant public health concern 
in the United States. Research indicates that residents of rural areas 
have both higher

[[Page 58572]]

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

                                        Estimated Annualized Burden Hours
----------------------------------------------------------------------------------------------------------------
                                                                                     Number of    Average burden
          Type of respondent                    Form name            Number of     responses per   per response
                                                                    respondents     respondent       (in hrs)
----------------------------------------------------------------------------------------------------------------
Health care providers (Primary Care     TBI Provider Survey.....             600               1           15/60
 Physician, Emergency Physician, Nurse
 Practitioner and Physician Assistant).
                                        Focus group screener....              36               1            5/60
                                        Focus group consent and               31               1            5/60
                                         questionnaire.
                                        Focus group discussion                31               1           85/60
                                         guide.
----------------------------------------------------------------------------------------------------------------


Jeffrey M. Zirger,
Acting Lead, Information Collection Review Office, Office of Scientific 
Integrity, Office of Science, Centers for Disease Control and 
Prevention.
[FR Doc. 2018-25274 Filed 11-19-18; 8:45 am]
BILLING CODE 4163-18-P



                                Federal Register / Vol. 83, No. 224 / Tuesday, November 20, 2018 / Notices                                                       58571

     telephone interviews with NCCCP                           interventions; communication,                                support the implementation of cancer
     DP15–1501 grantee program directors                       education, and training activities to                        survivorship interventions; community-
     and program managers. The data from                       support the implementation of                                clinical linkage strategies to support
     the survey and semi-structured                            survivorship interventions; partnership                      cancer survivors, knowledge regarding
     interviews will provide additional                        engagement; challenges and facilitators                      best practices for survivorship care;
     insight into program efforts.                             regarding the implementation of                              partnership engagement; dissemination
        CDC is requesting OMB approval to                      evidence-based cancer survivorship                           of evidence-based survivorship
     conduct a web-based Grantee survey                        strategies; reach of cancer survivorship                     interventions; and recommendations for
     using Survey Gizmo to a purposive                         interventions; and respondent                                improving the implementation of
     sample of one program director and one                    background information.
                                                                                                                            evidence-based survivorship
     program manager in each of six grantees                      CDC is also requesting OMB approval
     for a total of 12 respondents, and to                     to conduct semi-structured interviews                        interventions.
     conduct a web-based Partner Survey of                     by telephone with a purposive sample                            Information collected will be
     10 self-identified key partners in each of                of one program director and one                              analyzed and used in aggregate to
     six grantees for a total of 60                            program manager in each of six grantees                      inform future efforts to support cancer
     respondents. The web-based surveys                        for a total of 12 respondents. The semi-                     survivors and to initiate evidence-
     will be administered to the same                          structured interviews will be conducted                      informed program decisions when
     respondents at two time points for a                      with the same respondents at two time                        rolling this initiative out to all NCCCP
     total estimated burden of eight hours for                 points for a total estimated burden of 30                    grantees. Without this data collection,
     the web-based Grantee Survey and 40                       hours. Respondents will be asked to                          CDC will not be able to provide tailored
     hours for the web-based Partner Survey.                   provide information regarding                                technical assistance to its grantees and
     Respondents will be asked to provide                      administration of the Behavioral Risk                        communicate program efforts. The
     information regarding the type of                         Factor Surveillance System Cancer                            estimated annual burden hours
     respondent; their use of surveillance                     Survivorship Module; communication,                          requested are 28.
     data to inform survivorship                               education, and training activities to

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

     NCCCP Grantee Program Di-             Web-based Grantee survey ...................................................                  8               1         20/60
      rector.
                                           Semi-structured telephone interview ......................................                 8                  1         90/60
     NCCCP Grantee Partner ........        Web-based Partner survey ....................................................             40                  1         20/60



     Jeffrey M. Zirger,                                        2018 to obtain comments from the                             other forms of information technology,
     Acting Lead, Information Collection Review                public and affected agencies. CDC                            e.g., permitting electronic submission of
     Office, Office of Scientific Integrity, Office            received two comments related to the                         responses; and
     of Science, Centers for Disease Control and               previous notice. This notice serves to                         (e) Assess information collection
     Prevention.                                               allow an additional 30 days for public                       costs.
     [FR Doc. 2018–25275 Filed 11–19–18; 8:45 am]              and affected agency comments.                                  To request additional information on
     BILLING CODE 4163–18–P                                       CDC will accept all comments for this                     the proposed project or to obtain a copy
                                                               proposed information collection project.                     of the information collection plan and
                                                               The Office of Management and Budget                          instruments, call (404) 639–7570 or
     DEPARTMENT OF HEALTH AND                                  is particularly interested in comments                       send an email to omb@cdc.gov. Direct
     HUMAN SERVICES                                            that:                                                        written comments and/or suggestions
                                                                  (a) Evaluate whether the proposed                         regarding the items contained in this
     Centers for Disease Control and                           collection of information is necessary                       notice to the Attention: CDC Desk
     Prevention                                                for the proper performance of the                            Officer, Office of Management and
     [30Day–19–18AFX]                                          functions of the agency, including                           Budget, 725 17th Street NW,
                                                               whether the information will have                            Washington, DC 20503 or by fax to (202)
     Agency Forms Undergoing Paperwork                         practical utility;                                           395–5806. Provide written comments
     Reduction Act Review                                         (b) Evaluate the accuracy of the                          within 30 days of notice publication.
                                                               agencies estimate of the burden of the
        In accordance with the Paperwork                       proposed collection of information,                          Proposed Project
     Reduction Act of 1995, the Centers for                    including the validity of the                                  Traumatic Brain Injury Disparities in
     Disease Control and Prevention (CDC)                      methodology and assumptions used;                            Rural Areas (TBIDRA)—New —
     has submitted the information                                (c) Enhance the quality, utility, and                     National Center for Injury Prevention
     collection request titled Traumatic Brain                 clarity of the information to be                             and Control (NCIPC), Centers for
     Injury Disparities in Rural Areas                         collected;                                                   Disease Control and Prevention (CDC).
     (TBIDRA) to the Office of Management                         (d) Minimize the burden of the
     and Budget (OMB) for review and                           collection of information on those who                       Background and Brief Description
     approval. CDC previously published a                      are to respond, including, through the                         Traumatic Brain Injury (TBI) is a
     ‘‘Proposed Data Collection Submitted                      use of appropriate automated,                                significant public health concern in the
     for Public Comment and                                    electronic, mechanical, or other                             United States. Research indicates that
     Recommendations’’ notice on June 7,                       technological collection techniques or                       residents of rural areas have both higher


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     58572                      Federal Register / Vol. 83, No. 224 / Tuesday, November 20, 2018 / Notices

     incidence and higher mortality rates                    including residents of rural geographic                 of the study is rural healthcare
     from TBI than do residents of urban                     areas, require special consideration                    providers; urban healthcare providers
     areas, and that the prevalence of TBI-                  when it comes to researching TBI.                       will be included in this study to allow
     related disability in rural geographical                   This is a New Information Collection                 for comparison in identifying the
     areas is higher than in urban and                       Request for two years to collect                        distinct challenges and opportunities for
     suburban areas. The obstacles                           information on challenges that rural                    rural healthcare providers. This study
     healthcare providers and patients face                  healthcare providers face in diagnosing,                has two data collection methods. A web
     in rural areas are vastly different from                treating, and managing TBI of all                       survey to gather quantitative data on the
                                                             severities and developing a knowledge                   unique challenges faced by rural
     those in urban areas. There is little
                                                             base upon which we can begin to                         clinicians, and focus groups to gain
     published research specifically related
                                                             address gaps in services to improve
     to the challenges rural providers face in                                                                       deeper insight into the context
                                                             clinical care and TBI outcomes in rural
     TBI diagnosis and treatment, and even                                                                           supporting and/or inhibiting access to
                                                             communities. The target population for
     less examination into effective ways to                 the data collection effort includes                     comprehensive TBI evaluation and
     address gaps in service and improve TBI                 physicians, nurse practitioners (NPs),                  treatment, the study will collect
     outcomes. The National Center for                       and physician assistants (PAs) in                       qualitative data through focus groups
     Injury Prevention and Control at the                    selected specialties (general or family                 with rural clinicians.
     CDC, in a 2015 ‘‘Report to Congress on                  practice, emergency medicine,                              The total estimated annualized
     TBI in the United States,’’ determined                  pediatrics) working in direct patient                   burden hours are 200. There is no cost
     that certain population groups,                         care in rural and urban areas. The focus                to respondents other than their time.
                                                            ESTIMATED ANNUALIZED BURDEN HOURS
                                                                                                                                                      Average
                                                                                                                                      Number of
                                                                                                                     Number of                      burden per
                            Type of respondent                                             Form name                                responses per
                                                                                                                    respondents                      response
                                                                                                                                      respondent      (in hrs)

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



     Jeffrey M. Zirger,                                      extension or reinstatement of an existing                 2. By regular mail. You may mail
     Acting Lead, Information Collection Review              collection of information) and to allow                 written comments to the following
     Office, Office of Scientific Integrity, Office          60 days for public comment on the                       address: CMS, Office of Strategic
     of Science, Centers for Disease Control and             proposed action. Interested persons are                 Operations and Regulatory Affairs,
     Prevention.                                             invited to send comments regarding our                  Division of Regulations Development,
     [FR Doc. 2018–25274 Filed 11–19–18; 8:45 am]            burden estimates or any other aspect of                 Attention: Document Identifier/OMB
     BILLING CODE 4163–18–P                                  this collection of information, including               Control Number ll, Room C4–26–05,
                                                             the necessity and utility of the proposed               7500 Security Boulevard, Baltimore,
                                                             information collection for the proper                   Maryland 21244–1850.
     DEPARTMENT OF HEALTH AND                                performance of the agency’s functions,                    To obtain copies of a supporting
     HUMAN SERVICES                                          the accuracy of the estimated burden,                   statement and any related forms for the
                                                             ways to enhance the quality, utility, and               proposed collection(s) summarized in
     Centers for Medicare & Medicaid                                                                                 this notice, you may make your request
     Services                                                clarity of the information to be
                                                             collected, and the use of automated                     using one of following:
     [Document Identifier: CMS–10511, CMS–                   collection techniques or other forms of                   1. Access CMS’ website address at
     10575, and CMS–2552–10]                                 information technology to minimize the                  website address at https://www.cms.gov/
                                                             information collection burden.                          Regulations-and-Guidance/Legislation/
     Agency Information Collection                                                                                   PaperworkReductionActof1995/PRA-
     Activities: Proposed Collection;                        DATES: Comments must be received by                     Listing.html.
     Comment Request                                         January 22, 2019.                                         2. Email your request, including your
     AGENCY: Centers for Medicare &                          ADDRESSES: When commenting, please                      address, phone number, OMB number,
     Medicaid Services, HHS.                                 reference the document identifier or                    and CMS document identifier, to
                                                             OMB control number. To be assured                       Paperwork@cms.hhs.gov.
     ACTION: Notice.
                                                             consideration, comments and                               3. Call the Reports Clearance Office at
     SUMMARY: The Centers for Medicare &                     recommendations must be submitted in                    (410) 786–1326.
     Medicaid Services (CMS) is announcing                   any one of the following ways:                          FOR FURTHER INFORMATION CONTACT:
     an opportunity for the public to                          1. Electronically. You may send your                  Reports Clearance Office at (410) 786–
     comment on CMS’ intention to collect                    comments electronically to http://                      4669.
     information from the public. Under the                  www.regulations.gov. Follow the                         SUPPLEMENTARY INFORMATION:
     Paperwork Reduction Act of 1995 (the                    instructions for ‘‘Comment or
     PRA), federal agencies are required to                  Submission’’ or ‘‘More Search Options’’                 Contents
     publish notice in the Federal Register                  to find the information collection                        This notice sets out a summary of the
     concerning each proposed collection of                  document(s) that are accepting                          use and burden associated with the
     information (including each proposed                    comments.                                               following information collections. More


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Document Created: 2018-11-20 07:59:56
Document Modified: 2018-11-20 07:59:56
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 58571 

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