83_FR_821 83 FR 816 - Agency Forms Undergoing Paperwork Reduction Act Review

83 FR 816 - Agency Forms Undergoing Paperwork Reduction Act Review

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

Federal Register Volume 83, Issue 5 (January 8, 2018)

Page Range816-818
FR Document2018-00142

Federal Register, Volume 83 Issue 5 (Monday, January 8, 2018)
[Federal Register Volume 83, Number 5 (Monday, January 8, 2018)]
[Notices]
[Pages 816-818]
From the Federal Register Online  [www.thefederalregister.org]
[FR Doc No: 2018-00142]


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

DEPARTMENT OF HEALTH AND HUMAN SERVICES

Centers for Disease Control and Prevention

[30Day-18-1061]


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 Behavioral Risk Factor Surveillance System 
(BRFSS) 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 October 
16, 2017 to obtain comments from the public and affected agencies. CDC 
received one comment 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

    Behavioral Risk Factor Surveillance System (BRFSS) (OMB Control 
Number 0920-1061, Expiration Date 3/31/

[[Page 817]]

2018)--Revision--National Center for Chronic Disease Prevention and 
Health Promotion, Centers for Disease Control and Prevention (CDC).

Background and Brief Description

    CDC is requesting Office of Management and Budget (OMB) approval to 
continue information collection for the Behavioral Risk Factor 
Surveillance System (BRFSS) for the period of 2018-2021. The BRFSS is a 
nationwide system of cross-sectional telephone health surveys 
administered by health departments in states, territories, and the 
District of Columbia (collectively referred to here as states) in 
collaboration with CDC.
    The BRFSS produces state-level information primarily on health risk 
behaviors, health conditions, and preventive health practices that are 
associated with chronic diseases, infectious diseases, and injury. 
Designed to meet the data needs of individual states and territories, 
the CDC sponsors the BRFSS information collection project under a 
cooperative agreement with states and territories. Under this 
partnership, BRFSS state coordinators determine questionnaire content 
with technical and methodological assistance provided by CDC. For most 
states and territories, the BRFSS provides the only sources of data 
amenable to state and local level health and health risk indicator 
uses. Over time, it has also developed into an important data 
collection system that federal agencies rely on for state and local 
health information and to track national health objectives such as 
Healthy People.
    CDC bases the BRFSS questionnaire on modular design principles to 
accommodate a variety of state-specific needs within a common 
framework. All participating states are required to administer a 
standardized core questionnaire, which provides a set of shared health 
indicators for all BRFSS partners. The BRFSS core questionnaire 
consists of fixed core, rotating core, and emerging core questions. 
Fixed core questions are asked every year. Rotating core questions 
cycle on and off the core questionnaire during even or odd years, 
depending on the question. Emerging core questions are included in the 
core questionnaire as needed to collect data on urgent or emerging 
health topics such as influenza.
    In addition, the BRFSS includes a series of optional modules on a 
variety of topics. In off years, when the rotating questions are not 
included in the core questionnaire, they are offered to states as an 
optional module. This framework allows each state to produce a 
customized BRFSS survey by appending selected optional modules to the 
core survey. States may select which, if any, optional modules to 
administer. As needed, CDC provides technical and methodological 
assistance to state BRFSS coordinators in the construction of their 
state-specific surveys. The CDC and BRFSS partners produce a new set of 
state-specific BRFSS questionnaires each calendar year (i.e., 2016 
BRFSS questionnaires, 2017 BRFSS questionnaires, etc.). CDC submits an 
annual Change Request to OMB that outlines updates to the BRFSS core 
survey and optional modules that have occurred since the previous year. 
Each state administers its BRFSS questionnaire throughout the calendar 
year.
    The current estimated average burden for the core BRFSS interview 
is 15 minutes. For the optional modules, the estimated average burden 
per response varies by state and year, but is currently estimated at an 
additional 15 minutes. Finally, the BRFSS allows states to customize 
some portions of the questionnaire through the addition of state-added 
questions, which CDC does not review nor approve. State-added questions 
are not included in CDC's burden estimates.
    CDC periodically updates the BRFSS core survey and optional modules 
as new modules or adopt emerging core questions. The purpose of this 
Revision request is to extend the information collection period for 
three years and to incorporate field-testing into the approved 
information collection plan.
    Field-testing is the final check of changes in the questionnaire, 
which have occurred in the preceding year. Researchers conduct field-
testing in a manner that mimics the full-scale project protocol, to the 
degree that is feasible. Field-testing allows for necessary changes in 
data collection methods and data collection software. Researchers use 
field tests to identify problems with instrument documentation or 
instructions, problems with conditional logic (e.g., skip patterns), 
software errors or other implementation and usability issues. 
Researchers conduct field-testing with all new modules, emerging core 
questions, sections, which precede and/or follow any new or changed 
items and extant sections, which are topically related. Researchers 
also conduct this testing to identify redundant and overlapping 
questions. Extant sections of the questionnaire unrelated to new items 
do not require testing. The demographic questions on the core BRFSS 
survey are included on each field test. CDC will submit change requests 
to OMB annually to gain approval to implement modifications identified 
in field tests. Researchers typically conduct field tests in a single 
state with appropriate computer-assisted telephone interview (CATI) 
capability. Individuals who participate in field testing are drawn from 
a different sample than individuals who participate in the BRFSS 
surveys. Participation is voluntary and there is no cost to 
participate. The average time burden per response will be 22 minutes. 
The total time burden across all respondents will be approximately 
241,519 hours.
    The public comment received to date requested that BRFSS be 
modified to include more questions about tobacco use, including use of 
newer nicotine-delivery devices. Because BRFSS follows the design and 
development process described above, CDC cannot unilaterally change the 
topical content of BRFSS and no change has been made to the 2018 
questionnaire.

                                        Estimated Annualized Burden Hours
----------------------------------------------------------------------------------------------------------------
                                                                                     Number of    Average burden
          Type of respondents                   Form name            Number of     responses per   per response
                                                                    respondents     respondent      (in hours)
----------------------------------------------------------------------------------------------------------------
U.S. General Population...............  Landline Screener.......         375,000               1            1/60
                                        Cell Phone Screener.....         292,682               1            1/60
                                        Field Test Screener.....             900               1            1/60
Annual Survey Respondents (Adults >18   BRFSS Core Survey.......         480,000               1           15/60
 Years).
                                        BRFSS Optional Modules..         440,000               1           15/60

[[Page 818]]

 
Field Test Respondents (Adults >18      Field Test Survey.......             500               1           45/60
 Years).
----------------------------------------------------------------------------------------------------------------


Leroy A. Richardson,
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. 2018-00142 Filed 1-5-18; 8:45 am]
 BILLING CODE 4163-18-P



                                                816                                   Federal Register / Vol. 83, No. 5 / Monday, January 8, 2018 / Notices

                                                Background and Brief Description                                  fatalities were striking, pinning, or                            for underground mobile equipment.
                                                                                                                  crushing accidents, which may have                               NIOSH is seeking a one-year OMB
                                                   The mission of the National Institute                          been prevented by proximity detection                            approval in order to collect information
                                                for Occupational Safety and Health                                systems on coal haulage machines or                              to address two key questions: (1) In
                                                (NIOSH) is to promote safety and health                           scoops. Following the final rule                                 which situations do proximity detection
                                                at work for all people through research                           requiring proximity detection systems                            systems on mobile haulage hinder
                                                and prevention. The study will be                                 on continuous mining machines, on
                                                conducted by NIOSH under the Federal                                                                                               normal operation? (2) In which
                                                                                                                  September 2, 2015, MSHA published a                              situations do proximity detection
                                                Mine Safety and Health Act of 1977,                               proposed rule requiring proximity
                                                Public Law 91–173 as amended by                                                                                                    systems on mobile haulage endanger
                                                                                                                  systems on mobile machines in                                    miners? Data will be used to inform the
                                                Public Law 95–164. Title V, Section 501                           underground coal mines. Though it is
                                                (a) states NIOSH has the responsibility                                                                                            development of technologies,
                                                                                                                  still under development, MSHA                                    engineering controls, administrative
                                                to conduct research ‘‘to improve                                  reported that by June of 2015, 155 of
                                                working conditions and practices in                                                                                                controls, best practices, and training
                                                                                                                  approximately 2,116 coal haulage                                 approaches that eliminate striking
                                                coal or others mines, and to prevent                              machines and scoops had been
                                                accidents and occupational diseases                                                                                                fatalities and injuries caused by mobile
                                                                                                                  equipped with proximity detection                                mining equipment.
                                                originating in the coal or other mining                           systems. However, in recent discussions
                                                industry (Federal Mine and Safety and                             with NIOSH personnel, some mine                                     The study population includes mine
                                                Health Act, 1977, Title V, Sec. 501).’’                           operators have disclosed suspending the                          workers in various maintenance and
                                                   Striking, pinning and crushing                                 use of proximity detection systems on                            production roles that work in
                                                injuries are serious concerns in                                  mobile equipment due to challenges                               underground coal mines in the United
                                                underground coal mining, especially                               integrating the systems into daily                               States. Total annual time burden for this
                                                around mobile equipment. Between                                  operations. This has further prompted                            study is 45 hours, including recruitment
                                                2010 and 2014 powered haulage                                     concerns about how proximity detection                           of mines and 250 semi-formal
                                                accounted for 24 of the 110                                       systems are being utilized.                                      interviews. Since workers will continue
                                                underground coal fatalities. During that                             The goal of this study is to reduce the                       to perform their assigned duties during
                                                same time period, the Mine Safety and                             risk of traumatic injuries and fatalities                        the optional group observations, a
                                                Health Administration (MSHA)                                      among mine workers through assessing                             burden estimate was not calculated for
                                                determined that up to nine of these                               the current state of proximity systems                           this activity.

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

                                                Mine Operators ...............................................   Mine Recruitment Scripts ...............................                  12                 1          15/60
                                                Crew members ................................................    Interview Protocol ...........................................           250                 1          10/60



                                                Leroy A. Richardson,                                              Collection Submitted for Public                                    (d) Minimize the burden of the
                                                Chief, Information Collection Review Office,                      Comment and Recommendations’’                                    collection of information on those who
                                                Office of Scientific Integrity, Office of the                     notice on October 16, 2017 to obtain                             are to respond, including, through the
                                                Associate Director for Science, Office of the                     comments from the public and affected                            use of appropriate automated,
                                                Director, Centers for Disease Control and                         agencies. CDC received one comment                               electronic, mechanical, or other
                                                Prevention.                                                       related to the previous notice. This                             technological collection techniques or
                                                [FR Doc. 2018–00140 Filed 1–5–18; 8:45 am]                        notice serves to allow an additional 30                          other forms of information technology,
                                                BILLING CODE P                                                    days for public and affected agency                              e.g., permitting electronic submission of
                                                                                                                  comments.                                                        responses; and
                                                                                                                     CDC will accept all comments for this                           (e) Assess information collection
                                                DEPARTMENT OF HEALTH AND                                                                                                           costs.
                                                                                                                  proposed information collection project.
                                                HUMAN SERVICES                                                                                                                       To request additional information on
                                                                                                                  The Office of Management and Budget
                                                                                                                  is particularly interested in comments                           the proposed project or to obtain a copy
                                                Centers for Disease Control and                                                                                                    of the information collection plan and
                                                Prevention                                                        that:
                                                                                                                                                                                   instruments, call (404) 639–7570 or
                                                                                                                     (a) Evaluate whether the proposed
                                                [30Day–18–1061]                                                                                                                    send an email to omb@cdc.gov. Direct
                                                                                                                  collection of information is necessary
                                                                                                                                                                                   written comments and/or suggestions
                                                                                                                  for the proper performance of the                                regarding the items contained in this
                                                Agency Forms Undergoing Paperwork                                 functions of the agency, including
                                                Reduction Act Review                                                                                                               notice to the Attention: CDC Desk
                                                                                                                  whether the information will have                                Officer, Office of Management and
                                                  In accordance with the Paperwork                                practical utility;                                               Budget, 725 17th Street NW,
                                                Reduction Act of 1995, the Centers for                               (b) Evaluate the accuracy of the
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                                                                                                                                                                                   Washington, DC 20503 or by fax to (202)
                                                Disease Control and Prevention (CDC)                              agencies estimate of the burden of the                           395–5806. Provide written comments
                                                has submitted the information                                     proposed collection of information,                              within 30 days of notice publication.
                                                collection request titled Behavioral Risk                         including the validity of the
                                                Factor Surveillance System (BRFSS) to                             methodology and assumptions used;                                Proposed Project
                                                the Office of Management and Budget                                  (c) Enhance the quality, utility, and                           Behavioral Risk Factor Surveillance
                                                (OMB) for review and approval. CDC                                clarity of the information to be                                 System (BRFSS) (OMB Control Number
                                                previously published a ‘‘Proposed Data                            collected;                                                       0920–1061, Expiration Date 3/31/


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                                                                                   Federal Register / Vol. 83, No. 5 / Monday, January 8, 2018 / Notices                                                          817

                                                2018)—Revision—National Center for                           core questions cycle on and off the core                          Field-testing is the final check of
                                                Chronic Disease Prevention and Health                        questionnaire during even or odd years,                        changes in the questionnaire, which
                                                Promotion, Centers for Disease Control                       depending on the question. Emerging                            have occurred in the preceding year.
                                                and Prevention (CDC).                                        core questions are included in the core                        Researchers conduct field-testing in a
                                                                                                             questionnaire as needed to collect data                        manner that mimics the full-scale
                                                Background and Brief Description
                                                                                                             on urgent or emerging health topics                            project protocol, to the degree that is
                                                   CDC is requesting Office of                               such as influenza.                                             feasible. Field-testing allows for
                                                Management and Budget (OMB)                                     In addition, the BRFSS includes a                           necessary changes in data collection
                                                approval to continue information                             series of optional modules on a variety                        methods and data collection software.
                                                collection for the Behavioral Risk Factor                    of topics. In off years, when the rotating                     Researchers use field tests to identify
                                                Surveillance System (BRFSS) for the                          questions are not included in the core                         problems with instrument
                                                period of 2018–2021. The BRFSS is a                          questionnaire, they are offered to states                      documentation or instructions,
                                                nationwide system of cross-sectional                         as an optional module. This framework                          problems with conditional logic (e.g.,
                                                telephone health surveys administered                        allows each state to produce a                                 skip patterns), software errors or other
                                                by health departments in states,                             customized BRFSS survey by appending                           implementation and usability issues.
                                                territories, and the District of Columbia                    selected optional modules to the core                          Researchers conduct field-testing with
                                                (collectively referred to here as states) in                 survey. States may select which, if any,                       all new modules, emerging core
                                                collaboration with CDC.                                      optional modules to administer. As                             questions, sections, which precede and/
                                                   The BRFSS produces state-level                            needed, CDC provides technical and                             or follow any new or changed items and
                                                information primarily on health risk                         methodological assistance to state                             extant sections, which are topically
                                                behaviors, health conditions, and                            BRFSS coordinators in the construction                         related. Researchers also conduct this
                                                preventive health practices that are                         of their state-specific surveys. The CDC                       testing to identify redundant and
                                                associated with chronic diseases,                            and BRFSS partners produce a new set                           overlapping questions. Extant sections
                                                infectious diseases, and injury.                             of state-specific BRFSS questionnaires                         of the questionnaire unrelated to new
                                                Designed to meet the data needs of                           each calendar year (i.e., 2016 BRFSS                           items do not require testing. The
                                                individual states and territories, the                       questionnaires, 2017 BRFSS
                                                                                                                                                                            demographic questions on the core
                                                CDC sponsors the BRFSS information                           questionnaires, etc.). CDC submits an
                                                                                                                                                                            BRFSS survey are included on each
                                                collection project under a cooperative                       annual Change Request to OMB that
                                                                                                                                                                            field test. CDC will submit change
                                                agreement with states and territories.                       outlines updates to the BRFSS core
                                                Under this partnership, BRFSS state                                                                                         requests to OMB annually to gain
                                                                                                             survey and optional modules that have
                                                coordinators determine questionnaire                                                                                        approval to implement modifications
                                                                                                             occurred since the previous year. Each
                                                content with technical and                                                                                                  identified in field tests. Researchers
                                                                                                             state administers its BRFSS
                                                methodological assistance provided by                                                                                       typically conduct field tests in a single
                                                                                                             questionnaire throughout the calendar
                                                CDC. For most states and territories, the                                                                                   state with appropriate computer-
                                                                                                             year.
                                                BRFSS provides the only sources of data                         The current estimated average burden                        assisted telephone interview (CATI)
                                                amenable to state and local level health                     for the core BRFSS interview is 15                             capability. Individuals who participate
                                                and health risk indicator uses. Over                         minutes. For the optional modules, the                         in field testing are drawn from a
                                                time, it has also developed into an                          estimated average burden per response                          different sample than individuals who
                                                important data collection system that                        varies by state and year, but is currently                     participate in the BRFSS surveys.
                                                federal agencies rely on for state and                       estimated at an additional 15 minutes.                         Participation is voluntary and there is
                                                local health information and to track                        Finally, the BRFSS allows states to                            no cost to participate. The average time
                                                national health objectives such as                           customize some portions of the                                 burden per response will be 22 minutes.
                                                Healthy People.                                              questionnaire through the addition of                          The total time burden across all
                                                   CDC bases the BRFSS questionnaire                         state-added questions, which CDC does                          respondents will be approximately
                                                on modular design principles to                              not review nor approve. State-added                            241,519 hours.
                                                accommodate a variety of state-specific                      questions are not included in CDC’s                               The public comment received to date
                                                needs within a common framework. All                         burden estimates.                                              requested that BRFSS be modified to
                                                participating states are required to                            CDC periodically updates the BRFSS                          include more questions about tobacco
                                                administer a standardized core                               core survey and optional modules as                            use, including use of newer nicotine-
                                                questionnaire, which provides a set of                       new modules or adopt emerging core                             delivery devices. Because BRFSS
                                                shared health indicators for all BRFSS                       questions. The purpose of this Revision                        follows the design and development
                                                partners. The BRFSS core questionnaire                       request is to extend the information                           process described above, CDC cannot
                                                consists of fixed core, rotating core, and                   collection period for three years and to                       unilaterally change the topical content
                                                emerging core questions. Fixed core                          incorporate field-testing into the                             of BRFSS and no change has been made
                                                questions are asked every year. Rotating                     approved information collection plan.                          to the 2018 questionnaire.

                                                                                                            ESTIMATED ANNUALIZED BURDEN HOURS
                                                                                                                                                                                                             Average
                                                                                                                                                                                             Number of
                                                                                                                                                                            Number of                      burden per
                                                               Type of respondents                                                Form name                                                responses per
                                                                                                                                                                           respondents                      response
                                                                                                                                                                                             respondent     (in hours)
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                                                U.S. General Population .................................   Landline Screener ..........................................        375,000                1           1/60
                                                                                                            Cell Phone Screener ......................................          292,682                1           1/60
                                                                                                            Field Test Screener ........................................            900                1           1/60
                                                Annual Survey Respondents (Adults >18                       BRFSS Core Survey ......................................            480,000                1          15/60
                                                  Years).
                                                                                                            BRFSS Optional Modules ..............................               440,000                1          15/60




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                                                818                            Federal Register / Vol. 83, No. 5 / Monday, January 8, 2018 / Notices

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

                                                Field Test Respondents (Adults >18 Years) ..           Field Test Survey ...........................................            500                  1               45/60



                                                Leroy A. Richardson,                                    children and adolescents with severe                            height in meters squared and is used in
                                                Chief, Information Collection Review Office,            obesity in both clinical and research                           the diagnosis, clinical management, and
                                                Office of Scientific Integrity, Office of the           settings.                                                       estimation of population prevalence of
                                                Associate Director for Science, Office of the                                                                           obesity and severe obesity. Among
                                                Director, Centers for Disease Control and               DATES:  Written comments must be
                                                Prevention.                                             received on or before March 9, 2018.                            adults, obesity is defined by an absolute
                                                [FR Doc. 2018–00142 Filed 1–5–18; 8:45 am]              ADDRESSES: You may submit comments,                             BMI value (≥30). Among children, BMI
                                                                                                        identified by Docket No. CDC–2018–                              varies with age as well as sex. Therefore,
                                                BILLING CODE 4163–18–P
                                                                                                        0001 by any of the following methods:                           to classify obesity among children and
                                                                                                          • Federal eRulemaking Portal: http://                         adolescents aged 2–19 years,
                                                DEPARTMENT OF HEALTH AND                                www.regulations.gov. Follow the                                 measurements are standardized by age
                                                HUMAN SERVICES                                          instructions for submitting comments.                           and sex using BMI-for-age growth
                                                                                                          • Mail: Verita C. Buie, DrPH, Office of                       charts. The 2000 CDC growth charts
                                                Centers for Disease Control and                         Planning, Budget, and Legislation,                              include smoothed percentiles of BMI-
                                                Prevention                                              National Center for Health Statistics,                          for-age based on data representative of
                                                [Docket No. CDC–2018–0001]                              Centers for Disease Control and                                 the US population. In the US, obesity is
                                                                                                        Prevention, 3311 Toledo Road, MS–08,                            defined as at or above the sex-specific
                                                CDC Sex-Specific Body Mass Index                        Hyattsville, MD 20782.                                          95th percentile for BMI-for-age.
                                                (BMI)-For-Age Growth Charts                               Instructions: All submissions received                        However, categorizing severe obesity
                                                                                                        must include the agency name and                                (defined in adults as BMI≥40) is
                                                AGENCY: Centers for Disease Control and                 Docket Number. All relevant comments
                                                Prevention (CDC), Department of Health                                                                                  problematic given specific measures are
                                                                                                        received will be posted without change                          not available in standard CDC growth
                                                and Human Services (HHS).                               to http://regulations.gov, including any                        charts for values beyond the 97th
                                                ACTION: Notice with comment period.                     personal information provided. For                              percentile. Researchers have proposed
                                                SUMMARY:    The National Center for                     access to the docket to read background                         using percent of the 95th percentile as
                                                Health Statistics (NCHS), Centers for                   documents or comments received, go to                           a flexible, stable measure for extreme
                                                Disease Control and Prevention (CDC) in                 http://www.regulations.gov.                                     BMI values. Consequently, severe
                                                the Department of Health and Human                      FOR FURTHER INFORMATION CONTACT:                                obesity in children is often defined as a
                                                Services (HHS) announces the opening                    Cynthia Ogden, Ph.D., Division of                               BMI at or above 120% of the sex-
                                                of a docket to obtain public comment on                 Health and Nutrition Examination                                specific 95th percentile of BMI-for-age.
                                                the production of sex-specific body                     Survey, National Center for Health
                                                                                                        Statistics, 3311 Toledo Road, MS–P08,                              Prevalence of severe obesity has
                                                mass index (BMI)-for-age growth charts
                                                                                                        Hyattsville, MD 20782–2064, phone:                              increased among children and
                                                for children and adolescents aged 2–19
                                                                                                        (301) 458–4405.                                                 adolescents and very high BMI has been
                                                years specifically designed for tracking
                                                                                                                                                                        shown to increase risk for obesity in
                                                extremely high values of BMI. The 2000                  SUPPLEMENTARY INFORMATION: The
                                                CDC growth charts include sex-specific                                                                                  adulthood in addition to adverse health
                                                                                                        National Center for Health Statistics
                                                BMI-for-age percentile charts based on                  (NCHS) is congressionally mandated by                           outcomes such as diabetes, abnormal
                                                data representative of the United States                the National Health Survey Act of 1956                          cholesterol levels, and high blood
                                                (US) population from the National                       to monitor the health of the nation. The                        pressure and behavioral health and
                                                Health Examination Survey (NHES) and                    National Health and Nutrition                                   social victimization impacts. Recent
                                                National Health and Nutrition                           Examination Survey (NHANES), part of                            research has focused on effective
                                                Examination Survey (NHANES). In US                      NCHS, is a nationally representative                            management and treatment of children
                                                children and adolescents, obesity is                    health survey designed to assess the                            and adolescents with severe obesity, but
                                                defined as at or above the sex-specific                 health and nutritional status of adults                         researchers and clinicians lack a tool to
                                                95th percentile on the CDC BMI-for-age                  and children in the United States. The                          determine BMI percentiles for these
                                                growth charts. Severe obesity is often                  survey is unique in that it combines                            individuals. Specialized growth charts
                                                defined as at or above 120% of the sex-                 interviews with physical examinations                           with lines reflecting 120%, 130%, 140%
                                                specific 95th percentile on the CDC                     and laboratory studies. NHANES data                             and 150% will provide an improved
                                                BMI–for-age growth charts. Currently,                   are used throughout Department of                               tool for documenting BMI in the clinical
                                                the highest percentile displayed is the                 Health and Human Services (HHS)                                 and research settings. Please see the
                                                97th percentile. Therefore, it is difficult             agencies in addition to public health                           draft example chart for boys
                                                to assess changes in weight status in                   researchers world-wide. NHANES data
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                                                                                                                                                                        (Attachment 1) and girls (Attachment 2).
                                                children with very high BMIs that                       have been used to determine national                              Date: January 2, 2018.
                                                exceed this level. The new charts will                  obesity estimates, produce pediatric
                                                provide additional lines representing                                                                                   Lauren Hoffmann,
                                                                                                        growth and BMI charts, and monitor
                                                120%, 130%, 140%, and 150% of the                       prevalence of infectious diseases such                          Acting Executive Secretary, Centers for
                                                95th percentile. The intent of these                    as the human papillomavirus (HPV).                              Disease Control and Prevention.
                                                charts is to provide a mechanism for                      Body mass index (BMI) is calculated                           [FR Doc. 2018–00060 Filed 1–5–18; 8:45 am]
                                                documenting BMI percentiles for                         as weight in kilograms divided by                               BILLING CODE 4163–18–P




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Document Created: 2018-01-06 02:32:09
Document Modified: 2018-01-06 02:32:09
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 816 

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