Attachment 2 - 60 day FRN

60460

Federal Register / Vol. 75, No. 189 / Thursday, September 30, 2010 / Notices

of Health and Human Services, Room
442–E, 200 Independence Avenue, SW.,
Washington, DC 20201, (202) 690–7100.
FOR FURTHER INFORMATION CONTACT:
James Scanlon (202) 690–7100 or
Marjorie Greenberg (301) 458–4245.
Additional information about the
NCVHS, including the charter, current
roster, current activities and
organization, and previous
recommendations and reports is
available on the NCVHS Web site: http:
//www.ncvhs.hhs.gov.
SUPPLEMENTARY INFORMATION:
The National Committee on Vital and
Health Statistics serves as the statutory
public advisory body to the Department
of Health and Human Services in the
area of health data policy. In that
capacity, the Committee, which
celebrated its 60th anniversary this year,
provides advice and assistance to the
Department on a variety of key health
data issues, including health data
standards, privacy, population-baseddata, and national health information
infrastructure issues.
The Committee also provides advice
to HHS on the implementation of the
Administrative Simplification
requirements of the Health Insurance
Portability and Accountability Act of
1996. The Committee consists of 18
members: Of the 18 members, one is
appointed by the Speaker of the House
of Representatives after consultation
with the minority leader of the House of
Representatives; one is appointed by the
President pro tempore of the Senate
after consultation with the minority
leader of the Senate, and 16 are
appointed by the Secretary of Health
and Human Services.
Dated: September 21, 2010.
Sherry Glied,
Assistant Secretary for Planning and
Evaluation.
[FR Doc. 2010–24597 Filed 9–29–10; 8:45 am]
BILLING CODE 4151–05–P

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

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[60 Day–10–0765]

Proposed Data Collections Submitted
for Public Comment and
Recommendations
In compliance with the requirement
of Section 3506(c)(2)(A) of the
Paperwork Reduction Act of 1995 for
opportunity for public comment on
proposed data collection projects, the

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Centers for Disease Control and
Prevention (CDC) will publish periodic
summaries of proposed projects. To
request more information on the
proposed projects or to obtain a copy of
the data collection plans and
instruments, call 404–639–5960 and
send comments to Maryam I. Daneshvar,
Ph.D., CDC Reports Clearance Officer,
1600 Clifton Road, MS–D74, Atlanta,
GA 30333 or send an e-mail to
[email protected].
Comments are invited on: (a) Whether
the proposed collection of information
is necessary for the proper performance
of the functions of the agency, including
whether the information shall have
practical utility; (b) the accuracy of the
agency’s estimate of the burden of the
proposed collection of information; (c)
ways to enhance the quality, utility, and
clarity of the information to be
collected; and (d) ways to minimize the
burden of the collection of information
on respondents, including through the
use of automated collection techniques
or other forms of information
technology. Written comments should
be received within 60 days of this
notice.
Proposed Project
Fellowship Management System
(OMB No. 0920–0765 exp. 2/28/2011)—
Revision—Scientific Education and
Professional Development Program
Office (SEPDPO), Office of Surveillance,
Epidemiology and Laboratory Services
(OSELS), Centers for Disease Control
and Prevention (CDC).
Background and Brief Description
SEPDPO requests an additional three
years to continue CDC’s use of the
online Fellowship Management System
(FMS), and a revision to include two
additional CDC fellowship applications
and ten additional CDC fellowship
directories. FMS allows applicants to
apply to fellowships online and tracks
fellowship applicants and alumni in one
integrated database.
The mission of the SEPDPO is to
prepare an applied public health
workforce through training and service.
Professionals in public health,
epidemiology, medicine, economics,
information science, veterinary
medicine, nursing, public policy, and
other related professions seek
opportunities to broaden their
knowledge and skills to improve the
science and practice of public health.
Each year, CDC’s professional training
programs accept applications from
potential candidates for review and
selection.

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FMS provides an efficient and
effective way for processing application
data, selecting qualified candidates,
maintaining a current alumni database,
documenting the impact of the
fellowships on alumni’s careers, and
generating reports. FMS reduces
duplicate applicant records as well as
agency resources to administer and
process paper records. The application
process includes the following:
Submission of responses to the
questions in the online application;
submission of academic transcripts and
letters of recommendation; a review by
selected programmatic staff and panel
member experts; selection of qualified
candidates for interview; interview of
candidates; and selection of trainees for
the fellowship programs.
The online application questions ask
for academic history, professional
experience, names of references, and
description of professional goals. The
application questions and data collected
are necessary to the application process
to determine programmatic eligibility
and to ensure that the most highly
qualified candidates are chosen for the
training programs. The alumni directory
will allow CDC to maintain a current,
centralized electronic database.
Questions such as updates to e-mail
addresses and other contact
information, professional
responsibilities, medical certifications,
qualifications, and scientific skills are
asked of alumni. This information is
collected in the event it becomes
necessary to contact alumni possessing
mission-critical skills to meet a national
public health emergency or an urgent
public health need. Alumni data will
also be used by CDC to document the
impact of the fellowships on the career
paths of participants, and thus, on the
science and practice of public health,
and by the alumni for maintaining their
professional networks for finding jobs,
staffing jobs, collaborating, and
interacting with their fellow alumni.
Alumni will have two options for the
level of information they wish to be
visible to other alumni of their
fellowship. They will have the option of
displaying only their name, fellowship
year, and professional information or all
of their information. The default is to
display only their name, fellowship
year, and professional information. This
information is already in the public
domain.
The annual burden table has been
updated to reflect an increase in the
number of fellowships participating in
FMS. There is no cost to the
respondents other than their time.

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60461

Federal Register / Vol. 75, No. 189 / Thursday, September 30, 2010 / Notices
ESTIMATED ANNUALIZED BURDEN HOURS
Type of
respondents

Number of
responses per
respondent

Average burden response
(in hours)

Total
burden
(in
hours)

Fellowship applicants ....................................................................................................
Fellowship alumni ..........................................................................................................

1122
454

1
1

40/60
15/60

748
114

Total ...............................................................................................................................

1576

........................

........................

862

Dated: September 23, 2010.
Maryam I. Daneshvar,
Reports Clearance Officer, Centers for Disease
Control and Prevention.
[FR Doc. 2010–24479 Filed 9–29–10; 8:45 am]
BILLING CODE 4163–18–P

DEPARTMENT OF HEALTH AND
HUMAN SERVICES

Agency Information Collection
Activities: Proposed Collection;
Comment Request
Agency for Healthcare Research
and Quality, HHS.
ACTION: Notice.
AGENCY:

This notice announces the
intention of the Agency for Healthcare
Research and Quality (AHRQ) to request
that the Office of Management and
Budget (OMB) approve the proposed
information collection project:
‘‘Reduction of Clostridium difficile
Infections in a Regional Collaborative of
Inpatient Healthcare Settings through
Implementation of Antimicrobial
Stewardship.’’ In accordance with the
Paperwork Reduction Act, 44 U.S.C.
3501–3520, AHRQ invites the public to
comment on this proposed information
collection.
This proposed information collection
was previously published in the Federal
Register on July 23, 2010 and allowed
60 days for public comment. No
comments were received. The purpose
of this notice is to allow an additional
30 days for public comment.
DATES: Comments on this notice must be
received by November 1, 2010.
ADDRESSES: Written comments should
be submitted to: AHRQ’s OMB Desk
Officer by fax at (202) 395–6974
(attention: AHRQ’s desk officer) or by email at [email protected]
(attention: AHRQ’s desk officer).
Copies of the proposed collection
plans, data collection instruments, and
specific details on the estimated burden
SUMMARY:

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can be obtained from the AHRQ Reports
Clearance Officer.
FOR FURTHER INFORMATION CONTACT:
Doris Lefkowitz, AHRQ Reports
Clearance Officer, (301) 427–1477, or by
e-mail at
[email protected].
SUPPLEMENTARY INFORMATION:
Proposed Project

Agency for Healthcare Research and
Quality

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Number of
respondents

Reduction of Clostridium Difficile
Infections in a Regional Collaborative of
Inpatient Healthcare Settings Through
Implementation of Antimicrobial
Stewardship
Healthcare Acquired Infections (HAIs)
caused almost 100,000 deaths among
the 2.1 million people who acquired
infections while hospitalized in 2000,
and HAI rates have risen relentlessly
since then. Alarmingly, 70% of HAIs are
due to bacteria that are resistant to
commonly used antibiotics (Huang
2007). This project is designed to
evaluate the implementation of a
program to reduce Clostridium difficile
Infection (CDI) in acute care facilities
via Antimicrobial Stewardship
Programs (ASPs). Working with an
already existing collaborative network
of acute care facilities in New York that
currently collect and report mandatory
data on CDI rates and practice strict
environmental controls, this project will
go beyond environmental strategies in
order to attempt to reduce rates of CDI.
ASPs seek to promote the appropriate
use of antimicrobials via several
methods including selecting the
appropriate dose, duration and route of
administration of antibiotics. Using
antibiotics appropriately can potentially
improve efficacy, reduce costs, and keep
drug-related adverse events to a
minimum. The project is a partnership
with Boston University School of Public
Health (BUSPH), Montefiore Medical
Center (MMC), and Greater New York
Hospital Association (GNYHA).
The overall aims of the research are to
evaluate the implementation of ASPs
specific to CDI at 11 participating
hospitals (6 intervention sites and 5
control sites) and to create a draft ASP
Toolkit. More specifically, the pilot

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study has been designed to provide
information to meet the following
objectives:
1. Identify the antimicrobial
stewardship activities, both currently in
place and those yet to be identified,
specific to each site’s individual needs,
to optimize antimicrobial prescribing
practices to reduce CDI.
2. Assess prescriber perceptions
related to ASP.
3. Assess barriers and facilitators to
ASP implementation.
4. Develop a draft ASP Toolkit to help
hospitals optimize their antimicrobial
prescribing practices to reduce CDI.
New York (NY) State currently
requires ongoing reporting of C-difficile
data for both clinical and surveillance
purposes. As part of an arrangement
with NY State, the Greater New York
Hospital Association (GNYHA) also
collects and analyzes these data through
their CDI collaborative. These data
include tracking baseline rates of CDI,
including pharmacy data, data related to
rates of CDI, patient outcomes, and data
about infection control practices (such
as hand-washing and other
environmental controls to prevent
spread of infection). The data are
collected on standardized forms that are
required by both the state and the
Centers for Disease Control and
Prevention (CDC). The data collected at
these participating hospitals are also
collected at multiple hospitals
nationwide as part of routine patient
care and quality. In addition to new data
collections initiated specifically for this
project, this routine and ongoing
mandatory data collection will serve as
the project’s knowledge base to allow
the assessment of ASP programs.
From the GNYHA data, a three-month
sample from the participating hospitals
will be analyzed by Montefiore Medical
Center (MMC) and GNYHA to obtain
baseline information. This data will
enable a comparison of the rates of CDI
before and after the implementation of
an ASP. The ASP will be implemented
at 6 hospitals (intervention sites), while
5 other hospitals will serve as control
sites and continue with their current
practices, including conducting general

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