Att B1 - 60 day FRN

7856

Federal Register / Vol. 76, No. 29 / Friday, February 11, 2011 / Notices
State and Territorial Epidemiologists,
and the Advisory Committee for the
Elimination of Tuberculosis. No
revisions to the RVCT are proposed in
this data collection extension request.
CDC publishes an annual report using
RVCT data to summarize national TB
statistics and also periodically conducts
special analyses for publication to
further describe and interpret national
TB data. These data assist in public
health planning, evaluation, and
resource allocation. Reporting areas also
review and analyze their RVCT data to
monitor local TB trends, evaluate
program success, and focus resources to
eliminate TB. No other Federal agency
collects this type of national TB data. In
addition to providing technical
assistance on the use of RVCT, CDC
provides technical support for reporting
software.
In this request, CDC is requesting
approval for approximately 6,720
burden hours, an estimated decrease of
1,330 hours. This decrease is due to
having fewer TB cases in the United
States as we continue progress towards
TB elimination. There is no cost to
respondents except for their time.

in their lives. The purpose of this
project is to continue ongoing national
tuberculosis surveillance using the
standardized Report of Verified Case of
Tuberculosis (RVCT). Data collected
using the RVCT help State and Federal
infectious disease officials to assess
changes in the diagnosis and treatment
of TB, monitor trends in TB
epidemiology and outbreaks, and
develop strategies to meet the national
goal of TB elimination.
CDC currently conducts and
maintains the national surveillance
system pursuant to the provisions of
section 301(a) of the Public Service Act
[42 U.S.C. 241] and section 306 of the
Public Service Act [42 U.S.C. 241(a)].
Data are collected by 60 reporting areas
(the 50 States, the District of Columbia,
New York City, Puerto Rico, and 7
jurisdictions in the Pacific and
Caribbean). The last major revision of
the RVCT data collection instrument
was approved in 2008, in consultation
with CDC’s Division of Tuberculosis
Elimination (DTBE), State and local
health departments, and partner
organizations including the National TB
Controllers Association, the Council for

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
Report of Verified Case of
Tuberculosis (RVCT), (OMB No.0920–
0026 exp. 5/31/2011)—Extension—
National Center for HIV/AIDS, Viral
Hepatitis, STD, and TB Prevention
(NCHHSTP), Centers for Disease Control
and Prevention (CDC).
Background and Brief Description
In the United States, an estimated 10
to 15 million people are infected with
Mycobacterium tuberculosis and about
10% of these persons will develop
tuberculosis (TB) disease at some point

ESTIMATE OF ANNUALIZED BURDEN HOURS
Number of
respondents

Types of respondents

Average
burden
response (in
hours)

Total burden
(in hours)

Local, State, and territorial health departments ..............................................

60

192

35/60

6,720

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

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

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

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

6,720

Dated: February 4, 2011.
Carol E. Walker,
Acting Reports Clearance Officer, Centers for
Disease Control and Prevention.
[FR Doc. 2011–3079 Filed 2–10–11; 8:45 am]
BILLING CODE 4163–18–P

DEPARTMENT OF HEALTH AND
HUMAN SERVICES
Centers for Disease Control and
Prevention
[60Day–11–11CC]

Proposed Data Collections Submitted
for Public Comment and
Recommendations
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Number of
responses per
respondent

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
Centers for Disease Control and
Prevention (CDC) will publish periodic

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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 or send
comments to Carol E. Walker, CDC
Acting Reports Clearance Officer, 1600
Clifton Road, MS D–74, 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

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be received within 60 days of this
notice.
Proposed Project
Development and Evaluation of Eagle
Books and Youth Eagle Books for
American Indians and Alaska Natives
(AI/ANs)—New—National Center for
Chronic Disease Prevention and Health
Promotion (NCCDPHP), Centers for
Disease Control and Prevention (CDC).
Background and Brief Description
The development of effective diabetes
prevention programs targeting AI/AN
youth is a compelling priority in
education and public health. AI/ANs
develop type 2 diabetes at younger ages,
experience more years of disease burden
and have a high probability of
developing diabetes-related
complications. However, research
shows that type 2 diabetes can be
prevented or delayed with healthy
foods, moderate physical activity, and
social support. A number of health

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Federal Register / Vol. 76, No. 29 / Friday, February 11, 2011 / Notices
communication products have been
developed specifically for AI/AN youth.
These include the Eagle Books, the
Youth Books, and the Diabetes
Education in Tribal Schools (DETS)
curriculum.
The Eagle Books are a series of four
books that promote physical activity,
eating healthy foods, learning from
elders about health, and preventing type
2 diabetes. Almost 3 million copies of
the Eagle Books have been distributed.
The Eagle Books have been incorporated
into the lesson plans for the
Kindergarten (K) through fourth grades
of the DETS curriculum, ‘‘Health is Life
in Balance.’’ Led by NIH and guided by
Tribal consultation, the project engaged
eight Tribal Colleges and Universities,
CDC, and IHS to develop culturallygrounded, scientifically sound lessons
to promote awareness about diabetes
and lifestyle adaptations that can help
prevent type 2 diabetes. CDC is
currently developing additional books
for Native American youth ages nine to
thirteen (the ‘‘Youth Books’’).
CDC plans to conduct a descriptive
evaluation of the Eagle Books and the
DETS curriculum, as recommended by
the Indian Health Service Tribal Leaders
Diabetes Committee (TLDC), the CDC
Diabetes Council (sponsored by the
National Association of Chronic Disease
Directors), and NDWP staff. Information
will be collected using ethnographic

knowledge, attitudes, and behaviors
about healthy eating and physical
activity. In addition, selected
respondents will be asked about how
the planned Youth Books could be, or
have been, incorporated into or support
the DETS curriculum. Community
health representatives will be asked
about local diabetes prevention efforts
and how Eagle Books and the DETS
curriculum have or could support these
efforts. De-identified information will be
collected and analyzed by staff from
CDC’s NDWP, with the assistance of a
data collection contractor.
Findings will be used to enhance
current and future community outreach
and technical assistance efforts designed
to promote sustainability of Eagle Books
health messages and guide
incorporation of the Youth Books into
the DETS curriculum middle school
lessons. Findings will also be used to
identify ‘‘best practices’’ with regard to
implementation and use of the Eagle
Books and DETS, such as school and
community engagement in Eagle Books
and DETS, dissemination of Eagle Books
and DETS health messages beyond the
classroom, and policy or environmental
changes made in response to Eagle
Books and DETS health messages.
Participation is voluntary. There are
no costs to respondents other than their
time.

case study methodology in selected
AI/AN communities that currently use
the Eagle Books as well as the DETS
curriculum.
Data collection will involve
discussion groups and interviews
conducted during site visits to 12
American Indian communities over
three years. On average, information
collection will occur in four
communities per year and will involve
33 respondents per community. Each
site visit will consist of: (i) Interviews
with up to 3 community health
representatives (e.g., health department
representatives, community health
workers, Tribal council members, etc.);
(ii) Interviews with up to 2 school
administrators from a local elementary
school and a middle school; (iii) One
discussion (focus) group with teachers
from a local elementary school and one
discussion group with teachers from a
local middle school; (iv) Two discussion
(focus) groups with children: One group
with younger children (grades K–1) and
one group with older children (grades
2–4); (v) Two discussion (focus) groups
with parents: One group with parents of
younger children and one group with
parents of older children; and (vi)
Observational tours of the community.
During the site visits, respondents
will be asked to provide general
feedback about the Eagle Books and how
the Eagle Books have affected

ESTIMATED ANNUALIZED BURDEN HOURS
Type of respondent

Community Health Representatives
Administrators ...................................

Teachers ...........................................

Parents ..............................................
Children .............................................

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

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Number of
responses per
respondent

Number of
respondents

Form name

Average
burden per
response
(in hours)

Total burden
(in hours)

Interview Guide for Community
Health Representatives.
Interview Guide for Administrators
Grades K–4.
Interview Guide for Administrators
Grades 5–8.
Discussion Guide for Teachers
Grades K–4.
Discussion Guide for Teachers
Grades 5–8.
Discussion Guide for Parents
Grades K–4.
Discussion Guide for Children
Grades K–1.
Discussion Guide for Children
Grades 2–3–4.

12

1

1

12

4

1

1

4

4

1

1

4

16

1

75/60

20

16

1

75/60

20

48

1

1

48

16

1

45/60

12

16

1

45/60

12

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

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

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

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

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Federal Register / Vol. 76, No. 29 / Friday, February 11, 2011 / Notices

Dated: February 7, 2011.
Carol E. Walker,
Acting Reports Clearance Officer, Centers for
Disease Control and Prevention.
[FR Doc. 2011–3084 Filed 2–10–11; 8:45 am]
BILLING CODE 4163–18–P

DEPARTMENT OF HEALTH AND
HUMAN SERVICES
Centers for Disease Control and
Prevention
[30Day–11–0234]

Agency Forms Undergoing Paperwork
Reduction Act Review
The Centers for Disease Control and
Prevention (CDC) publishes a list of
information collection requests under
review by the Office of Management and
Budget (OMB) in compliance with the
Paperwork Reduction Act (44 U.S.C.
Chapter 35). To request a copy of these
requests, call the CDC Reports Clearance
Officer at (404) 639–5960 or send an
e-mail to [email protected]. Send written
comments to CDC Desk Officer, Office of
Management and Budget, Washington,
DC or by fax to (202) 395–5806. Written
comments should be received within 30
days of this notice.
Proposed Project
National Ambulatory Medical Care
Survey (NAMCS) (OMB No. 0920–0234
exp. 07/31/2012)—Revision—National
Center for Health Statistics (NCHS),
Centers for Disease Control and
Prevention (CDC).
Background and Brief Description
Section 306 of the Public Health
Service (PHS) Act (42 U.S.C. 242k), as
amended, authorizes that the Secretary
of Health and Human Services (DHHS),
acting through NCHS, shall collect
statistics on the utilization of health
care provided by nonfederal officebased physicians in the United States.
This revision is to notify the public of
significant changes proposed for
NAMCS for the 2011–2013 survey
period. A three-year clearance is
requested.
NAMCS was conducted annually
from 1973 to 1981, again in 1985, and

resumed as an annual survey in 1989.
The purpose of NAMCS, a voluntary
survey, is to meet the needs and
demands for statistical information
about the provision of ambulatory
medical care services in the United
States. Ambulatory services are
rendered in a wide variety of settings,
including physician offices and hospital
outpatient and emergency departments.
The NAMCS target universe consists of
all office visits made by ambulatory
patients to non-Federal office-based
physicians (excluding those in the
specialties of anesthesiology, radiology,
and pathology) who are engaged in
direct patient care. In 2006, physicians
and mid-level providers (i.e., nurse
practitioners, physician assistants, and
nurse midwives) practicing in
community health centers (CHCs) were
added to the NAMCS sample, and these
data will continue to be collected.
NAMCS provides a range of baseline
data on the characteristics of the users
and providers of ambulatory medical
care. Data collected include the patients’
demographic characteristics, reason(s)
for visit, provider diagnoses, diagnostic
services, medications, and visit
disposition.
The President’s fiscal year 2011
budget requests that Congress consider
a budget increase for this survey for
2011. If the budget increase is approved
by Congress, an increase in the sample
size of approximately 1,000 physicians
and 30,000 visit records is requested.
NCHS is also increasing the sample by
500 physicians funded through the
Patient Protection and Affordable Care
Act (ACT) of 2010. Currently NAMCS
produces national and regional
estimates. These increases will greatly
improve the ability to track providers’
practice patterns, including their
adoption and meaningful use of health
information technology (HIT).
A supplemental mail survey on the
adoption and use of electronic medical
records (EMRs) in physician offices was
added to NAMCS in 2008, and will
continue. These data were requested by
the Office of the National Coordinator
for Health Information Technology
(ONC), Department of Health and
Human Services, to measure progress

toward goals for EMR adoption. The
mail survey will collect information on
characteristics of physician practices
and the capabilities of EMRs used in
those practices. To complement the
EMR mail survey, NCHS plans to
introduce a provider-based mail survey
to assess physician workflow before and
after EMR implementation. The EMR
workflow mail survey is also sponsored
by ONC and will evaluate the progress
of meeting the President’s goal for most
Americans to have access to an
interoperable electronic health record
by 2014.
Scheduled to begin in 2012, a
proposed asthma supplement will be
administered to primary care
physicians, physicians likely to see
asthma patients, and all CHC providers.
This supplement will provide a more
accurate picture of the uptake and
implementation of specific asthma
management guidelines. Also beginning
in 2012, questions are being added to
the NAMCS induction form to collect
information on the frequency of referrals
and use of complementary and
alternative medicine (CAM) by
conventional providers. These questions
will show the extent to which
conventional providers are integrating
CAM into their treatment plans.
In 2011, NAMCS will include an
additional sample of 300 physicians to
pretest the asthma supplement, CAM
questions, and computerized assisted
interviewing instruments that will
mimic current NAMCS forms. If the
pretest is successful, NCHS will add the
new CAM items, asthma supplement,
and computerized instruments for data
collection beginning in 2012.
Users of NAMCS data include, but are
not limited to, Congressional offices,
Federal agencies, State and local
governments, schools of public health,
colleges and universities, private
industry, nonprofit foundations,
professional associations, clinicians,
researchers, administrators, and health
planners.
There is no cost to respondents other
than their time to participate. The total
estimated annualized burden hours are
12,179.

jlentini on DSKJ8SOYB1PROD with NOTICES

ESTIMATED ANNUALIZED BURDEN HOURS
Type of respondent
Core NAMCS:
Office-based physicians/CHC providers ..
Community Health Center Directors ........

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Number of
respondents

Form name

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Physician Induction Interview (NAMCS–1) ....
Community Health Center Induction Interview (NAMCS–201).

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5,012
104

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Number of
responses per
respondent

1
1

Hours per
response

28/60
20/60