Published 60 Day FRN

Appendix B 60day FRN.pdf

Research to Inform the Prevention of Asthma in Healthcare

Published 60 Day FRN

OMB: 0920-0983

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Federal Register / Vol. 77, No. 114 / Wednesday, June 13, 2012 / Notices
Kimberly S. Lane,
Deputy Director, Office of Scientific Integrity,
Office of the Associate Director for Science,
Office of the Director, Centers for Disease
Control and Prevention.
[FR Doc. 2012–14395 Filed 6–12–12; 8:45 am]
BILLING CODE 4163–18–P

DEPARTMENT OF HEALTH AND
HUMAN SERVICES
Centers for Disease Control and
Prevention
[60Day–12MX]

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
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 404–639–7570 or send
comments to Kimberly S. Lane, at 1600
Clifton Road, MS D74, Atlanta, GA
30333 or send an email 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.

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Proposed Project
Research to Inform the Prevention of
Asthma in Healthcare—New—National
Institute for Occupational Safety and
Health (NIOSH), Centers for Disease
Control and Prevention (CDC).
Background and Brief Description
Healthcare is the largest industry in
the United States and performs a vital
function in society. Evidence from both
surveillance and epidemiologic research

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indicates that healthcare workers have
an elevated risk for work-related asthma
(WRA) associated with exposure to
groups of agents such as cleaning
products, latex, indoor air pollution,
volatile organic compounds (VOCs) and
bioaerosols. Recent epidemiologic
studies of WRA among healthcare
workers have utilized job exposure
matrices (JEMs) based on probability of
exposure, however, specific exposures/
etiologic agents are not well
characterized and quantitative exposure
measurements are lacking. In this
project, NIOSH will augment the
existing JEM with quantitative exposure
data, which will significantly enhance
the existing JEMs and develop a survey
questionnaire for asthma in healthcare.
Since asthma continues to be a
problem among healthcare workers, the
overall goal of this project is to prevent
work-related asthma among healthcare
workers. The primary objective is to
identify modifiable occupational risk
factors for asthma in healthcare that will
inform strategies for prevention.
Specific Aims that support the Primary
Objective are:
Aim 1. Measure frequency of asthma
onset, related symptoms, and
exacerbation of asthma in selected
healthcare occupations.
Aim 2. Assess associations between
asthma outcomes and exposures to
identify modifiable risk factors.
In order to accomplish the goal and
aims of this project, NIOSH has
developed a survey designed to collect
information about work history,
workplace exposures and asthma health
from workers in the healthcare industry.
Aim 1 of this project will be completed
using data exclusively from this survey.
While aim 2 will be completed using
asthma outcome data from the survey
and exposure data from the JEM
developed from survey data and
exposure data from previously
environmental sampling at healthcare
facilities.
Approximately 17,500 health care
workers in the New York City area will
be recruited for this study. NIOSH is
partnering with the Service Employees
International Union (SEIU) Local 1199
in New York City. The SEIU1199
Communications Center (CC) will be
responsible for collecting survey data
from union members by telephone
interview. The goal is to conduct a
cross-sectional epidemiologic survey of
approximately 5,000 healthcare workers
who are members of SEIU1199. Only
health care workers whose job titles are

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35405

in one of nine job titles will be
recruited. These nine job titles include:
certified nursing assistants (CNAs),
central supply, environmental services,
licensed practical nurses (LPNs), lab
techs, operating room (OR) techs,
registered nurses (RNs), respiratory
therapists, and dental assistants.
Furthermore, recruitment of health care
workers will only be from hospitals and
nursing homes.
Completion of the survey by
SEIU1199 members will be done either
online or over the telephone. After the
initial recruitment period, SEIU1199
members will have approximately two
weeks to complete the online survey.
After this two week period, the
SEIU1199 Communication Center will
begin calling members who have not
completed the online survey and
attempt to complete the survey with
them by telephone interview. NIOSH
anticipates 20% of the responses to be
made using the online survey and the
remaining 80% to be by telephone
interview.
Summary results of this study will be
made available to SEIU1199 members
who completed the survey through a
letter mailed to their homes. Although
NIOSH has partnered with SEIU119,
results of this study will also be
disseminated to other industry
stakeholders including healthcare
workers, researchers, clinicians, and
professional societies and government
agencies. The desired outcome of the
dissemination efforts include healthcare
workers learning about hazards in their
work environment and becoming more
prepared to participate in the
development of strategies to minimize
risk. Also, clinicians will learn how
occupational exposures can impact the
respiratory health of their patients who
work in healthcare, which should
improve the care they provide. In
addition, manuscripts of results and
conclusions will be drafted and
published in peer reviewed journals.
The target sample size for this study
is 5,000. Based on the SEIU1199
membership data, the percentage of
eligible union members that fall into the
targeted nine job categories is known.
Therefore, a participant job-category
distribution estimate can be made.
Completion of either the online or
telephone survey will take
approximately 30 minutes. It is
estimated that the annualized burden
will be 2,500 hours. There is no cost to
respondents other than their time.

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Federal Register / Vol. 77, No. 114 / Wednesday, June 13, 2012 / Notices

Type of respondents

Form name

No. of
respondents

No. of
responses per
respondent

Avg. burden
per response
(in hrs)

Certified Nursing Assistants .................................................

Online
Telephone
Online
Telephone
Online
Telephone
Online
Telephone
Online
Telephone
Online
Telephone
Online
Telephone
Online
Telephone
Online
Telephone
........................

297
1,188
8
34
18
71
228
914
140
559
77
310
27
109
168
672
36
144
........................

1
1
1
1
1
1
1
1
1
1
1
1
1
1
1
1
1
1
........................

30/60
30/60
30/60
30/60
30/60
30/60
30/60
30/60
30/60
30/60
30/60
30/60
30/60
30/60
30/60
30/60
30/60
30/60
........................

Central Supply Workers .......................................................
Dental Assistants .................................................................
Environmental Service Workers ..........................................
Licensed Practical Nurses ...................................................
Lab Technicians ...................................................................
Operating Room Technicians ..............................................
Registered Nurses ...............................................................
Respiratory Therapists .........................................................
Total ..............................................................................

Kimberly S. Lane,
Deputy Director, Office of Science Integrity,
Office of the Associate Director for Science,
Office of the Director, Centers for Disease
Control and Prevention.
[FR Doc. 2012–14390 Filed 6–12–12; 8:45 am]
BILLING CODE 4163–18–P

Reports Clearance Office on (301) 443–
1984.
The following request has been
submitted to the Office of Management
and Budget for review under the
Paperwork Reduction Act of 1995:
Proposed Project: Patient Navigator
Outreach and Chronic Disease
Prevention Demonstration Program
(OMB No. 0915–0346)—[Revision]

DEPARTMENT OF HEALTH AND
HUMAN SERVICES
Health Resources and Services
Administration
Agency Information Collection
Activities: Submission for OMB
Review; Comment Request
Periodically, the Health Resources
and Services Administration (HRSA)
publishes abstracts of information
collection requests under review by the
Office of Management and Budget
(OMB), in compliance with the
Paperwork Reduction Act of 1995 (44
U.S.C. chapter 35). To request a copy of
the clearance requests submitted to
OMB for review, email
[email protected] or call the HRSA

This is a revision to a data collection
previously approved for the Patient
Navigator Outreach and Chronic Disease
Prevention Demonstration Program
(PNDP). Authorized under section 340A
of the Public Health Service Act, as
amended by section 3510 of the
Affordable Care Act, PNDP supports the
development and operation of projects
to provide patient navigator services to
improve health outcomes for
individuals with cancer and other
chronic diseases, with a specific
emphasis on health disparities
populations. Award recipients are to use
grant funds to recruit, assign, train, and
employ patient navigators who have
direct knowledge of the communities
they serve in order to facilitate the care
Number of
respondents

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Form
Navigated Patient Data Intake Form ...................................
VR–12 Health Status Form ..................................................
Client Opinion Form .............................................................
Sub Total-Patient Burden .............................................
Patient Navigator Survey .....................................................
Patient Navigator Encounter/Target Services Log ..............
Patient Navigator Focus Group ...........................................
Sub Total-Patient Navigator Burden .............................
Patient Medical Record and Clinic Data ..............................
Annual Clinic-Wide Clinical Performance Measures Report

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4,827
4,827
810
4,827
46
46
46
46
10
5

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149
594
4
17
9
36
114
457
70
280
39
155
14
55
84
336
18
72
2,500

of those who are at risk for or who have
cancer or other chronic diseases,
including conducting outreach to health
disparities populations. As authorized
by the statute, an evaluation of the
outcomes of the program must be
submitted to Congress. The purpose of
these data collection instruments,
including navigated patient data intake,
VR–12 health status, patient navigator
survey, patient navigator encounter/
tracking log, patient medical record and
clinic data, clinic rates (baseline
measures), quarterly reports, and focus
group discussion guides is to provide
data to inform and support the Report
to Congress for: The quantitative
analysis of baseline and benchmark
measures; aggregate information about
the patients served and program
activities; and recommendations on
whether patient navigator programs
could be used to improve patient
outcomes in other public health areas. A
single instrument, the Client Opinion
Form, has been added to this collection,
resulting in an increase of 94.77 burden
hours.
The annual estimate of burden is as
follows:

Responses
per
respondent

Total
responses

Hours per
response

1.00
2.00
1.00
........................
1.00
629.60
1.00
........................
482.70
1.00

4,827.00
9,654.00
810.00
........................
46.00
28,961.60
46.00
........................
4,827.00
5.00

0.500
0.120
0.117
........................
0.200
0.250
1.00
........................
0.170
8.000

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Total burden
(in hrs)

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Total burden
hours
2,413.50
1,158.48
94.77
3,666.75
9.20
7,240.40
46.00
7,295.60
820.59
40.00


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