Att B 60d FRN_0636

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Federal Register / Vol. 78, No. 222 / Monday, November 18, 2013 / Notices

complete a Health Plan information
form of information about each Health
Plan such as the name of the plan, the
product type (e.g., HMO, PPO), the
population surveyed (e.g., adult
Medicaid or child Medicaid), the health
plan State, total enrollment at the time
the sample frame was generated, mode
of survey administration (mail,
telephone, IVR) and how the sample
was selected. The online Health Plan
Information form takes on average 30
minutes to complete per health plan
with each POC completing the form for
4 plans on average. The data use
agreement will be completed by the 60

participating State Medicaid agencies or
individual health plans. Vendors do not
sign or submit DUAs. The DUA requires
about 3 minutes to sign and return by
fax or mail. Each submitter will provide
a copy of their questionnaire and the
survey data file in the required file
format. Survey data files must conform
to the data file layout specifications
provide by the CAHPS Database. Since
the unit of analysis is at the health plan
level, submitters will upload one data
file per health plan. Once a data file is
uploaded the file will be automatically
checked to ensure it conforms to the
specifications and a data file status

report will be produced and made
available to the submitter. Submitters
will review each report and will be
expected to fix any errors in their data
file and resubmit if necessary. It will
take about one hour to submit the data
for each plan, and each POC will submit
data for 4 plans on average. The total
burden is estimated to be 490 hours
annually.
Exhibit 2 shows the estimated
annualized cost burden based on the
respondents’ time to complete one
submission process. The cost burden is
estimated to be $20,202 annually.

EXHIBIT 1—ESTIMATED ANNUALIZED BURDEN HOURS
Number of
respondents/
POCs

Form name

Number of
responses
per POC

Hours per
response

Total
burden hours

Registration Form ............................................................................................
Health Plan Information Form .........................................................................
Data Use Agreement .......................................................................................
Data Files Submission .....................................................................................

80
80
60
80

1
4
1
4

5/60
30/60
3/60
1

7
160
3
320

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

300

NA

NA

490

EXHIBIT 2—ESTIMATED ANNUALIZED COST BURDEN
Number of
respondents/
POCs

Form name

Total burden
hours

Average
hourly wage
rate*

Total cost
burden

Registration Form ............................................................................................
Health Plan Information Form .........................................................................
Data Use Agreement .......................................................................................
Data Files Submission .....................................................................................

80
80
60
80

7
160
3
320

47.34\a\
47.34\a\
85.02\b\
37.63\c\

$331
7,574
255
12,042

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

300

490

NA

20,202

*National Compensation Survey: Occupational wages in the United States May 2012, ‘‘U.S. Department of Labor, Bureau of Labor Statistics.’’
(a) Based on the mean hourly wage for Medical and Health Services Managers (11–9111).
(b) Based on the mean hourly wage for Chief Executives (11–1011).
(c) Based on the mean hourly wages for Computer Programmer (15–1131).

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Request for Comments
In accordance with the Paperwork
Reduction Act, comments on AHRQ’s
information collection are requested
with regard to any of the following: (a)
Whether the proposed collection of
information is necessary for the proper
performance of AHRQ health care
research and health care information
dissemination functions, including
whether the information will have
practical utility; (b) the accuracy of
AHRQ’s estimate of burden (including
hours and costs) of the proposed
collection(s) 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 upon the
respondents, including the use of
automated collection techniques or
other forms of information technology.

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Comments submitted in response to
this notice will be summarized and
included in the Agency’s subsequent
request for OMB approval of the
proposed information collection. All
comments will become a matter of
public record.

DEPARTMENT OF HEALTH AND
HUMAN SERVICES

Dated: October 31, 2013.
Richard Kronick,
Director.

Proposed Data Collections Submitted
for Public Comment and
Recommendations

[FR Doc. 2013–27176 Filed 11–15–13; 8:45 am]

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 and

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Federal Register / Vol. 78, No. 222 / Monday, November 18, 2013 / Notices
send comments to LeRoy Richardson,
1600 Clifton Road, MS–D74, Atlanta,
GA 30333 or send an email to omb@
cdc.gov.
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: Centers for Disease
Control and Prevention (CDC) Secure
Public Health Emergency Response
Communications Network (Epi-X) (OMB
Control No. 0920–0636, exp. 5/31/
2014)—Revision—Office of Public
Health Preparedness and Response
(OPHPR), Centers for Disease Control
and Prevention (CDC).
Background and Brief Description
From 2009–2012, CDC conducted
incident specific, public health
emergency response operations on
average of six public health incidents a
year with an average emergency
response length of 50 days for each
incident. The effectiveness and
efficiency of CDC’s response to any
public health incident depends on
information at the agency’s disposal to
characterize and monitor the incident,
make timely decisions, and take

levels, and to notify them 24/7, when
necessary. Similarly, Epi-X was
specifically designed to provide public
health decision-makers at the state and
local levels a secure, reliable tool for
communicating sensitive, unusual, or
urgent public health incidents to
neighboring jurisdictions as well as to
CDC.
CDC has recognized a need to expand
the use of Epi-X to collect specific
response related information in
anticipation of, during and following
public health emergencies. Proposed
data collection instruments under this
generic ICR will be designed to ensure
ready access to public health and
disease epidemiology information.
Authorized officials from state and
local health departments affected by the
public health incident will be informed
of this data collection first through an
Epi-X Facilitator, who will work closely
with Epi-X program staff and the Epi-X
Information Collection Request Liaison
to ensure that Epi-X incident specific
information collections are understood.
The survey instruments will contain
specific questions relevant to the
current and ongoing public health
incident and response activities.
Respondents will receive the survey
instrument(s) as an official CDC email,
which is clearly labeled, ‘‘Epi-X
Emergency Public Health Incident
Information Request.’’ The email
message will be accompanied by a link
to an Epi-X Forum discussion Web page.
Respondents can provide their answers
to the survey questions by posting
information within the discussion. The
total estimated burden for the generic
information collection is 73,200 hours
for three years.
There are no costs to respondents
except their time.

appropriate actions to prevent or reduce
the impact of the incident.
Available information in anticipation
of, during and following public health
incident responses is often incomplete,
is not easily validated by state and local
health authorities, and is sometimes
conflicting. This lack of reliable
information often creates a high level of
uncertainty with potential negative
impacts on public health response
operations. Secure communications
with CDC’s state, local, territorial, and
tribal public health partners is essential
to resolve conflicting information,
validate incident status, and establish
and maintain situational awareness.
Reliable, secure communications are
essential for the agency to gain and
maintain accurate situational awareness,
make informed decisions, and to
respond in the most appropriate manner
possible in order to minimize the
impact of an incident on the public
health of the United States.
This generic Information Collection
Request (ICR) is being revised to: (1)
Remove verbiage limiting data
collection to activation of the Incident
Management Structure, (2) broaden
categories under which data may be
collected to increase its utilization, and
(3) provide clarity regarding the data
elements.
(Epi-X) is CDC’s Web-based
communication system for securely
communicating in immediate
anticipation of, during and following
public health emergencies that have
multi-jurisdictional impacts and
implications. The incidents of
September 11, 2001 illustrated the need
for an encrypted and secure
communications system that would
permit CDC to communicate urgently
with partners at the state and local

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ESTIMATED ANNUALIZED BURDEN HOURS
Number of
respondents

Type of respondent

Form name

State Epidemiologists ....
County Health ...............
Officials ..........................

Epi-X Emergency Public Health Incident Information Request.
Epi-X Emergency Public Health Incident Information Request.

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

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

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Average
burden per
response
(in hours)

Number
responses per
respondent

Total
burden hours

50

104

1

5,200

1,600

12

1

19,200

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

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

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

24,400

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69092

Federal Register / Vol. 78, No. 222 / Monday, November 18, 2013 / Notices

LeRoy 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. 2013–27485 Filed 11–15–13; 8:45 am]
BILLING CODE 4163–18–P

DEPARTMENT OF HEALTH AND
HUMAN SERVICES
Centers for Disease Control and
Prevention
[30Day–14–0728]

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 (404) 639–7570 or send an
email to [email protected]. Send written
comments to CDC Desk Officer, Office of
Management and Budget, Washington,
DC 20503 or by fax to (202) 395–5806.
Written comments should be received
within 30 days of this notice.
Proposed Project
National Notifiable Disease
Surveillance System (NNDSS) [0920–
0728, Exp, Jan 31, 2014]—Revision—
Center for Surveillance, Epidemiology,
and Laboratory Services (CSELS),
Division of Health Informatics and
Surveillance (DHIS), Centers for Disease
Control and Prevention (CDC).
Background and Brief Description:
The Public Health Services Act (42
U.S.C. 241) authorizes CDC to
disseminate nationally notifiable
condition information. The Nationally
Notifiable Disease Surveillance System
(NNDSS) is based on data collected at
the state, territorial and local levels as
a result of legislation and regulations in
those jurisdictions that require health
care providers, medical laboratories,
and other entities to submit healthrelated data on reportable conditions to
public health departments. These

reportable conditions, which include
infectious and non-infectious diseases,
vary by jurisdiction depending upon
each jurisdiction’s health priorities and
needs. Currently approximately 300
conditions are reportable in one or more
of the states. Since infectious disease
agents and environmental hazards often
cross geographical boundaries, public
health departments have to be able to
share data on certain conditions across
jurisdictions and coordinate program
activities to prevent and control the
conditions. Each year, the Council of
State and Territorial Disease
Epidemiologists (CSTE), supported by
CDC, performs an assessment of
conditions reported to state, territorial
and local jurisdictions to determine
which should be designated nationally
notifiable conditions. For conditions
that are nationally notifiable, case
notifications are voluntarily submitted
to CDC so that information can be
shared across jurisdictional boundaries
and both surveillance and prevention
and control activities can be
coordinated at regional and national
levels.
CDC requests a three year approval for
a Revision of the National Notifiable
Diseases Surveillance System (NNDSS)
information collection, [National
Electronic Disease Surveillance System
(NEDSS, OMB Control No. 0920–0728,
Expiration Date 01/31/2014]. This
request has been developed in
coordination with four other CDC
applications to OMB for nationally
notifiable diseases case notification:
Control Numbers 0920–0128,
(Congenital Syphilis Surveillance),
0920–0819 (Nationally Notifiable
Sexually Transmitted Disease (STD)
Morbidity Surveillance) 0920–0009
(National Disease Surveillance
Program—I. Case Reports) and 0920–
0004 (National Disease Surveillance
Program—II. Disease Summaries). This
consolidation of information collection
0920–0128 and some parts of
information collections 0920–0819,
0920–0009 and 0920–0004, is an
important step in implementing CDC’s
longer term strategy of developing a
more coordinated and integrated
infectious diseases surveillance system

that reduces overlap and duplication;
increases interoperability, integration
and efficiency; and thereby reduces
burden to state, territorial and local
health departments that report
infectious disease data to CDC. Due to
the coordination, this NNDSS
application includes 11 conditions and
many additional data elements for the
case notifications that were not
previously included in NNDSS OMB
application Control No. 0920–0728. For
many conditions submitted to CDC,
participating public health departments
also submit data elements which are
specific to each condition. With the
coordination with other CDC programs
conducting surveillance on notifiable
conditions, this application includes
disease-specific tables for 68 diseases.
The 2010 NNDSS OMB application
included disease-specific data elements
for only 14 of those conditions.
Because this information collection
request includes case notifications that
were not part of the 2010 NNDSS/
NEDSS application, replaces one
application and replaces parts of three
other OMB applications, burden
estimates have been adjusted to
incorporate burden estimates from the
other four applications. The estimates
are adjusted for the increased number of
conditions reported to NNDSS, the
expansion of core data elements, and
the inclusion of more disease-specific
tables. These changes have increased
the burden estimates in this application
in comparison with the burden
estimates in the 2010 NNDSS/NEDSS
OMB application (OMB Control No.
0920–0728). As CDC works with state,
territorial and local health departments
to develop and implement new
information technologies to submit
these data through NNDSS, burden will
also increase as the public health
departments commit resources to
implementing the new technologies.
However, over the next 3 years, as the
new automated electronic systems are
implemented, burden will be decreased.
There are no costs to respondents other
than their time. The estimated annual
burden is 28,340 hours.

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ESTIMATES OF ANNUALIZED BURDEN HOURS
Number of
respondents

Respondents

States ...........................................................................................................................................
Territories .....................................................................................................................................
Cities ............................................................................................................................................

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50
5
2

18NON1

Number of
responses per
respondent
52
52
52

Average
burden per
response
(in hours)
10
5
10