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Federal Register / Vol. 79, No. 231 / Tuesday, December 2, 2014 / Notices

stakeholders to support awareness and
strengthen relationships between public
health and clinical care.
These activities will facilitate the
quick and efficient identification of
cases in future outbreaks and protect the
health and safety of patients.
This request corresponds with an
initial ongoing data collection, State
Health Department Access to Electronic
Health Record Data during an Outbreak:
A Retrospective Assessment, which
involves interviews with four types of
Health Department staff: Healthcareassociated infection coordinator,
epidemiologist, legal counsel, and
informatics director (OMB Control
Number 0920–0879, approved on 04/24/
2014). We anticipate that the Phase I
data analysis will be completed in late
2014.
For Phase II of this study, we will be
requesting participation from hospital
and clinic staff in their official

capacities across the same 15 states
included in the Phase I request. The
states chosen for Phase I and Phase II
data collections are: Florida, Indiana,
Kansas, Maryland, Michigan,
Minnesota, New Hampshire, New
Jersey, New York, North Carolina, Ohio,
Oregon, Tennessee, Texas, and Virginia.
Data will be collected from 150 hospital
and clinic staff in their official
capacities using one 30-minute
telephone interview per person and
limiting interviews to two hospitals and
two clinics per state. Hospital
participants include: Infection
preventionists, informatics directors,
and others as referred. Clinic
participants include: Clinic directors
and others as referred.
The focus of this OMB request is to
conduct interviews with 150 healthcare
facilities’ staff, hospitals and clinics, in
their official capacities who have been
asked by HDs to provide access to their

EHRs during an HAI outbreak
investigation. In hospitals, the
evaluation team will be conducting
interviews with staff members serving
in one of three roles: Infection
preventionist, informatics director, and
other as referred (e.g. privacy officer,
risk management, etc.). In clinics, the
evaluation team will be conducting
interviews with the clinic director, and
other as referred (e.g. patient records
manager, etc.)
The maximum estimates for burden
hours are derived from interview guide
pilot testing and data collection with
HDs during Phase I data collection, in
which interviews took 27 minutes. The
data to be collected do not involve
questions of a personal or sensitive
nature and should have no impact on
the individual’s privacy.
There are no costs to the respondents
other than their time.

ESTIMATED ANNUALIZED BURDEN HOURS
Number of
respondents

Type of respondent

Average
burden per
response
(in hours)

Total burden
hours

Infection Preventionist .....................................................................................
Informatics Director ..........................................................................................
Other as Referred ............................................................................................
Clinic Director ..................................................................................................
Other as referred by Clinic Director .................................................................

30
30
30
30
30

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

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

15
15
15
15
15

Totals ........................................................................................................

150

1

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

75

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. 2014–28236 Filed 12–1–14; 8:45 am]
BILLING CODE 4163–18–P

DEPARTMENT OF HEALTH AND
HUMAN SERVICES
Centers for Disease Control and
Prevention
[60Day–15–0821]

Proposed Data Collections Submitted
for Public Comment and
Recommendations
rljohnson on DSK3VPTVN1PROD with NOTICES

Number of
responses per
respondent

The Centers for Disease Control and
Prevention (CDC), as part of its
continuing effort to reduce public
burden, invites the general public and
other Federal agencies to take this
opportunity to comment on proposed
and/or continuing information
collections, as required by the
Paperwork Reduction Act of 1995. To

VerDate Sep<11>2014

15:30 Dec 01, 2014

Jkt 235001

request more information on the below
proposed project or to obtain a copy of
the information collection plan and
instruments, call 404–639–7570 or send
comments to Leroy A. Richardson, 1600
Clifton Road, MS–D74, Atlanta, GA
30333 or send an email to [email protected].
Comments submitted in response to
this notice will be summarized and/or
included in the request for Office of
Management and Budget (OMB)
approval. 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; (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; and (e) estimates of capital
or start-up costs and costs of operation,
maintenance, and purchase of services

PO 00000

Frm 00055

Fmt 4703

Sfmt 4703

to provide information. Burden means
the total time, effort, or financial
resources expended by persons to
generate, maintain, retain, disclose or
provide information to or for a Federal
agency. This includes the time needed
to review instructions; to develop,
acquire, install and utilize technology
and systems for the purpose of
collecting, validating and verifying
information, processing and
maintaining information, and disclosing
and providing information; to train
personnel and to be able to respond to
a collection of information, to search
data sources, to complete and review
the collection of information; and to
transmit or otherwise disclose the
information. Written comments should
be received within 60 days of this
notice.
Proposed Project
Quarantine Station Illness Response
Forms: Airline, Maritime, and Land/
Border Crossing (OMB Control No.
0920–0821, expiration 08/31/2015)—
Revision—National Center for Emerging
and Zoonotic Infectious Diseases,

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Federal Register / Vol. 79, No. 231 / Tuesday, December 2, 2014 / Notices
Centers for Disease Control and
Prevention (CDC).
Background and Brief Description
CDC is requesting a revision to a
currently approved information
collection, Quarantine Station Illness
Response Forms: Airline, Maritime, and
Land/Border Crossing. This revision
seeks to incorporate the changes that
resulted from activities undertaken
during the response to Ebola. These
changes include two major components,
both of which have been given previous
emergency clearance by OMB, with an
expiration date of April 30, 2015. As a
part of this revision, CDC is requesting
the full three year approval and 12
months of burden for the following:
The incorporation of a two public
health screening forms that are currently
used to assess risk for Ebola in travelers
coming to the United States from
countries experiencing widespread
transmission of the disease. These forms
are the United States Traveler Health
Declaration and a completely revised
Ebola Risk Assessment For Travelers
From Ebola Outbreak-Affected
Countries form, each given approval

through Interactive Voice Response
(IVR) phone system which asks travelers
if they have developed a fever or any
other symptoms potentially indicative
of Ebola exposure (OMB Control No
0920–1034). This system is used to
assist states in actively monitoring those
travelers from Ebola affected countries
for 21 days after arrival. The additional
burden requested for the use of the IVR
system is 91,350 hours.
No revisions are requested to the Air
Travel, Maritime Conveyance or Land
Travel Illness and Death Investigation
forms or burden associated with these
information collections. The current
burden associated with these forms is
314 hours.
This revision incorporates the burden
estimates provided for the emergency
information collection 0920–1031 and
0920–1034. The total additional burden
requested for this revision is 133,110
respondents and 108,335 burden hours.
The estimated total burden for OMB
Control Number 0920–0821 is 136,968
respondents and 108,654 burden hours.
There is no burden to respondents other
than their time.

from OMB under OMB Control No
0920–1031. The additional burden
requested for the electronic and hard
copies of the English, hard copy French,
and hard copy Arabic versions of the
health declaration, and the English and
French hard copy versions of the risk
assessment form, is 16,965 hours.
In this revision, CDC is maintaining
the ability to use the Ebola Risk
Assessment for Travelers from
Outbreak-affected Countries form in the
event that a traveler is identified as ill
on a U.S.-bound flight prior to arrival.
In the no material or non-substantive
change to a currently approved
collection granted by OMB on 9/18/
2014, CDC requested 100 respondents
and 5 hours of burden. Because the risk
assessment form is more
comprehensive, it requires more time
for traveler to complete the assessment.
CDC is requesting an additional 20
hours of burden for the purpose of
assessing ill travelers, for a total of 25
hours of burden. No additional
respondents are requested.
CDC is also requesting the
incorporation of a telephonic,
automated survey administered either

ESTIMATED ANNUALIZED BURDEN HOURS
Form

Traveler .............................................

Airline Travel Illness or Death Investigation Form.
Maritime Conveyance Illness or
Death Investigation Form.
Land Travel Illness or Death Investigation Form.
United States Travel Health Declaration (English: Hard Copy,
fillable PDF, electronic portal).
United States Travel Health Declaration (French hard copy).
United States Travel Health Declaration (Arabic hard copy).
Ebola Risk Assessment for Travelers
from
Outbreak-affected
Countries (English hard copy).
Ebola Risk Assessment for Travelers
from
Outbreak-affected
Countries (French hard copy).
Ebola Risk Assessment for Travelers
from
Outbreak-affected
Countries (Arabic hard copy).
Ebola Risk Assessment for Travelers
from
Outbreak-affected
Countries (Ill traveler interview).
IVR Active Monitoring Survey
(English: Recorded).
IVR Active Monitoring Survey
(French: Recorded).

Traveler .............................................
Traveler .............................................
Traveler .............................................
Traveler .............................................
Traveler .............................................
Traveler .............................................
Traveler .............................................
Traveler .............................................
Traveler .............................................
Traveler .............................................
rljohnson on DSK3VPTVN1PROD with NOTICES

Number of
respondents

Respondent

Traveler .............................................
Total ...........................................

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

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Number of
responses per
respondent

Average
burden per
response
(in minutes)

Total burden
hours

1626

1

5/60

136

1873

1

5/60

156

259

1

5/60

22

45,325

1

15/60

11,331

19,625

1

15/60

4906

300

1

15/60

75

1815

1

15/60

454

783

1

15/60

196

12

1

15/60

3

100

1

15/60

25

45,625

21

4/60

63,875

19,625

21

4/60

27,475

136,968

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

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

108,654

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71432

Federal Register / Vol. 79, No. 231 / Tuesday, December 2, 2014 / Notices

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. 2014–28232 Filed 12–1–14; 8:45 am]
BILLING CODE 4163–18–P

DEPARTMENT OF HEALTH AND
HUMAN SERVICES
Centers for Disease Control and
Prevention
[30Day–15–0214]

Proposed Data Collections Submitted
for Public Comment and
Recommendations

rljohnson on DSK3VPTVN1PROD with NOTICES

The Centers for Disease Control and
Prevention (CDC), as part of its
continuing effort to reduce public
burden, invites the general public and
other Federal agencies to take this
opportunity to comment on proposed
and/or continuing information
collections, as required by the
Paperwork Reduction Act of 1995. To
request more information on the below
proposed project or to obtain a copy of
the information collection plan and
instruments, call 404–639–7570 or send
comments to LeRoy Richardson, 1600
Clifton Road, MS–D74, Atlanta, GA
30333 or send an email to [email protected].
Comments submitted in response to
this notice will be summarized and/or
included in the request for Office of
Management and Budget (OMB)
approval. 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; (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; and (e) estimates of capital
or start-up costs and costs of operation,
maintenance, and purchase of services
to provide information. Burden means
the total time, effort, or financial

resources expended by persons to
generate, maintain, retain, disclose or
provide information to or for a Federal
agency. This includes the time needed
to review instructions; to develop,
acquire, install and utilize technology
and systems for the purpose of
collecting, validating and verifying
information, processing and
maintaining information, and disclosing
and providing information; to train
personnel and to be able to respond to
a collection of information, to search
data sources, to complete and review
the collection of information; and to
transmit or otherwise disclose the
information. Written comments should
be received within 30 days of this
notice.
Proposed Project
National Health Interview Survey
(NHIS) (OMB No. 0920–0214, expires
03/31/2016)—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 data
on the extent and nature of illness and
disability of the population of the
United States. The annual National
Health Interview Survey is a major
source of general statistics on the health
of the U.S. population and has been in
the field continuously since 1957.
Clearance is sought for three years, to
collect data for 2015, 2016, and 2017.
This voluntary and confidential
household-based survey collects
demographic and health-related
information on a nationally
representative sample of persons and
households throughout the country.
Personal identification information is
requested from survey respondents to
facilitate linkage of survey data with
health-related administrative and other
records. Each year we collect
information from approximately 55,000
households, which contain about
137,500 individuals.
Information is collected using
computer assisted personal interviews
(CAPI). A core set of data is collected

each year that remains largely
unchanged while sponsored
supplements vary from year to year. The
core set includes socio-demographic
characteristics, health status, health care
services, and health behaviors. For
2015, supplemental questions will be
cycled in pertaining to cancer control,
epilepsy, and inflammatory bowel
disease and occupational health.
Supplemental topics that continue or
are enhanced from 2014 will be related
to food security, heart disease and
stroke, children’s mental health,
disability and functioning, sexual
orientation, smokeless tobacco and ecigarettes, immunizations, and
computer use. Questions on the
Affordable Care Act from 2014 have
been reduced in number in 2015. In
addition, a follow-back survey will be
conducted on previous NHIS
respondents. The follow-back survey
will focus on topics related to the
Affordable Care Act including health
care access and use, and health
insurance coverage and will include
multiple modes of contacting
respondents.
To improve the analytic utility of
NHIS data, minority populations are
oversampled annually. In 2015, sample
augmentation procedures used in
previous years will continue to increase
the number of African American,
Hispanic, and Asian American persons.
In accordance with the 1995 initiative
to increase the integration of surveys
within the DHHS, respondents to the
NHIS serve as the sampling frame for
the Medical Expenditure Panel Survey
conducted by the Agency for Healthcare
Research and Quality. The NHIS has
long been used by government,
academic, and private researchers to
evaluate both general health and
specific issues, such as cancer, diabetes,
and access to health care. It is a leading
source of data for the Congressionally
mandated ‘‘Health US’’ and related
publications, as well as the single most
important source of statistics to track
progress toward the National Health
Promotion and Disease Prevention
Objectives, ‘‘Healthy People 2020.’’
The total annualized burden hours
have increased by 3,333 hours to 48,833
hours. There is no cost to the
respondents other than their time.

ESTIMATED ANNUALIZED BURDEN HOURS
Number of
respondents

Type of respondent

Form name

Adult Family Member ......................................

Screener Questionnaire .................................

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10,000

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02DEN1

Number of
responses per
respondent
1

Average
burden per
response
(in hours)
5/60